Psychiatric Nurse Practitioner Program
A critical component of nursing is treating a patient's psychological as well as physical needs. I have seen this again and again in my work for an intensive care unit. Every day, more and more patients who are HIV positive come through our doors. HIV can take a tremendous psychological as well as physical toll upon the individual. Additionally, although HIV and AIDS can be contained, the drug regime prescribed must be carefully followed. For patients with ambivalence, shame or guilt about their illness, they may unconsciously sabotage themselves; for patients with deep and entrenched mental health problems outside of their HIV status, following a recommended program of drug therapy and counseling can be even more arduous.
Of course, the failures of HIV treatment are not the patient's 'fault.' There is also the problem of providers who themselves are ill-equipped to deal with the psychological challenges posed by…...
Clarifying is communication that makes clear the point made by the patient to make sure that no misunderstanding occurs. Conveying information is a simple sharing with the patient of information relevant to his or her health status. Providing feedback is the provision of information that is constructive to the patient in relation to how the nurse has perceived what the patient has stated. Stating observations may be used in communication with patients in a manner that defuses anger while at the same time acknowledging their stress or anger. Confrontation is a method of calling attention to the discrepancies stated by the patient and specifically the discrepancy between what the patient has to say and their actions. Summarizing is the provision of feedback to the patient concerning generalities from the nurses' point-of-view. Silence can be used to convey concern or support and enables the patient in thought-organization and self-reflection. (Zychowicz,…...
mlaBibliography
Robbins, Charles a. (1963) a Therapeutic Milieu in a Continued Treatment Service Mental Hospital 14:494-494 September 1963.
Zychowicz, Michael (nd) Therapeutic Communication. Mount Saint Mary College (MSMC) Online available at http://faculty.msmc.edu/zychowic/therapeutic%20communication_files/frame.htm
Merriam-Webster Medical Dictionary (2008) http://medical.merriam-webster.com
Merriam-Webster Dictionary (2008) http://www.merriam-webster.com
medical professionals, nurses as a group come closest to te ideal of treating te wole patient, addressing pysical, emotional, psycological and even social concerns. Tis is especially true of psyciatric nurses wo work to elp patients address bot te pysical and cognitive symptoms of teir conditions as well as to come to terms wit te stigma attaced to aving a mental illness - a stigma tat often is applied as muc by te patients to temselves as by oters.
Tis paper examines te paradigm of psyciatric nursing troug te lens of Betty Neuman's Systems Model. Neuman believes tat te demands and opportunities of nursing as unique because te nurse is te only medical professional wo truly does care for te wole person, elping to alleviate all of te stresses tat affect eac individual. Because nurses see teir patients as "wole" people, by extension Neuman sees te profession of nursing as…...
mla
psychiatric nursing practice in Australian prisons," Doyle (1999) attempts to discern what factors influence psychiatric nursing care. In particular, the researcher attempted to decide what factors may influence a nurse's ability to work effectively under straining circumstances, in this case working with challenging patients in a prison.
The problem as the researcher states it is that more than 100,000 patients require treatment while living in prison and correctional institutions. The unique client group presents many challenges to nursing staff including mental illness and developmental disabilities. In addition many patients are emotionally unstable. The author clearly identifies problems associated with providing optimal health care to incarcerated offenders. Also noted are the increased mortality rate and disease rate among this population.
Nurses must often face challenging situations. They are often tasked with working with difficult patients. In addition they may face technological obstacles or conflicting values when working in certain settings, or in…...
mlaReferences:
Doyle, J. (1999). "A qualitative study of factors influencing psychiatric nursing practice in Australian prisons." Perspectives in Psychiatric Care, 35(1):29
Lather, P. (1991). Getting smart. New York: Routledge.
Massarik, F. (1981). The intervening process re-examined. In P. Reason & J. Rowan
(Eds.), Human enquiry: A source book of new paradigm research (pp. 201-207). New York: Wiley.
Self-Injury
Biopsychosocial Approach to Treating Self-Injurious Child and Adolescent Psychiatric Nursing
My initial thoughts/feelings on the topics were: (This section contains your general feelings on the topic and NOT what the readings have informed you.
Initially, I did not have much knowledge about self-injurious behavior (SIB). Though I had from time to time heard about the behavior, it never actually crossed my mind that it is a behavior that could warrant significant medical attention. In my life, I have actually not encountered an individual with the behavior. I have not even heard many people mention or talk about it. I thought that people who would perhaps contemplate harming themselves are suicidal people, substance abusers, or insane people. In fact, I thought the behavior was more relatable with non-human animals as opposed to humans. I did not even think the behavior was evident in children. I also viewed it as some form of deviant…...
mlaReferences in APA format and submitted on time and followed format: (10 points)
Askew, M., & Byrne, M. (2009). Biopsychosocial approach to treating self-injurious behaviors: an adolescent case study. Journal of Child and Adolescent Psychiatric Nursing, 22(3), 115-119.
Jefic, J. (2010). Biopsychosocial approach to treating self-injurious behaviors: an adolescent case study. Journal of Child and Adolescent Psychiatric Nursing, 23(2): 51.
Juhnke, G., Granello, P., & Granello, D. (2010). Suicide, self-injury, and violence in the schools: assessment, prevention, and intervention strategies. Hoboken: John Wiley & Sons.
Wilkinson, B. (2011). Current trends in remediating adolescent self-injury: an integrative review. The Journal of School Nursing, 27(2), 120-128.
Nursing Employment equirementsAs a psychiatric nurse practitioner, there are several elements that are important to me when seeking employment. My main priorities are job location, and making sure that it aligns with my personal goals and strengths. Additionally, I want to make sure that the job is within my scope of practice and allows me to work within my area of expertise. Of course, salary and benefits are also important, and I want to make sure that the compensation package is competitive and meets my financial needs.When it comes to negotiating elements of a potential job, I am willing to be flexible with my work schedule and work environment. Depending on the specific job, I may be open to discussing these aspects and finding a compromise that works for both me and my employer.One of my strengths as a psychiatric nurse practitioner is my clinical expertise. I have specialized knowledge…...
mlaReferencesFriedman, C. (2021). The impact of ongoing staff development on the health and safety of people with intellectual and developmental disabilities. Journal of Developmental and Physical Disabilities, 33(2), 181-196.Hurley, J., Lakeman, R., Cashin, A., & Ryan, T. (2020). The remarkable (Disappearing Act of the) mental health nurse psychotherapist. International Journal of Mental Health Nursing, 29(4), 652-660.
Nursing research is one of the most important components in answering a clinical question through an investigation process. The research or investigation process involves a series of steps that are geared towards identifying suitable evidence that can be utilized in answering the research question. This process requires narrowing down the research topic, which helps in obtaining information that is applied to develop knowledge, which generates wisdom if applied in meaningful ways. In this case, the research process entails the use of a data, information, knowledge and wisdom continuum. This paper examines how nursing informatics through this continuum can be utilized to gain wisdom on a clinical issue in the field of psychiatric nursing.
Clinical Issue and Question
Psychiatric nursing practice entails the provision of comprehensive, patient-centered psychiatric care to patients with psychiatric or mental health problems. This nursing practice is considered as an integral component of the continuum of nursing practice since…...
nurse working as a psychiatric-Mental health facility and have been asked to complete a suicide assessment on a client.
What are the different areas you would need to assess? List at least two questions you would ask to assess each area.
Suicide assessment begins with understanding the behavior of the patient. A patient may be acting in a way that causes the nurse to question the possibility of risk. Questions to ask might be: Is the behavior unusual for this person? Has their behavior changed drastically after a tragic event? (Mohr,, 743). Next the nurse needs to establish a therapeutic relationship that is built on trust. This relationship should have begun prior to the behavior change. Nurses should ask about family, talk honestly about issues that the patient wants to hear about, and try to seek a common ground that will help build rapport. If the patient is in crisis they…...
mlaReferences
Freedberg, S. (2007). Re-examining empathy: A relational-feminist point-of-view. Social Work,
Gaering, R.E., Saini, M., & McNeill, T. (2007). Experiences and implications of social workers practicing in a pediatric hospital environment affected by SARS. Health and Social Work,
Glass, J.E., Ilgen, M.A., Winters, J.J., Murray, R.L., Perron, B.E., & Chermack, S. (2010). Inpatient hospitalization in addiction treatment for patients with a history of suicide attempt: A case of support for treatment performance measures. Journal of Psychoactive Drugs,
Kintzle, S., & Bride, B.E. (2010). Intervention following a sudden death: The social work-medical examiner model. Health and Social Work,
Nurse-Patient Relations
The main focus of this essay is going to concern the nurse-patient relationship idea, and why it is important. This was chosen because the researcher desired to achieve a better accepting of how a helpful nurse-patient relationship can be advanced and even from different theorists who have discovered this idea. In this essay, the researcher sets out to demonstrate what they have learnt regarding the nurse-patient relation concept and how this connection can utilized in the clinical practice setting. T The nurse patient connection, according to a study done by Press Gamey Associates Inc., creates the quality of the care experience and generates an influential influence on patient gratification. Nurses will a lot of their time with patients. Patients see nurses' relations with people among the care team and make their own conclusions about the hospital founded on what they are observing. Furthermore, nurses' approaches toward their vocation, those…...
mlaWorks Cited
Berdes, C. & . (2001). Race relations and caregiving relationships: A qualitative examination of perspectives from residents and nurses aides in three nursing homes. Research on Aging, 23(1), 109-126.
Biering, P. (2002). Caring for the involuntarily hospitalized adolescent: The issue of power in the nurse-patient relationship. Journal of Child and Adolescent Psychiatric Nursing, 16(2), 65-74.
Heijkenskjold, K.B. (2010). The patients dignity from the nurses perspective. Nursing Ethics, 6(3), 313-24.
LaSala, C.A.-B. (2007). The role of the clinical nurse specialist in promoting evidence-based practice and effecting positive patient outcomes. The Journal of Continuing Education in Nursing, 38(6), 262-70.
Nursing Sills
Grayce Sills and Nursing Leadership
Brief Biography:
Grayce Sills dedicated her life's work to improving conditions for psychiatric health patients, both through reforms in the area of psychiatric nursing and through education of future generations of nurses. During the era succeeding orld ar II, the psychiatric nursing profession was making its first forays into mainstream treatment orientation. Grayce Sills would emerge into the profession during this time and, in the late 1950s and 1960s, would observe that the conditions to which psychiatric patients were often treated at this juncture were abhorrent, inhumane and inconsistent with the standards otherwise sought in general patient treatment. As a student of Hildegard Peplau, whom she refers to as the mother of psychiatric nursing, Sills would come to appreciate the need for greater demonstration of caring and compassion in this subsection of the nursing profession. (Barker, p. 79) Earning a Bachelor's Degree from the University of…...
mlaWorks Cited:
Barker, P.J. (1999). The Philosophy and Practice of Psychiatric Nursing. Elsevier Health Sciences.
Fitzpatrick, J.J.; Shultz, C.M. & Aiken, T.D. (2010). Giving Through Teaching: How Nurse Educators Are Changing the World. Springer Publishing Company.
Houser, B. & Player, K. (2007). Pivotal Moments in Nursing: Leaders Who Changed the Path of a Profession. Sigma Theta Tau International; 1st edition.
Murray, A. (1995). OHIO STATE HONORS NURSING PROFESSOR AT WINTER COMMENCEMENT. Ohiostate.edu.
Nursing
Elizabeth Kerr Porter
Elizabeth Kerr Porter "was a leader in nursing education and an advocate for nurses' rights," (ANA 2011). Porter advocated for nurses' labor rights in terms of the right to collective bargaining and professional organization. Her work helped improve working conditions for nurses and also lobbied against racial discrimination in the nursing professions. Porter served for many years as the president of the American Nurses Association and also as the Dean of the nursing graduate degree program at Case Western eserve University. Therefore, Elizabeth Kerr Porter promoted the interests of nursing education, enhanced the image of the profession, and also championed the labor rights interests of professional nurses.
Dorothea Dix
Dorothea Dix worked as both an educator and a nurse, but never actually combined her two careers. Dix devoted most of her career to raising awareness about mental illness. Dix advocated for the humane treatment of both asylum inmates and prisoners.…...
mlaReferences
American Nurses Association (ANA 2011). Elizabeth Kerr Porter. Retrieved online: http://www.nursingworld.org/ElizabethKerrPorter
Buckwalter, K.C. & Church, O.M. (2009). Euphemia Jane Taylor: An Uncommon Psychiatric Nurse. Perspectives in Psychiatric Care 17(3):125-131
Bumb, J. (n.d.). Dorothea Dix. Retrieved online: http://www.webster.edu/~woolflm/dorotheadix.html
Lewis, J.J. (n.d.). Clara Barton biography. About.com. Retrieved online: http://womenshistory.about.com/od/bartonclara/a/clara_barton.htm
This is one of the many reasons I look forward to being able to work within my own community. Nurses are at the forefront of community outreach and community betterment. As I get to know the local physicians, administrators, and program leaders, I can become a more effective member of the health care community.
In the future I intend to serve my community in a position of leadership, as a coordinator for healthcare services. I want to apply family systems theory to my nursing practice, because I see a growing demand for more collaborative methods of intervention that support rather than deny the role of family systems. With a great sensitivity to diversity in terms of religion and culture, I will be of great service to the local patient population.
While with the Post Masters Nurse Practitioner Program, I will improve my communications and networking skills because I believe in the…...
Behavioral approaches alone or combined cognitive behavior therapy may be used. Behavioral techniques might include simply not buying trigger foods or avoiding certain shops; that is, building up new habits to replace existing ones. Another example would be modifying eating behavior such as eating in the same place each day, or concentrating solely on eating and not watching television at the same time (Fiona Mantle, 2003)."
It is worth noting here that research has shown that people will change and transform their eating habits, once they learn the advantages and disadvantages of their eating behavioral patterns. However, at the same time, it is also worth noting here that since eating habits can be transformed through learning, they can also be unlearned, however, the process of unlearning may take place through a lengthy passage of time. As Fiona Mantle (2003) writes, "Eating behaviors are learned behaviors therefore they can be unlearned,…...
mlaReferences
Abraham S, Llewellyn-Jones D (2001) Eating Disorders: the facts. Oxford, Oxford University Press.
Bruch H (1973) Eating Disorders: Obesity, Anorexia Nervosa and the Person Within. New York, Basic Books.
Bunnell, D.W., Shenker, I.R., Nussbaum, M.P., Jacobson, M.S., & Cooper, P. (1990). Sub-clinical vs. formal eating disorders. International Journal of Eating Disorders, 9, 357-362.
Cathie E. Guzzetta. (2001). Developing and implementing a comprehensive program for children and adolescents with eating disorders. Journal of Child and Adolescent Psychiatric Nursing.
eliability was tested using the internal consistency measure. Cronbach's alpha test conducted showed that the esourcefulness scale has an internal consistency of ? = 0.78, a value which is well within the acceptable range of values for this kind of test. esults of the test also showed that even if one of the eight (8) items in the esourcefulness Scale, the Scale would still yield the same test value, proving that indeed, the Scale is reliable when tested on an inter-item or per-item level (Zauszniewski, 2010:12).
esults and values yielded from the validity and reliability tests generally prove that the esourcefulness Scale is a good quantitative measure of resourcefulness. However, it is just as important to note that in addition to the significant relationships generated between the resourcefulness construct and its measures, the secondary analysis itself is a challenge for the authors who conducted the study. This is because an 8-item…...
mlaReferences
Burns, N. And S. Grove. (2005). The Practice of Nursing Research (6th ed.). St. Louis: Saunders Elsevier.
Hansen, C. (2005). Experimental Psychology (5th ed.). CA: Wadsworth.
Zauszniewski, J. And a. Bekhet. (2010). Psychometric testing of the "Children's Resourcefulness Scale." Journal of Child and Adolescent Psychiatric Nursing, 23 (3).
Nursing Theory Framework
Attachment Theory
ecognizing Addiction through Attachment Theory
Affect egulation and Addiction
Handling Addiction as an Attachment Disorder
The First Phase of Therapy
Concepts
Autonomy
Beneficence
Nonmaleficence
Nursing Theory Framework
The misappropriation of prescription drugs by teens in the United States is a growing public health issue. Using a nursing theory framework, the scope of the problem of prescription drug use among teens is reviewed. Equal in variety to manifestations of addiction are sundry psychological theories that attempt to explain and treat the problem. Hardy (2011) was able to look into four traditional models for recognizing alcoholism (social learning theory, tension reduction theory, personality theory, and interactional theory,) in addition to five theoretical models that were developing at the time of their writing.
An approach to treating and understanding addiction that has created a huge amount of research in current decades, and which displays big promise for effective treatment of those who are undergoing addictions, has derived from attachment theory.…...
mlaReferences
Caplan, J.P. (2012). Neuropsychiatric effects of prescription drug abuse. Neuropsychology Review, 17(3), 363-80.
Elkashef, A.M. (2012). Prevention and treatment of addiction. Psychiatric Times, 16-18.
Fischer, B.P. (n.d.). Assessing the prevalence of nonmedical prescription opioid use in the general canadian population: Methodological issues and questions. Canadian Journal of Psychiatry, 55(9), 606-9.
Flores, P.J. (2012). Group psychotherapy and neuro-plasticity: An attachment theory perspective. International Journal of Group Psychotherapy, 60(4), 546-70.
1. Introduction:
- Overview of the nursing profession
- Importance of nurses in healthcare
- Personal motivation for pursuing a career in nursing
2. Education and Training:
- Pre-requisites for nursing school
- Types of nursing programs (e.g. Associate's degree, Bachelor's degree, Accelerated programs)
- Licensing and certification requirements
3. Clinical Experience:
- Clinical rotations during nursing school
- Hands-on training in a variety of healthcare settings (e.g. hospitals, clinics, nursing homes)
- Preceptorship or internship opportunities
4. Specializations in Nursing:
- Overview of different nursing specialties (e.g. pediatric nursing, critical care nursing, psychiatric nursing)
- Additional training or certification required for specific specialties
5. Continuing Education:
- Importance of lifelong learning in nursing
- Continuing education....
I. Introduction
II. Body
III. Conclusion
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