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Challenges and Scope of Psychiatric Nursing

Mental health nursing unit 1

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Sulochna Loli Tirkey
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772 views3 pages

Challenges and Scope of Psychiatric Nursing

Mental health nursing unit 1

Uploaded by

Sulochna Loli Tirkey
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CHALLENGES AND SCOPE OF PSYCHIATRIC NURSING

The American Nurses Association defines psychiatric nursing as " A specialized area of
nursing practice, employing the wide range of explanatory theories of human behaviour as its
science and purposeful use of self as its art and diagnosis and treatment of human responses
to actual or potential health problems".

Nature of Mental Health Nursing Hildegard Peplau, called as the mother of psychiatric
nursing, identified the art of psychiatric nursing as the role of counsellor or psychotherapist.
Therapeutic-Nurse patient relationship forms the core part of this. The practice of mental
health nursing is based on certain philosophical beliefs.

1. The individual has intrinsic worth and dignity and is worthy of respect.

2. The goal of all individuals is growth, health, autonomy and self-actualization.

3. Every individual has the potential to change.

4. Each person functions as a holistic being that act on, interact with, and reacts to the
Environment as a whole person.

5. All people have common basic needs such as physical requirements, safety, loving,
belonging, esteem and self actualization.

6. All behaviour of the individual is meaningful.

7. Individuals vary in their coping capacities.

8. All people have a right to equal opportunity for adequate health care.

9. Each individual has the right to participate in decision making regarding his/her
health.

10. The goal of nursing care is to promote wellness.

11. An interpersonal relationship can produce change and growth .

1
SCOPE OF MENTAL HEALTH NURSING

Mental health nursing practice occurs within a social and environmental context.
Hence the "Nurse- patient relationship" is nothing but "nurse-patient partnership" that
expands the dimensions of the professional mental health nursing role..
This includes:-

1. Clinical competence

2. Patient-family advocacy

3. Fiscal responsibility

4. Interdisciplinary collaboration

5. Social accountability and

6. Legal-ethical parameter

Legal-ethical parameters Today, the scope of mental health nursing is not restricted within the
confines of the bed-side nursing care. A mental health nurse need to be skilled and clinically
competent. sensitive to the social environment, the advocacy needs of the patients and their
families as well as be aware of the legal and ethical dilemmas that arise due to discrimination
against those with mental illness.

The mental health nurse also needs to be assertive, skilled in interdisciplinary collaboration
and have a clear understanding of the cost of psychiatric care both in general and psychiatric
nursing in particular.

2
CONTINUUM OF MENTAL HEALTH NURSING CARE

The traditional settings for mental health nurses include psychiatric facilities, community
mental health Centres, and psychiatric units in general hospitals, residential facilities and
private practice. The mental health nurse can also work in other clinical systems such as day
care Centres, residential care, home care and ambulatory care centres. Community based
treatment settings have expanded to include foster care, hospices, home health agencies,
visiting.

 Nurse associations, emergency department, nursing homes, primary care clinics,


schools, prisons and health maintenance organizations.

 Mental health nurses are also moving into the domain of primary care and working
with other nurses and physician to diagnose and treat psychiatric illness in patients
with somatic complaints.

 Advanced practice psychiatric nurses act as consultants to non-psychiatric providers


in hospital based or outpatient

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