Validation of cues for competencies of beginning level mental health nurses: an exploratory study in South Australian mental health agencies.
ABSTRACT This paper outlines competency statements and their validation in mental health nursing. It describes: the background to the study, developments in perspectives on professional competency, the research process, the results, and issues that arose out of the research. The authors suggest that such research allows for the exploration of both nursing practice and the context in which psychiatric/mental health nursing is practised. This research has highlighted the complexity of mental health nursing practice in Australia, and an area of research that needs further development.
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ABSTRACT: In a rapidly changing Australian health care environment, providers of undergraduate nursing programs are continually upgrading their assessment methods to ensure that graduates are competent and safe to practice. Competence assessment is based on the existing Australian Nursing and Midwifery Council (ANMC) Competency Standards for Registered Nurses. It is acknowledged that there are issues surrounding the validity and reliability of current assessment methods, primarily due to organisational constraints both at the University and the service provider level. There are a number of highly reliable tools available that enable assessment of nursing students in the psychomotor domain. Assessment in other domains is less precise. This paper explores some of the issues relating to competence assessment processes in order to promote discussion and discourse between educators, facilities and policy makers. It is envisaged that increased debate will result in an enhanced level of academic and clinical preparation for the upcoming nursing workforce in this country.Contemporary nurse: a journal for the Australian nursing profession 08/2006; 22(1):46-58. · 0.44 Impact Factor
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ABSTRACT: Psychiatric length of stay (LOS) has reduced but is still longer than for physical disorders. Inpatient costs are 16% of total mental health spending. Regression analyses of the determinants of LOS for US adult psychiatric inpatients were systematically reviewed. Most studies predated recent LOS reductions. Psychosis, female gender and larger hospital size were associated with longer LOS, while discharge against medical advice, prospective payment, being married, being detained and either younger or middle age were associated with shorter LOS. Associations appeared consistent, especially where sample size was above 3,000. Updated studies should be adequately powered and include the variables above.Administration and Policy in Mental Health 10/2010; 38(3):155-68. · 2.09 Impact Factor