Recent trends and issues in psychiatric-mental health nursing.
ABSTRACT New and emerging roles for psychiatric-mental health nurses, certification programs for graduate and experienced baccalaureate nurses, and the emergence of clinical nursing research are only some of the many changes occurring in the field of psychiatric-mental health nursing that have resulted in a burgeoning literature. Through a review of the most recent of this literature, the author highlights the current trends and issues in psychiatric-mental health nursing practice, education, and research, as well as the historical antecedents of many of the issues and problems facing mental health nurses today.
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ABSTRACT: This study describes head nurses' perceptions of the impact of deinstitutionalization on persons with chronic mental illness. A phenomenological approach is the methodology used in this study. Data were collected by use of an in-depth semi-structured interview. The participants in the study were seven head nurses from a large psychiatric institution in Western Canada. Themes derived from the data were abstracted into three content categories. The content categories are contributing factors, impact on the individual and facilitating factors. Major themes under each of the content categories are described. The findings reveal that head nurses perceive that deinstitutionalization has negative and positive effects on the chronic mentally ill. The negative effects are stigma, homelessness and the revolving door syndrome. Positive effects of deinstitutionalization can be a better quality of life with adequate communication, patient preparation, education and resources/facilities in the community. The findings also show that head nurses perceive that some persons with chronic mental illness may require care in a psychiatric institution for most of their lives. The implications that deinstitutionalization has for nursing practice, education, administration and research are presented.
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ABSTRACT: As the twenty-first century approaches, psychiatric nursing is reviewing its past and speculating about its future. This article reports on the current status of 525 psychiatric-mental health nurses. The nurses responded to a questionnaire designed to elicit information on career characteristics, professional activities, and client attributes. The nurses work primarily in acute care institutions or hospitals. The typical client is white, middle class, and adult. The focus of care in mental health is moving to the community. If psychiatric nurses want a viable role in the mental health system of the future, they must begin to develop a system of care for at-risk populations in the community now.Issues in Mental Health Nursing 01/1992; 13(1):39-50. DOI:10.3109/01612849209006884
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ABSTRACT: Over the past several years, conceptualizations of the mind have been challenged by a knowledge explosion in the psychobiological sciences. Such new knowledge continues to fuel a paradigm shift in psychiatry away from traditional psychodynamic models of the mind and toward ones balanced with a psychobiological dimension. The combination of psychodynamic and psychobiological fields of knowledge offers an opportunity for a holistic perspective on the human experience. Psychiatric nursing faces the challenge of integrating this new knowledge for the enrichment of its practice. To accomplish this complex task, issues need to be addressed in many areas critical to psychiatric nursing. Three areas are discussed in this article and include philosophy, communication of philosophy, and testing of philosophy. This article concludes with a discussion of some potential mechanisms to deal with the tensions generated by a paradigm shift in psychiatric nursing.Archives of Psychiatric Nursing 11/1991; 5(5):255-61. DOI:10.1016/0883-9417(91)90023-X · 1.03 Impact Factor