Advanced Practice Psychiatric Nurses: 2005 Legislative Update

Staten, Ruth R.; Hamera, Edna; Hanrahan, Nancy P.; Hillyer, Dana; Limandri, Barbara J; Phoenix, Beth; Rice, Michael J.; Weeks, Susan M.; Farley-Toombs, Carole

doi:10.1177/1078390305284452

Cited by 9 publications

(13 citation statements)

References 1 publication

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“…As this includes medications such as stimulants, APPN practice with individuals with attention disorders is highly restricted. In that same study, Staten et al (2005) report that APPNs held independent prescriptive authority in only 13 states. Given the shortage of mental health providers in many areas of the country, and lack of collaborating psychiatrists, this practice restriction directly affects the APPNs ability to provide medication services.…”

Section: Capitalizing On the Potential Of The Appn Workforcementioning

confidence: 92%

“…For APPNs to provide access to quality care, they need professional environments conducive to executing services within their full scope of practice. For instance, in six states there are restrictions on APPN’s prescriptive authority for scheduled drugs (Staten et al, 2005). As this includes medications such as stimulants, APPN practice with individuals with attention disorders is highly restricted.…”

Section: Capitalizing On the Potential Of The Appn Workforcementioning

confidence: 99%

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Health Care Reform and the Federal Transformation Initiatives: Capitalizing on the Potential of Advanced Practice Psychiatric Nurses

Hanrahan

Delaney

Merwin

2010

Policy, Politics, & Nursing Practice

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In the last decade the US federal government proposed a transformation vision of mental health service delivery; patient-centered, evidence-based and recovery oriented treatment models. Health care reform brings additional expectations for innovation in mental/substance use service delivery, particularly the idea of creating systems where physical health, mental health and substance use treatment is fully integrated. Psychiatric nurses, as one of the four core US mental health professions, have the potential to play a significant role in the both the transformation initiative and health care reform vision. However, psychiatric nurses, particularly advanced practice psychiatric nurses, are an untapped resource due in part to significant state regulatory barriers that limit their scope of practice in many states. The purpose of this paper is to document what is currently known about advanced practice psychiatric nurses and discuss policy implications for tapping into the strengths of this workforce. Strategies for facilitating utilization of advanced practice psychiatric nurses discussed.

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Section: Capitalizing On the Potential Of The Appn Workforcementioning

confidence: 92%

Section: Capitalizing On the Potential Of The Appn Workforcementioning

confidence: 99%

Health Care Reform and the Federal Transformation Initiatives: Capitalizing on the Potential of Advanced Practice Psychiatric Nurses

Hanrahan

Delaney

Merwin

2010

Policy, Politics, & Nursing Practice

Self Cite

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“…The situation is likely to worsen due to increased demand for mental health services and the aging demographics of psychiatrists (DeMello and Deshpande 2011). The number of psychiatric nurse practitioners is also in decline (Staten et al 2005). A recent estimate of the shortfall found that three quarters of the counties in the United States have a severe shortage in the number of psychiatric prescribers, which leaves at least half the need unmet (Thomas et al 2009).…”

Section: Introductionmentioning

confidence: 99%

“I Always Viewed this as the Real Psychiatry”: Provider Perspectives on Community Psychiatry as a Career of First Choice

Carpenter‐Song

Torrey

2014

Community Ment Health J

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The US needs engaged and skilled psychiatrists to support the recovery of people with severe mental illnesses and we are currently facing a shortage. This paper examines what attracts providers to community psychiatry and what sustains them in their work. Focus groups and interviews were used to elicit the perspectives of prescribing clinicians in three community mental health clinics in the US. Community psychiatry has inherent challenges, including facing high-risk decisions, encountering intense affects, and occasionally witnessing bad outcomes. Psychiatrists are motivated and sustained in this work by (1) cultivating relationships with patients and colleagues, (2) focusing on the mission of promoting recovery, and (3) engaging with clinical practice as intellectually stimulating work. Administrators support the engagement and morale of psychiatrists by creating workflows that allow psychiatrists to meaningfully apply their expertise to support patients' recovery. These findings hold implications for recruiting and retaining a new generation of physicians.

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“…Advanced practice psychiatric nurses are valuable providers needed to meet the demand for integrated mental health and physical care of individuals with mental illness across the life span (Staten et al . 2006).…”

Section: Introductionmentioning

confidence: 99%

Nursing of young psychotic patients: analysis of work environments and attitudes

Jegorova

Ranceva

2007

Psychiatric Ment Health Nurs

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Being members of the team who spend most of their time in direct contact with patient, nurses contribute considerably to observational and inpatient treatment process. The aims of this study were to analyse working environment of psychiatric nurses, attitudes, needs and emotional aspects while working with young (15-35 years old) psychotic patients. Study population consisted of psychiatric nurses working in all 15 inpatient psychiatry units in Vilnius. Nurses filled in an anonymous questionnaire. Summary statistics using number of observations, mean and SD were reported for quantitative variables, with absolute and relative frequencies for categorical variables. Questionnaires were filled by 86 nurses. The mean working experience was 17 years in nursing and 14 years in psychiatric nursing. Data analysis revealed that majority of nurses rated their satisfaction with their job between average and high. Results showed that there was a lack of in-service training programmes. What especially difficult was nursing of young psychotic patients and required good professional knowledge, experience and individual approach to each patient. Majority of nurses were fully satisfied with their job and were interested in further continuous self-education. The major concern in working with young psychotic patients was reassurance of personal and patient's safety.

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Advanced Practice Psychiatric Nurses: 2005 Legislative Update

Cited by 9 publications

References 1 publication

Health Care Reform and the Federal Transformation Initiatives: Capitalizing on the Potential of Advanced Practice Psychiatric Nurses

Health Care Reform and the Federal Transformation Initiatives: Capitalizing on the Potential of Advanced Practice Psychiatric Nurses

“I Always Viewed this as the Real Psychiatry”: Provider Perspectives on Community Psychiatry as a Career of First Choice

Nursing of young psychotic patients: analysis of work environments and attitudes

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