Essential Professional Nursing Practices in mental health: A cross‐sectional study of hospital inpatient care

Abstract

Quality organizational structures and nursing practices are key to positive patient outcomes. Whereas structures have been largely studied over the past few decades, less is known of the nursing practices that account for patient outcomes, such as patient satisfaction. This is especially true in psychiatric, mental health care settings. The aim of the present study is to determine the relative importance of eight Essential Professional Nursing Practices (EPNPs) on the satisfaction of hospitalized patients on mental health care units. A cross-sectional design was selected; 226 point-of-care mental health nurses completed the online EPNP questionnaire in Spring 2015. Statistical analyses included MANOVAs and a 2-step linear regression. A significant relationship was found between university preparation and scores on two EPNP subscales: autonomous decision-making and practicing with competent nurses. Scores on patient advocacy and control over practice subscales were significantly related to nurse-rated patient satisfaction. The findings reinforce the positive link between university education and the work of nurses and highlight the power dynamics that are salient in mental health care. The pertinence of EPNPs in psychiatric settings is brought to the fore, with practices of patient advocacy and nurse control over care examined in relation to empowerment. Implications for clinical and administrative leaders are addressed, with a focus on strategies for empowering patients and nurses.

Analysis of a nursing survey: Reasons for compromised quality of care in inpatient mental health wards

“…While these findings may conflict with intuitive understandings that increased staffing leads to better quality of care, they do highlight the complexity of mental health inpatient care on an international level. Nurse competence and educational levels often vary widely, which impacts on care quality and patient outcomes as outlined by authors from Canada and the US (Frechette et al, 2018; McNelis & Horton‐Deuch, 2012). Compared to general adult nursing, mental health nursing is also more characterized by human relationships and interpersonal phenomena that may impact on violence and aggression.…”