Role diversification in the education of advanced practice psychiatric nurses

Pasacreta, Jeannie V.; Minarik, Pamela A.; Cataldo, Janine; Muller, Beth; Scahill, Lawrence

doi:10.1016/s0883-9417(99)80035-1

Cited by 14 publications

(12 citation statements)

References 30 publications

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“…Issues in caring for these populations include the limited accessibility to primary care for (1) seriously and persistently mentally ill individuals, (2) physically ill individuals with comorbid mental health problems, (3) people experiencing episodic emotional crises requiring psychotherapeutic intervention, and (4) dually diagnosed populations. The needs of these groups have been duly cited in rationales for expanding the APRN-PMH role to include primary mental health care as well as nursing assessment and diagnosis of basic health problems (Pasacreta et al, 1999;Williams et al, 1998). Competencies directed at the clinician's abilities to develop and use approaches to primary mental health care based on population differences as well as those that consider racial, cultural, and ethnic traits of clients in forming provider -client alliances also are included.…”

Section: Competency Based Education As Central To Role Preparationmentioning

confidence: 99%

“…While it seems ambitious to conceptualize the APRN competencies in a cohesive manner, the authors believe that educational preparation for the advanced practice psychiatric-mental health nurse can offer solid theoretical and clinical grounding in principles of psychiatric nursing and primary mental health care (Pasacreta, Minarik, Cataldo, Muller, & Scahill, 1999;Thomas, Brandt, & Connor, 1999). A new educational preparation is heralded by the wider recognition and acknowledgement of the nurses practitioners' role, nurses' aspirations to practice at levels of greater autonomy and responsibility, and receptivity in the marketplace to hiring nurses whose role performance includes the use of certain technologic skills and some aspects of medical management.…”

mentioning

confidence: 99%

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Shaping the Advanced Practice Psychiatric-Mental Health Nursing Role: A Futuristic Model

Naegle

Krainovich-Miller

2001

Issues in Mental Health Nursing

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As advanced practice psychiatric-mental health nursing has transitioned from earlier models of practice, elements of clinical specialist and psychiatric nurse practitioner roles are being blended to produce a new type of practitioner. The challenge of preserving mental health expertise while expanding advanced practice primary and primary mental health care competencies is addressed in several nursing education models. At New York University's Division of Nursing, faculty have designed a program around elements identified as essential to the autonomy demanded of the evolving role, knowledge, and skills basic to broad based health care and mental health care delivery with quality patient care outcomes and the competencies necessary for accountability as care providers in a changing health care delivery system. Essential elements, resources to identify them, and strategies to attain them are discussed. Approaches that promote student, clinician, and faculty development and maximize education affirm the specialty's capacity for innovation and the profession's capacity for new direction and futuristic change.

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Section: Competency Based Education As Central To Role Preparationmentioning

confidence: 99%

mentioning

confidence: 99%

Shaping the Advanced Practice Psychiatric-Mental Health Nursing Role: A Futuristic Model

Naegle

Krainovich-Miller

2001

Issues in Mental Health Nursing

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“…Professional confusion regarding PMH-CNS roles has been previously described in the literature (Blair & Leners, 2000;Neale, 1999;Paisley, 1998). Additionally, the unresolved debate related to the roles and titles of the psychiatric CNS and psychiatric NP adds to the difficulty in clarifying these roles to the public, to other nurses, and to other professions (Bjorklund, 2003;Kaas et al, 2000;Lego, 1996;Pasacreta, Minarik, Cataldo, Muller, & Scahill, 1999;Puskar, 1996).…”

Section: Discussionmentioning

confidence: 99%

Perceptions of Barriers to Psychiatric-Mental Health CNS Practice

Chevalier

Steinberg²,

Lindeke

2006

Issues in Mental Health Nursing

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This descriptive study of practice barriers compared the perceptions of 67 psychiatric/mental health clinical nurse specialists (PMH-CNSs) with those of 767 nurse practitioners (NPs) in a single state. In addition, it contrasted the barriers identified by the rural and urban PMH-CNS study participants (n=14 and 53, respectively). Though all participants found the practice climate moderately restrictive on a 5-point Likert scale (1=very restrictive to 5=not restrictive), the PMH-CNSs found the practice environment significantly more restrictive than the NPs (3.13 versus 3.61, p<.001). Lack of public knowledge of their advanced practice role was the top-ranking practice barrier for both NPs and PMH-CNSs (60% and 44%, respectively). Lack of understanding of their role was the next highest in rank (PMH-CNSs at 49%; NPs at 39%). CMH-CNSs noted resistance from physicians and/or psychologists as their third-highest barrier (42%); the NPs did not rank this barrier in their top five. Rural PMH-CNSs perceived a lack of a peer network as a considerable barrier (57%); however, urban PMH-CNSs did not rank this in their top barriers, indicating that rural professional isolation needs to be addressed. These findings indicate that efforts to educate the public and other professionals about advanced practice nursing roles and issues must be a priority, and other barriers such as salary and isolation continue to hamper the role success of PMH-CNSs.

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“…APNA was also concerned about the proliferation of exams and decided to initiate its own credentialing process with a single exam. The debate about CNS vs. psych NP occurred within nursing organizations and is reflected in the literature of the late 1990s, for example, articles by Howard and Greiner (1997), McCabe and Grover (1999), and Pasacreta, Minarik, Cataldo, Muller, and Scahill (1999)). …”

Section: The Evolution Of Psychiatric Nursingmentioning

confidence: 99%