The psychiatric-primary care nurse practitioner: A futuristic model for advanced practice psychiatric-mental health nursing

Dyer, Janyce G.; Hammill, Kathleen; Regan-Kubinski, Mary Jo; Yurick, Ann; Kobert, Shirley N.

doi:10.1016/s0883-9417(97)80044-1

Cited by 30 publications

(12 citation statements)

References 26 publications

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“…Prescribing limited single dose medication or dose modification of existing medication were also reported ( Allen, 1998). A more generic primary health care role for the advanced practitioner has been advocated in the United States ( Dyer, Hammill, Regan‐Kubinski, Yurick & Kobert, 1997). These advanced practitioners manage the complexity of the client’s general, as well as mental health problems, promote health and prevent disease, and refer clients to services as required.…”

Section: Mental Health Nursing Practicementioning

confidence: 99%

Scoping practice issues in the Australian mental health nursing workforce

Clinton

Hazelton

2000

Australian and New Zealand Journal of Mental Health Nursing

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This is the third of four articles on the scoping study of the Australian mental health nursing workforce conducted on behalf of the Australian and New Zealand College of Mental Health Nurses (ANZCMHN) for the Australian Health Ministers Advisory Council (AHMAC) National Working Group on Mental Health (NWGMH). Its purpose is to focus on factors that significantly affect mental health nursing practice. The issues of advanced practice, regulation of nursing, accreditation, credentialing and demarcation with other disciplines are addressed.

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Section: Mental Health Nursing Practicementioning

confidence: 99%

Scoping practice issues in the Australian mental health nursing workforce

Clinton

Hazelton

2000

Australian and New Zealand Journal of Mental Health Nursing

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Section: Resultsmentioning

confidence: 99%

“…A further issue for consideration in designing nurse practitioner curricula is the question of balancing core and specialist content. Several authors (Davidson 1996, Dyer et al 1997, Woods 1997, Cukr et al 1998, McCabe & Grover 1999 claim that a generalist core curriculum needs to be supplemented by specialist classes in the area of practice choice. Bellack et al (1999) found that content requirements for nurse practitioner curricula ranged from policy through to economics and financing.…”

Section: Resultsmentioning

confidence: 99%

“…New approaches to health services emphasize multidisciplinary, collaborative team approaches to care (Offredy 2002). In this environment, the nurse practitioner is emerging as a level and type of service provider that is innovative, accessible and able to respond to the health care needs of specific populations (Dyer et al. 1997, O'Keefe & Gardner 2003).…”

Section: Introductionmentioning

confidence: 99%

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Nurse practitioner education: a research‐based curriculum structure

Gardner¹,

Gardner²,

Proctor³

2004

Journal of Advanced Nursing

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Background. The process and content of nurse practitioner educational preparation has received scant research attention, despite increasing interest in and investigations into nurse practitioner services in Australia and internationally. Aims. The aim of this paper is to report a study investigating the educational process and content required for nurse practitioner preparation. Methods. A trial of practice was conducted with four nurse practitioner candidates over a 12-month period. The candidates practised in different specialities, giving rise to four models of the nurse practitioner role. The trial had multiple aims related to the role and scope of practice of the nurse practitioner. An action learning model was used, in which participating nurse practitioner candidates 'worked-into-the-role' of extended practice and learned from experience through clinical mentoring, reflection and action. Data collection methods centred on transcripts from group work activities related to a collaborative engagement with and reflections on clinical practice. This resulted in the collaborative production of data to inform a research-based nurse practitioner curriculum structure. Findings. The findings relate to the content and learning process required for nurse practitioner education and are described in terms of three broad areas of study: clinical practice, clinical sciences and nursing studies. Conclusions. A curriculum structure that describes content and process for nurse practitioner education was developed from the findings. A further outcome of this trial was confirmation of importance of the clinical environment for nurse practitioner education. Inherent in this aspect of clinical learning is the role of a committed clinical mentor who can facilitate purposeful learning. What is already known about this topicThere is a move towards recommending master's level programmes for nurse practitioner and advanced practice preparation. There is scant published research into nurse practitioner education. There is lack of conformity and consensus regarding differentiation between advanced practice nursing and the extended practice of nurse practitioners.

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“…Hiring PNPs is less expensive than hiring psychiatrists. With fewer physicians specializing in psychiatry (Feldman, Bachman, Cuffel, Friesen, & McCabe, 2003;Koppleman, 2004;McCabe & Macnee, 2002), and decreasing rates of reimbursement for psychiatric services, PNPs are attractive and cost saving employees to administrators (Bjorklund, 2003;Dyer, Hammill, Regan-Kubinski, Yurick, & Kobert, 1997;Lego, 1996;Puskar, 1996;Wheeler, 2004).…”

mentioning

confidence: 99%

Expanding the Scope of Psychiatric Nursing Practice: Devaluing the Essence of Psychiatric Nursing?

Hogan

2012

Issues in Mental Health Nursing

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Psychiatric Nurse Practitioners are quickly becoming sought after employees, especially in public mental health systems where a shrinking number of psychiatrists necessitate alternate access to prescribers. In addition, new guidelines necessitate greater attention to the follow up and monitoring of the medical problems of psychiatric patients. These events are occurring in the midst of declining reimbursement and rising litigation concerns in psychiatry. At the same time there is an increased focus on a recovery orientation to psychiatry alongside the primacy of psychotropic medicine as the most cost effective treatment, which can become competing aims for practitioners. It is important for psychiatric nurses and psychiatric nurse practitioners to consider how these opportunities might also have a negative impact on the core foundation of psychiatric nursing.

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The psychiatric-primary care nurse practitioner: A futuristic model for advanced practice psychiatric-mental health nursing

Cited by 30 publications

References 26 publications

Scoping practice issues in the Australian mental health nursing workforce

Scoping practice issues in the Australian mental health nursing workforce

Nurse practitioner education: a research‐based curriculum structure

Expanding the Scope of Psychiatric Nursing Practice: Devaluing the Essence of Psychiatric Nursing?

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