– Has intrinsic worth and dignity and each person is worthy of respect.
– Has the potential to change.
– Has common, basic human needs…
– Varies in their coping capacities
– Behavior is meaningful…
– Has a right to equal opportunity for adequate health care.
– Has the right to participate in decision making regarding their care.
– Has the right to self-determination…
The fundamental premise is:
The goal of nursing care is to promote wellness, maximize integrated functioning….nursing care is based on mutually determined needs and expected treatment outcomes..
An interpersonal relationship can produce change and growth within the individual….
The Knowledge, Skills & Attitudes of the Psychiatric/mental Health Nurse
The knowledge base of the psychiatric/mental health nurse is grounded in the integration of the biological, psychological, spiritual, social and environmental realms of the human experience.
– Broad context of care
– Requires purposeful use of self as a therapeutic tool
– “Knowing you, Knowing me” (Awareness of self) Barker, Jackson & Stevenson (1999)
– Requires great sensitivity to the social environment & advocacy needs of clients/families
– Requires careful consideration of legal & ethical issues
– Milieu management
– Assessing, planning, implementing & evaluating care
– Pharmacological interventions
– Legal requirements
– Coordination/Multidisciplinary team member
– Exposure to clients with mental health problems or illness in any area of practice
– Skills will assist the nurse to provide comfort to clients who may be experiencing a myriad of emotions. I.e. grief, anxiety, anger, cognitive deficits and subsequent behavior, and diagnosed mental illness
– Mental state assessment skills
– Early intervention – reduced stays, improved recovery rates. Improved client outcomes
– Nurse more comfortable, confident in working with clients with mental illness