[Self-Preparation and Professional Development of Nurses: Psychiatric Mental Health Care Issues]

Today's mental health care needs are diverse. After the COVID-19 pandemic, factors related to individuals, the environment, and their interactions represent complex and cumulative risks. Physical and mental health problems rely on early detection, trust building, care engagement, and disease identification to provide complete psychiatric assessment, management, and continuum of care for affected people. Thus, early detection and intervention in nursing is beneficial for the discovery and treatment of psychological symptoms. However, the nursing profession is divided into multiple specialties, and the current education system lacks integrated interdisciplinary psychiatric mental healthcare training. In this article, the multifaceted aspects of mental health care services and interdisciplinary nursing professional development in mental health are explored, covering the roles and tasks of interdisciplinary nurses, the function and purpose of psychological care in hospitals, reflections on the role of school nursing in adolescent mental health issues, and novel developments in domestic and international psychiatric mental health care. It is hoped that this article can promote reflections on psychological health issues for nurses and help promote cross-disciplinary consensus on nursing strategies to facilitate cooperation among multidisciplinary nurses to promote more comprehensive quality of care, social participation, and professional innovation.

Updates to American Psychiatric Nurses Association: Seclusion and Restraint Position Statement and Standards of Practice

OBJECTIVE

The purpose of this discussion paper is to summarize the 2022 updates to the American Psychiatric Nurses Association's (APNA) Seclusion and Restraint Position Statement and Seclusion and Restraint Standards of Practice.

METHOD

Both documents were the work of the APNA 2022 Seclusion and Restraint Task Force that consisted of APNA nurses with expertise in the use of Seclusion and Restraint, who practice across a wide range of clinical settings.

RESULTS

The 2022 Updates to the APNA Position Statement and Standards were guided by evidence-based information found in the review of seclusion and restraint literature and clinical expertise from the 2022 Seclusion and Restraint Task Force.

CONCLUSIONS

Updates were evidence-based and in line with APNA's core values and initiatives in diversity, equity, and inclusion.

Exploring the thinking, reasoning and clinical approach of expert child psychiatric nurses

BACKGROUND

Expert nurses are characterized by their deep knowledge of patient situations and understanding of patients in the context of their total situation. We know of no studies that have focused on the expert practice of child/adolescent (C/A) psychiatric mental health (PMH) advanced practice nurse.

OBJECTIVE

The purpose of this study was to gather information on how expert C/A advanced practice psychiatric nurses (APPNs) view their role and assess/treat children and adolescents with complex mental health issues.

METHOD

Expert C/A APPNs were interviewed by one of the two investigators using a semi-structured interview guide. All interviews were audiotaped and transcribed. This was a qualitative descriptive study and in line with that method, interview content was open-coded and examined for themes that were collapsed into categories.

RESULTS

Fifteen C/A PMH APPNs were interviewed. Initial categories that were distilled included descriptions of their commitment to the population, development of families as partners, an expanded approach to medication management, and how they demonstrate expertise.

CONCLUSION

Expert nurses adopt an invaluable approach to children and families-inherently patient and family-centered. They view the child/teen in terms of the multiple contexts of their lives.

The Digital Revolution in Behavioral Health

BACKGROUND: Technology is disrupting every modern industry, from supermarkets to car manufacturing, and is now entering the health care space. Technological innovations in psychiatry include the opportunity for conducting therapy via two-way video conferencing, providing electronic consultations, and telementoring and education of community health care providers. Use of mobile health applications is also an expanding area of interest and promise. OBJECTIVE: The purpose of this article is to review the evolution and pros and cons of technology-enabled health care since the digital movement in psychiatry began more than 50 years ago as well as describe the University of Rochester's innovative digital behavioral health care model. METHODS: A review of the literature and recent reports on innovations in digital behavioral health care was conducted, along with a review of the University of Rochester's model to describe the current state of digital behavioral health care. RESULTS: Given the lack of access to care and mental health professional shortages in many parts of the United States, particularly rural areas, digital behavioral health care will be an increasingly important strategy for managing mental health care needs. However, there are numerous hurdles to be overcome in adopting digital health care, including provider resistance and knowledge gaps, lack of reimbursement parity, restrictive credentialing and privileging, and overregulation at both the state and federal levels. CONCLUSIONS: Digital health innovations are transforming the delivery of mental health care services and psychiatric mental health nurses can be on the forefront of this important digital revolution.

Using Liberating Structures to Increase Engagement in Identifying Priorities for the APNA Research Council

BACKGROUND

In 2015, the Co-Chairs and Steering Committee of the Research Council members recognized the need to reevaluate the council's priorities.

OBJECTIVE

To determine the top priorities for the Research Council.

DESIGN

Use of liberating structures: Impromptu Speed Networking, 1-2-4-all, and Crowd Sourcing.

RESULTS

Identified Research Council priorities included the following: efforts to increase psychiatric mental health (PMH) research funding; serve as a connector to bring researchers together; foster research through state chapters; increase collaboration between PhDs and DNPs; and develop models for organizational support for PMH staff nurse involvement in research.

CONCLUSIONS

The liberating structures used are valuable strategies for engaging groups of people to identify what matters most to the group. Through the use of these novel techniques, the American Psychiatric Nurses Association Research Council has identified priorities for the work of the council. This has led to actions planned for the coming future with the intent to move PMH nursing research forward.

[The development of psychiatric and mental health nursing in Taiwan]

Psychiatric mental health is critical to ensuring the health and wellbeing of individuals, families, and communities. While psychiatric mental health work continues to become increasingly complex and challenging, the demand for psychiatric nurses with evidence-based skills continues to grow. Psychiatric mental health nurses (PMHNs) are the primary providers of professional psychiatric mental health care services. PMFNs emphasize humanistic values and focus on servicing patient and family needs. In Taiwan, the Psychiatric Mental Health Nursing Association constructs the competence-credentialing model for psychiatric mental health nursing that underpins the values, attitudes, and beliefs of PMHNs and ensures that the mental health nursing practice promotes public health and wellbeing. In addition, this association promotes advanced psychiatric nursing education, research, and practice, influences the national health agenda, and discusses and disseminates information on psychiatric mental health care issues in order to influence the direction, nature, and quality of psychiatric and mental health care.

[New perspective on psychiatric mental health nursing research: revisiting the resilience of children]

Rapid changes in societal and environmental conditions mean that many health issues remain unresolved, especially in the realms of childhood social-emotional and mental problems. These problems threaten to affect the future development of affected children. Therefore, this article introduces the new perspective on gene-environment interactions and epigenetics in neuroscience, the definition of resilience, and current developments in related research. This article further integrates the literature to identify the association of resilience in children's emotional and behavioral adjustment. These evidence-based studies demonstrate the significance of resilience intervention and assessment in psychiatric nursing. These developments hold the potential to upgrade clinical applications and enhance the development of individuals.