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The role of the nurse practitioner psychiatric
Roles of the nurse in mental health
The quality of patient care as a result of shortage of nursing staff
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Recommended: The role of the nurse practitioner psychiatric
Difficult Situations in Staffing
Karen was employed at a psychiatric hospital in the community, on the overnight shift. Karen had worked every shift at the hospital depending on family needs. Karen was well liked and respected as a hard worker, who did not complain. Psychiatric hospitals have to admit anyone who are harm to themselves or others no matter how full or find a bed for them else where. There were many times the day lounge area had patients sleeping on the coach, chairs and floor. The hospital never staffed for anticipated admission and there were always admissions, this resulted in increase pateint to staff ratios and safety becomes major issues (Bronn 2010).
Nursing shortages contribute to overwork, fatigue and errors.
Having worked as the Nurse House Supervisor many times, this nurse knew there were not enough nurses to go around, and no consideration was to be taken for admissions but all discharges had to be factored in to decrease the need for staff and support the staffing numbers on paper. The hospital was frequently short of staff, it was hard to get nurses to work, especially young nurses, data reflects young nurse are not attracted to psychiatric nursing and this may be the cause for a shortage of psychiartic nurses (Seed, Torkelson, Annatour 2010).
The usuall staffing patterns are 4 staff at night to 42 patients a registard nurse (RN) and a mental health techniquan (MHT) for each of the 2 sides, each side sharing the same nurses station. On this night there was only 1 MHT and 2 RN’s. The night nurse’s duties are admissions, chart checks, including making sure every order in the last 24 hours was transcribed correctly, carried out correctly and documented. The night nurse was to also, recopy Medicati...
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...te: A 30 month emergency department review. Emergency Medicine Australasia, 20, 521. doi: 10.1111/j.1742-6723.2008.01140.x
Seed, S. M., Torkelson J. D., Annatour R., (2010). The Role of the Inpatient Psychiatric Nurse and Its Effect on Job Satisfaction. Issues in Mental Health Nursing, 31, 160. doi: 10.3109/01612840903168729
Seed, S. M., Torkelson J. D., Annatour R., (2010). The Role of the Inpatient Psychiatric Nurse and Its Effect on Job Satisfaction. Issues in Mental Health Nursing, 31, 161. DOI: 10.3109/01612840903168729
Souder, E., O’Sullivan, P., (2003). Disruptive behaviors of older adults in institutional setting. Gerontological Nursing, 29, (8) 31. Retrieved from http://web.ebscohost.com/ehost/detail?vid=17&hid=111&sid=a7dccb27-7a16-469f-b7ef-24717bacd3ef%40sessionmgr15&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#db=c8h&AN=2003139601
Walsh, A. & Clarke, V. (2009) Fundamentals of Mental health Nursing New York: Oxford University Press.
Employee psychological health is something that should be taken into consideration when a person can improve the outcome of new graduate nurses and seasoned nurses alike; this is something that I know I will continue to strive for creating healthy working environments for staff and myself. Using many of the techniques that have been researched and continue to keep abreast of the most current research will aid in achieving the most positive outcome for staff and patients. I know that while I have not been subjected to this situation personally, it is something that can happen to anyone and with the use of stress relieving interventions on a daily basis will hopefully be able to defuse a potential situation before it arises. While it is not always easy to embrace my character flaws, I feel that if I continually strive to incorporate a positive environment for myself and staff that positive results will ensue from
...us affecting her performance, the in charge nurse must be contacted. Failure to do so, the negative attitudes might also have a major impact on the quality of care for the elderly patient. As a nurse, stress can affect a person mentally, physically and emotionally, thus coming into both categories of physical and emotional health. The fact that the nurse may be going through emotional complication contributes in a huge factor to a nurse’s performance within the health care. If the nurse is unable to put aside her physical or emotional issues, it is important for the nurse to seek counselling, also it is important that the nurse takes a day of sick leave to sort her situation out. Inappropriate actions should always be reported to the in charge nurse to decrease chances of neglect and to be able to provide the best care possible for the patient whilst in hospital.
Psychiatric nursing has always been my passion and I am ready to put my experience and leadership skills to use and further my career as a Mental Health Nurse Practitioner. The psychiatric population is underserved and one of my goals is to continue working in fields others will not. I have always longed for the increased autonomy and decision making Nurse Practitioners use. Broken systems and burnt out mental health workers are a problem. For example, calling an on call physician in a patient crisis only to be given an order for something that is completely useless by a physician who does not care, has always bothered me. I look up to the Nurse Practitioners at work and have always noticed their kind, caring and responsive nature. I want
There was inappropriate staffing in the Emergency Room which was a factor in the event. There was one registered nurse (RN) and one licensed practical nurse (LPN) on duty at the time of the incident. Additional staff was available and not called in. The Emergency Nurses Association holds the position there should be two registered nurses whose responsibility is to prov...
Psychiatric nurses have been found to experience high levels of emotional tiredness and reasonably high levels of stress when compared with other employee. Therefore, there is an urgent and definite need to identify factors that are effective in reducing stress and burnout amongst mental health
MacNeela, P., Scott, P., Treacy, M., Hyde, A., & O'Mahony, R. (2012). A risk to himself: Attitudes toward psychiatric patients and choice of psychosocial strategies among nurses in medical-surgical units. Research In Nursing & Health, 35(2), 200-213. doi:10.1002/nur.21466
During her early career she has practiced as a psychiatric nurse in acute care and in community settings. She is faculty member in department of Nursing at the California State University at Los Angeles, professor
Clark, P., Leddy, K., Drain, M., Kaldenberg, D. (2007). State nursing shortages and patient satisfaction
Many health care professionals are wondering why shortage transpired when managed care cost initiatives, implemented throughout the country, are dramatically decreasing the length of patient stays (Upenieks, 2003). In fact, such a situation should be resulting in a nursing oversupply. As the nursing shortage ensues, the need for recruiting and retaining highly skilled nurses committed to the organization will become necessary to maintain high-quality patient care. The recent national nurse shortage has resulted in higher nurse workloads; fewer support resources, greater nursing dissatisfaction, and burnout, making it more difficult to provide optimal patient care (Upenieks, 2003). The primary role of nursing is to provide the best possible care to patients.
Job satisfaction is linked to other positive attributes in the work environment. Many studies conducted prove to show that job satisfaction plays a pertinent role in the outcomes of recruitment and retention in nurse educator shortages (Brittner & O'connor, 2012). Proving that refining job satisfaction will ultimately influence nurse educator retention and attract more educators in the midst of a financial crisis shows that it can discourage this negative perception of a failing nursing structure in
Thousands of nurses throughout the nation are exhausted and overwhelmed due to their heavy workload. The administrators do not staff the units properly; therefore, they give each nurse more patients to care for to compensate for the lack of staff. There are several reasons to why
The nursing profession is one of the most physically, emotionally, and mentally taxing career fields. Working long shifts, placing other’s needs before your own, dealing with sickness and death on a regular basis, and working in a high stress environment are all precursors to developing occupational burnout in the nursing profession. Burnout refers to physical, emotional and mental exhaustion, which can lead to an emotionally detached nurse, who feels hopeless, apathetic, and unmotivated. Burnout extends beyond the affected nurse and begins to affect the care patients receive. Researchers have found that hospitals with high burnout rates have lower patient satisfaction scores (Aiken et al 2013). There are various measures that nurses can take
Hans Selye said, “It is not stress that kills us, it is our reaction to it.” Stress can cause it’s victims to suffer from emotional and physical anguish. If stress occurs for prolonged periods of time with little to no reprieve it can result in serious and sometimes fatal health problems. It is ironic that stress can lead to major health concerns, yet some of the most stressed people are those in the healthcare profession. According to an article from the Nursing Standard, stress is a leading cause of illness and depression among nurses (Jones-Berry, 2013). Several studies have shown that there is a direct link between stress, depression and illness and often times nurses fall victim to this link because of poor work environments and a lack of appropriate sick leave to tend to their own needs. Research has shown that stress amidst nurses is directly related to depression and illness; therefore, hospitals need to take actions necessary to decrease stress and promote well-being among their nursing staff.
Burnout within healthcare has been a prevalent topic of discussion and research for numerous years. Although the link between burnout rates and nursing as a whole has been well established; most studies do not distinguish the burnout rates within the specific branches of nursing. Among these branches is psychiatric nursing, specifically forensic psychiatric nursing; where studies regarding this topic is extremely limited. According to Pompili et al. (2006), psychiatric nurses were found to have higher levels of burnout than nurses of other speciality. More research regarding psychiatric nursing burnout rates within forensic will not only expand the knowledge of the nurses and the employers regarding the key stressors that are causing these