Class notes
Nur 211 Chapter 1-2 Notes
- Course
- Nursing 211
- Institution
- Borough Of Manhattan Community College
Comprehensive and detailed notes on chapter 1,2 for Nur 211. *Essential Study Material!!
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ORANGE: WHAT PROF SAID IN CLASSCHAPTER 1
Practicing the Science
and Art of Psychiatric Nursing
SCIENCE OF NURSING:
FINDING THE EVIDENCE FOR THE Practice EVIDENCE BASED PRACTICE
ART OF NURSING:
DEVELOPING THE SKILLS FOR THE PRACTICE
BASED ON SCIENCE AND ART
Science- evidence base- support what you do
Art- developing skills
Skills
-assessment
- know your pt ( his problems)
- people skills- interactions, communications
-consistency
Psychiatric Nursing (subjective)
“Psychiatric–mental health nursing, a core mental health profession, employs a purposeful use of self as
its art and a wide range of nursing, psychosocial- psychosocial, and neurobiological theories and
research evidence as its science.
IMPLEMENTATION OF THERAPY MODELS AND CARING FOR PT, ARE ART OF NURSING
Psychiatric nursing- promote mental health prevents mental illness
ANA definition of Psychiatric Mental Health Nursing
Nursing practice committed to promoting mental health through the assessment, diagnosis,
and treatment of human responses to mental health problems and psychiatric disorders
METHOD IT CAN BE
,ECT mean? Electroconvulsive therapy (ECT) FIRST METHOD ALWAYS
A treatment for severe depression and certain mental disorders. A brief seizure is induced by giving
electrical stimulation to the brain through electrodes placed on the scalp (THEY HAVE TO BE BALD).
Also called electroconvulsive therapy and electroshock therapy.
NOTE- Psychiatrists can: make a diagnosis of OCD. diagnose and treat any
depression or anxiety, which are common in people with OCD (Obsessive-
Compulsive Disorder (OCD)
Evidence-Based Practice EBP is a process of making clinical decision based on evidence, expertise, pt
preference
Clinical decision making that synthesizes:
Best available research evidence
Clinical expertise- Expert what they said
Patient preferences- give pt a choice, respect pt wishes, we actually asked what they
preferred to change his behavior, method care.
The Research-Practice Gap
Wide gap between:
The best evidence treatments and
Their effective translation into practice
The need:
Continued research on how best to apply the findings of clinically relevant issues
Recovery (first stage of recovery, coping managing illness) (resilience, go back – recover quickly)
Working Definition
A process of change through which individuals improve their health and wellness, live a self-
directed life, and strive to reach their full potential.
Major Dimensions to Support Recovery
Health
Home
Purpose
, Community
Objective 1: Recognize the evidence-based practice (EBP), recovery, and trauma-informed care
models.
Recovery Model
The mental health recovery model is more of a social model of disability than a medical model of
disability. Therefore, the focus shifts from one of illness and disease to an emphasis on rehabilitation and
recovery. The recovery model is focused on helping individuals develop the knowledge, attitudes, and
skills they need to make good choices or change harmful behaviors
Consumers as partners
Mental health care:
Consumer and family driven
Increasing consumer’s ability in:
Coping, facilitating recovery, and building resilience
Individualized care:
Consumer centered and recovery oriented
EBP Model
1990s “Decade of the Brain”
Scientific evidence for psychologic and sociologic treatments
Neurobiology of psychiatric disorders
Psychopharmacology
EBP: Increases gap between research and practice
Medical model (just cure symptoms and that’s it)
Trauma-Informed Care
Trauma is almost universal in mental health patients
Integration of effects of trauma into clinical programming
“What has happened to you?” rather than “What’s wrong with you?”
, Avoidance of new trauma in treatment (restraints, coercion) if pt suffer for a kidnap, avoid
restraints, you can create FLASHBACKS
Collaborative therapeutic relationship
Empowerment (give him to choose, educate), cultural respect
Patient-Centered Care
QSEN, IOM, and ANA support patient-centered care as best practice
Sources:
Literature
Care models and theories
Neurobiology of psychiatric disorders and medications
Other professional domains *dominios*
Quality and Safety Education for Nurses (QSEN)
National initiative toward patient safety and quality
Goal
Equip nurses with knowledge, skills, and attitudes (KSAs) to improve quality and safety
of their health care systems
QSEN Standards
Patient-centered care
Teamwork and collaboration
Evidence-based practice
Quality improvement
Safety
Informatics
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