Scope, and roles of Mental Health Nursing
The scope of psychiatric nursing practice is described according to levels of practice, role of the nurse and the work setting. There are 2 levels of practices- basic and advanced. The different areas where the Psychiatric Nursing can be implemented are
l. Psychiatric Hospitals
3.Community Health Centers
7.Crisis intervention centers
9.Old Age Homes
I l . Health Education Programmes
12.Family therapy Units
15.Suicide prevention team
16.Child Guidance Clinic
· Surrogate – role of nurturing, authority figure, parent as part of therapy with adult children.
· Resource person – facilitates the patient and families in gathering the authentic knowledge.
· Teacher – health teaching regarding bio-psychosocial health and development needs, mental disorder, coping skills, medicine, nutrition, stress reduction.
· Social agent – social agencies, network
· Client advocate – promote health, remove social stigma, and increase access to mental health
· care services.
· Researcher – identifies and participates in research activities that promote quality care.
· Administrator– collaborates with other top management, nurse manager, determine policies and procedures, resource utilization.
· Case manager – use this strategy to collaborate with the client, family members and mental health care professional to co-ordinate a comprehensive continuous plan of care and effective treatment.
– one-to-one basis (nurse-client communication), focus is on problem solving, providing emotional support and reality orientation and increasing social and problem solving skills and social acceptances.
· Forensic psychiatric nurse – the forensic psychiatric nurse works with individuals who have mental health needs and who have entered the legal system. Nurses in this role perform physical and psychiatric assessment and develop plans of care for the patients entrusted to their care.