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Developing advanced mental health nursing practice: a process of change
1Department of Psychological Medicine, Christchurch School of Medicine, New Zealand.
The Australian and New Zealand Journal of Mental Health Nursing
|November 10, 1998
Summary
Mental health nurses must articulate patient-centred care to validate their expertise against economic pressures and unqualified caregivers. This ensures professional accountability and prioritizes patient well-being in healthcare delivery.
Area of Science:
- Nursing
- Healthcare Management
- Professional Accountability
Background:
- Current economic pressures necessitate defining mental health nursing expertise.
- There is a risk of unqualified caregivers replacing skilled mental health nurses due to cost.
- Healthcare delivery trends prioritize economic efficiency over broader social issues.
Purpose of the Study:
- To advocate for the professional accountability of mental health nurses.
- To validate the unique expertise of mental health nurses.
- To challenge economic rationalization in healthcare that may compromise patient care.
Main Methods:
- Conceptual analysis of mental health nursing practice.
- Development of postgraduate programs for advanced mental health nursing.
- Articulating a patient-centred rationale for practice.
Main Results:
- A framework for substantiating mental health nursing practice has been developed.
- The importance of a patient-centred approach in defining nursing expertise is highlighted.
- Strategies to defend clinical expertise against economic interests are proposed.
Conclusions:
- Mental health nurses must define and articulate their patient-centred expertise.
- Professional accountability requires challenging economic-driven healthcare policies.
- Advanced nursing programs can support the validation of specialized mental health nursing practice.