RESUMO
PURPOSE: To recount "pearls of wisdom" concerning prescriptive privileges of the psychiatric nursing pioneers. METHODS: A thematic analysis of documented "stories" from 32 psychiatric APNs concerning acquisition of and having prescriptive privileges. FINDINGS: A thematic analysis of psychiatric APN stories revealed five major themes related to prescriptive authority: acquisition of knowledge, professional and patient relationships, legislative logistics, balance within the role, and management of anxiety and the sense of responsibility. CONCLUSIONS: Prescriptive authority offers broad opportunities for advanced practice psychiatric nurses. Educational programs include competencies and skills for prescribing, but another learning tool is the use of collective practical knowledge and wisdom offered by psychiatric nurses who are pioneers in the prescribing arena.
Assuntos
Atitude do Pessoal de Saúde , Prescrições de Medicamentos , Enfermagem Psiquiátrica , Educação em Enfermagem , Humanos , Relações Interpessoais , Legislação de Enfermagem , Manobras Políticas , Nova Zelândia , Relações Médico-Enfermeiro , Enfermagem Psiquiátrica/legislação & jurisprudência , Estados UnidosRESUMO
TOPIC: Establishing a standard for preparation for prescriptive authority for advanced practice psychiatric nurses. PURPOSE: To outline a best practice standard for the clinical and prescriptive authority preceptorship. SOURCES: NACNS and NONPF competencies and practice guidelines. CONCLUSIONS: The authors recommend a clinical preceptorship with planned faculty monitoring, clinical logs, case studies, and group supervision to prepare the psychiatric-mental health advanced practice nurse to serve within the expanded prescribing role.
Assuntos
Prescrições de Medicamentos , Educação em Enfermagem , Saúde Mental , Preceptoria , Enfermagem Psiquiátrica/educação , Competência Clínica , Currículo , Humanos , Enfermeiros Clínicos/educação , Guias de Prática Clínica como Assunto , Estados UnidosRESUMO
The public school setting is increasingly becoming an entry point of contact for an array of healthcare services because it is most likely the best positioned institution to improve a community's overall healthcare. By linking behavioral healthcare services with primary healthcare services in the school setting, the psychiatric-mental health clinical nurse specialist is well suited to provide comprehensive behavioral health services.