Psychiatric Nursing Workforce Survey: Results and Implications.

OBJECTIVE: The last national survey of psychiatric-mental health (PMH) nurses was conducted in 2016 and was limited to advanced practice registered nurses (APRNs). Data on the demographic and employment characteristics of the PMH workforce could inform how to optimize the PMH nursing workforce to address increasing demands for mental health services. The objective was to conduct a national survey of PMH registered nurses (RNs) and PMH-APRNs to gather data on their demographic, educational, and practice characteristics. METHODS: An email survey was administered between October 2020 and February 2021 to all members of the American Psychiatric Nurses Association and to all PMH-APRNs certified by the American Nurses Credentialing Center. Separate surveys included 51 questions (RN) and 52 questions (APRN). Survey questions were informed by several sources including the Minimum Data Set for the Behavioral Health Workforce. RESULTS: Surveys were completed by 4,088 PMH-RNs and 5,158 PMH-APRNs, with a combined response rate of 12.1%. Findings suggest that the workforce is aging but has increased slightly in diversity. In all, 62.4% of RNs reported a hospital as their primary employment setting, while the majority of APRNs (70.4%) practice in outpatient settings. Forty-four percent of the PMH-APRN respondents indicated that most of their patients receive federal insurance. CONCLUSIONS: Nursing must plan for significant retirements in the PMH workforce in next 5 years. Hospital-based practice continues to dominate PMH-RN roles but might be expanded to community-based settings teaming with PMH-APRNs in outpatient sites. Increasing the diversity of the workforce should be prioritized.

Report on the APNA National Psychiatric Mental Health Advanced Practice Registered Nurse Survey.

BACKGROUND: Further exploration of the practice roles of psychiatric mental health (PMH) advanced practice registered nurses (APRNs) is warranted. OBJECTIVE: In March of 2016, the American Psychiatric Nurses Association (APNA) conducted a national survey to gather data on the demographics, practice roles, and activities of certified PMH APRNs. DESIGN: The e-mail survey contained 46 questions consistent with minimum data set requirements of the Forum of State Nursing Workforce Centers. RESULTS: The data indicate that PMH APRNs are a clinically active workforce; the majority deliver a wide variety of mental health services including diagnosis and management of both acute and chronic mental illness, prescribing, and providing psychotherapy. CONCLUSION: PMH APRNs are delivering care to clients dealing with a range of serious mental illnesses across the life span in a variety of roles. It will be critical to monitor the activities and outcomes of this expanding behavioral health care workforce.

Cultivating understanding of health issues for adults with intellectual disability.

UNLABELLED: Going into hospital may be a frightening experience. Fears and anxieties may be particularly compounded when the patient has an existing health diagnosis such as a mental health condition or intellectual disabilities (ID). While people with ID often have worse health than other people, they can experience more difficulty accessing healthcare. OBJECTIVES: The aim of this paper is to describe the self-evaluation process and outcome of a series of workshops designed to cultivate understanding of the health needs of adults with ID. DESIGN: The research was designed to explore the impact of the workshops for generic healthcare professionals, using a mixed methods inquiry. SETTINGS: The workshops were interactive, and facilitated by health care clinicians, three people with an ID, advocates and academics. SAMPLE: Participants were mainly qualified and unqualified nurses and other allied health professionals (N=157). METHODS: Quantitative questionnaires comprised of 16 questions with multiple choice answers were distributed to all participants (pre and post workshop). A qualitative feedback sheet to promote shared dialogues was circulated on completion of each workshop. RESULTS: Triangulated research methods of data collection demonstrate a positive impact of the workshops and the learning experienced from a participant perspective. CONCLUSIONS: While resources alone will never replace nurse education and training, they can reinforce best practice, and the resource developed in this paper was maximized by workshops to explore its potential. The remaining challenge is measuring the impact of this work on clinical practice in the longer term.