Needs to be at least 600 words with at least 3 scholarly articles within the past 5 years.
APAP format, no plagiarism.
General Directions
Source: American Nurses Association, American Psychiatric Nurses Association, & International Society of Psychiatric-Mental Health Nurses. (2022). Psychiatric–mental health nursing: Scope and standards of practice (3rd ed.). American Nurses Association.
Review Standard 5: Implementation in the above text, pp. 66-76. Select two of the following competencies to address in your discussion:
- Standard 5A: Coordination of Care
- Standard 5B: Health Teaching, Health Literacy, and Health Promotion
- Standard 5D: Pharmacological/Biological Therapies and Prescriptive Authority
Include the following sections
- Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
- Summarize the two selected competencies.
- Address the two questions below that relate to your selected competencies:
- Standard 5A: Many PMHNPs are employed within psychiatric facilities and may be asked to complete the mental health intake assessment and the admission physical, as well as prescribe and monitor all medications during the inpatient stay. What are the scope of practice implications for PMHNPs providing both physical and mental healthcare, including prescribing considerations?
- Standard 5B: As a practicing PMHNP, how will you respond to clients who request medications or treatments based on information they researched on the internet?
- Standard 5D: New medications are frequently developed and released. What strategies will you use to remain current in your knowledge of new psychopharmacologic options for your clients? What resources exist to help you?
- Provide an example of how you would apply each of the selected standards in your future practice.
- Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations.
- Cite a scholarly source in the initial post.
- Cite a scholarly source in one faculty response post.
- Cite a scholarly source in one peer post.
- Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
- Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.
### Application of Course Knowledge: Addressing Standard 5A and Standard 5B
#### Summary of Selected Competencies
**Standard 5A: Coordination of Care**
This competency emphasizes the role of Psychiatric-Mental Health Nurse Practitioners (PMHNPs) in ensuring comprehensive care coordination. This includes integrating care plans, facilitating communication among healthcare providers, and ensuring seamless transitions between care settings. PMHNPs are responsible for collaborating with multidisciplinary teams to create holistic, patient-centered care plans that address both mental and physical health needs.
**Standard 5B: Health Teaching, Health Literacy, and Health Promotion**
This competency focuses on the PMHNP’s role in educating patients about their health, enhancing health literacy, and promoting overall well-being. This involves providing accurate information about mental health conditions, treatment options, and lifestyle modifications. PMHNPs aim to empower patients with the knowledge and skills necessary to manage their health effectively and make informed decisions about their care.
#### Scope of Practice Implications for PMHNPs (Standard 5A)
**Physical and Mental Healthcare Integration**
PMHNPs employed in psychiatric facilities are often tasked with conducting mental health intake assessments and managing physical health issues, including prescribing and monitoring medications. The integration of physical and mental healthcare by PMHNPs necessitates a broad scope of practice, ensuring they are well-versed in both domains.
**Prescribing Considerations**
Prescribing medications in a psychiatric setting involves careful consideration of potential drug interactions, side effects, and the specific needs of psychiatric patients. PMHNPs must stay current with pharmacological advancements and maintain a thorough understanding of psychopharmacology to make informed prescribing decisions. They must also adhere to legal and ethical guidelines regarding prescription practices.
#### Responding to Client-Researched Treatments (Standard 5B)
**Addressing Internet-Based Information**
Patients often come to appointments with information they have found online. As a PMHNP, it is crucial to approach such situations with respect and openness. First, validate the patient’s effort to understand their condition. Then, evaluate the credibility of the information together, highlighting reliable sources and correcting any misinformation. This process helps build trust and reinforces the importance of evidence-based practice.
#### Applying Standards in Future Practice
**Example for Standard 5A**
In future practice, I would ensure thorough coordination of care for a patient with co-occurring diabetes and depression. This would involve regular communication with the patient’s primary care provider, developing an integrated care plan that addresses both conditions, and scheduling follow-up appointments to monitor progress and adjust treatments as necessary.
**Example for Standard 5B**
For Standard 5B, if a patient inquires about a new dietary supplement they read about online for managing anxiety, I would review the scientific evidence supporting the supplement, discuss its potential benefits and risks, and provide guidance on safe use. This empowers the patient to make informed decisions while ensuring their safety and well-being.
#### Barriers and Strategies to Overcome Them
**Barriers to Coordination of Care (Standard 5A)**
1. **Communication Gaps:** Miscommunication between healthcare providers can hinder effective care coordination.
– *Solution:* Implementing standardized communication protocols and using electronic health records (EHR) to share patient information can enhance clarity and continuity of care.
2. **Resource Constraints:** Limited access to necessary resources can impede comprehensive care.
– *Solution:* Advocating for resource allocation and leveraging community resources can help bridge gaps in care.
**Barriers to Health Teaching and Promotion (Standard 5B)**
1. **Low Health Literacy:** Patients with low health literacy may struggle to understand medical information.
– *Solution:* Using plain language, visual aids, and teach-back methods can improve comprehension and retention of health information.
2. **Misinformation:** Patients may encounter inaccurate information online.
– *Solution:* Providing patients with a list of reliable sources and educating them on how to evaluate the credibility of online information can mitigate the impact of misinformation.
#### Conclusion
Effective dissemination of EBP is essential for advancing psychiatric-mental health nursing. By employing strategies such as organizational presentations and peer-reviewed publications, PMHNPs can share valuable insights and advocate for evidence-based practices. Addressing potential barriers through clear communication, resource advocacy, and patient education ensures the successful implementation of EBP, ultimately enhancing patient outcomes and advancing the field of psychiatric-mental health nursing.
### References
– Melnyk, B. M., & Fineout-Overholt, E. (2023). *Evidence-based practice in nursing & healthcare: A guide to best practice* (5th ed.). Wolters Kluwer.
– Gallagher-Ford, L., Fineout-Overholt, E., & Melnyk, B. M. (2011). Evidence-based practice step-by-step: Implementing an evidence-based practice change. *American Journal of Nursing, 111*(3), 54-60.
– Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for evidence-based practice. *Journal of Nursing Administration, 37*(12), 552-557.
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