Semester: Fall, Spring
Prerequisites: Credit or concurrent enrollment in NUR 333.
Catalog Description: Application of the nursing process and the use of self as the therapeutic agent with individuals and groups of clients. Emphasis on developing nursing strategies for psychiatric and/or mental health care.
The purpose of the course is to provide the undergraduate nursing student with knowledge and study of nursing care problems associated with psychiatric mental health issues. This clinical course provides students with the opportunity to apply theoretical knowledge of psychiatric mental health nursing through supervised experience in diverse clinical settings. Emphasis is on the development of therapeutic relationships based on the principles of psychiatric mental health nursing and the application of the nursing process with patients who have an alteration in mental health functioning.
By the end of this course you will:
- Assume a beginning advocacy role that is sensitive to the specific needs of individual patients.
- Assume the role of the psychiatric mental-health nurse in providing care to patients with a mental health alteration and their families.
- Apply knowledge of conceptual models and treatment modalities as a basis for the development of nursing strategies in caring for patients and families with alterations in mental health functioning.
- Compare and contrast the clinical presentation of selected patients with the literature.
- Discuss the impact of mental health alterations on patients and their families.
- Critically analyze assessment data in order to establish priorities for patient care.
- Formulate, implement and evaluate nursing strategies based on knowledge of the principles of psychiatric mental health nursing.
- Revise a plan of care based on a critical evaluation of patient and family outcome.
- Implement and evaluate teaching of the patients, families, peers and/or staff.
- Incorporate an understanding of cultural, gender, religious and lifestyle differences within the delivery of patient care.
- Collaborate with colleagues, health care professionals and others in a professional manner.
- Communicate observations, findings and interventions to appropriate health care personnel verbally and through written communications.
- Establish a therapeutic relationship with selected clients based on an understanding of the principles of psychiatric mental health nursing.
- Demonstrate the use of therapeutic communication skills with patients, families and groups.
- Discuss own values and beliefs related to mental illness that may impact on the delivery of patient care.
- Demonstrate professional behavior and accountability in the clinical setting.
- Demonstrate initiative and responsibility for self-directed learning in the clinical setting.
- Discuss the impact of socioeconomic and political issues on meeting the mental health needs of patients and their families.
- Demonstrate knowledge of legal and ethical issues that impact on the delivery of patient care.
- Explore and utilize community resources in the delivery of patient care.
- Discuss relevant research findings in relation to the care of patients with an alteration in mental health functioning and their families.
- Identify nursing research questions that originate in the practice setting.
This course consists of a weekly clinical day. Clinicals take place in a variety of settings from acute in-patient care to community mental health centers. Students will have opportunity to attend and evaluate community resources available to those who experiences alterations in mental health as well as resources for families and friends. Students must demonstrate their theoretical and practical knowledge of the content via clinical performance, written assignments and post-conference participation. This course is taken concurrently with NUR 333, which is the theoretical component of Psychiatric Mental Health Nursing.
- Math proficiency evaluated by exam with a score of 85% or better
- Interpersonal competency evaluated by clinical performance and process recordings
- Therapeutic competency in individual patient care and group therapy participation.
- Assessment competency evaluated by completion of mental status examination on assigned patient.
- Personal and professional reflection evaluated by critical reflective inquiry and scholarly journals.
- Use of professional literature to compare and contrast clinical experience and delivery of care that is evidence based.
- Therapeutic understanding of psychiatric diagnoses and the implications of nursing care as demonstrated with a correlation.
- Daily assessment of acute patient needs and nursing care utilizing concept maps.
- Evaluation of community resources by attending a self-help group and community resource center. Critical analysis of the experience and comparison to the literature for broader understanding.
- Post conference participation either face to face or electronic forum.
- Case study presentation of a patient that demonstrates synthesis of core skills of therapeutic communication, assessment, data collection, theoretical understanding, and prioritization of nursing care that identifies patient needs in treatment planning and stabilization.
This is a required nursing course of the undergraduate nursing curriculum that lays the foundation for working with a broad range of psychosocial needs in any future clinical setting. This course offers clinical development of assessment skills and therapeutic techniques necessary to conduct a psychiatric assessment, develop a therapeutic relationship, establish a patient centered plan of care that honors the individual needs and strengths of each patient.