What Do Psychiatric Mental Health Nurses Do?
Mental illness afflicts people from all backgrounds, income levels, and age groups. A mental health nurse is a special type of person who is dedicated to improving their patients' lives and offering caring support. The psychiatric mental health nursing (PMHN) specialization, as described in a variety of online nurse education videos, administers to the needs of communities, groups, families, and individuals. This profession requires a dedicated individual who possesses strong communication skills and an understanding of relationships, and who is generally knowledgeable in the behavioral sciences as well as basic sciences.1
Qualities of a PMHN
Nurses who specialize in mental health fields often deal with difficult patients and people who are emotionally distressed, so they must be non-judgmental and able to show compassion and empathy. They must draw on more than their medical training, and should be emotionally healthy and stable, with strong critical thinking skills that help them cope with crisis situations.
The field is demanding and full of challenges. Often, psychiatric nurses must work nights, or on weekends and holidays. They may be required to deal with potentially dangerous patients. At the same time, they are rewarded with the satisfaction of relieving suffering, helping people overcome difficulties while learning to manage and improve their lives.
PMHN nurses assess and diagnose patients, and then develop a plan of care and implement it. Their services can include personal care and support, as well as coordination among members of an interdisciplinary medical team, communicating with physicians, family members, and other types of caregivers. 1
PMHN nurses can achieve a more specialized role as a Psychiatric Mental Health Advanced Practice Registered Nurse (PMH-APRN). These nurses earn the advanced practice registered nurse (APRN) designation with a master's or doctoral degree in psychiatric-mental health nursing.1
In addition to assessing, diagnosing, and treating families and individuals experiencing psychiatric disorders, they can identify mental health risk factors and contribute to policy development. They have opportunities to utilize their skills in psychotherapy and psychopharmacology. They may focus on integrative and consultation services, working with complex mental and physical issues in families. Some APRN nurses go on to work as university educators. 1
Work Settings for Psychiatric Mental Health Nurses
Qualified mental health nurses will find opportunities to work in a wide variety of settings. They are in demand at both psychiatric hospitals and general hospitals with psychiatric patients. Substance abuse treatment programs and community mental health agencies rely on PMHNs , and there is always a need for them in home healthcare services and private practice arrangements.
The mental health nursing field includes multiple levels of practice and areas of specialization, such as age groups or specific types of disorders, like forensic psychiatry (dealing with those who are mentally ill and have committed crimes).
Depending on the scope of practice for the state they work in, mental health nurses (PMH-APRNs) may have their own private practice, offer primary care, and consult with legislators on public policy, or with various communities, groups, and corporations. They can be called on to assess, diagnose, and treat psychiatric disorders for individuals or whole families. They may also manage a plan of care from diagnosis through implementation, and evaluate it for effectiveness. 1
Training to Become a Psychiatric Mental Health Nurse
There are training and education programs for each level of advancement as a mental health nurse, requiring varied lengths of time to complete. Education videos for nurses offer a convenient source of ongoing training and up-to-date information in a demanding career setting.
A PMHN is a basic level nurse that works in psychiatric nursing. To become a registered nurse (RN) a person must earn their associate's degree in Nursing or a bachelor's degree and upon graduation pass the RN licensing examination.
The PMH-APRN completes a master's or clinical doctorate in psychiatric-mental health nursing. After graduation they may take a national certification examination developed by the American Nurses Credentialing Center (ANCC). Since PMH-APRN requirements for advance licensing vary depending on the state to obtain the most accurate information, contact each state's board of nursing.
Making the Choice
Before deciding if mental health nursing is the right career path for you, explore and test the field to see how you feel about it. Volunteering to work in a community program, a hospital, or another agency where you'll encounter psychiatric patients is a great opportunity to see how you interact with them, as you gain experience.
Enroll in your basic nursing program and elect to try the psychiatric-mental health rotation, to gain experience and try out your skills in practice. If you are uncertain about nursing as a career path, or about the mental health nursing area, start with a two-year community college program to gain exposure and training, and then decide on your next step. It is important to maintain good grades throughout, as nursing, like other healthcare programs, has limited spaces and requires high standards.
Psychiatric nursing is as much a vocation as a career choice, requiring dedicated individuals who will keep up with the necessary continuing education courses throughout their careers. Today, many health care professionals, including mental health nursing students and practicing nurses, take advantage of the growing availability of online courses and healthcare videos to stay current, maintain credentialing, or pursue their basic nursing education courses. Professionals, too, like university educators, librarians, and others, can find an abundance of resources to keep students engaged and moving forward in fulfilling careers.
GLOSSARY OF TERMS
Nursing Designations and Degrees
APRN - Advanced Practice Registered Nurse
DNP - Doctor of Nursing Practice
PMHN - Psychiatric Mental Health Nurse
RN - Registered Nurse
Credentialing Boards and Professional Associations
AACN - American Association of Colleges of Nursing (for program accreditations)
NLN - National League for Nursing
ANCC - American Nurses Credentialing Center (board certifies in psychiatric nursing)
APNA - American Psychiatric Nurses Association
ISPN - International Society of Psychiatric-Mental Health Nurses
NCLEX - National Council Licensure Examination
NCSBN - National Council of State Boards of Nursing (check for state nursing board contacts, to verify requirements by state)
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This paper explores themes relevant to mental health nursing using the example of one educational module of a nursing degree. The authors argue that the educational preparation of mental health nursing students in higher education must address certain contested philosophical, conceptual, social and ethical dimensions of contemporary mental health care practice. These themes are discussed within the context of a third-year mental health nursing module within a Scottish nursing degree programme. By interlinking epistemology and ontology, the notion of student as ‘critical practitioner’, involving the encouragement of ‘critical thinking’, is developed. This is shown via engagement with parallel perspectives of the sciences and the humanities in mental health. Narratives of student nurse engagement with selected literary texts demonstrate the extent to which issues of knowledge, self-awareness and personal development are central to a student's professional journey as they progress through an academic course. The paper concludes by suggesting that these ‘critical perspectives’ have important wider implications for curriculum design in nursing education. Insights from critical theory can equip nurse educators to challenge consumerist tendencies within contemporary higher education by encouraging them to remain knowledgeable, critical and ethically sensitive towards the needs of their students.