ABSTRACT
As advanced practice psychiatric-mental health nursing has transitioned from earlier models of practice, elements of clinical specialist and psychiatric nurse practitioner roles are being blended to produce a new type of practitioner. The challenge of preserving mental health expertise while expanding advanced practice primary and primary mental health care competencies is addressed in several nursing education models. At New York University's Division of Nursing, faculty have designed a program around elements identified as essential to the autonomy demanded of the evolving role, knowledge, and skills basic to broad based health care and mental health care delivery with quality patient care outcomes and the competencies necessary for accountability as care providers in a changing health care delivery system. Essential elements, resources to identify them, and strategies to attain them are discussed. Approaches that promote student, clinician, and faculty development and maximize education affirm the specialty's capacity for innovation and the profession's capacity for new direction and futuristic change.
Subject(s)
Mental Disorders/nursing , Nurse Clinicians/education , Nurse Practitioners/education , Psychiatric Nursing/education , Curriculum/trends , Delivery of Health Care/trends , Forecasting , Humans , New York , Specialization/trendsABSTRACT
The American Nurses Association (ANA) advocates establishment of a national database, which can collect, aggregate, and analyze patient data to link nursing activities to 10 quality of care outcomes. These outcomes, developed through extensive research, can highlight the essential nature of nursing, demonstrate institutional compliance with external standards, and justify registered nurse staffing patterns. Staff nurses collect and record the data that provide the foundation for the quality nursing indicators research initiative. This paper focuses on the important and unique role that staff nurses can play in advancing this agenda.
Subject(s)
American Nurses' Association , Nursing Administration Research/organization & administration , Nursing Staff, Hospital/education , Nursing Staff, Hospital/psychology , Outcome Assessment, Health Care , Power, Psychological , Quality Indicators, Health Care , Data Collection , Databases, Factual , Health Knowledge, Attitudes, Practice , Humans , Job Description , United StatesABSTRACT
The increased use of unlicensed assistive personnel (UAP) has raised the question: "What nursing research has been conducted to evaluate the effectiveness of the UAP in relation to patient outcomes?" To answer this question, the New York State Nurses Association Council on Nursing Research conducted a literature review on the issue of UAP. The specific purposes of this article are to: (a) present an overview of the health care climate and consumer and RN reaction in relation to the UAP movement, (b) summarize reported reviews of UAP research conducted between 1988 and 1994, (c) critique and synthesize the most recent UAP nursing research conducted between 1994 and 1997, and (d) make recommendations for education, practice, and research.
