2. INTRODUCTION
⊳ Psychiatric mental health nurses work in a variety of hospital and community
settings. During recent years in the development of health services in the world,
much emphasis has been placed on the “expanding role” of the nurse.
⊳ Psychiatric nursing is a specifically area within the discipline of nursing.
Traditionally, the role of the nurses was to provide care and comforts as they
carried out specific nursing function, but changes in nursing of the day have
expanded the role to include increased emphasis on health promotion and illness
prevention, as well as concern for the client as a whole.
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3. CONT..
⊳ Tremendous changes has happened in all specialties of nursing
including psychiatric nursing. The role shift of psychiatric nursing
and mental health care are influenced by factors like economics
financing of health care, information technology, managed
behavioral health care, the psychobiologic shift, accountability in
practice and mental health research.
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4. EXPANDED ROLE OF NURSE
Expanded means to spread out and Roll means an assumed
character. The functions of a nurse that are not specified in the
traditional limits of nursing practice legislation is called expanded role.
Because of increasing educational opportunities for nurses, the growth
of nursing as a profession and a greater concern for job enrichment,
the nursing profession offers expanded role and different kinds of
career opportunities.
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5. ““Expanded role of nursing means
engagement of nurse role within the
boundaries of nurse, "it is the responsibility
assumed by a nurse within field of practice
autonomy
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6. EXTENDED ROLE OF NURSE
Nurse in extended facilities assist clients with their daily activities
provide care when necessary and coordinate rehabilitative activities.
These nurses have increased responsibilities and autonomy and they
are supposed to provide care in variety of settings such as hospital and
community. Extended role in nursing is one in which a nurse assume
responsibility outside the usual practice area with autonomy
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7. “
“It is the responsibility assumed by a nurse
beyond traditional functioning of the
nurse and it is the scope of nursing services
outside the hospital”.
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8. PURPOSE OF EXPANDED &EXTENDED
ROLE OF NURSE
⊳ 1. To get autonomy
⊳ 2. To have a professional role
⊳ 3. To meet the changing health needs and achieve the expectations of the
client.
⊳ 4. To improve the distribution of the health care services
⊳ 5. To increase the cost of health care
⊳ 6. Nurses received advanced nursing practice and get certified from the
institution 8
9. ROLE EMERGENCY
⊳ The role of psychiatric nursing began to emerge during this
developmental period in the early 1950s. In 1947 published an article in
the American Journal of Nursing that reemphasized the shortage of
psychiatric and general duty nurses.
⊳ She described “attitude therapy” as the nurse’s directed use of attitudes
that contribute to the patient’s recovery. In implementing this therapy
the nurse observes the patient for small and fleeting changes,
demonstrates acceptance, respect, and understanding of the patient,
and promotes the patient’s interest and participation in reality. 9
10. ⊳ Medical duties
⊳ Nursing care plan
⊳ Demeanour
⊳ Patient educator
⊳ Patient advocate
⊳ Care manager
ROLE OF PSYCHIATRIC NURSE
⊳ Is Assessment, evaluation,
triage and referral nurse
⊳ Utilization review nurse
⊳ Risk manager
⊳ Chief quality officer
⊳ Marketing and
development specialist 10
11. ⊳ Primary mental health nursing
⊳ Registered psychiatric nurse (rpn)
⊳ Collaborative psychiatric nursing
practice
⊳ Clinical nurse specialist (cns)
⊳ Nurse psychotherapist
⊳ Psychiatric nurse educator
⊳ Psychosocial rehabilitation nursing
ROLE OF PSYCHIATRIC NURSE
⊳ Child psychiatric nursing
⊳ Gerontological and geriatric
nursing
⊳ Deaddiction nursing
⊳ Neuropsychiatric nursing
⊳ Community mental health nursing
⊳ Advanced practice roles
⊳ Nurse researcher
⊳ Forensic psychiatric nurse 11
