Advanced Practice Psychiatric Mental Health Nursing, Finding Our Core: The Therapeutic Relationship in 21st Century

Abstract

The PMH graduate faculty believes that they have developed strategies to meet this challenge and to help build a PMH workforce that will maintain the centrality of the relationship in PMH practice.

Competency-Based Training to Create the 21st Century Mental Health Workforce: Strides, Stumbles, and Solutions

“…This may mean redefining how PMH students engage in fostering relationships and how clinical supervision guides the process. The structure and process of clinical supervision have recently been reconceptualized, particularly with clients recovering from SMI (Buck & Lysaker, 2010), a reformulation structured around the evidence-based relationship model we utilize (Perraud et al, 2006). More work is needed to align the interpersonal identity of the PMH specialty with the type of services clients seek and the relationship elements that are critical to their recovery and maintenance in the community (Beebe, 2010;Strum, 2009).…”

“…Assessing the students' therapeutic skills by audio taping their sessions with patients has become a less viable mechanism for examining interpersonal aspects of the encounter given privacy rules, movement away from dynamic psychotherapy, and faculty time restraints. We do, however, view relationship building as the cornerstone of PMH nursing (Perraud et al, 2006) and developed several proxy methods for both assessing relationship elements and helping students increase awareness of their interpersonal responses. At the end of the psychiatric assessment and diagnostic formulation course, students come to campus and are videotaped interviewing actors who are portraying a scripted psychiatric illness.…”

Personality Disorder Prevalence and Treatment Outcomes: A Literature Review

“…The therapeutic relationship in nursing was first described by Peplau (1952) and this relationship is argued to be at the heart of mental health nursing (Perraud et al, 2006). In practice, this means that nurses are centrally located to coordinate and engage individuals with a personality disorder within care in a positive and collaborative manner, with a strong emphasis on alliance in addition to any other treatment the patient may be receiving.…”

A Modern History of Psychiatric–Mental Health Nursing

“…These funds provided traineeships for graduate education in psychiatric-mental health nursing and community health (Perraud et al, 2006). Traineeships were also available to support doctoral education and in the late 1960s the first doctoral program focused on nursing practice (DNSc) was developed at Boston University (Robb, 2005).…”