COORDINATION OF CARE
The psychiatric-mental health registered nurse coordinates care delivery.
Competencies
The psychiatric-mental health registered nurse (PMH-RN):
Coordinates implementation of the plan.
Manages the patient’s/client’s care to maximize individual recovery, well-being, and quality of life.
Assists the patient/client in identifying options for care.
Communicates with the patient/client, family, and health care systems during transitions in care.
Advocates for the delivery of dignified and humane care by the interprofessional team.
Documents the coordination of care.
Additional Competencies for the Graduate-Level Prepared Psychiatric-Mental Health Registered Nurse, Including the APRN
The graduate-level prepared psychiatric-mental health registered nurse, including the APRN (PMH-APRN):
Provides leadership in the coordination of interprofessional health care for integrated delivery of care and treatment services.
Synthesizes data and information to prescribe necessary system and community support measures, including environmental modifications.
Coordinates system and community resources that enhance quality and effectiveness across continua of care.
STANDARD 5B. HEALTH TEACHING, HEALTH LITERACY, AND HEALTH PROMOTION
The psychiatric-mental health registered nurse employs strategies to promote health and a safe environment.
Competencies
The psychiatric-mental health registered nurse (PMH-RN):
Provides health teaching (in individual or group settings) to promote stabilization of symptoms, the process of recovery, well-being, and mental health literacy. The teaching is related to the patient’s/client’s needs, individual goals, and the patient’s/client’s situation that may include, but is not limited to, mental and behavioral health problems, psychiatric and substance use disorders, treatment regimens and self-management of those regimens, coping skills, relapse prevention, self-care activities, resources, conflict management, problem-solving skills, stress management and relaxation techniques, and crisis management.
Promotes health literacy by using health promotion activities and health teaching methods appropriate to the situation and the patient’s/client’s preferences, values, beliefs, health practices, developmental level, learning needs, readiness and ability to learn, language preference, spirituality, culture, and socioeconomic status.
Integrates current knowledge, evidence-based practices, and research regarding psychotherapeutic educational strategies and content.
Engages patient/client alliances, such as peer specialists and advocacy groups, as appropriate, in health teaching and health promotion activities.
Identifies community resources to assist and support health care consumers in using prevention and mental health care services.
Seeks individual patient/client feedback and evaluation of the effectiveness of strategies utilized and learning achieved.
Provides anticipatory guidance to individuals and families to promote mental health and to prevent or reduce the risk of psychiatric disorders.
Additional Competencies for the Graduate-Level Prepared Psychiatric-Mental Health Registered Nurse, Including the APRN
The graduate-level prepared psychiatric-mental health registered nurse, including the APRN (PMH-APRN):
Synthesizes empirical evidence on risk behaviors, learning theories, behavioral change theories, motivational theories, culture, epidemiology, and other related theories and frameworks when designing health information and patient/client education.
Educates patients/clients and significant others about intended effects and potential adverse effects of treatment options and regimens.
Provides education to individuals, families, and groups to promote understanding and effective management of overall health maintenance, mental health and symptom challenges, and psychiatric and substance use disorders.
Uses knowledge of health beliefs, practices, evidence-based findings, and epidemiological principles, along with the social, cultural, and political issues that affect mental health in the community to develop health promotion strategies.
Designs health information and patient/client education appropriate to the patient’s/client’s developmental level, learning needs, readiness to learn, and cultural values and beliefs.
Evaluates health information resources, such as the internet, in the area of practice for accuracy, readability, and comprehensibility to help patients/clients access quality health information.
Sample Answer
This document outlines the key competencies for Psychiatric-Mental Health Registered Nurses (PMH-RNs), including those specifically for graduate-level prepared nurses and Advanced Practice Registered Nurses (APRNs).
Key Areas of Focus:
- Care Coordination: PMH-RNs play a vital role in coordinating care across various settings and ensuring seamless transitions for patients. This includes collaborating with interdisciplinary teams, advocating for patients’ needs, and assisting with care planning.
- Health Teaching and Promotion: A core function of PMH-RNs is to educate patients and families about mental health conditions, treatment options, and self-management strategies. This requires a deep understanding of health literacy principles and the ability to tailor educational approaches to individual needs and cultural backgrounds.