Inpatient Psychiatric Nursing: Clinical Strategies & Practical Interventions

by Linda Damon MSN, MHA, RN (Editor), Joanne Matthew BS, MS, PMHCNS-BC, APRN (Editor), Judy Sheehan MSN, RN-BC (Editor), Lisa Uebelacker MS, PhD (Editor)

Overview

Named a 2013 Doody's Core Title!

2012 Second Place AJN Book of the Year Award Winner in Psychiatric-Mental Health Nursing!

"This is truly a contribution to the hands-on clinical literature....This book can serve as a resource for nurses working in inpatient psychiatry, nursing students, and nursing faculty who teach undergraduate psychiatric nursing."--Choice: Current Reviews for Academic Libraries

"[A] great book for inpatient psychiatric nurses."--Doody's Medical Reviews

Psychiatric nursing practice has changed dramatically over the past decades to accommodate vast changes in our health care system. The patients who now meet the level of care standards for an acute care setting have to be very ill and typically exhibit considerable behavioral impairments and multiple safety issues. This handbook for psychiatric nurses and nursing students reflects these changes and focuses on four particularly challenging aspects of acute psychiatric nursing practice: keeping the patient safe, stabilizing symptoms, promoting engagement in treatment, and discharge planning. In a systematic, easy-to-access format, the book offers proven, clinically useful interventions designed to modify and manage disruptive patient behavior. Also included is a chapter on overcoming oneís own barriers to effective nursing in the difficult psychiatric environment.

This important interdisciplinary clinical resource grew from a forum of Butler Hospital nurses who convened over a two-year period to identify and explore successful interventions used in the inpatient psychiatric acute care setting. The guide represents a collaboration between these health care professionals and their colleagues at the University of Rhode Island McLean Hospital, New York Presbyterian Hospital, and the Institute of Living.

Key Features:

• Provides practice-based evidence and clinically useful interventions designed to modify and manage challenging and disruptive patient behavior
• Represents interdisciplinary collaborative work among staff nurses, advanced practice nurses, psychiatrists, social workers, occupational therapists, and psychologists
• Presents clinical practice savvy equally useful to new psychiatric nurses and nursing students
• Disseminates information in an easy-to-access, consistent format

This book is also available as part of a discounted set. To view the Psychiatric-Mental Health Nursing Special Student Pack, click the link above.

Product Details

ISBN-13:	9780826109729
Publisher:	Springer Publishing Company
Publication date:	04/12/2012
Sold by:	Barnes & Noble
Format:	eBook
Pages:	416
Sales rank:	751,599
File size:	4 MB

About the Author

Linda Damon, MSN, MHCA, RN, is Vice President of Patient Care Services, Butler Hospital, Providence, RI, where she is responsible for the quality of nursing care and operations of inpatient, partial hospital, and admission services in a 147-bed hospital.

Joanne M. Matthew, BS, MS, PMHCNS-BC, APRN, is an advanced practice nurse at the Community Care Network, Rutland, Vermont.

Judy L. Sheehan, MSN, RN-BC, is the director of nursing education at Butler Hospital, Providence, Rhode Island.

Lisa Anne Uebelacker, PhD, holds multiple appointments including Staff Psychologist, Butler Hospital, Providence, RI, Affiliate Staff, Department of Family Medicine, Memorial Hospital, Pawtucket, RI, and Assistant Professor, Department of Psychology and Human Behavior at Brown University, Providence, RI.

Table of Contents

"Preface, Linda Damon

PART I: MANAGEMENT OF SPECIFIC BEHAVIORS

1. The Patient with Anger, J Matthew et al., Butler Hospital
2. The Patient with Anxiety, D Heidtman et al., Butler Hospital
3. The Patient with Disorganized Behavior, J Sheehan et al., Butler Hospital
4. The Patient with Manic Behavior, J. Mathew&J. Sheehan, Butler Hospital
5. The Patient with Non-Suicidal Self-Injury, J Kovach et al., McLean Hospital
6. The Patient in Pain, E Blair et al., Institute of Living
7. The Patient who is Paranoid, J. Mathew et al. Butler Hospital
8. The Patient with Substance Use Disorders, K Svendsen et al., Butler Hospital
9. The Patient who is Suicidal, L Espinosa et al., New York Presbyterian Hospital
10. The Patient who is Withdrawn, M Leveillee et al., University of Rhode Island

PART II: SPECIFIC TYPES OF INTERVENTIONS

11. Family Interventions, M Perreira et al., Butler Hospital
12. Medication Administration, J Sheehan et al., Butler Hospital
13. Relaxation Techniques, N Egan et al., Butler Hosp
14. Sensory Interventions, B. Ostrove et al., Butler Hospital
15. Therapeutic One to One, L Drury et al., Butler Hospital
16. Managing Violence, J. Sheehan, Butler Hospital

PART III: NURSING SELF MANAGEMENT

1.Management of Barriers to Being Therapeutic"

Editorial Reviews

Reviewer: Cherie G. Howk, PhD, FNP-BC(Indiana State University)
Description: The editors of this book suggest that inpatient psychiatric nursing has changed as patients who are admitted now must be very ill with considerable behavioral impairments and safety concerns. The book covers the treatment goals of safety, stabilization, promoting engagement in treatment, and discharge.
Purpose: The goal is to provide practice-based evidence for managing specific behaviors that psychiatric nurses see in psychiatric units every day. The editors state that whenever possible, "we also tried to place our own practice experience in the context of current literature and research." While practice-based evidence is important, it should not be offered in place of evidence provided by the literature and research. It also should be noted that most of the interventions in this book are based on the practice of a group of nurses in one hospital. This does not diminish the value, but it does prompt the need to refer to clinical guidelines or other research-based interventions for support.
Audience: This is intended for practicing psychiatric nurses, nursing students, and nurses new to working with psychiatric patients. The book "grew from a forum of Butler Hospital nurses who came together over a 2-year period to identify and describe successful interventions use in the inpatient psychiatric setting."
Features: This book is unique in that it is organized around specific behaviors that are frequently seen in the inpatient psychiatric setting. The chapters are organized around the nursing care goals of safety, stabilization, and engagement. The chapters end with care plans that include goals, assessments, and interventions. The distinctive last section discusses barriers to being therapeutic. The author states, "like their patients, nurses suffer from frailties associated with being human." This chapter encourages nurses to consider the best way they can help their patient move toward stabilization and decrease psychopathology.
Assessment: This is a great book for inpatient psychiatric nurses. It would be improved with support from the literature for the suggested interventions.

Doody's Review Service