2.50
Hdl Handle:
http://hdl.handle.net/10755/164119
Category:
Abstract
Type:
Presentation
Title:
Innovative Advanced Practice: The Psychiatric CNS in Medical-Surgical Nursing Practice
Author(s):
Davis, Debra L.
Author Details:
Debra L. Davis, MSN, ARNP, CNS, Shands Hospital at the University of Florida, Gainesville, Florida, USA, email: nacnsorg@nacns.org
Abstract:
Shands Hospital at the University of Florida is a 570-bed academic medical center that provides highly specialized, complex care to both pediatric and adult patient populations. The hospital's inpatient psychiatric unit recently became a geri-psychiatric unit, thus transitioning patients with psychiatric/mental health issues to the adult and pediatric medical/surgical units. Implementation of a Psychiatric Clinical Nurse Specialist (CNS) position dedicated to medical/surgical units became a priority for improved patient outcomes and staff satisfaction. Nurses verbalized lack of knowledge related to mental health issues. This gap in knowledge created work related stress and impacted the nurses' ability to interact therapeutically with psychiatric patient. Psychiatric CNS practice in this setting has involved clinical practice, system analysis and nursing staff education and consultation. Problem identification for the medical/surgical units included: lack of consistent, evidenced based practice for treatment of alcohol withdrawal; under recognized, untreated anxiety and mood disorders contributing to extended lengths of stay; staff stress related to dealing with difficult and/or angry patient; lack of consistency in dealing with suicidal patients. CNS interventions included creating an alcohol withdrawal protocol, educating the staff about psychosocial interventions, conducting staff sessions for "Dealing with Difficult Families and Patients", revising the suicide policy, participating in interdisciplinary patient care rounds, and consulting with staff about psychiatric issues. The psychiatric CNS for the medical/surgical units has enhanced collaboration with members of the interdisciplinary team, increased staff education, satisfaction and support. Earlier and more appropriate use of pharmacological and non-pharmacological therapies has resulted in improved clinical outcomes and decreased lengths of stay.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
CNS Leadership: Navigating the Healthcare Environment Toward Excellence
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Orlando, Florida, USA
Description:
Conference theme: CNS Leadership: Navigating the Healthcare Environment Toward Excellence, held on March 9�12, 2005 in Orlando, Florida, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleInnovative Advanced Practice: The Psychiatric CNS in Medical-Surgical Nursing Practiceen_GB
dc.contributor.authorDavis, Debra L.en_US
dc.author.detailsDebra L. Davis, MSN, ARNP, CNS, Shands Hospital at the University of Florida, Gainesville, Florida, USA, email: nacnsorg@nacns.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164119-
dc.description.abstractShands Hospital at the University of Florida is a 570-bed academic medical center that provides highly specialized, complex care to both pediatric and adult patient populations. The hospital's inpatient psychiatric unit recently became a geri-psychiatric unit, thus transitioning patients with psychiatric/mental health issues to the adult and pediatric medical/surgical units. Implementation of a Psychiatric Clinical Nurse Specialist (CNS) position dedicated to medical/surgical units became a priority for improved patient outcomes and staff satisfaction. Nurses verbalized lack of knowledge related to mental health issues. This gap in knowledge created work related stress and impacted the nurses' ability to interact therapeutically with psychiatric patient. Psychiatric CNS practice in this setting has involved clinical practice, system analysis and nursing staff education and consultation. Problem identification for the medical/surgical units included: lack of consistent, evidenced based practice for treatment of alcohol withdrawal; under recognized, untreated anxiety and mood disorders contributing to extended lengths of stay; staff stress related to dealing with difficult and/or angry patient; lack of consistency in dealing with suicidal patients. CNS interventions included creating an alcohol withdrawal protocol, educating the staff about psychosocial interventions, conducting staff sessions for "Dealing with Difficult Families and Patients", revising the suicide policy, participating in interdisciplinary patient care rounds, and consulting with staff about psychiatric issues. The psychiatric CNS for the medical/surgical units has enhanced collaboration with members of the interdisciplinary team, increased staff education, satisfaction and support. Earlier and more appropriate use of pharmacological and non-pharmacological therapies has resulted in improved clinical outcomes and decreased lengths of stay.en_GB
dc.date.available2011-10-27T11:42:23Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:42:23Z-
dc.conference.date2005en_US
dc.conference.nameCNS Leadership: Navigating the Healthcare Environment Toward Excellenceen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationOrlando, Florida, USAen_US
dc.descriptionConference theme: CNS Leadership: Navigating the Healthcare Environment Toward Excellence, held on March 9�12, 2005 in Orlando, Florida, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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