2.50
Hdl Handle:
http://hdl.handle.net/10755/622129
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Enhancing Mental Health Competencies in Advanced Practice Nursing Graduates
Other Titles:
Competencies in Psychiatric Health
Author(s):
Edwards, Nancy E.; Kersey, Susan J.
Lead Author STTI Affiliation:
Delta Omicron
Author Details:
Nancy E. Edwards, PhD, MSN, ANP-BC, Professional Experience: I am an active member of Sigma Theta Tau International Delta Omicron Chapter. My research focuses on interventions in individuals with dementia. Projects include nutritional intake and weight loss, behavioral and psychological symptoms, caregiver support and specifying interventions appropriate for specific dementias such as AD, DLB and FTD. Author Summary: Dr Edwards is an Associate Professor at Purdue University School of Nursing in Indiana, United States. She is the Director of the Adult Gerontology Primary Care Nurse Practitioner Program and is active in research on non-chemical interventions for individuals with dementia
Abstract:

Purpose: The purpose of this project was to assess the impact of a curricular enhancement of mental health content to Adult Gerontology Primary Care Nurse Practitioner students. The project goal was to demonstrate the influence of this enhanced curricular content on graduating NP students’ perceived competence and confidence in providing care for patients with basic mental health concerns in the primary care setting.

Methods: A gap analysis was conducted to determine the mental health content that needed to be integrated into the curriculum. The content was determined by comparing the current curriculum with the 2013 NONPF Population- Focused Nurse Practitioner Competencies- Psychiatric Mental Health. Content was added to the didactic portion (from 6-18 hours), through progressive interactive case studies led by a psychiatric Mental Health CNS, and with clinical integration (30 hours) with psychiatric mental health professionals. A pre-test /post-test evaluation was conducted using a written questionnaire to assess the graduating NPs perceived competence in the knowledge of psychoactive medications and in the treatment of mental health conditions that frequently present to mental health clinics. The questionnaire was given at the completion of their first year, before any clinical or specialty content and again at the completion of their second year, prior to graduation.

Results: The sample included 45 students who completed the Master’s of Science Nurse Practitioner at a Midwestern State University between the years of 2013 through 2016. The students (4 male and 41 female) were enrolled in the Adult Gerontology Primary Care Nurse Practitioner program. A significant difference was noted between the pre-test and post test scores in the graduates reported comfort in providing care for individuals with mental health conditions. The students reported a significant increase in their comfort in providing care for individuals who presented to primary care with depression, depression resistant to 1 medication, anxiety, ADD/ADHD and Bipolar disorder. No significant difference was noted in comfort with providing care for individuals with Obsessive compulsive disorder, Victims of domestic violence, addiction, eating disorders and schizophrenia. In relation to psychotropic medications, a significant difference was noted in their comfort in prescribing SSRIs, SNRIs, Norepinephrine-Dopamine Reuptake inhibitors, Antianxiety medications (Benzodiazepines) and ADHD medications. No difference was noted in the reported comfort in atypical antipsychotics and norepinephrine-specific Reuptake inhibitors

Conclusion: Enhancing students exposure and experience in handling mental health concerns through the use of progressive mental health case studies, enhanced didactic content and clinical exposure led to an increase in perceived competence and confidence in the graduates ability to handle many common mental health concerns that often present to the primary healthcare setting. In addition, the graduates were able to identify and appropriately refer individuals with mental health conditions they were not comfortable treating. The graduates also reported increased confidence in ordering medications used to treat common mental health conditions. With the shortage of mental healthcare providers, primary care providers including NPs are called upon to provide increasing mental health.

Keywords:
Advanced Practice Nurses; Curriculum; Mental Health Competencies
Repository Posting Date:
25-Jul-2017
Date of Publication:
25-Jul-2017
Other Identifiers:
INRC17L04
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleEnhancing Mental Health Competencies in Advanced Practice Nursing Graduatesen_US
dc.title.alternativeCompetencies in Psychiatric Healthen
dc.contributor.authorEdwards, Nancy E.en
dc.contributor.authorKersey, Susan J.en
dc.contributor.departmentDelta Omicronen
dc.author.detailsNancy E. Edwards, PhD, MSN, ANP-BC, Professional Experience: I am an active member of Sigma Theta Tau International Delta Omicron Chapter. My research focuses on interventions in individuals with dementia. Projects include nutritional intake and weight loss, behavioral and psychological symptoms, caregiver support and specifying interventions appropriate for specific dementias such as AD, DLB and FTD. Author Summary: Dr Edwards is an Associate Professor at Purdue University School of Nursing in Indiana, United States. She is the Director of the Adult Gerontology Primary Care Nurse Practitioner Program and is active in research on non-chemical interventions for individuals with dementiaen
dc.identifier.urihttp://hdl.handle.net/10755/622129-
dc.description.abstract<p><strong>Purpose: </strong><span>The purpose of this project was to assess the impact of a curricular enhancement of mental health content to Adult Gerontology Primary Care Nurse Practitioner students. The project goal was to demonstrate the influence of this enhanced curricular content on graduating NP students’ perceived competence and confidence in providing care for patients with basic mental health concerns in the primary care setting.</span></p> <p><strong>Methods: </strong>A gap analysis was conducted to determine the mental health content that needed to be integrated into the curriculum. The content was determined by comparing the current curriculum with the 2013 NONPF Population- Focused Nurse Practitioner Competencies- Psychiatric Mental Health. Content was added to the didactic portion (from 6-18 hours), through progressive interactive case studies led by a psychiatric Mental Health CNS, and with clinical integration (30 hours) with psychiatric mental health professionals. A pre-test /post-test evaluation was conducted using a written questionnaire to assess the graduating NPs perceived competence in the knowledge of psychoactive medications and in the treatment of mental health conditions that frequently present to mental health clinics. The questionnaire was given at the completion of their first year, before any clinical or specialty content and again at the completion of their second year, prior to graduation.</p> <p><strong>Results: </strong>The sample included 45 students who completed the Master’s of Science Nurse Practitioner at a Midwestern State University between the years of 2013 through 2016. The students (4 male and 41 female) were enrolled in the Adult Gerontology Primary Care Nurse Practitioner program. A significant difference was noted between the pre-test and post test scores in the graduates reported comfort in providing care for individuals with mental health conditions. The students reported a significant increase in their comfort in providing care for individuals who presented to primary care with depression, depression resistant to 1 medication, anxiety, ADD/ADHD and Bipolar disorder. No significant difference was noted in comfort with providing care for individuals with Obsessive compulsive disorder, Victims of domestic violence, addiction, eating disorders and schizophrenia. In relation to psychotropic medications, a significant difference was noted in their comfort in prescribing SSRIs, SNRIs, Norepinephrine-Dopamine Reuptake inhibitors, Antianxiety medications (Benzodiazepines) and ADHD medications. No difference was noted in the reported comfort in atypical antipsychotics and norepinephrine-specific Reuptake inhibitors</p> <p><strong>Conclusion: </strong>Enhancing students exposure and experience in handling mental health concerns through the use of progressive mental health case studies, enhanced didactic content and clinical exposure led to an increase in perceived competence and confidence in the graduates ability to handle many common mental health concerns that often present to the primary healthcare setting. In addition, the graduates were able to identify and appropriately refer individuals with mental health conditions they were not comfortable treating. The graduates also reported increased confidence in ordering medications used to treat common mental health conditions. With the shortage of mental healthcare providers, primary care providers including NPs are called upon to provide increasing mental health.</p>en
dc.subjectAdvanced Practice Nursesen
dc.subjectCurriculumen
dc.subjectMental Health Competenciesen
dc.date.available2017-07-25T17:26:39Z-
dc.date.issued2017-07-25-
dc.date.accessioned2017-07-25T17:26:39Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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