Relationship Based Care and the Psychiatric Mental Health Nurse Joyce J. Fitzpatrick, Editor PII: DOI: Reference:
S0883-9417(14)00069-7 doi: 10.1016/j.apnu.2014.05.006 YAPNU 50632
To appear in:
Archives of Psychiatric Nursing
Received date: Accepted date:
13 May 2014 16 May 2014
Please cite this article as: Fitzpatrick, J.J. & Editor, Relationship Based Care and the Psychiatric Mental Health Nurse, Archives of Psychiatric Nursing (2014), doi: 10.1016/j.apnu.2014.05.006
This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT Relationship Based Care and the Psychiatric Mental Health Nurse There has been considerable dialogue in the nursing community regarding Relationship
RI P
T
Based Care (RBC), a professional practice model developed by Koloroutis and colleagues (Koloroutis, 2004). This RBC Model has several components that are relevant to psychiatric
SC
mental health nursing practice across practice settings. Firstly, there is the core focus on the therapeutic relationship, the essence of psychiatric nursing, first proposed by Peplau (1952) in
NU
her early writings about the disciplinary focus and professional practice of psychiatric nursing.
MA
But as I considered the tenets of RBC I found several other similarities. Both Peplau’s philosophy of nursing and the RBC model include the understanding that in order for the
ED
interpersonal relationship to form, there must be trust between patient and nurse. As psychiatric nurses we understand the essential value of trust in order for any work to be
PT
performed within the therapeutic encounters.
CE
The RBC model is also consistent with the Mental Health Recovery Model (DHHS, 2003).
AC
Through this model there is a positive focus. Psychiatric nurses practicing rom the Recovery Model are focused on finding connectedness within the journey to wellness, deriving meaning from life’s experiences, and overcoming the challenges and stigma associated with symptoms that are experienced as a result of illness. Recovery is the model of choice in our mental health care delivery systems. It demands change away from the negative models of past care delivery and empowers professional caregivers, family members, and individuals seeking treatment to view their world and roles differently, and positively. In the months and years ahead we can expect the demand for expert mental health nursing services will dramatically increase. The Affordable Care Act requires mental health care
ACCEPTED MANUSCRIPT services embedded within individual and small group plans. Not only will we need more specialists in psychiatric mental health nursing, but also primary care providers will need to
RI P
T
have mental health skills. The demand for knowledge of relationship-building and therapeutic communication, so essential in the core of the models of Recovery, RBC and in Peplau’s work,
SC
will escalate.
RBC is based on three essential relationships: the relationship between the caregiver
NU
and patients and families, the relationship with self, and the relationships with other members
MA
of the health care team (Koloroutis, 2004). These relationships are consistent with the understandings inherent in Peplau’s model of interpersonal relationships. The nurse must
ED
develop self-awareness before entering into a therapeutic relationship, knowing the strengths that are necessary and required in the nurse-patient encounter. It is reassuring to find such
PT
consistency in our field of professional practice, a finding that bodes well for future
CE
development and expansion of the discipline.
References
AC
Joyce J. Fitzpatrick, Editor
United States Department of Health and Human Services. (2003). Achieving the promise: Transforming mental health care in America Final Report. DHHS Publication No. SMA-03-3832). Rockville, MD: U. S. Government Printing Office. Koloroutis, M. (Ed.). (2004). Relationship-Based Care. Minneapolis, MN: Creative Healthcare Management. Peplau, H. E. (1952). Interpersonal relations in nursing. New York: G. P. Putnam & Sons.
S0883-9417(14)00069-7 doi: 10.1016/j.apnu.2014.05.006 YAPNU 50632
To appear in:
Archives of Psychiatric Nursing
Received date: Accepted date:
13 May 2014 16 May 2014
Please cite this article as: Fitzpatrick, J.J. & Editor, Relationship Based Care and the Psychiatric Mental Health Nurse, Archives of Psychiatric Nursing (2014), doi: 10.1016/j.apnu.2014.05.006
This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT Relationship Based Care and the Psychiatric Mental Health Nurse There has been considerable dialogue in the nursing community regarding Relationship
RI P
T
Based Care (RBC), a professional practice model developed by Koloroutis and colleagues (Koloroutis, 2004). This RBC Model has several components that are relevant to psychiatric
SC
mental health nursing practice across practice settings. Firstly, there is the core focus on the therapeutic relationship, the essence of psychiatric nursing, first proposed by Peplau (1952) in
NU
her early writings about the disciplinary focus and professional practice of psychiatric nursing.
MA
But as I considered the tenets of RBC I found several other similarities. Both Peplau’s philosophy of nursing and the RBC model include the understanding that in order for the
ED
interpersonal relationship to form, there must be trust between patient and nurse. As psychiatric nurses we understand the essential value of trust in order for any work to be
PT
performed within the therapeutic encounters.
CE
The RBC model is also consistent with the Mental Health Recovery Model (DHHS, 2003).
AC
Through this model there is a positive focus. Psychiatric nurses practicing rom the Recovery Model are focused on finding connectedness within the journey to wellness, deriving meaning from life’s experiences, and overcoming the challenges and stigma associated with symptoms that are experienced as a result of illness. Recovery is the model of choice in our mental health care delivery systems. It demands change away from the negative models of past care delivery and empowers professional caregivers, family members, and individuals seeking treatment to view their world and roles differently, and positively. In the months and years ahead we can expect the demand for expert mental health nursing services will dramatically increase. The Affordable Care Act requires mental health care
ACCEPTED MANUSCRIPT services embedded within individual and small group plans. Not only will we need more specialists in psychiatric mental health nursing, but also primary care providers will need to
RI P
T
have mental health skills. The demand for knowledge of relationship-building and therapeutic communication, so essential in the core of the models of Recovery, RBC and in Peplau’s work,
SC
will escalate.
RBC is based on three essential relationships: the relationship between the caregiver
NU
and patients and families, the relationship with self, and the relationships with other members
MA
of the health care team (Koloroutis, 2004). These relationships are consistent with the understandings inherent in Peplau’s model of interpersonal relationships. The nurse must
ED
develop self-awareness before entering into a therapeutic relationship, knowing the strengths that are necessary and required in the nurse-patient encounter. It is reassuring to find such
PT
consistency in our field of professional practice, a finding that bodes well for future
CE
development and expansion of the discipline.
References
AC
Joyce J. Fitzpatrick, Editor
United States Department of Health and Human Services. (2003). Achieving the promise: Transforming mental health care in America Final Report. DHHS Publication No. SMA-03-3832). Rockville, MD: U. S. Government Printing Office. Koloroutis, M. (Ed.). (2004). Relationship-Based Care. Minneapolis, MN: Creative Healthcare Management. Peplau, H. E. (1952). Interpersonal relations in nursing. New York: G. P. Putnam & Sons.
