J Psychosoc Nurs Ment Health Serv. 2020 Oct 1;58(10):7-11. doi: 10.3928/02793695-20200915-01.
One of the main challenges that psychiatric-mental health nurse practitioner (PMNHP) students experience is preparing to prescribe medications by demonstrating psychopharmacological competency. To examine the challenges as they relate to this issue, self-reflective journaling narratives were evaluated from two cohorts of Post-Master's PMHNP program graduates, across each of two semesters of pediatric and adult clinical experience. The most prominent challenges reported by students were in regard to medication treatment adherence, decision making, and monitoring symptom-related outcomes. The narratives also demonstrate that reflection, combined with faculty- and preceptor-supported clinical education, assists PMHNP students in developing psychopharmacological competency. All PMHNP students described in this article were nurse practitioners before they began the program. By seeking to augment their competencies and through continued self-reflective learning and practice, they will improve access to mental health care for the populations they serve. [Journal of Psychosocial Nursing and Mental Health Services, 58(10), 7-11.].
精神科-心理健康护士从业者（PMHNP）学生面临的主要挑战之一是通过展示精神药理学能力来准备开药。为了研究与这一问题相关的挑战，对来自两个后硕士 PMHNP 项目毕业生队列的自我反思式期刊叙述进行了评估，涵盖了儿科和成人临床经验的两个学期。学生报告的最突出的挑战是药物治疗的依从性、决策和监测与症状相关的结果。这些叙述还表明，反思，结合教师和导师支持的临床教育，有助于 PMHNP 学生发展精神药理学能力。本文中描述的所有 PMHNP 学生在开始该项目之前都是执业护士。通过寻求增强他们的能力，并通过持续的自我反思学习和实践，他们将改善他们所服务的人群获得心理健康护理的机会。[心理社会护理和心理健康服务杂志，58(10)，7-11]。
