Department of Community Mental Health and Systems, Rush College of Nursing, Chicago, Illinois, USA.
Issues Ment Health Nurs. 2023 Oct;44(10):933-943. doi: 10.1080/01612840.2023.2252498. Epub 2023 Nov 15.
The USA is dealing with well-documented issues around mental health and its treatment. The Psychiatric Mental Health (PMH) workforce is growing and practicing in a variety of roles within the mental health system. How will PMH nurses address instances when the structure of services does not meet the mental health needs of the population? In this piece, I argue that to some degree the future of the PMH workforce will be determined by how well we use our capacity and capabilities to address incongruities in service structure and population needs. Five areas of concern with mental health services are outlined; they all involve factors that can be addressed with innovative approaches and optimum utilization of the PMH workforce. Included are suggestions on how PMH nurses might direct efforts toward these service issues, particularly by using their skill set and presence in the mental health system. Strategies include forging a tighter connection between the work of advanced practice and registered nurses in delivering care. Broadly, these efforts should be directed at building models of patient-centered care that address the needs of populations, reducing disparities, and demonstrating how engagement is a critical lever of effective inpatient and community-based care.
美国在处理心理健康及其治疗方面有据可查的问题。精神科心理健康（PMH）工作人员在精神卫生系统中担任各种角色，人数不断增加。PMH 护士在服务结构不符合人口心理健康需求的情况下会如何处理？在这篇文章中，我认为在某种程度上，PMH 劳动力的未来将取决于我们如何利用我们的能力和能力来解决服务结构和人口需求之间的不匹配。概述了与精神卫生服务有关的五个关注领域；它们都涉及可以通过创新方法和最佳利用 PMH 劳动力来解决的因素。还提出了 PMH 护士如何针对这些服务问题做出努力的建议，特别是通过利用他们在精神卫生系统中的技能和存在。策略包括在提供护理方面加强高级实践和注册护士之间的工作联系。总的来说，这些努力应该针对建立以患者为中心的护理模式，以满足人群的需求，减少差距，并展示参与是有效住院和社区护理的关键杠杆。
