Role performance of psychiatric nurses in advanced practice: a systematic review of the literature

Authors

  • Y. L. Fung MASW MPHC BN RMN,

    Advanced Practice Nurse (Psychiatric), Corresponding author
    1. Department of Child and Adolescent Psychiatry, Castle Peak Hospital, Hong Kong
    • Correspondence:

      Y. L. Fung

      Department of Child and Adolescent Psychiatry

      Castle Peak Hospital

      15 Tsing Chung Koon Road, Tuen Mun, New Territories

      Hong Kong

      E-mail: fungyl1@ha.org.hk

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  • Z. Chan PhD MPHC MA BHS RN,

    Assistant Professor, Professor
    1. School of Nursing, The Hong Kong Polytechnic University, Hong Kong
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  • W. T. Chien PhD PgDipNEdu BN RMN RTN

    Assistant Professor, Professor
    1. School of Nursing, The Hong Kong Polytechnic University, Hong Kong
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Abstract

Accessible summary

  • Psychiatric advanced practice nurses perform multifaceted roles and demonstrate significant results in managing clients with depression and psychological stress, and community-dwelling individuals with mental health-care needs.
  • Psychiatric advanced practice nurses can potentially develop collaborative partnerships with non-mental health service providers, services that are more accessible to users of mental health-care service, and services that enhance the quality of inpatient care.
  • Psychiatric advanced practice nurses need to demonstrate their competence in providing cost-effective interventions through well-designed studies or randomized controlled trials.

Abstract

This paper discusses findings from a systematic review of literature pertaining to the role performance of psychiatric nurses in advanced practice. A search of 11 electronic databases was conducted to identify research involving interventions by psychiatric (or mental health) nurses in advanced practice. A total of 14 studies were identified. In this review, the role performance of psychiatric nurses in advanced practice was categorized into three themes: (1) the provision of psychosocial interventions; (2) the provision of nurse-directed services in health-care contexts; and (3) the provision of psychiatric nursing consultation services. Our results document that psychiatric nurses in advanced practice perform multifaceted roles and provide mental health-care services in various contexts. This systematic review reveals that the nurses obtain significant results in managing clients with depression and psychological stress, and demonstrates their value when developing partnerships with non-mental health service providers. One study, however, showed that the nurses had insignificant results in performing transitional care for pre-discharged mental health service users.

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