Abstract
The International Society of Psychiatric Nurses as well as The American Psychiatric Nurses Association called for decentralization of psychiatric concepts in undergraduate nursing education. The author developed a series of simulation scenarios to address therapeutic communication and psychosocial needs in a variety of patient care settings. In terms of holistic care, psychological well-being is relevant to all realms of nursing practice. Mental health assessment and intervention need to be included in all areas of an undergraduate-nursing curriculum. The purpose of this project was to create a BSN curriculum that reflects the mental health needs of patients not only in acute care psychiatric facilities but also in medical-surgical disciplines, maternity units, and community settings. The curriculum is designed to also cover mental health throughout the lifespan-from infancy to end of life. A goal was to develop educational techniques, which translate into safe practice. A series of five simulations have been created with additional scenarios to be established in the following academic year. Topics include: alcohol withdrawal, end of life care, post-traumatic stress disorder, post-partum depression, serotonin syndrome, benzodiazepine over dose, elder abuse, depression in military veterans, and geriatric depression. All incorporate QSEN competencies [1]. The overall learning objectives are for undergraduate nursing students to initiate and implement an appropriate mental status assessment using therapeutic communication, and also to provide safe care by identifying risk factors and using clinical decision making to establish requisite nursing interventions. The methodology included relevant documentation through the use of appropriate assessment tools. Learning objectives were assessed through pre-simulation and post-simulation ten-question inventory and anecdotal feedback. QSEN competencies were utilized in creating scenarios as well as pre and post testing. Students voiced an ability to connect the didactic material to their clinical experiences following simulation.
Highlights
Nurse educators are being challenged to evolve with the changing times; the needs of new graduates are rigorous and compelling
The International Society of Psychiatric Nurses as well as The American Psychiatric Nurses Association called for decentralization of psychiatric concepts in undergraduate nursing education
The overall learning objectives are for undergraduate nursing students to initiate and implement an appropriate mental status assessment using therapeutic communication, and to provide safe care by identifying risk factors and using clinical decision making to establish requisite nursing interventions
Summary
Nurse educators are being challenged to evolve with the changing times; the needs of new graduates are rigorous and compelling. The Health Resources and Services Administration (HRSA) projects that nursing schools will need to graduate 90% more RNs to meet the expected demand [3]. Traditional didactic classroom lectures may not suffice to meet the critical thinking needs that will be required of those entering practice within complex high acuity situations. In the current climate schools of nursing struggle to keep pace with tight budgets, high acuity and short length of stays for hospitalized patients, and difficulty finding clinical sites for students. Simulation is an option that enhances clinical experiences and prepares nursing students for transition to safe practice. Beckford / Open Journal of Nursing 3 (2013) 227-229 curriculum designed to decentralize mental health concepts, thereby emphasizing the need for psychosocial care and therapeutic communication in all realms of patient care. The curriculum addresses current trends in healthcare with components such as post-traumatic stress following sexual assault, elder abuse, and organ donation
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