Inpatient Psychiatric Nursing: Clinical Strategies & Practical Interventions

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Psychiatric nursing practice has changed dramatically over the past decades to accommodate vast changes in our health care system. The patients who now meet the level of care standards for an acute care setting have to be very ill and typically exhibit considerable behavioral impairments and multiple safety issues. This handbook for psychiatric nurses and nursing students reflects these changes and focuses on four particularly challenging aspects of acute psychiatric nursing practice: keeping the patient safe, stabilizing symptoms, promoting engagement in treatment, and discharge planning. In a systematic, easy-to-access format, the book offers proven, clinically useful interventions designed to modify and manage disruptive patient behavior. Also included is a chapter on overcoming one’s own barriers to effective nursing in the difficult psychiatric environment.

This important interdisciplinary clinical resource grew from a forum of Butler Hospital nurses who convened over a two-year period to identify and explore successful interventions used in the inpatient psychiatric acute care setting. The guide represents a collaboration between these health care professionals and their colleagues at the University of Rhode Island McLean Hospital, New York Presbyterian Hospital, and the Institute of Living. Key Features:

Provides practice-based evidence and clinically useful interventions designed to modify and manage challenging and disruptive patient behavior Represents interdisciplinary collaborative work among staff nurses, advanced practice nurses, psychiatrists, social workers, occupational therapists, and psychologists Presents clinical practice savvy equally useful to new psychiatric nurses and nursing students Disseminates information in an easy-to-access, consistent format

“This book is also available as part of a discounted set. To view the Psychiatric-Mental Health Nursing Special Student Pack, click the link above.” “

Linda Damon, MSN, MHCA, RN, is Vice President of Patient Care Services, Butler Hospital, Providence, RI, where she is responsible for the quality of nursing care and operations of inpatient, partial hospital, and admission services in a 147-bed hospital. She has held senior management positions at Cambridge Health Alliance Department of Psychiatry (Cambridge, MA), Horizon Health Corporation provider of psychiatric management services (Lewisville TX), and McClean Hospital, a private Harvard-affiliated psychiatric hospital (Belmont, MA). In addition, she has served as Adjunct Faculty at the Community College of RI (Providence), MGH Institute for Health Professionals, Boston College, and the University of Lowell (MA). Her professional affiliations include membership in the ANA (member delegate from RI ’08 & ’10); RI State Nurses Association, APNA, MA Org of Nurse Executives, AONE, and the RI Board of Registration in Nursing.

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Joanne M. Matthews MS, PMHCNS, BC, RN, is Nurse Manager Adult Intensive Treatment Unit at Butler Hospital, Providence, RI. She also serves as Clinical Instructor in Psychiatric Mental Health Nursing at the University of Rhode Island School of Nursing. She is a member of the APNA Administrative Steering Council and a task force member of the APNA ISE: Physiological Risks of Restraint and Seclusion (2009).

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Judy L. Sheehan, MSN, RN, is the Director of Nursing Education at Butler Hospital, Providence, RI. She also serves as the Nurse Review Peer Leader for the Massachusetts Association of RNs and is an instructor in psychiatric nursing and family and community health nursing at the University of Rhode Island School of Nursing. Ms Sheehan has authored and co-edited two books and published the CD-ROM De-Stress: Coping and Managing Computer Generated Stress.

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Lisa Anne Uebelacker, PhD, holds multiple appointments including Staff Psychologist, Butler Hospital, Providence, RI, Affiliate Staff, Department of Family Medicine, Memorial Hospital, Pawtucket, RI, and Assistant Professor, Department of Psychology and Human Behavior at Brown University, Providence, RI. She serves as an ad hoc review for many psychology journals and is on the Editorial Board of the Journal of Family Psychology. Dr. Uebelacker has published more than 40 peer-reviewed articles, three book chapters, more than 20 abstracts, and currently has seven publications in preparation or press. Lastly, she has been the PI or Co-PI on 10 funded research grants.