Thursday Afternoon Session Abstracts


2031.1: Successful Creation of a Violence Risk Assessment Tool: Utilizing Collaboration Across Disciplines and Departments in a Health Care Organization
Gayle Godfrey, MS, BSN, RN-BC;Angela Thomas, MSN, BSN, PHN, RN

PURPOSE: To share with the participants, the process of creating, implementing, and utilizing a violence risk assessment tool, MIAHTAPS. The MIAHTAPS tool is currently being utilized throughout various settings of HealthPartners. SUMMARY OF EVIDENCE: According to the CDC, OSHA, NIOSH, and The Joint Commission, healthcare staff have experienced an increase in number and severity of assaults from patients in various settings. A review of the literature reveals several violence risk assessment tools, but their use is dependent on setting. HealthPartners created one tool to be utilized throughout all areas of their organization. DESCRIPTION: MIAHTAPS, an acronym for seven points of assessment. M-altered mental status I-irritable A-agitated H-history of violence T-threatening verbally A-attacking, throwing objects PS –pacing and or staring A patient is assigned a numerical score and this score has become the common language. This tool was created by an inter-professional committee involving representatives from several departments including, ED, med/surg, ICU, MH, and outpatient. VALIDATION OF EVIDENCE: Feedback suggests there is a decrease in fear in the clinical setting. There has been a reduction of patient on staff assaults and use of restraints.  RELEVANCE/OUTCOMES: At a minimum a nurse does an assessment every shift, with every transfer, with every admission, and, or with a change in scoring. An algorithm of interventions was created as a guide when scoring the risk of the patient. This proactive approach to patients with violent behavior improves the patient and staff experience. IMPLICATIONS: Will incorporate the scoring results into reporting between all disciplines.



2031.2: Mary Marshall Assisted Living: A Partnership to Improve Outcomes of Seniors with Mental Illness
Pamela Jones, PhD, MPH, RN

PURPOSE: Severely mentally ill seniors have few appropriate housing choices as they age. SUMMARY OF EVIDENCE: Few nursing homes or assisted living facilities are equipped to provide the breath of services that severely mentally ill seniors require to address their mental health and physical health comorbidities. In an effort to meet the needs of these vulnerable seniors, Mary Marshall Assisted Living (MMAL) facility, a collaboration between private and public organizations, opened in 2011 in Arlington Virginia. DESCRIPTION: MMAL utilizes an interdisciplinary team of nurses, social workers, and psychiatrists to meet the needs of the 52 low-income seniors with mental health and cognitive disorders that reside in the facility. VALIDATION OF EVIDENCE: Residents receive tailored psycho-pharmacological interventions that are appropriate for their age and metabolism. Psychosocial strategies are tailored to support each resident’s individual strengths, goals, and limit functional decline  RELEVANCE/OUTCOMES: This presentation will discuss how this community-based interdisciplinary approach holds great promise for improving the outcomes of seniors with mental illness. IMPLICATIONS: Nurses have an important role developing and implementing interventions that allow the severely mentally ill to age safely in place.



2032.1: Improving Access and Communication through Web based Programs and Secure E Mail messaging.
Deborah Plageman, NP

PURPOSE: Mental Health patients and providers have difficulty communicating to convey medical issues and concerns. Many interactions do not require face-to-face interaction and secure messaging is not typically utilized effectively. SUMMARY OF EVIDENCE: For this MH primary care clinic, 21% of patients had the ability to secure message, but 0 patients used the system. DESCRIPTION: This project was four fold: 1) Staff developed a patient toolkit to engage patients in enrolling in the secure messaging system 2) Provider set up the expectation of appropriate topics for secure messaging 3) Provider communicated regularly via secure messaging with enrolled patients 4) All messages would be addressed directly within 24 business hours. VALIDATION OF EVIDENCE: Secure messaging is innovative with metrics being validated through Veterans Health Administration data sources. Data was gathered on a monthly basis as a percentage of clinic patients enrolled for secure messaging and percent of the patients who used secure messaging.  RELEVANCE/OUTCOMES: At the conclusion of the study, according to the VHA sources, 30% (N=51) of patients who had the ability to secure message used the system which was more than a 50% change. The Provider received 257 Secure Messages up from zero. The Provider developed a process and plan for getting patients to use secure messaging and saved time with requests including medication refills, and lab notification. Secure Messaging improves access between the MH community and providers. IMPLICATIONS: MH patients have special needs and may have difficulty with face to face interactions and dealing with crowds thus secure messaging enhances the ability to communicate with the medical team.



2032.2: Implementation of a Telemental Health Service to Improve Access to Psychopharmacological Services for Native Americans at a Rural, Tribal Outpatient Mental Health Clinic in Oklahoma

PURPOSE: There is a disproportionate rate of mental illness in Native American populations. Furthermore, many Native American people live in rural regions of Oklahoma where mental health and substance abuse providers are limited. Geographical and provider availability result in restricted access to psychopharmacological services. Telemental Health (TMH) can improve access to mental health services for Native Americans. SUMMARY OF EVIDENCE: A focused review of literature identified distance to services and lack of mental health providers as factors that restrict access to psychopharmacological services. Evidence supports use of TMH for Native Americans with restricted access to behavioral health services in areas where services are restricted. l DESCRIPTION: A convenience sample of established patients from a Oklahoma tribal outpatient mental health clinic participated in the TMH pilot project. A post intervention satisfaction survey was utilized to evaluate patient satisfaction with TMH. VALIDATION OF EVIDENCE: Twenty-one patients completed the 3-month pilot project intervention and completed a post intervention satisfaction survey. The results indicated 100% satisfaction with the TMH service and improved access to psychopharmacological services. The results correlate with the current evidence base supporting the use of TMH with Native American populations.  RELEVANCE/OUTCOMES: Mental health services are restricted in Native American populations. Use of TMH can improve mental health for Native American people and their families. IMPLICATIONS: TMH allows patients who have restricted access to mental health care to obtain service at a clinic site proximal to their homes. This will reduce the burden of mental illness in the Native American populations and improve overall health of Native American populations and improve overall health of Native Americans.


2033.1: The Transformation of Pediatric Psychiatric Nursing Practice to Enhance Therapeutic Outcomes
Thomas Houston, RN, BSN

PURPOSE: Across the country, 26-29% of pediatric psychiatric inpatients are affected by the use of seclusion and restraint. Literature shows that changing patient management from rigid behavior modification to strength based, skill focused, supportive methods reduce seclusion and restraint. At our institution, we identified specific interventions that have dramatically reduced the need to use these restrictive methods. SUMMARY OF EVIDENCE: In 2009, we presented work that described the evolution of our practice to meet a goal of improved patient outcomes. We found that engaging in partnered relationships and enhanced interventions that prioritized patient needs and cognitive abilities led to reduced instances of aggression. DESCRIPTION: Staff developed individualized nursing care plans based on symptom profile assessments and tailored accommodations to meet patient needs at their developmental level. VALIDATION OF EVIDENCE: Identifying behaviors that frequently lead to aggressive outbursts has led us to examine our interventions and interactions with these patients. For example, a patient who is angry at a specific staff member is successfully de-escalated by having a second staff trade off to remove the targeted staff from eyesight. We have collected data over the past several years on nursing interventions used to drastically reduce negative patient outcomes.  RELEVANCE/OUTCOMES: Changing the nursing culture of patient management leads to improved patient outcomes. At our institution, episodes of seclusion and restraint have been one- third of the national average from 2010-2013 with zero episodes in 2014. IMPLICATIONS: Provide proactive instead of reactive nursing care by training the staff to aid in recognizing behavior that leads to aggression and providing earlier supportive interventions.



2033.2: REAACH - Recognizing Every Adolescent's Ability to Climb Higher - A Therapeutic Framework for Adolescent Inpatient Psychiatry Units
Christina Gormly, BSN, RN-BC

PURPOSE: Adolescents on an inpatient psychiatry unit need a consistent therapeutic framework to help promote daily goal work, increase life and social skills, and guide patients for a successful discharge. SUMMARY OF EVIDENCE: Upon discharge, patients were expressing the concern of not feeling prepared. The therapeutic interactions between adolescents and staff were also starting to diminish. With the success of a positive reinforcement program on our child inpatient unit, a privilege system was incorporated into our new framework to promote a sense of accomplishment while working towards goals. DESCRIPTION: Adolescents work on being promoted to color levels by completing designated therapeutic activities and maintaining daily goals. Different privileges are earned for each level. Before developing and implementing, patients and staff met together to create a system that is collaborative and therapeutically driven. VALIDATION OF EVIDENCE: Both patients and staff were surveyed on the positive impacts of the new system and what has been the most helpful and most effective.  RELEVANCE/OUTCOMES: Therapeutic interactions between patients and staff have increased greatly. Staff and patients work on activities together such as running nursing groups and role playing difficult situations. Patients have been given valuable opportunities to practice coping skills and social skills while building self esteem and confidence. Communication has strengthened and rapport has been established leading to a positive learning environment for both staff and patients. IMPLICATIONS: Outcomes from this new system may guide and inspire other adolescent and inpatient psychiatry units to develop new therapeutic frameworks in order to provide a higher level of care.



2034.1: Building Collaborative Academic-Practice Research Teams
Lory Clukey, PhD, PsyD, RN, CNS

PURPOSE: There is a demand for evidence based practice among healthcare professions to improve the delivery of mental health treatment. For many nursing faculty, the opportunity to collaborate with clinical partners, unless associated with a large medical center, can be challenging and daunting. SUMMARY OF EVIDENCE: Faculty are expected to be conducting clinically relevant research and many clinicians would like to participate in research, yet the workload of both parties makes this virtually impossible. This presents a unique situation where a symbiotic relationship can lead to relevant, evidence-based practice changes in mental health care and delivery. DESCRIPTION: This presentation will examine models of academic-clinical partnerships for smaller academic units and clinical agencies that do not have the research oriented resources large medical centers provide. VALIDATION OF EVIDENCE: The ethical and legal considerations for developing collaborative research endeavors will be explored. Considerations related to intra and interdisciplinary relations will be reviewed. Practical issues of data management, authorship, and team relations will be discussed with situation specific examples used to demonstrate potential problems and resolutions.  RELEVANCE/OUTCOMES: Sources of conflict both individually and institutionally will be explored. When involved in interagency and interdisciplinary collaborations, the multiplicity of stakeholders creates a quagmire that if not anticipated, can lead to many hours of frustration, lost work, lost revenue and incompletion of projects. This presentation will bring attention to issues to be anticipated and addressed when considering an academic-clinical partnership for research purposes. IMPLICATIONS: Evidenced based and clinically relevant new practices are likely to emerge from these academic-clinical partnerships.



2034.2: An Education and Practice Collaboration to Build Nurse Practitioner Capacity in Integrated Care Delivery
Anita Boykins, DNSc, PMHNP-BC, FNP-BC

PURPOSE: Describe the expansion of an education and practice collaborative relationship to address the need for nurse practitioner primary care health providers to deliver integrated behavioral and primary care. SUMMARY OF EVIDENCE: The Affordable Care Act addresses primary care workforce needs through training of primary care and mental health providers, expanding advanced practice nurses in community-based settings, and training programs that focus on primary care models that integrate physical and mental health care. DESCRIPTION: A graduate nursing program in a rural southern state expanded relationships with regional healthcare systems to prepare nurse practitioners to deliver integrated care in primary care and behavioral care settings. VALIDATION OF EVIDENCE: Students previously certified as a nurse practitioner (NP) seeking a new NP post-graduate certificate and practice doctorate degree will be prepared to meet the physical and mental health needs of individuals in integrated service delivery models.  RELEVANCE/OUTCOMES: The family nurse practitioner (FNP) and psychiatric and mental health nurse practitioner (PMHNP) will be educated and trained to meet the regional needs of the state for behavioral health NP workforce development. Behavioral health integration and collaborative care will be provided to individuals across the lifespan in community-based primary care and mental health centers and inpatient behavioral care hospitals. IMPLICATIONS: The doctoral prepared FNP and PMHNP will address key messages from The Institute of Medicine’s Future of Nursing report. The education and practice collaboration will expand opportunities for nurses to lead and diffuse collaborative improvement efforts, prepare and enable nurses to lead change, and ensure that nurses engage in lifelong learning.


2035.1: Adversity in Childhood Changes Everything: Veterans and Later Mental Health
Teena McGuinness, PhD, CRNP, FAAN; Jessica Waldrop, MSN, CRNP, PMHNP-BC

PURPOSE: To identify and discuss the relationship between adverse childhood experiences (ACEs) and the mental health of military service members. ACEs include stressful/traumatic experiences such as abuse, neglect, and witnessing family violence. SUMMARY OF EVIDENCE: Over the last 14 years of war, service members have experienced the disproportionate burdens of mental illness and suicide. While combat exposure and suicidal ideation are clearly linked, nearly half of suicides among active duty service members occur among those who never deployed. Studies (seeking additional suicide risk factors) demonstrate that Veterans have greater odds of all ACEs. Further, childhood physical abuse is a significant predictor for post-traumatic stress disorder and suicide. In summary, ACEs confer additional risk for the mental health of service members and Veterans. DESCRIPTION: Psychiatric nurses and clinicians working with Veterans should include an assessment of early childhood adversity during psychosocial assessments; achieved by administration of the Adverse Childhood Experiences questionnaire found at: VALIDATION OF EVIDENCE: Each additional ACE increases risk for service members’ mental health. Use of the ACE score will assist in planning of trauma-informed care and greater understanding of suicide risk.  RELEVANCE/OUTCOMES: Psychiatric nurses are knowledgeable in mental health assessment; systematic assessment of ACEs is crucial for an accurate psychosocial assessment. IMPLICATIONS: Approximately 2.5 million veterans have served in Iraq and Afghanistan and as a result now cope with unprecedented psychiatric and physical challenges. Identifying the presence of ACEs will aid in better understanding of cumulative trauma.



2035.2: Specification of Veteran-centric Competency Domains in Training PMHNP Residents
Janet York, PhD, PMHCS-BC, FAAN

PURPOSE: This presentation describes the identification Veteran-specific domains in an innovative residency for psychiatric nurse practitioners in a VA medical center. SUMMARY OF EVIDENCE: There has been increased emphasis on competency based education with little emphasis on the development of Veteran-centric domains. Population health has been defined by the IOM as the health status of whole communities or nations (2013). The population health for this Residency is Veterans, military and their families; which constitute a distinct subculture of language, norms, and beliefs DESCRIPTION: Four new PMHNP residencies were recently funded by the VA Office of Academic Affiliations and one objective is to disseminate a Veteran-centric, competency-based curriculum. The domains were developed from literature reviews of Veteran, military, and VA cultures; mental health services for Veterans; and cultural competence in mental health care delivery. The presentation will focus on the identification, adoption, and application of these Veteran-specific domains, including integration into the Resident competency evaluation (adopted from the SAMSHA Integrated Care Competencies by a national Residency Task Force) and other program components in one site. VALIDATION OF EVIDENCE: The competencies were reviewed by a Residency Task Force, have content validity, and will undergo further evaluation. They serve as means to evaluate both the program and individual resident achievement.  RELEVANCE/OUTCOMES: A national competency standard for post graduate residency training will enable development of achievement and practice outcomes. IMPLICATIONS: Over 60% of Veterans receive their health care outside the VA, thus these domains can increase the understanding and preparedness for APRN and generalist PMH nurses within the VA and other health care systems.



2036.1: Screening for Depression at a Nurse-Managed Diabetic Community Health Center: A Retrospective Study
Beth King, PhD, RN, PMHCNS-BC

PROBLEM STATEMENT: Depression impacts the lives, productivity and mortality rates of those suffering; yet routine depression screening remains largely unexamined.  What is the value in screening for depression in community health clinic populations? The relationship between the Patient Health Questionnaire (PHQ-9), a self-reporting instrument measuring the severity of symptoms for depression, selected demographic variables and bio-markers were evaluated in an under-served population; this will provide information for development of interventions to meet the mental health needs of community populations. THEORETICAL FRAMEWORK: Leventhal’s Self-Regulation Theory and Leininger’s Theory of Cultural Care Diversity and Universality will guide the development of culturally sensitive interventions. METHODS & DESIGN: This descriptive correlational study is a retrospective chart review of 265 health care records of adults 18-85 years of age. Relationships between PHQ-9 scores screened at first visit for depression, selected demographic variables and bio-markers were analyzed.  RESULTS: Initial data analysis of the 265 charts; 49.7% had scores indicating symptoms of depression, 5% were severely depressed. No statistical significant relationship was identified between PHQ-9 scores and demographic variables, but the bio-markers of fasting blood sugar and weight were significantly correlated to PHQ-9 scores.  IMPLICATIONS FOR PRACTICE: The findings will guide further research and development of culturally sensitive interventions for adult psychiatric mental health nursing practice in a community setting. IMPLICATIONS FOR FUTURE RESEARCH: The findings will guide further research and development of culturally sensitive interventions for adult psychiatric mental health nursing practice in a community setting.


2036.2: Cultural Competence in Nursing Undergraduate Education and its Relation to Mental Health Care
Olga Diaz, MED, Nurse RN, BPSY

PROBLEM STATEMENT: There are no accepted criteria for teaching culturally competent mental health care in undergraduate nursing programs. THEORETICAL FRAMEWORK: Campinha-Bacote and Lipson describe cultural competence as the ability to recognize, interpret, understand and act according to the worldview of self and others.  The patient is considered a coauthor of one´s own health-disease process, critical in mental health.  METHODS & DESIGN: Qualitative study utilizing the grounded theory method in six,  in-depth recorded and transcribed interviews of instructors in a nursing undergraduate program at a university in Bogota, Colombia. Analysis: reduction, categorization, coding, layout and reflection.  RESULTS: Identified themes focused on the 1) need for consistency on institutional levels, 2) use of meaningful learning methodologies, 3) requirement for collaborative work, and 4) desired opportunity to experience interactions with diverse groups during the training process.  These themes underscore the ability to develop student cultural competency. The inclusion of cultural competence in teaching the nursing care process and the lack of unified criteria of instructors is identified as critical.  IMPLICATIONS FOR PRACTICE: Results of achieving cultural competence is the recognition of the other person´s uniqueness and the identification and acceptance of learning opportunities obtained through dialogue. Developing adaptive coping strategies, strengthening autonomy and empowerment in health care are some achievements of patients associated with culturally competent nursing care. IMPLICATIONS FOR FUTURE RESEARCH: The design, implementation and evaluation of  uniformly accepted criteria for teaching and integrating cultural competency in the curriculum  will guide future program development.


2037.1: Using CBT Workbook on Depression with Women Receiving Treatment in a Rural Primary Care Health Clinic
Yolanda Bone, MSN, ARNP, FNP-BC;George Peraza-Smith, DNP, GNP-BC, AGPCNP-C, CNE

PURPOSE: Depression management for women may be a challenge in primary care settings, but most especially in rural communities. The purpose of this project is to demonstrate the use of a cognitive behavior therapy (CBT) self-guided workbook in conjunction with brief CBT sessions and pharmacology management for women with depression in a rural primary care clinic. SUMMARY OF EVIDENCE: Women are twice as likely to suffer from depression. Rural communities are apt to have few, if any, mental health providers. Barriers to treatment are amplified in rural communities due to the lack of anonymity, distance to services, and many are uninsured. DESCRIPTION: The project includes an initial evaluation and orientation to the workbook session, a two week follow-up visit and two additional monthly visits. The completed workbook exercises are utilized by the provider during each visit to guideline CBT interventions and identify self-help strategies. VALIDATION OF EVIDENCE: Initial data has produced positive results from utilizing the CBT workbook and intervention for the treatment of depression in a rural primary care clinic. PHQ-9 scores have improved and participants have been able to develop positive strategies for managing their depression.  RELEVANCE/OUTCOMES: Depression management must be evidence-based while maintaining flexibility in meeting the unique challenges of rural settings. Rural primary care providers must develop skill sets to meet these challenges and to include mental health into their practices. IMPLICATIONS: A positive outcome from this project would offer much needed mental health care support in rural health care settings. CBT workbooks will provide an options for women suffering from depression in rural communities.



2037.2: The Use of Nurse-led Motivational Interviewing to Promote Medication Adherence in Clients with Bipolar Disorder
Kristin McKenzie, DNP, PMHNP-BC

PURPOSE: To review the efficacy of nurse-led motivational interviewing on medication adherence in patients with bipolar disorder in outpatient setting, and analyze research findings. SUMMARY OF EVIDENCE: Review of literature demonstrates motivational interviewing can improve medication adherence in a variety of mental health disorders. This Pilot study had significant improvement in medicament adherence in outpatient clients with Bipolar Disorder. DESCRIPTION: Motivational interviewing is widely used in psychiatric nursing to support behavioral change, but not commonly used to address medication adherence. An MI manual can be used along with the participant tool packet to guide implementation of MI techniques by nurses in outpatient settings. Professional nurses can use MI techniques like reflective listening, recognizing change talk, and the use of empathy and praise in their practice. VALIDATION OF EVIDENCE: There was statisctically significant improvement in medication adherence, self-efficacy and motivation to change, after client's received brief MI intervention. Outcome measures included the Medication Adherence Rating Scale, the Timeline Followback Calendar; the Self-Efficacy and Appropriate Medication Use Scale, and Motivational Rulers.  RELEVANCE/OUTCOMES: This topic engages psychiatric nurses to find new and innovative ways to bolster client treatment outcomes. When working with clients that use pharmacologic treatment of mental health disorders, utilization of motivational interviewing techniques could improve medication taking behavior, resulting in improved patient outcomes. IMPLICATIONS: Psychiatric nurses are in a unique position to provide brief motivational interviewing, to promote positive medication taking behavior. Future research studies could improve motivation interviewing techniques by evaluating the key clinician skills and un



2041: Insititute for Safe Environments Interactive Discussion Panel
Diane Allen, MN, PMHRN-BC, NEA-BC; Kathleen Delaney, PhD, PMH-NP, FAAN; Michael J Polacek, MSN, RN-BC; Richard E. Ray MS, PMH-BC; David Sharp RN, PhD

PURPOSE: The Institute for Safe Environments Interactive session provides an opportunity for APNA members to discuss safety concerns, share information about current practices and learn from each other. SUMMARY OF EVIDENCE: The ISE Steering Committee has identified Key Elements of a Safe Environments and has, thus far, engaged members in exploration of issues related to two: Engagement and Emergency Management. DESCRIPTION: At the 2014 APNA Conference, members who attended the ISE Interactive Discussion Panel continued to express diverse opinions about best practices related to safety. VALIDATION OF EVIDENCE: ISE work groups have explored scientific literature related to issues of member concern and have been involved in development of recommendations for best practices.  RELEVANCE/OUTCOMES: This year, practice recommendations related to Engagement and Special Continuous Observations have been submitted to peer reviewed journals for publication. IMPLICATIONS: APNA members continue to share a determination to contribute idea toward creation of practice environments that are safe and therapeutic.



2042: Administrative Council Interactive Panel
Avni Cirpili, DNP, RN, NEA-BC;Kathy Lee, MS, APN, PMHCNS-BC

PURPOSE: Understanding the nature and prevalence of aggression directed at staff and patients and methods used by staff to manage this is a major responsibility of any nurse leader working in psychiatric settings. SUMMARY OF EVIDENCE: Nursing staff on inpatient units are frequently the target of patient aggression. Administrators are responsble to review the incidents and manage physical and psychological injuries to staff and the environment when incidents arise. DESCRIPTION: The administrative council will discuss actions that leaders can take to begin to understand the issue of workplace violence. Also, open forum discussion will enable leaders to share what action can be implmented to decrease the aggression and create a safer work environment. VALIDATION OF EVIDENCE: A systematic review of the literature on aggression in the workplace will be presented and actions taken by the administrative council to make recommendations on this concern will be presented.  RELEVANCE/OUTCOMES: Violence in the workplace is a serious issue that faces nurse administrators constantly. The need to ensure a safe environemnt for patients and staff is critical to ensure a therapeutic outcome of care. IMPLICATIONS: Discussion with participants will examine and develop an action plan to direct the administrative council's future goals.



2043: The 7th Annual Institue for Mental Health Advocacy Interactive Panel
Kathy Brotzge, MSN, APRN - BC;Christine Tebaldi, MSN, APRN-BC

PURPOSE: Provide information on mental health advocacy, role of APNA for membership and consumers. SUMMARY OF EVIDENCE: The Institute for Mental Health Advocacy is the conduit for monitoring legislative, regulatory and policy matters affecting mental health. Advocacy for nurses and consumers is present in daily practice. The Institute informs psychiatric mental health nurses about these issues, utilizes membership expertise in the coordination of organizational activities and response. Mental health advocacy is an ongoing process at the local and national level. This provides the basis for a continued activity and education for APNA members. Working with affiliates professional organizations and consumer group is key. This presentations will be an overview of the work of the Institute for Mental Health Advocacy during the past year. Overview will include panel presentation of grassroots initiatives, policy topics and legislative themes. DESCRIPTION: Tools listed on the APNA website for members. Giving membership the opportunity to experience this information will provide advocacy in all realms. VALIDATION OF EVIDENCE: Utilizing panel discussion, aspects of advocacy will be reviewed. Panel will include the perspective of an RN, APRN and a consumer. This information is shared to educate members on working in advocacy.  RELEVANCE/OUTCOMES: Nurses will understand advocacy relevant to psychiatric mental health nursing. Role of APNA will be reviewed. Nurses will learn the current issues and strategies for promoting change. IMPLICATIONS: Provide information on mental health advocacy. Work on increasing activity thru IMHA. Increase awareness. Continue to provide the psychiatric mental health nurse view to other organizations and entities. Provide support to consumers in their treatment and recovery.


2044: The Scene of the Crime: A Foray into the World of Crime Scene Investigation
Carrie Carretta, PhD, APN-BC, AHN-BC, FPMHNP

PURPOSE: Forensic nurses work in a variety of areas and roles. In our work as nurses, we often encounter individuals who are victims of violence, or in the case of a death, the family and others acquainted with that person. SUMMARY OF EVIDENCE: Forensic nursing affords nurses varied opportunities including relative to death investigation. Work in this area requires the ability to move beyond what is immediately apparent and delve deeper into the situation and potential facts. DESCRIPTION: To facilitate a greater understanding of forensic nursing at a death scene, photos of vignettes will be used. These vignettes will afford the participants the opportunity to "walk though" the crime scene; evaluating what is seen, dissecting what may be of additional relevance, and propose differential hypotheses for what may have ensued prior to the victim's death. VALIDATION OF EVIDENCE: Participants will have an opportunity to debrief with the facilitator about actual facts  RELEVANCE/OUTCOMES: Forensics is an emerging field for nurses. Nurses can play a role at crime scenes conducting interviews as well assisting with identification of evidence. Work in this area requires the ability to gain a global overview of the scene and surrounding evidence,as well move beyond what is immediately apparent and delve deeper. Thus, there is a growing need for practitioners who are versed in the areas of forensic nursing. IMPLICATIONS: Nurses will have an opportunity to learn about death investigation as a part of forensic nursing. Illumination of the possible role of nursing to this venue may afford nurses with additional opportunities for education and practice.



2045: A Fresh, New Agenda for the APNA Research Council: Take Part in Shaping the Council's Goals and Activities!
Linda Beeber, PhD, PMHCNS-BC, FAAN

PROBLEM STATEMENT: In order to serve the diverse research needs of APNA, the Research Council must devise a fresh agenda that will have broad appeal and relevance.  THEORETICAL FRAMEWORK: Systems theory dictates that all parts in combination create an entity greater than any one part. METHODS & DESIGN: We will use a modified Delphi technique to create a living draft of the Research Council's action plan for 2015-2016. RESULTS: Broad input from multiple sources including conference attendees will produce data that reflect the diversity of APNA's membership.  IMPLICATIONS FOR PRACTICE: All of PMH practice is predicated on data derived from experience, systematic study and analysis. The data generated as part of this conference presentation will yield a Research Council action plan that reflects the diversity of members' research needs. IMPLICATIONS FOR FUTURE RESEARCH: If this method of creating a plan for Research Council actions is successful, we should see research in APNA take on greater relevance for all members.

The American Psychiatric Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.