2011 APNA Task Forces Report


RECOVERY TO PRACTICE TASK FORCE
Co-Chairs: Mary Ann Boyd, PhD, DNS, PMHCNS-BC; Georgia Stevens, PhD, APRN, BC


The American Psychiatric Nurses Association (APNA) is one of five awardees to receive a five year Recovery to Practice (RTP) subcontract to develop and implement a training curriculum that promotes greater awareness, acceptance, and adoption of mental health recovery principles and practices among psychiatric-mental health nurses. The project is being guided by a Recovery to Practice Steering Committee consisting of consumers and leaders in psychiatric mental health (PMH) nursing who practice as clinicians, educators, researchers, administrators and consultants. Curriculum design and development is being guided by a curriculum workgroup within the RTP Steering Committee. An APNA Consumer Advisory Panel was established to provide guidance and advice, not only to the RTP Steering Committee, but also to the organization as a whole.

Year 01: During Year 01 a systematic assessment was conducted to determine the current status of recovery principles and practices within the discipline of Psychiatric Mental Health (PMH) nursing. Facilitated discussions and key informant interviews were held with a national sample of consumers, practicing registered nurses (RNs), advanced practice nurses (APRNs), nursing administrators and academic nursing faculty. An analysis of the data collected identified that there has been limited education and training in recovery nursing practice. Practicing nurses cited the need for additional training in trauma informed care, shared decision-making, SAMHSA’s 10 components of recovery, the use of appropriate recovery language and how to shift from a paternalistic to a person-centered approach.

Year 02: A Recovery to Practice workgroup was formed during year 02 to begin to develop the nursing curriculum and training manual. Members from the RTP Steering Committee and the Curriculum Workgroup met for a 2-day summit to identify priorities of the RTP curriculum. Findings from the situational analysis were used as a foundation to develop the curriculum outline. Content for the curriculum and manual is being built around knowledge and understanding of SAMHSA’s 10 Recovery Principles and the implementation of those principles into nursing practice. The curriculum focuses on infusion of recovery language into everyday nursing and examples are used to provide nurses with a practical guide to the application of recovery nursing practice. APNA will model elements of existing curricula to build on nursing strengths and to ensure that trauma informed care, person-first principles and cultural awareness will be infused throughout the training.

Year 03: During the next 6 months the RTP Curriculum Workgroup along with members of the RTP Steering Committee and Consumer Advisory Panel will continue to develop the curriculum and training manual content. Plans to pilot the curriculum are projected to begin in Spring 2012. Live/onsite training facilitated by recovery expert nurses and consumers is being considered during the pilot phase of the project with delivery of the final training through online modules.

Target Audience
The target audience for this training is psychiatric mental health nurses who provide direct care on inpatient units. Inpatient PMH-RNs are ideally placed to introduce recovery to persons who enter the inpatient setting for the first time because they provide care during the acute phase of their mental health illness or problem. They can support consumer decision-making about their health and mental health, assist in trying out new behaviors, and begin to integrate healthy living behaviors into a recovery plan and illness management (Camann, 2010). Additionally, these PMH-RNs support consumers as they transition from inpatient care to the community to continue their recovery journey.

Curriculum Title: Acute Care Psychiatric Mental Health Nurses: Becoming Experts in Recovery

Vision: Behavioral healthcare will be significantly improved as a result of acute care psychiatric mental health nurses integrating recovery oriented care into their practice.

Mission: Educate acute care psychiatric mental health nurses to integrate recovery practices into the acute care setting in order to create and support an environment in which persons with psychiatric mental health conditions can engage in recovery.

Camann, M.A. (2010). The psychiatric nurse’s role in application of recovery and decision-making models to integrate health behaviors in the recovery process. Issues in Mental Health Nursing, 31, 532-36.

Co-Chairs
Mary Ann Boyd, PhD, DNS, PMHCNS-BC; Georgia Stevens, PhD, APRN, BC
Steering Committee
Eric Arauz, MLER
Cynthia Archer-Gift, PhD, ED, MSN, RN
Moe Armstrong, MBA, MA
Gayle Bluebird, RN
Genevieve Chandler, RN, PhD
Jeanne Clement, EdD, APRN, BC, FAAN
Lynn DeLacy, PhD, RN, NEA-BC
Nancy Dillon, PhD, RN, CNS
Kris McLoughlin, DNP, APRN, PMHCNS- BC, CADC-ll
Mary Moller, DNP, ARNP, APRN, PMHCNS-BC, CPRP, FAAN
Daryl Sharp, PhD, PMHCNS-BC, NPP
Karen Stein, PhD, RN, FAAN
Curriculum Workgroup
Jeanne Clement, EdD, APRN, BC, FAAN (co-chair)
Kris McLoughlin, DNP, APRN, PMHCNS- BC, CADC-ll (co-chair)
Mary Moller, DNP, ARNP, APRN, PMHCNS-BC, CPRP, FAAN (co-chair)
Eric Arauz, MLER
Gayle Bluebird, RN
Kathleen Delaney, PhD, PMH-NP, RN
Nancy Dillon, PhD, RN, CNS
Mary Jensen, MA, RN, CRSS
Curriculum Summit Participants
Patricia Black, PhD (c), RN
Jeanne Clement, EdD, APRN, BC, FAAN
Lynn DeLacy, PhD, RN, NEA-BC
Kathleen Delaney, PhD, PMH-NP, RN
Nancy Dillon, PhD, RN, CNS
Deborah Hobbs, PhD, RN
Kathleen Kocher, RN
Mary Jensen, MA, RN, CRSS
Kris McLoughlin, DNP, APRN, PMHCNS- BC, CADC-ll
Mary Moller, DNP, ARNP, APRN, PMHCNS-BC, CPRP, FAAN
Lisa Nguyen, MS
Karen Stein, PhD, RN, FAAN
Georgia Stevens, PhD, APRN, BC, PMH, CNS
Barbara Warren, PhD, PMHCNS-BC

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SCOPE AND STANDARDS JOINT TASK FORCE
Co-Chairs: Catherine Kane, PhD, RN, FAAN—ISPN; Kris McLoughlin, DNP, APRN, PMHCNS- BC, CADC-ll—APNA

The S&S was last reviewed and published in 2007 and is now scheduled for routine review and revision. As in the past, we plan to publish the standards jointly with the International Society of Psychiatric Nurses (ISPN) and the American Nursing Association (ANA).

Co-Chairs
Catherine Kane, PhD, RN, FAAN—ISPN; Kris McLoughlin, DNP, APRN, PMHCNS- BC, CADC-ll—APNA
APNA Members
Kay Foland, CNP, PhD, PMHNP-BC, PMHCNS-BC
Sue Odegarden, MA, MS, BSN, RN
James Shearer, APRN, PMHCN-BC
Bethany Phoenix, PhD, RN, CNS
Christine Tebaldi, MS, APRN, BC
Kathleen Delaney, PhD, PMH-NP, RN
ISPN Members
Sara Horton-Deutsch, RN, CNS, DNSc
Susan L. W. Krupnick MSN, PMHCNS-BC, ANP, C-PRE
Peggy Plunkett MSN, PMHCNS, APRN
Diane Snow, PhD, RN, PMHNP-BC, CARN
Victoria Soltis-Jarrett, PhD, PMHCNS/NP-BC
Edilma Yearwood, PhD, PMHCNS, BC, FAAN
ANA Member
Carol Bickford, PhD, RN-BC, CPHIMS

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