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Psychiatric-Mental Health Nursing: Scope & Standards of Practice

2022 Edition

Psychiatric-Mental Health Nursing: Scope and Standards of Practice, 3rd Edition

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The Scope and Standards Revision Joint Task Force, composed of members from the American Psychiatric Nurses Association and the International Society for Psychiatric-Mental Health Nursing, has revised and updated all sections of the document, including the definition of psychiatric-mental health (PMH) nursing, reorganization and expansion of the scope of practice section, and creation of a new Standard on Cultural Humility. The following lists some of the main changes/additions made in this 3rd edition:

  • Expanded focus on population health, the social determinants of health/mental health, and inclusion of these factors in PMH nursing assessment
  • Expanded review of disparities/inequities in PMH care
  • Recognition of substance use disorders as psychiatric disorders and the need for all PMH nurses to be competent in providing the full range of care
  • Identification of new/expanded roles for PMH RNs/APRNs (e.g. integrated care, telehealth care)
  • Completely updated references and glossary terms
  • Creation of a PMH Nursing timeline graphic from 1882-2020

A draft of the updated scope and standards was made available for public comment through January 18, 2021.

APNA-ISPN Scope & Standards Revision Joint Task Force

Co-Chairs

Joyce M. Shea, DNSc, APRN, PMHCNS-BC
Cheryl Woods Giscombe, PhD, PMHNP-BC, RN, FAAN


Vanessa Barlow, MBA, BSN, RN
Elizabeth Bonham, PhD, RN, PMHCNS-BC, FAAN
Margaret Jordan Halter, PhD, APRN
Sara Horton-Deutsch, PhD, RN, PMHCNS, ANEF, FAAN
Kristen Kichefski, MSN, MBA, RN-BC
Andrea Kwasky, DNP, PMHNP-BC, PMHCNS-BC
Rene Love, PhD, DNP, PMHNP-BC, FNAP, FAANP
Kris McLoughlin, DNP, APRN, PMHCNS-BC, FAAN
Matthew Tierney, MSN, PMHNP-BC, ANP-BC, CARN-AP, FAAN
Edilma Yearwood, PhD, PMHCNS-BC, FAAN