psychiatric nursing recognized subspecialty of nursing - ✔✔1950s , June Mellow (1968) and Hildegard
Peplau (1952)
(National Organization of Nurse Practitioner Faculties [NONPF] 2013/2014 - ✔✔NURSE PRACTITIONER
ADVANCED PRACTICE CORE CONTENT (2013)
9 Nurse Practitioner Core Competencies - ✔✔X Scientific Foundations
X Leadership
X Quality
X Practice Inquiry
X Technology and Information Literacy
X Policy
X Health Delivery System
X Ethics
X Independent Practice
Nurse Practitioner (NP) Core Competencies - ✔✔specialty competencies are specifically designed for
entry-level psychiatric-mental health nurse practitioners acrosslife-span PMHNP focus, including families
and populations
Leadership Competencies - ✔✔community/population-focused programs that evaluate, promote, and
prevent or reduce risk of mental health problems. advocate medicolegal rights/issues, collaborate with
colleagues about advocacy, policy to reduce health disparity & improve outcomes.
Quality Competencies - ✔✔evaluate appropriate use of seclusion/restraint in care process
, Policy Competencies - ✔✔employ opportunity to influence health policy to reduce impact of stigma on
services for prevention/treatment of mental health/psychiatric disorders
Independent Practice Competencies (1st part) - ✔✔develop treatment plans.
differential diagnosis.
assess impact acute/chronic medical problems on psych tx.
individual and group psychotherapy.
psychodynamic, cognitive, behavioral, evidence-based psychotherapies to brief and long term practice.
plan care to minimize complications/promote fx.
treat acute/chronic psych disorders.
safely prescribe pharmacologic agents.
ensure client safety - appropriate prescription/pharmacoolocic & nonpharmacologic interventions.
explain risks/benefits of tx.
identify role of PMHNP in risk mitigation strategies in opiate use and substance abuse.
seek consultation.
self-reflection to improve care.
provide consultation to healthcare providers and others to enhance quality and cost.
guide client in evaluating appropriate complementary and alternative tx.
Independent Practice Competencies (2nd part) - ✔✔use individualized outcome measure to evaluate
psych care.
manage psych emergencies.
refer appropriately.
facilitate transition across levels of care.
use outcomes to evaluate care.
attend to client-NP relationship as vehicle for change.