NUR 7220 - Psychiatric Mental Health Nurse Practitioner Theory 3: Care of Systems: Couples, Families, Groups, and Organizations3 lecture hours 0 lab hours 3 credits
Course Description
This course is designed as the third in a three - course sequence in advanced practice psychiatric mental health nursing specializing in person-centered solution-focused therapy, existentialist approach, modeling and role-modeling in nursing, and adaptation and family systems theories application. This third course shifts from the previous focus on care of individuals with symptoms to the care of persons within systems. This course includes application of knowledge from selected research and theory bases for creating therapeutic relationships, contextual assessment, diagnosis, care planning, treatment, and evaluation of psychiatric mental health strengths and needs of couples, families, groups, and organizations. The course emphasizes development of the skill of designing innovations in safe, effective, ethical (relational), integrative, holistic care and health promotion utilizing concepts across modalities. This course includes a final project that synthesizes knowledge and skills in the innovative and holistic design, management, and evaluation for planned meaningful change within an organizational system. The final project utilizes concepts across theoretical frameworks and modalities and advances knowledge of the scope of practice of psychiatric mental health APRN roles of psychotherapist, prescriber, educator, research team member, milieu manager, organizational developer, and consultant-liaison. All PMHNP students complete an organizational change project that also serves as the Capstone Project for traditional MSN students. (prereq: NUR 7210 and NUR 7211 ) (coreq: NUR 7221 )
Course Learning Outcomes
Upon successful completion of this course, the student will be able to:
- Demonstrate assessment, intervention, and evaluation skills (use of tools, modalities, and techniques) of the beginning advanced practice registered nurse (APRN) psychiatric mental health nurse practitioner in the care of persons within systems: couples, families, groups, and organizations
- Differentiate APRN psychiatric nursing interventions from those of other disciplines with whom the PMH APRN collaborates in the care of persons within systems: couples, families, groups, and organizations
- Conceptualize the contexts that delineate assessment and evaluation of APRN psychiatric mental health services
- Identify and evaluate assessment tools and techniques for use in culturally informed assessment and evaluation of systems: couples, families, groups, and organizations
- Analyze the nature of therapeutic problems and approaches for defining person- and relationship-centered goals for problem solving and setting goals for alleviation of problems and promoting health in family and organizational systems from a nursing perspective
- Compare and contrast theoretical, ethical (relational), and research-based factors that facilitate effective therapeutic relationships in family and organizational systems
- Analyze key considerations in selecting interventions for specific client populations
- Critique skills required for use of interventions with specific client populations
- Evaluate effectiveness of assessment, intervention, and evaluation strategies
- Synthesize knowledge of psychiatric mental health (PMH) - advanced practice registered nurse (APRN) scope of practice and roles, collaborative strategies, relational ethics, cultural diplomacy skill in the design, implementation, and evaluation of a final project in planned development and system change within an organization
Prerequisites by Topic
- Advanced physical assessment
- Advanced pathophysiology
- Theory and role
- Evidence-based practice
- Pharmacology I
- Pharmacology II
- PMHNP theory and practice I
- PMHNP theory and practice II
Course Topics
- Assessment of organizational health patterns, family systems, and group behavior
- Mental and behavioral health issues addressed in and by organizations
- Mental health, cultural, and developmental diagnoses for family systems, groups, and organizations
- Neurophysiological science, nursing and change theory, leadership, and communication microskills applied in the design, implementation, and evaluation of system, group, and organizational change such as:
- Designing a healing environment and milieu management
- Group theory and therapy (Yalom)
- Multicultural counseling (Ivey)
- Conflict resolution
- Self-in-relation (Hall & Allen)
- Care delivery models (eHealth, medical home, PHP-IOP, inpatient)
- Managing transitions
- Change agency, capacity, and resistance
- Stakeholders and forces of change
- Cultivating interprofessional relationships
- Promoting relationship-centered care and education
- Leading trauma-informed practice in health care organizations
- Crisis
- Psychiatric emergency: suicide and suicide prevention
- Seclusion/restraint
- Providing solution-focused clinical supervision and debriefing
- Motivation
- Self-care for quality work-life balance
- Emotional intelligence
- Power relations and non-judgment
- Policy shaping
- Health culture diplomacy and peace making (Libster)
- Navigating ethical dilemmas
- Power and rules
- Diversity, inclusion, unity, and peacemaking
- Couple and family dynamics (enmeshment and triangulation)
- Sexual orientation and behavior
- Criticism and conflict resolution
- Housing, economics, and poverty
- Domestic violence
- Maltreatment, abuse, and neglect
- Parenting, foster care, and adoption
- Transference and transparency
- Demonstrating respect
- Designing a group: inclusion and exclusion criteria
- Group membership and cohesiveness
- Structures for specialized therapy groups
- Therapeutic modalities for creating and sustaining healthy organizations
- Self-reflection, loneliness, belonging, and community building
- Leading interdisciplinary teams
- Modeling healthy communication, relationships, and boundaries
- Organization communication and support systems
Coordinator
Dr. Victoria Carlson Oehlers
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