Psychotherapeutic nursing as Advanced Clinical Practice for the promotion of mental health in Spain.
Advanced practice nursing
Spain
nursing practice
professional competence
psychotherapeutic nursing
the role of nurses
Journal
International nursing review
ISSN: 1466-7657
Titre abrégé: Int Nurs Rev
Pays: England
ID NLM: 7808754
Informations de publication
Date de publication:
08 Jan 2024
08 Jan 2024
Historique:
received:
31
01
2023
accepted:
22
12
2023
medline:
9
1
2024
pubmed:
9
1
2024
entrez:
8
1
2024
Statut:
aheadofprint
Résumé
To contribute to the recognition of psychotherapeutic nursing (PTN) as a regulated advanced clinical practice (ACP) in Spain, as is the case in other countries. Nurses are continually evolving to improve overall health outcomes. PTN has become a reality, with several authors describing it as an ACP. In Spain, psychotherapy is not officially regulated, which has led to a significant number of psychiatric nurses adopting an important ACP in this area without recognition. Evidence confirms that PTN possesses the attributes necessary to be considered an ACP. Nurses, like psychotherapists, independently address the complex needs of individuals and families within the context of therapeutic relationships, and there is a pressing need to advance formal processes of regulation and certification. PTN has evolved at different rates depending on local initiatives, policies and various professional interests. In Spain, it is crucial to evaluate its outcomes, recognise it as an ACP and develop training plans for its regulation and accreditation. Mental health nurses in Spain have a strong interest in PTN being recognised as an ACP. To this end, they should join forces with other partners, scientific associations and international bodies such as the International Council of Nurses (ICN) to make PTN an internationally recognised ACP. Psychotherapeutic nurses could contribute to improving mental health outcomes, client satisfaction and health system efficiency, and their formal recognition is an opportunity to enhance their professional identity, competence and autonomy. Nursing policy needs to be reoriented towards strengthening psychotherapy as an ACP. Synergies and alliances between international nursing associations and the ICN can promote its development and implementation, while research, education and leadership are essential to achieving official regulation and accreditation.
Sections du résumé
OBJECTIVE
OBJECTIVE
To contribute to the recognition of psychotherapeutic nursing (PTN) as a regulated advanced clinical practice (ACP) in Spain, as is the case in other countries.
BACKGROUND
BACKGROUND
Nurses are continually evolving to improve overall health outcomes. PTN has become a reality, with several authors describing it as an ACP. In Spain, psychotherapy is not officially regulated, which has led to a significant number of psychiatric nurses adopting an important ACP in this area without recognition.
SOURCES OF EVIDENCE
METHODS
Evidence confirms that PTN possesses the attributes necessary to be considered an ACP. Nurses, like psychotherapists, independently address the complex needs of individuals and families within the context of therapeutic relationships, and there is a pressing need to advance formal processes of regulation and certification.
DISCUSSION
CONCLUSIONS
PTN has evolved at different rates depending on local initiatives, policies and various professional interests. In Spain, it is crucial to evaluate its outcomes, recognise it as an ACP and develop training plans for its regulation and accreditation.
CONCLUSIONS
CONCLUSIONS
Mental health nurses in Spain have a strong interest in PTN being recognised as an ACP. To this end, they should join forces with other partners, scientific associations and international bodies such as the International Council of Nurses (ICN) to make PTN an internationally recognised ACP.
IMPLICATIONS FOR NURSING PRACTICE
CONCLUSIONS
Psychotherapeutic nurses could contribute to improving mental health outcomes, client satisfaction and health system efficiency, and their formal recognition is an opportunity to enhance their professional identity, competence and autonomy.
IMPLICATIONS FOR NURSING POLICY
CONCLUSIONS
Nursing policy needs to be reoriented towards strengthening psychotherapy as an ACP. Synergies and alliances between international nursing associations and the ICN can promote its development and implementation, while research, education and leadership are essential to achieving official regulation and accreditation.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 The Authors. International Nursing Review published by John Wiley & Sons Ltd on behalf of International Council of Nurses.
Références
Abujelban, S., Al-Omari, H., Issa, E., ALhamdan, A., Al-nabulsi, L., Mrayan, L., Mahmoud, K. & Kernohan, W.G. (2023) Effectiveness of telephone-based interpersonal psychotherapy on antenatal depressive symptoms. Journal of the American Psychiatric Nurses Association, 1-11. https://doi.org/10.1177/10783903231171595
Aguilera Serrano, C. & García-Sastre, M. (2021) Strengthening of psychotherapeutic competences by nurses specialized in mental health. Metas de Enfermería, 24, 77-78. https://medes.com/publication/161822
Bailey, H. (1939). Nursing mental diseases. The Macmillan Company. https://jamanetwork.com/journals/jama/article-abstract/1154655
Coelho, J., Sampaio, F., Sequeira, C., Fortuño, M.L. & Merino, J.R. (2020) The structure and contents of the helping relationship as a nursing psychotherapeutic intervention: a modified e-Delphi study. Perspectives in Psychiatric Care, 57(1), 148-156. https://doi.org/10.1111/ppc.12536
de Pinho, L.M.G., Sequeira, C.A. da C., Sampaio, F. M. C., Rocha, N. B., & Ferre-Grau, C. (2020) A randomized controlled trial to evaluate the efficacy of metacognitive training for people with schizophrenia applied by mental health nurses: study protocol. Journal of Advanced Nursing, 76(1), 356-363. https://doi.org/10.1111/jan.14240
Hayashi, E. & Onishi, H. (2021) Good death and bereavement in a lung cancer patient following meaning-centered couples psychotherapy by a cancer nursing specialist. Palliative & Supportive Care, 19(6), 767-771. https://doi.org/10.1017/S1478951521001826
Hurley, J., Lakeman, R., Linsley, P., Ramsay, M. & Mckenna-Lawson, S. (2022) Utilizing the mental health nursing workforce: a scoping review of mental health nursing clinical roles and identities. International Journal of Mental Health Nursing, 31(4), 796-822. https://doi.org/10.1111/inm.12983
Kappelin, C., Carlsson, A.C. & Wachtler, C. (2022) Specific content for collaborative care: a systematic review of collaborative care interventions for patients with multimorbidity involving depression and/or anxiety in primary care. Family Practice, 39(4), 725-734. https://doi.org/10.1093/fampra/cmab079
Kumar, A., Kearney, A., Hoskins, K. & Iyengar, A. (2020) The role of psychiatric mental health nurse practitioners in improving mental and behavioral health care delivery for children and adolescents in multiple settings. Archives of Psychiatric Nursing, 34(5), 275-280. https://doi.org/10.1016/j.apnu.2020.07.022
Lakeman, R., Cashin, A., Hurley, J. & Ryan, T. (2020) The psychotherapeutic practice and potential of mental health nurses: an Australian survey. Australian Health Review, 44(6), 916-923. https://doi.org/10.1071/AH19208
Lau, Y., Cheng, J.-Y., Wong, S.-H., Yen, K.-Y. & Cheng, L.-J. (2021) Effectiveness of digital psychotherapeutic intervention among perinatal women: a systematic review and meta-analysis of randomized controlled trials. World Journal of Psychiatry, 11(4), 133-152. https://doi.org/10.5498/wjp.v11.i4.133
Lego, S. (1971) Nurse psychotherapists: how are we different? Perspectives in Psychiatric Care, 11(4), 144-147. https://doi.org/10.1111/j.1744-6163.1973.tb00815.x
Li, H., Li, J., Wang, X., Lin, S., Yang, W., Cai, H. & Feng, X. (2022) Systematic review and meta-analysis of the efficacy and safety of psychological intervention nursing on the quality of life of breast cancer patients. Gland Surgery, 11(5), 882-891. https://doi.org/10.21037/gs-22-206
Malakian, A., Mohammed, S., Fazelzad, R., Ajaj, R., Artemenko, A. & Mayo, S. J. (2022) Nursing, psychotherapy and advanced cancer: a scoping review. European Journal of Oncology Nursing, 56, 102090. https://doi.org/10.1016/j.ejon.2021.102090
Maleki, M., Mardani, A., Harding, C., Basirinezhad, M. H., & Vaismoradi, M. (2022) Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: a systematic review and meta-analysis. Women's Health (London, England), 18, 174550572211046. https://doi.org/10.1177/17455057221104674
Neuendorf, M. (2019) Psychiatry's “Others”? Rethinking the professional self-fashioning of British mental nurses c. 1900-20. Medical History, 63(3), 291-313. https://doi.org/10.1017/mdh.2019.28
Omkarappa, D.B., Rentala, S. & Nattala, P. (2021) Psychiatric nurse delivered group-cognitive-behavioral therapy for internalizing behavior problems among children of parents with alcohol use disorders. Journal of Child and Adolescent Psychiatric Nursing, 34(4), 259-267. https://doi.org/10.1111/jcap.12329
Popp, J., Fuchs, A., Hemmeter, U., Ibach, P. B., Indermaur, E., Klöppel, S., Laimbacher, S., Latanioti, M., Leyhe, T., Lötscher, C., Savaskan, E., Stauch, T., Wiesbeck, G., Wopfner, A., Zullino, D. & Von Gunten, A. (2022) [Recommendations for the prevention, diagnosis, and therapy of addiction in the elderly]. Revue Medicale Suisse, 18(797), 1817-1824. https://doi.org/10.53738/REVMED.2022.18.797.1817
Robinson, M. & Robinson Esq, C. D. (2022) The silent cry: a psychiatric-mental health nurse's guide for fathers experiencing perinatal loss. Journal of Psychiatric and Mental Health Nursing, 29(5), 619-623. https://doi.org/10.1111/jpm.12849
Sampaio, F.M.C., Sequeira, C. & Lluch Canut, T. (2017) Content validity of a psychotherapeutic intervention model in nursing: a modified e-Delphi study. Archives of Psychiatric Nursing, 31(2), 147-156. https://doi.org/10.1016/j.apnu.2016.09.007
Sampson, E. (2023) Implementing digital cognitive-behavioral therapy for major depressive disorder in routine psychiatric appointments: a pilot project in a rural population. Journal of Psychosocial Nursing and Mental Health Services, 61(10), 44-51. https://doi.org/10.3928/02793695-20230424-01
Sass, C., Brennan, C., Farley, K., Crosby, H., Rodriguez Lopez, R., Romeu, D., Mitchell, E., House, A., & Guthrie, E. (2022) Valued attributes of professional support for people who repeatedly self-harm: a systematic review and meta-synthesis of first-hand accounts. International Journal of Mental Health Nursing, 31(2), 424-441. https://doi.org/10.1111/inm.12969
Sastre-Fullana, P., De Pedro-Gómez, J.E., Bennasar-Veny, M., Fernández-Domínguez, J.C., Sesé-Abad, A.J. & Morales-Asencio, J.M. (2015) Consensus on competencies for advanced nursing practice in Spain. Enfermería Clínica, 25(5), 267-275. https://doi.org/10.1016/j.enfcli.2015.06.007
Schober, M., Lehwaldt, D., Rogers, M., Steinke, M., Turale, S., Pulcini, J., Roussel, J., & Stewart, D. (2020) Guidelines on advanced practice nursing. International Council of Nurses. https://www.icn.ch/system/files/documents/2020-04/ICN_APN%20Report_ES_WEB.pdf
Sharifipour, F., Javadnoori, M., Behboodi Moghadam, Z., Najafian, M., Cheraghian, B. & Abbaspoor, Z. (2022) Interventions to improve social support among postpartum mothers: a systematic review. Health Promotion Perspectives, 12(2), 141-150. https://doi.org/10.34172/hpp.2022.18
Sriati, A., Kurniawan, K., Senjaya, S., Khoirunnisa, K., Muslim, R.N.I., Putri, A.M., Aghnia, N. & Fitriani, N. (2023) The effectiveness of digital-based psychotherapy in overcoming psychological problems in college students during the COVID-19 pandemic: a scoping review. Journal of Holistic Nursing, 089801012311629, https://doi.org/10.1177/08980101231162990
Stewart, D., Ryan, K., Naegle, M., Flogen, S., Hughes, F., & Buchan, J. (2022) The global mental health nursing workforce: time to prioritize and invest in mental health and wellbeing. International Council of Nurses. https://www.icn.ch/system/files/2022-10/ICN_Mental_Health_Workforce_report_SP_web.pdf
Van Klinken, M., Hafkamp, E., Gualtherie van Weezel, A., Hales, S., Lanceley, A., Rodin, G., Schulz-Quach, C. & de Vries, F. (2023) Teaching oncology nurses a psychosocial intervention for advanced cancer: a mixed-methods feasibility study. Seminars in Oncology Nursing, 39, 151507. https://doi.org/10.1016/j.soncn.2023.151507
Vives, M., Linkes, C. & Soucy, M. (2023) Teaching psychotherapy to psychiatric/mental health nurse practitioner students in the virtual classroom. Issues in Mental Health Nursing, 44(6), 551-561. https://doi.org/10.1080/01612840.2023.2212769
Vlachou, E., Ntikoudi, A., Owens, D.A., Nikolakopoulou, M., Chalimourdas, T. & Cauli, O. (2022) Effectiveness of cognitive behavioral therapy-based interventions on psychological symptoms in adults with type 2 diabetes mellitus: an update review of randomized controlled trials. Journal of Diabetes and Its Complications, 36(5), 108185. https://doi.org/10.1016/j.jdiacomp.2022.108185
Wand, T., Glover, S. & Paul, D. (2022) What should be the future focus of mental health nursing? Exploring the perspectives of mental health nurses, consumers, and allied health staff. International Journal of Mental Health Nursing, 31(1), 179-188. https://doi.org/10.1111/inm.12947
Ward, M. (2012) Psychiatric/mental health nursing and psychotherapy: the position of Horatio. European Psychiatric Nurses, 12. https://cyna.org/wp-content/uploads/2023/11/psychiatric-mhn.pdf
Wesemann, D.E., & Handrup, C. (2022). Where is the psychotherapy content in PMHNP programs? Perspectives in Psychiatric Care, 58(3), 1077-1081. Portico. https://doi.org/10.1111/ppc.12904
Wheeler, K. (2014) Psychotherapy for the advanced practice psychiatric nurse: a how-to guide for evidence-based practice. New York: Springer Publishing Company. https://doi.org/10.1891/9780826193896
Yanık, D. & Kavak Budak, F. (2023) The effect of positive psychotherapy-based training on psychological well-being and hope level in women receiving infertility: experimental study. Journal of Reproductive and Infant Psychology, 1-14. https://doi.org/10.1080/02646838.2023.2206853
Yoshinaga, N., Tanoue, H. & Hayashi, Y. (2022) Naturalistic outcome of nurse-led psychological therapy for mental disorders in routine outpatient care: a retrospective chart review. Archives of Psychiatric Nursing, 40, 43-49. https://doi.org/10.1016/j.apnu.2022.04.008
Yue, J.-L., Li, N., Que, J.-Y., Hu, S.-F., Xiong, N.-N., Deng, J.-H., Ma, N., Sun, S.-W., Chi, R., Shi, J. & Sun, H.-Q. (2022) Workforce situation of the Chinese mental health care system: results from a cross-sectional study. BMC Psychiatry [Electronic Resource], 22(1), 562. https://doi.org/10.1186/s12888-022-04204-7