THE COMPETENCIES, ROLES AND SCOPE OF PRACTICE OF ADVANCED PSYCHIATRIC NURSING IN INDONESIA
ABSTRACT: The graduate
advanced psychiatric nursing (psychiatric nursing specialist) from master
degree in Indonesia are about 70 nurses, 67 nurses were graduated from
University of Indonesia. They are working at mental health services and
educational setting around Indonesia and yet seem not ready to perform some
specific advanced competencies in clinical area. The mastery on mental health
assessment, neurochemical perspectives, medical management and psychotherapy have
not yet performed by the psychiatric nurse specialist in the clinical area or
community.
To have those competencies and its performances, therefore the curriculum
in a psychiatric nursing graduate program must include advanced courses in
physiopsychology, psychopathology, advanced psychopharmacology, neurobehavioral
science, advanced mental health assessment, and advanced treatment
interventions such as psychotherapy and prescription and management of
psychotropic medications as their core and major courses in the curriculum.
Those courses should be performed in their clinical practice courses or other
related learning experiences. When those qualifications are met, then they are
competent to be called advanced psychiatric nurse.
As advanced practice registered nurses, the advanced psychiatric nurses
should be able to demonstrate their direct expertise and roles in advanced
mental health assessment, diagnostic evaluation, psychopharmacology management,
psychotherapy with individuals, group and families, case management, millieu
management, liason and counselling from prevention, promotion until psychiatric
rehabilitation. Meanwhile the skill such as psycho-education, teaching, unit
management, research and staff development can be added as their indirect roles.
Author: Yulia Wardani
Journal Code: jpkeperawatangg130014
