PCHN Woodbury and her supervisor subsequently explained that a psychiatric nurse was assigned to follow this case because other medical-surgical nurses had a great deal of difficulty coping with this patient's behaviors and treatment choices.
It is necessary for the PCHN to be able to differentiate the use of humor as a beneficial intervention from the use of humor that can be perceived as ridicule.
Active listening and observation on the part of the PCHN is another aspect of therapeutic communication.
This scenario illustrates how the competent use of TNIs by the PCHN in providing active listening, assessment, and care is under-recognized and undervalued by third-party payers and is a stressful dilemma for PCHNs.
After she saw PCHN Fitzgerald stay on the phone for over half an hour with the phone company to get her bill straightened out for her, Mrs.
PCHN Marsha Roth conducted a numerical pain assessment with a patient, Mrs.
The identification of specific nursing behaviors utilized in the therapeutic relationship (TNIs) and integrated with aspects of the PCHN role have been presented to document how these specific TNIs, executed by a skilled PCHN, can actually make a difference in the quality of life experienced by persons with chronic mental illness.
TNIs, which include aspects of the interpersonal nurse-patient relationship, have been articulated as comprising a particular set of skills that enable the PCHN to provide needed healthcare services, deliver caring guidance, support self-esteem, develop socialization skills, and advocate for client autonomy.
The PCHNs involved in this study were community health nurses with additional psychiatric nursing experience beyond the initial licensure level for a registered nurse (RN), but who did not have graduate degree preparation.
The PCHNs consistently spoke about feelings of frustration and disappointment, and they exhibited resignation to the ongoing struggle required to gain permission from third-party payers for even one extra visit.
This paper describes the results of a secondary analysis of qualitative data and serves to describe the value of TNIs that PCHNs utilized in practice to meet individualized care needs.
Participants included nine PCHNs, a psychiatric clinical nurse specialist (PCNS), and a variety of multidisciplinary health professionals.