Introduction - Psychiatric Nurse
Healers of the mind, gatekeepers of hope, and champions of recovery, Psychiatric Nurses use their unique blend of medical expertise, compassionate care, and unwavering dedication to mend the souls of countless individuals fractured by debilitative disorders.
Similar Job Titles Job Description
- Mental Health Nurse
- Psychiatric Mental Health Nurse
- Psychiatric Registered Nurse
What does a Psychiatric Nurse do?
What are the typical responsibilities of a Psychiatric Nurse?
A Psychiatric Nurse would typically need to:
- Assess, address, and monitor mental health and behavioural conditions in partnership with individuals who wish to achieve their recovery goals
- Conduct intake screening and evaluation; work with individuals, families and communities to assess their mental health needs
- Collaborate with mental health care professionals to create customised recovery plans that sync with their evaluation of the patient's needs
- Provide holistic care, addressing the mental, physical, emotional and social aspects of a patient’s well-being
- Teach self-care and help patients achieve individual goals and live productive lives
- Visit patients at home if the nursing care plan stipulates it; build a reassuring and supportive relationship with the patients
- Transcribe the physician's orders, administer and track treatment regimes; administer and manage medication; provide case management
- Practice crisis intervention; handle suicidal or aggressive behaviour; skilfully de-escalate volatile situations to ensure the safety of patients and staff
- Encourage patients to participate in beneficial therapeutic activities, such as art and role play, that help patients express their emotions and thoughts effectively
- Educate patients and their families on how to manage the stigma of mental illness; offer counselling services
- Advocate for their patients, ensuring that their rights are respected, and they receive appropriate care and support
- Provide community education; reduce the stigma associated with mental illness by promoting understanding and empathy in society
- Organise staff workloads; write and update patient records with accuracy and attention to detail
- Review care plans and monitor progress; assess treatment success at case conferences and meetings
Psychiatric Nurse Work Environment
Psychiatric Nurses work in diverse settings that provide mental health treatment services and may range from psychiatric hospitals to correctional facilities to home healthcare organisations. Most work in the community, although some provide home-based services.
Work Schedule A standard work week in residential and hospital settings translates into 37.5 hours on shifts, including nights, early starts, evenings, weekends, and bank holidays.
Research suggests that flexible hours and generous telework policies appeal more than salary to the younger generation. There has been an incremental increase in employers willing to give promising employees a chance to adjust their schedules per the job demands.
Employers Finding a new job may be challenging. Psychiatric Nurses can boost their job search by asking their network for referrals, contacting companies directly, using job search platforms, going to job fairs, leveraging social media, and inquiring at staffing agencies.
Psychiatric Nurses are generally employed by:
- General, Psychiatric, & Secure Hospitals
- Community Mental Health Centres
- Rehabilitation Units
- Educational Institutions
- Correctional Facilities
- Private Practices
- Residential & Nursing Homes
- Individual Patients
- Telephone Helplines
- Private Healthcare Companies
- Mental Health Charities
- The Armed Forces
Unions / Professional Organizations Healthcare associations, such as the International Society Of Psychiatric-Mental Health Nurses (ISPN), provide unparalleled networking and educational opportunities. They offer all the certification courses members will need throughout their professional careers.
Affiliated Psychiatric Nurses may attend conventions, seminars, and dinners frequented by peers, mentors, and other industry leaders. The events help them keep up with the latest breakthroughs and developments, including plum jobs.
Workplace Challenges
- Maintenance of a positive work/life balance in the face of a demanding level of personal commitment and working patterns
- High likelihood of periodic emotional stress and frustration; potential for personal danger due to violent behaviour of patients
- Limited resources that do not help with the complexity of treatment many individuals or populations require
- Biases from other professions and the general public that hinder the treatment quality
Work Experience for a Psychiatric Nurse
One of the best introductions to a career in mental health is to volunteer at a local hospital, clinic, or nursing home.
Most employers seek Psychiatric Nurses with at least two years of clinical experience as a full-time RN and at least 2,000 hours of clinical experience in a psychiatric setting within three years of passing the NCLEX-RN.
You can complete a portion of the training in psychological therapies by volunteering in a hospital or with a mental health charity, or by working in a clinical study. Clinical rotations during one’s nursing programme may include experience in psychiatric nursing settings.
Seek internships or part-time jobs in healthcare settings to gain additional experience. Community work or any experience that involves caring for others, as in a care home, will work to your advantage.
Work experience demonstrates your interest and dedication to the profession. It allows you to understand what it is like to work around other healthcare professionals and patients.
In addition, working with a diverse range of clients helps you understand different behaviours, situations, and problems you may encounter during your practice as a Psychiatric Nurse.
The experience may also help determine whether the public, private or voluntary sector is best suited to realise one’s ambitions. Your educational provider’s career service department can provide information about viable work placements, internships and voluntary work opportunities in diverse sectors.
An alternative to a bonafide university-led nursing degree is a recognised employer-led nursing degree apprenticeship involving a mix of academic study and placements. The apprentices can undertake part-time degree-level academic study while training through practice placements.
Even while in high school, you can check with a teacher or counsellor about relevant work-based learning opportunities available in your school or community that can help you connect your school experiences with real-life work as a Psychiatric Nurse.
Read about the profession and interview or job shadow experts in psychiatric nursing to prove your commitment to course providers and prospective employers.
Recommended Qualifications for a Psychiatric Nurse
Psychiatric Nurses undergo specialised training, which equips them with the ability to collaborate with other medical professionals to recognise signs of mental disorders, diagnose patients, and manage the side effects or interactions of prescribed medication.
Although a high school diploma or GED (General Education Development) qualification may be enough, most aspiring Psychiatric Nurses begin their academic journey with one of the feasible post-secondary options to qualify for the globally recognised NCLEX nursing exam or its equivalent.
The options include a two-year nursing associate degree (ADN), a three-year hospital-based nursing diploma, a four-year nursing bachelor’s degree (BSN), or a 14- to 15-month-long accelerated BSN degree for students already with a bachelor’s degree in another discipline. Courses covered include anatomy, physiology, psychology, nursing theory, and practicals.
Most aspirants acquire a degree in mental health nursing. However, enrolling in a “dual field” degree programme combining mental health nursing with adult/children/learning disability nursing is possible.
Some education providers may offer fast-track curriculums to candidates with an APEL (accreditation of prior experiential learning) from practice-based knowledge or a degree in another health-related subject, such as life and medical science, social work, or psychology.
Appropriate college preparatory courses to be taken in high school include biology, chemistry, algebra, trigonometry, statistics, physics, psychology, foreign languages, and physiology/anatomy. English and speech classes will help you develop your research, writing, and oral communication skills.
Remember that completing a particular academic course does not guarantee entry into the profession. Be that as it may, professional qualifications and transferable skills may open up more than one door.
Do your homework and look into all available options for education and employment before enrolling in a specific programme. Reliable sources that help you make an educated decision include associations and employers in your field.
Certifications, Licenses and Registration Prospective Psychiatric Nurses who complete an ADN, BSN, or Diploma in Nursing programme from a recognised educational institution are eligible to take the NCLEX (National Council Licensure Examination) and demonstrate their hard-earned knowledge of healthcare management and patient care. Successful candidates can apply for an RN (Registered Nurse) licence with their local licensing board.
Although the NCLEX-RN is specific to the United States, it is internationally recognised as a valid, reliable, and standardised measure of nursing competence that guarantees quality patient care and safety. Typically, licensure requires an application, processing fees, an examination, and relevant education and experience.
Certification demonstrates a Psychiatric Nurse’s competence in a skill set, typically through work experience, training, and passing an examination. Successful certification programs protect public welfare by incorporating a Code of Ethics.
Certification in psychiatric-mental health nursing, trauma nursing, family nursing, and phlebotomy from an objective and reputed organisation can help you stand out in a competitive job market and carry a significant salary premium of up to 18 per cent.
Prerequisites include two years of experience as a full-time RN and completion of 30 hours of continuing education as well as 2,000 or more hours of clinical practice in mental health-psychiatric nursing over the last three years.
Some locations may enable Psychiatric Nurses to register with their local medical councils after testing their competence in patient care, leadership, management, teaching, and communication.
Psychiatric Nurses may also need to undergo an employment background check, including but not limited to a person’s work history, education, credit history, motor vehicle reports (MVRs), criminal record, medical history, use of social media, and drug screening.
Psychiatric Nurse Career Path
Performance, experience, and the acquisition of professional qualifications drive the career progression of Psychiatric Nurses who may find themselves in leadership roles as Staff Nurses and Team Leaders before eventually being promoted to Medical Case Managers.
Alternate career pathways include becoming an Advanced Practice Psychiatric Nurse, a Psychiatric-Mental Health Clinical Nurse, or a Psychiatric-Mental Health Nurse Practitioner.
It is also possible to ascend to the level of a Nursing Director, Chief Nursing Officer, or Post-Secondary Nursing Instructor if you are keen on administration and training. Nurse Consultant roles may suit the interests of Psychiatric Nurses keen on research and promotion of best practices.
You could also qualify as a Specialist Nurse, working with a specific client group, such as offenders or children and young people, or in a particular field, such as alcohol or substance misuse, forensic psychology, or psychotherapeutic interventions. One may work with social services, prison services, residential nursing homes, or voluntary organisations.
Psychiatric Nurses may opt for teaching or clinical research, contributing to advancements in the field and training the next generation of mental health professionals. Research may include an area such as transcultural psychiatry, which investigates how cultural and ethnic factors influence mental disorders and their treatment.
Overseas assignments abound.
The desire to accelerate career growth and personal development has an increasing number of millennials choosing to job hop and build a scattershot resume that showcases ambition, motivation, and the desire to learn a broad range of skills.
Studies prove that job hopping, earlier dismissed as “flaky” behaviour, can lead to greater job fulfilment. Employees searching for a positive culture and exciting work are willing to try out various roles and workplaces and learn valuable, transferable skills along the way.
Job Prospects Candidates with a bachelor’s degree, accredited certification, and adequate experience in mental health nursing have the best job prospects.
Psychiatric Nurse Professional Development
Continuing professional development (CPD) is essential for public well-being and career progression in the healthcare sector. It embraces several new learning objectives, educational methodologies, and novel technological developments, especially in education, management, and IT.
Reflective learning, interaction with peer groups, comprehensive inclusion, workshops, and professional publications educate, influence, support, and foster lifelong enlightenment in all career-grade Psychiatric Nurses. It also brings home the importance of self-care to prevent burnout and maintain their own well-being.
Most career advancement opportunities come in the wake of acquiring additional degrees or certifications in healthcare and education. A master’s or doctoral degree in mental health nursing and certifications in executive nursing practice will be helpful. CPD also enables the regular renewal of required certifications, licences, and registrations.
Psychiatric Nurses can expect support and additional training from the academic institution or from Vitae, a non-profit global leader with over 50 years of experience in enhancing the skills of researchers.
In partnership with governments, funders of research, professional bodies, trusts & foundations, universities, and research institutes, Vitae offers training, resources, events, consultancy, and membership.
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Current Scenario
The employment outlook of a particular profession may be impacted by diverse factors, such as the time of year, location, employment turnover, occupational growth, size of the occupation, and industry-specific trends and events that affect overall employment.
The growing awareness of mental health issues and the critical role that Psychiatric Nurses play in their sustained mitigation makes this profession a rewarding and stable career choice.
Many countries have legislation that requires insurance companies to treat mental health services on par with physical health services, contributing to the need for more Psychiatric Nurses.
An ageing population comprising older adults who may experience ageing-related mental health issues, integrated healthcare models, the adoption of telehealth services, and growing emphasis on mental health crisis response teams lead to more job opportunities for Psychiatric Nurses.
Diverse Work Responsibilities
Psychiatric Nurses employed by an inpatient treatment centre or hospital will work with other team members to monitor patients, ensure accurate diagnoses, administer proper medications, perform safety and risk assessments, and help with patients’ grooming and bathing.
With the number of mentally ill people roughly three times higher in correctional facilities than hospitals, working in an inpatient psychiatric unit involves evaluations, interventions, and counselling to needy inmates.
65 to 91 per cent of residents in long-term care facilities in a nursing home or assisted living facility may have mental health issues. A Psychiatric Nurse must consult with health professionals and psychiatrists, manage patients’ psychological and physical health, and create and monitor treatment plans and medications.
Potential Pros & Cons of Freelancing vs. Full-Time Employment
Freelancing Psychiatric Nurses have more flexible work schedules and locations. They fully own the business and can select their projects and clients. However, they experience inconsistent work and cash flow, which means more responsibility, effort and risk.
On the other hand, full-time Psychiatric Nurses have company-sponsored health benefits, insurance, and retirement plans. They have job security with a fixed, reliable source of income and guidance from their bosses. Yet, they may experience boredom due to a lack of flexibility, ownership, and variety.
When deciding between freelancing or being a full-time employee, consider the pros and cons to see what works best for you.
Conclusion
Wielding empathy as their superpower and resilience as their armour, Psychiatric Nurses help individuals and society understand the depths of human suffering, destigmatise mental illness, and navigate the complex mental health landscape.
Advice from the Wise “Good health is more than just exercise and diet. It is a point of view and a mental attitude you have about yourself.”
Albert Schweitzer