Policy for Psychiatric Nursing in Ireland: Analysis

polity for Psychiatric treat in Ireland AnalysisCritically evaluate the relevance of acurrent topic (Irish) strategic constitution account for your bea of utilise (Psychiatric nurse)IntroductionAs whizz of the most important facets of health c atomic number 18, nurse has been and remains one of the most belowvalued and undeveloped crafts ( salvage and Leenders, 2005). palliate and Leender (2005) state that countries requisite a interior(a) action final cause for assist for as it assists in the exploitation of the art. They bid the followe ten advantages, as evidence for the foregoing that shall aid in serving as a basis for the evaluation of the relevance of the inaugurate Irish home(a) strategic policy for Psychiatric nursing on with new(prenominal)wise in dresss ( save up and Leenders, 2005)The presence of a topic action plan acquired immune deficiency syndrome in reinforcing nursing goals, results and orientation in health care.Through the concept ion of a national action plan, nursing offices can be optimized by the focusing of nursing resources to chance upon the best possible results and value for funds (Salvage and Leenders, 2005).A national action plan helps to build and nourish imaging for nursing (Salvage and Leenders, 2005). The forgo is a result of aiding nurses in maintaining their perspectives, which can be lost in the busy and demanding everyday demands of their profession.The embodyence of a national action plan can result in a clearer brain of direction (Salvage and Leenders, 2005).A plan can aid in make nursing achievements more visible (Salvage and Leenders, 2005). Salvage and Leenders (2005) point to the fact that the contri furtherion of nurses is acknowledged by clients and patients but non in medical textbooks, conferences and important discussions .A plan can spur nurses and their reenforcementers to be more diligent and done and through strategic planning, a plan helps to uncove r or glorify unexpected new coalitions that can aid in these reflexions marching in concert to improve health care (Salvage and Leenders, 2005).It, a plan, can form current nursing activities and aid in nurses identification of projects and innovations that are current to incorporate these into practice as sound as aiding in the development of frameworks for further improvements and implementation.A plan can aid in the launchation of ,,, closer links between policy and practice (Salvage and Leenders, 2005). They explain that the policy making process is usually remote from those who are responsible to its implementation, and that through the employment of a planning process that involves as surface as includes the operate users, practitioners and policy makers aids in reducing the gaps between sentiment and action, data and perceptions, policy and operations, planning and implementation (Salvage and Leenders, 2005).Through the existence of a plan the professio n of nursing is more likely to win support from the people, policy makers and other professionals if said plan states clearly where it is going and what it hopes to achieve (Salvage and Leenders, 2005).And finally, a plan can help nursing control its take in work and future (Salvage and Leenders, 2005). Salvage and Leenders (2005) explain that the existence of a plan can aid in nursing controlling its own work and future because traditionally they commit had little control over their fate as a result of them as the servants of another profession (Salvage and Leenders, 2005). Salvage and Leenders (2005) argue that a plan represents the starting point for (nurses) becoming refer partners in health care work as well as in their relationships with the other professions in the field.In order to better regard the context of this examination, the definition of the profession of nursing is deemed an important underpinning. The background of nursing and obstetrics radia tion pattern exemplar defines nursing as a profession that helps individuals, families and groups to determine and achieve their physical, rational and social potential ( treat control board, 2000a). The definition goes on to add that nurses require competence to develop and perform functions that promote and maintain health as well as prevent ill health and that such(prenominal) includes the ( mind) planning and giving of care (encompassing) the physical, mental and social aspects ( care for Board, 2000). As the context of this examination represents the field of psychiatric nursing, the following definition as supplied by the International Society of Psychiatric-Mental health go down ons (ISPN) brooks clarity. They, ISPN, define this field of honor of nursing, psychiatric, as a specialized area of nursing practice committed to promoting mental health through the assessment, diagnosis, and word of human responses to mental health problems and psychiatric disorders (ISPN, 2006). The An Bord Altranais was established by the Nurses Act, 1950, (An Bord Altranais, 2007a) is the statutory body (that) provides for the registration, control and education of nurses (and other matters) related to the practice of nursing in Ireland (An Bord Altranais, 2000). As of 2004, on that point were 76,045 nurses registered with the An Bord Altranais, as shown by the following (An Bord Altranais, 2007b)Table 1- Total of Nurses and Qualifications Registered(An Bord Altranais, 2007b)Nurses RegisteredFemalesMale bustling sleepingTotalNumber of Nurses60,77415,27170,2315,81476,045Table 2 Total of Nurses and Qualifications RegisteredQualifications Registered(An Bord Altranais, 2007b)FemalesMaleActiveInactiveTotalGeneral60,9862,67750,63713,02663,663Psychiatric8,3013,5259,5662,26011,826Sick Childrens4,578513,7598704,629Intellectual Disability3,9614733,8605744,434 midwifery16,8572113,1793,69916,878Public health2,55112,0844682,552Tutor537104513126639Other58526290321 611Total98,3566,87683,88821,344105,232The examination of the Code of behaviour and other legislation shall be reviewed against the ten point standards of the World health Organization and other documents in order to gauge the relevance of policies in this area. subject Strategic Policy for Nurses in IrelandThe strategic national policy document for the nursing profession in Ireland is generated by An Bord Altranais that states that the practice of nursing should always be based on the principles of professional conducted as contained in the latest version of the Code of sea captain Conduct for each Nurse and Midwife ( care for Board, 2000b) with practices contained in chain of treat and Midwifery convention textile ( nursing Board of Tasmania, 2006) and the Standards for the desktop of breast feeding utilise 2001 as prepared by the Commonwealth part of Education, Science and Training (DEST, 2001). The evaluation of the preceding documents shall be compared against the ten-point plan outline as put forrader by Salvage and Leenders (2005) to serve as a guide.Scope of Nursing and Midwifery Practice FrameworkThe Scope of Nursing and Midwifery Practice Framework for Ireland states that it habituates the ANMC National Competency Standards for the Registered Nurse, Australian Nursing Midwifery Council, (ANMC, 2006) as its basis for the intent of regulations, organizational policies and procedures (Nursing Board of Tasmania, 2006) as support in its practice delimitting. The Scope of Nursing and Midwifery Practice Framework (SoP DMF) states that the determinations concerning the scope of practice need to be (Nursing Board of Tasmania, 2006) 1. proactive, 2. responsive to internal and external forces, 3. elastic and, 4. able to provide guidance in decision making by both the individual nurse and the profession as a totally. The SoP DMF indicates that the foregoing is applicable to all nurses and midwives across all practice settings and that such have been put into force to ensure that practice decisions are based on the individual context and patient as contradictory to the defining nursing by tasks or procedures (Nursing Board of Tasmania, 2006).The parallel of latitude offered from the preceding represents instrument for individual interpretation that can and also cannot be a wise choice in a profession that represents the fragile state of mind of patients under psychiatric care. Evidence of the problem in having such broad latitude is presented in an article by Sean Fleming Psychiatric yell of Ireland which details accounts of the use of drugs in treatment that were either later found to be inappropriate, and or had side effects that worsened the patients condition (Fleming, 2005). such(prenominal) is also the subject of a proclaim topicd by Aware, a voluntary organization devotes to assist those who are afflicted with depression (Aware, 2007a). The report mentions the continuity of care with regard to ps ychiatric services as an area needing improvement along with eighteen other points and represents an aspect that the broad latitude in interpretation (Aware, 2007b). And while every interpreter of care treatment cannot be categorized, and set forth procedurally, guidelines represent an potent means to provide tighter controls as well as instructions and steps that nurses can utilize when appropriate. Salvage and Leenders (2005) under souvenir 4 indicate that a national action plan provides a clearer sense of direction and under item 8 states that the existence of a plan can aid in the creation of ,,, closer links between policy and practice.The SoP DMF states that through providing transparency in its policy that it greatly benefits all nurses and that it thus provides an effective tool nurses can maximize their nursing practice in the standards of the profession. It states that there are six figures, with each supported by a set of guiding principles that can assist nurse s in the discussion as well as clarification of practice issues with their colleagues and employers (Nursing Board of Tasmania, 2006). The preceding are 1. directional Principles for Map of Role Relationships among wellness Personnel, 2. Guiding Principles for Improving the wellness Outcomes of the Patient, 3. Guiding Principles for agency among Nurses and Midwives, 4. Guiding Principles for Delegation to Students of Nursing, 5. Guiding Principles for Delegation to Unlicensed Health Care Workers and, 6. Guiding Principles for Maximising the Scope of Practice for Registered Nurses and Midwives (Nursing Board of Tasmania, 2006). The Sop DMF states that these six figures highlight the impressiveness of 1. clinical assessment by the registered nurse or midwife, 2. lawful authority, 3. facility and amaze, 4. risk management, 5. confidence, 6. competence, 7. delegation by the registered nurse or midwife and, 8. acceptance of the delegation and the required take aim of supervision (direct or indirect (Nursing Board of Tasmania, 2006). The foregoing harkens back to the room for latitude and actually indicates under item number 1 that nurses are making clinical assessments. This also express, assessment, under Scope of Nursing and Midwifery Practice Framework April 2000 (Nursing Board, 2006b). The foregoing analysis with regard to the latitude is indicated in the Sop DMF document under Figure 2. General Principles for Improving the Health Outcomes of the Patient which states under patient Clinical Assessment have I considered the consequences of my planned action? (Nursing Board of Tasmania, 2006). The following further illustrates this issue (Nursing Board of Tasmania, 2006)The Figure indicates that if the answers to all questions are yes that the nurse should proceed, and that if there is a no answer to any question, then the nurse should seek advice on the issue (Nursing Board of Tasmania, 2006). The preceding represents a procedural attempt to shore up t he wide latitudes present in the guidelines, still leaving room for change interpretations.Standards for the Scope of Nursing Practice 2001The Standards for the Scope of Nursing Practice 2001 represents a copulation of statutory material that was obtained as a result of the utilization of electronic searching in the sites of Lexis Nexus, Canlii, Austlii and other legal sites. The Standards for the Scope of Nursing Practice 2001 indicates that there were legislation aspects that could not be accessed and other measures utilized, with an instance whereby no data could be obtained (DEST, 2001). The preceding means that the document is not wholly complete. The Standards for the Scope of Nursing Practice 2001 also adds the documents from which it was based, in whatsoever instances, referred to other documents and or legislation or regulations and standards that were not included is what was accessed, and were untouchable for use in formulating the document as a whole (DEST, 2001).inte restingly this supports the broad latitude contention as mentioned under Scope of Nursing and Midwifery Practice Framework in that it states Given the complexity and variability of the sources of information about the standards of nursing practice that it is reasonable nurses might experience some difficulty in keeping abreast of these issues (DEST, 2001). The preceding is explained in the document as representing the difficulties in the interpretation of the intent of the legislation (DEST, 2001). DEST (2001) indicates that the special objective of statutory regulation is the protection of the public. The utilization of the copulation technique to derive the document obviously has flaws that need correcting, however, the fact that the government of Ireland has accept the need to produce such a document represents a exact step in the right direct, as espoused by Salvage and Leenders (2005). lineament And Fairness A Health System for You do send off raise theme 2005The National Health Strategy whole tone and Fairness A Health System for You, as stated in the document was announce by the government to provide vision and strategic direction for the health and personal social services and identifies a 121 point effect Plan as central to implementation of a nationwide strategy and put varied aspects of the Strategy into action (Department of Health and Children, 2005). Under National close no. 1, item 2, it sets forth the Statements of Strategy with regard to all germane(predicate) Government Departments that are to devise guidelines and strategy statements for human resources as well as other areas. Its relevance to this examination lies in the preceding.A sight for alteration Report of the in effect(p) convention on Mental Health PolicyThis document represents a comprehensive model of mental health service provision for Ireland (Department of Health and Children, 2006). Under item 1.5 Vision, the document sets forth that its po licy represents the creation of a mental health transcription that addresses the needs of the population as a result of focusing on the requirements of the individual (Department of Health and Children, 2006). The Policy Framework indicates that its purpose is to create . A agreementatic framework and plan for mental health (Department of Health and Children, 2006). This aspect represents the reference to psychiatric nursing, which is the subject of this examination. The document covers Mental Health in Ireland covering the differing disciplines, along with Implementation that defines relationships in the management of mental health and the plan to bring the diverse aspects into closer proximity from the present system that has encouraged isolation of catchments from each other which has hindered the development of specialist services (Department of Health and Children, 2006).The broad areas covered under Manpower, education and training sets forth the education and trai ning required to produce competent professional personnel department (Department of Health and Children, 2006). This document does not provide the details of policy and other facets of specificity related to strategic policy for psychiatric nursing, which are contained under Scope of Nursing and Midwifery Practice Framework and Standards for the Scope of Nursing Practice 2001 in limited fashion. It, the document A Vision for Change Report of the Expert Group on Mental Health Policy does blemish that there are Shortcomings in Current Education and Training, but its usefulness as a policy statement for psychiatric nursing is not its intention.ConclusionThe present strategic policy for psychiatric nursing in Ireland is an area that is still under development. The varied documents reviewed, Scope of Nursing and Midwifery Practice Framework, Standards for the Scope of Nursing Practice 2001, Quality And Fairness A Health System for You Action Plan senesce Report 2005, and A Vision f or Change Report of the Expert Group on Mental Health Policy as well as other documents referenced herein are in the evolutionary stages. This rawness does not actually represent a cause for too often concern and the Government of Ireland, through the issuance of these documents, acknowledges the deficiencies in this area and have set about the process to correct this aspect as stated in Quality And Fairness A Health System for You Action Plan Progress Report 2005 under National Goal No. 1, as well as in A Vision for Change Report of the Expert Group on Mental Health Policy.Salvage and Leenders (2005) indicate the global problem concerning nursing policy and strategy, and the importance of having such plans in place, or under development to enable the profession to achieve higher standards and more connectivity with the field of medicine in general. They, Salvage and Leenders (2005), state that strategic plans are extremely important in providing the root for frameworks to devel op that will increase the proficiency of the profession through credential that can be thus shared, compared and utilised for further refinement. Ireland is in the head start stages of this evolutionary process, as is the United States, the United Kingdom and other countries owing to their lack of attention and importance concerning the contributions of the field of nursing. The criticisms levied at the broad interpretational latitudes that exist in present policy statements in Ireland as found under the document prepared by the Sop DMF concerning the Scope of Nursing and Midwifery Practice Framework is an outgrowth of this developmental process. Clearly, a great stagger of work still stands before the various governmental agencies and departments in achieving a substantive document that achieves the objective of providing nurses engaged in psychiatric care with the guidelines and procedures to enable them to weave their way through the difficult profession they are engaged in. T he present plans, though incomplete, do represent a means whereby psychiatric nursing leaders have a platform to behave forward from to collaborate in revising and amending what is established. The preceding is acknowledged by Salvage and Leenders (2005) as a huge as well as important step in the right direction.BibliographyAn Bord Altranais (2000) An Board Altranais The Code of Professional Conduct for each Nurse and Midwife, April 2000. An Bord AltranaisAn Bord Altranais (2007b) Nurse Registration Statistics 2004. Retrieved on 12 January 2007 from http//www.nursingboard.ie/An Bord Altranais (2007a) Role and Functions of An Bord Altranais. Retrieved on 12 January 2007 from http//www.nursingboard.ie/ANMC (2006) National Competency Standards for the Registered Nurse. Australian Nursing Midwifery CouncilAware (2007) Aware. Retrieved on 14 January 2007 from http//www.aware.ie/Aware (2007b) Suicide in Ireland A Global Perspective and a National Strategy. Retrieved on 14 January 2007 from http//www.aware.ie/online books/suicide.htmlDepartment of Health and Children (2006) A Vision for Change Report of the Expert Group on Mental Health Policy. Department of Health and ChildrenDepartment of Health and Children (2005) Quality and Fairness A Health System for You Action Plan Progress Report 2004. Department of Health and ChildrenDEST (2001) Standards for the Scope of Nursing Practice 2001. Retrieved on 13 January 2007 from http//www.dest.gov.au/archive/HIGHERED/nursing/pubs/nurse_regulation/3.htmFleming, S. (2005) Psychiatric jest at in Ireland. Retrieved on 14 January 2007 from http//www.critpsynet.freeuk.com/PsychiatricAbuseinIreland.htmISPN (2006) Psychiatric Mental Health Nursing Scope Standards. Retrieved on 12 January 2007 from http//www.ispn-psych.org/docs/standards/scope-standards-draft.pdfNursing Board (2000b) Guidance to Nurses and Midwifes on the Development of Policies, Guidelines and Protocols, December 2000. Retrieved on 12 January 2007 from http//w ww.nursingboard.ie/publications/Guidance2000.pdfNursing Board (2000a) Scope of Nursing and Midwifery Practice Framework April 2000. Retrieved on 12 January 2007 from http//www.nursingboard.ie/PolicyGuidelines/SNMidwifePractiFworkApril2000/scope.htmlNursing Board of Tasmania (2006) Scope of Nursing Practice Decision Making Framework February 2006. Nursing Board of TasmaniaSalvage, J., Leenders, F. (2005) National Action Plans for nursing and midwifery, In Salvage, J., Heijnen, S. (2005) Nursing in Europe A resource for better health. World Health Organization, Regional Office for Europe, ISSN 0378-2255