NurseAnesthetist

Nursemidwife

Clinical NurseSpecialist

New Role Nurse Practitioner

Adult-gerontology

GenderSpecific

Family/individualAcross lifespan

Neonatal PediatricsPsych/Mental

Health

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POPULATION FOCI

APRN ROLES

APRN SpecialtiesFocus of Practice beyond role and population focus

Linked to health care needsExamples include but are not limited to: Oncology, Older Adults,

Orthopedics, Nephrology, Palliative care

Primary care Acute care

Options for Advanced Practice Psychiatric NursingA new roleAs a SpecialtyAs a Role and Population

A New Role

Would require vetting of new role among all national and state regulatory organizations.

Would require vetting of new role among all third party reimbursers.

Would require creating a new title, identity and recognition by the public, clients, other health and mental health professionals.

Would require creation of competencies, perhaps new affiliations or creations of new organizations.

Would require creation of new certification exams.

As a SpecialtyWould first be educated, certified and licensed in a role (CNS or

NP) and a population (Family/Lifespan, Gender, Adult/Gerontology, Pediatrics, Neonatal).

Then one could chose the specialty of PMH (Adult, child etc.)More focused area of practice than role and population foci In addition to role and population focus preparation—cannot

replace preparation for role and population fociDefinition built on ANA (2004) Criteria for Recognition as a

Nursing SpecialtyCannot expand scope of practice beyond the role or population

focusAddresses a subset of the population focusTitle may not be used in lieu of licensing title Is developed, recognized and monitored by the profession

As a Role and PopulationWould create a foundation for practice as an advanced practice

psychiatric nurse with a role as CNS or NP and a population focus of psychiatric-mental health.

Is consistent with the trends in education and certification.

Would increase workforce for psychiatric-mental health services in underserved areas where the APRN-PMH is the only mental health person in the area.

Would support life span continuity and movement among age groups with mental health needs. Ex. Someone who sees adolescents could follow them into young adulthood. Someone who sees the nineteen-year-old brother could see the younger sister.

As a population-focus, the profession would determine needed specialties and what would constitute acquisition of that knowledge and skill.

Maintains existing identities, titles, competencies, and supports.

2003 2006 %  n n Change

CNS-Adult Psych 7356 6,699 -8.9%-8.9%

CNS-Adolescent Psych 825 964 16.8%

Adult Psych NP 454 1,587 249.6%249.6%

Family Psych NP 118 540 357.6%357.6%

  8753 9,790 11.8%11.8%

Parallel ProcessesAdult Psychiatric Nurse Practitioner Certification Exam—2002

Family Psychiatric Nurse Practitioner Certification Exam--2003

Psychiatric-Mental Health Nurse Practitioner Competencies--2003

Logical Job Analysis—2005

Psychiatric Mental Health Nursing Scope and Standards--2007

Revision of certification exam--2007

Joint APNA-ISPN Child and Adolescent Taskforce--2007