Course Description

This is a psychiatric nursing seminar with two credit hours. The aim of this course is to help students advance their nursing practices and improve outcomes. The various issues in the primary care setting and follow-up care will be reviewed and discussed. The research reports conducted in Taiwan and overseas will be examined and will be discussed to develop a better psychiatric nursing care in Taiwan.

Course Objectives

• The three domains of clinical nurse specialist (CNS) practice, known as the three "spheres of influence" are the patient/family, nursing personnel and system/network organization. Within the three domains of CNS practice, Sparacinio (2005) identified seven core competencies. Therefore, this course based on this concept map to improve these competencies.
• 1. Direct clinical practice includes expertise in advanced assessment, implementing nursing care, and evaluating outcomes.
• 2. Expert coaching and guidance encompasses modeling clinical expertise while helping nurses integrate new evidence into practice. It also means providing education or teaching skills to patients and family.
• 3. Collaboration focuses on multidisciplinary team building.
• 4. Consultation involves reviewing alternative approaches and implementing planned change.
• 5. Research involves interpreting and using research, evaluating practice, and collaborating in research.
• 6. Clinical and professional leadership involves responsibility for innovation and change in the patient care system.
• 7. Ethical decision-making involves influence in negotiating moral dilemmas, allocating resources, directing patient care and access to care.  

Required Textbook

I. Textbooks 1. Harrison, P., Geddes, J., Sharpe, M. (2005). Psychiatry (Lecture Notes Series), Ninth Edition. Blackwell Publishing Professional.
2. Carson, A., Chambers, M., Church, K., Tilley, S. (2005). Psychiatric and Mental Health Nursing: The Field of Knowledge. Blackwell Publishing Professional.
3. Devereaux, K., Crocker, S. (2005). Geropsychiatric and Mental Health Nursing. Jones & Bartlett Publishers.
4. Sadavoy, J., Lissy, F., & Jarvik, G.T. (2005). Comprehensive Textbook of Geriatric Psychiatry, Third Edition, Study Guide. W. W. Norton.
5. Townsend, M. C. (2004). Essentials of Psychiatric Mental Health Nursing, Third Edition. F. A. Davis Company.
6. Deborah, A. O., (2003). Psychiatric nursing: Biological and Behavioral Concepts. Thomson Delmar Learning.
7. Gournay, K. (2000). In relation to the roles of nurses： Psychiatric nursing techniques. In M.G. Gelder, J.J. Lopez-Ibor & N.C. Andreasen.

The new Oxford textbook of psychiatry. Oxford University Press. Ⅱ. Journals
1. Lin, C. L., Yin, J. C., Kuo, & I. T., Chang, W. Y. & Tsai, S. L. (2001). Improving outcomes in depression. British Medical Journal, 323 (7319): 948-949.
2. Lin, C. L., Teresa, J. C., Kuo, I. T., Chang, W. Y. & Tsai, S. L. (2002). A comparison of effectiveness and cost between two models of care for individuals with schizophrenia living in Taiwan. Archives of Psychiatric Nursing, 15(6): 272-278.
3. Oxman, T. E., Dietrich, A. J., Williams, J. W. & Kroenke, K. (2002). A three-component model for reengineering systems for the treatment of depression in primary care. Psychosomatics, 43(6): 441-451.
4. Patel, V., Abas, M., Broadhead, J., Tood, C. & Reeler, A.P. (2001). Depression in developing countries: lessons from Zimbabwe. British Medical Journal, 322: 482-484.
. Katon, I.V., Vonkorff, M., Lin, & E., Simon, G. (2001). Compliance and costs in a case management model. Community Mental Health Journal, 37(1): 69-77.
6. Korff, M. V. & Goldberg, D. (2001). Rethinking practitioner roles in chronic illness: the specialist, primary care physician, and the practice nurse. General Hospital Psychiatry, 23: 138-144.

Grading