Even though such psychiatric nurses have been in existence for a very long time, there continues to be changes or evolutions that are experienced in the delivery of their roles. The current stage in the specialty’s evolution can be pointed to be concentrated on the nature of management interventions that are used in treating patients. By this, reference is being made to the introduction and use of multi-formulated interventions to care. Such multi-formulated interventions focus on the combination of psychosocial interventions, spiritual interventions, medication, and therapeutic relationships (Penades, Catalan and Salamero, 2006). In order that psychiatric nurses will be able to go about this evolution well, the body which is responsible for certification of students which is the American Nurses Credentialing Center (ANCC) has introduced a new competency area for students which aim to promote advanced practice nursing.
Once the need for the evolution was made public, there were several experts and commentators who expressed doubt at the possibility of the change being possible. The author however holds the opinion that the specialty has the potential to evolve. For those who argued that the evolution was not possible, their major point of argument was that the multi-formulated intervention was going to defeat the conservative practice where care giving had been very concentrated on specific areas of disorder (Kemp and Davis, 2006). This should however not be seen as a reason for the failure of the evolution. The reason this is said is that mental health conditions come in many different forms and are often accompanied with the exhibition of different lines of disability. Often, these disabilities touch on several aspects of life including cognition, behavioral, psychological, social, and spiritual. In the light of this, using an isolated and focused intervention
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