Essential Professional Nursing Practices in mental health

A cross-sectional study of hospital inpatient care

Julie Frechette, Catherine Pugnaire Gros, Barbara B Brewer, Marlene Kramer, Geneviève Lavigne, Mélanie Lavoie-Tremblay

Research output: Contribution to journalArticle

Abstract

Quality organizational structures and nursing practices are key to positive patient outcomes. Whereas structures have been largely studied over the past few decades, less is known of the nursing practices that account for patient outcomes, such as patient satisfaction. This is especially true in psychiatric, mental health care settings. The aim of the present study is to determine the relative importance of eight Essential Professional Nursing Practices (EPNPs) on the satisfaction of hospitalized patients on mental health care units. A cross-sectional design was selected; 226 point-of-care mental health nurses completed the online EPNP questionnaire in Spring 2015. Statistical analyses included MANOVAs and a 2-step linear regression. A significant relationship was found between university preparation and scores on two EPNP subscales: autonomous decision-making and practicing with competent nurses. Scores on patient advocacy and control over practice subscales were significantly related to nurse-rated patient satisfaction. The findings reinforce the positive link between university education and the work of nurses and highlight the power dynamics that are salient in mental health care. The pertinence of EPNPs in psychiatric settings is brought to the fore, with practices of patient advocacy and nurse control over care examined in relation to empowerment. Implications for clinical and administrative leaders are addressed, with a focus on strategies for empowering patients and nurses.

Original languageEnglish (US)
Pages (from-to)1490-1500
Number of pages11
JournalInternational Journal of Mental Health Nursing
Volume27
Issue number5
DOIs
StatePublished - Oct 1 2018
Externally publishedYes

Fingerprint

Professional Practice
Inpatients
Mental Health
Nursing
Cross-Sectional Studies
Nurses
Patient Satisfaction
Patient Advocacy
Delivery of Health Care
Psychiatry
Point-of-Care Systems
Linear Models
Decision Making
Education

Keywords

  • empowerment
  • mental health
  • nursing practices
  • patient advocacy
  • patient satisfaction

ASJC Scopus subject areas

  • Phychiatric Mental Health

Cite this

Essential Professional Nursing Practices in mental health : A cross-sectional study of hospital inpatient care. / Frechette, Julie; Pugnaire Gros, Catherine; Brewer, Barbara B; Kramer, Marlene; Lavigne, Geneviève; Lavoie-Tremblay, Mélanie.

In: International Journal of Mental Health Nursing, Vol. 27, No. 5, 01.10.2018, p. 1490-1500.

Research output: Contribution to journalArticle

Frechette, Julie ; Pugnaire Gros, Catherine ; Brewer, Barbara B ; Kramer, Marlene ; Lavigne, Geneviève ; Lavoie-Tremblay, Mélanie. / Essential Professional Nursing Practices in mental health : A cross-sectional study of hospital inpatient care. In: International Journal of Mental Health Nursing. 2018 ; Vol. 27, No. 5. pp. 1490-1500.
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