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Psychiatric-Mental Health Nurse Practitioner Competencies

February 1st, 2010 by admin | Filed under nurse


The Psychiatric-Mental Health Nurse Practitioner (PMHNP) Competencies reflect the work of a multi-organizational National Panel. In collaboration with nursing colleagues, the National Organization of Nurse Practitioner Faculties (NONPF) facilitated the work of the National Panel through two distinct phases that encompassed development and external validation of the competencies. The process used for this project models that used for developing the Nurse Practitioner Primary Care Competencies in Specialty Areas: Adult, Family, Gerontological, Pediatric, and Women’s Health.

The National Panel includes representatives of six national nursing organizations whose foci include advanced practice nursing education, psychiatric-mental health practice, and certification for the PMHNP. A sub-group of the NONPF Psychiatric-Mental Health Special Interest Group participated as NONPF representatives.

The National Panel convened for the first time in September 2002 at New York University Division of Nursing. During this meeting, the panel reviewed the existing body of work and began drafting the competencies. The National Panel confirmed that the PMHNP competencies would build on the core competencies for all nurse practitioners, and the panel agreed to using the same framework as that used for the primary care competencies in specialty areas.

After the first meeting, the panel met by conference call and via e-mail to discuss further the competencies. By late fall 2002, the panel reached consensus on the draft competencies and completed phase one of the project. NONPF then solicited nominations from national nursing organizations and employers for individuals to serve on the external validation panel. Phase two, the validation process, was under way by late winter 2003.

The Validation Panel included 21 individuals identified as having expertise relative to advanced practice psychiatric-mental health nursing who had not served on the National Panel. In addition, the individuals were identified as having experience in one or more of the following areas related to issues surrounding the NP role or scope of practice:
• delivery of primary mental health care;
• education of psychiatric-mental health nurse practitioners;
• credentialing of nurse practitioners;
• regulation of advanced practice nursing;
• accreditation of graduate nursing education programs; or
• employment of psychiatric-mental health nurse practitioners.

A joint task force of the International Society of Psychiatric-Mental Health Nurses and the American Psychiatric Nurses Association focusing on educational standards for PMHNPs provided feedback as well. Additionally, the project facilitators sought feedback collectively from the NONPF Psychiatric Mental Health SIG during the April 2003 NONPF annual meeting.

Using the same tool applied for the primary care competencies project, the Validation Panel reviewed systematically each PMHNP competency for relevancy (is the competency necessary?) and specificity (is the competency stated specifically and clearly? If not, provide suggested revisions). The Validation Panel also provided comment on the comprehensiveness of the competencies (is there any aspect of PMHNP knowledge, skill, or personal attributes missing?).

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