TELEHEALTH ESSENTIAL COMPETENCIES FOR PSYCHIATRIC NURSES IN CLINICAL PRACTICES
Main Article Content
Keywords
Telehealth, psychiatric nursing, PMH-APRN, telehealth competencies, mental health services, education, training
Abstract
Background: The integration of telehealth into psychiatric nursing has emerged as a pivotal advancement, particularly in response to the increasing need for accessible mental health services. This research synthesizes findings from recent studies to outline the telehealth competencies necessary for psychiatric mental health advanced practice nurses (PMH-APRNs).
Methods: A comprehensive critical analysis literature review was conducted, focusing on studies published between 2018 and 2022. Six key studies were identified through systematic searches in databases such as PubMed, PsycINFO, CINAHL, and the Cochrane Library. These studies were evaluated based on their contributions to understanding the telehealth competencies required in psychiatric nursing, encompassing technical, clinical, ethical, and communicative aspects.
Results: The review identified a broad spectrum of competencies essential for effective telehealth delivery in psychiatric nursing. These included technical skills for managing telehealth platforms, clinical skills adapted for the virtual environment, communication skills for remote patient engagement, cultural sensitivity to deliver equitable care, ethical considerations to navigate confidentiality and privacy in telehealth settings, and administrative proficiency. Despite the recognized importance of these competencies, a gap in formal education and training on telehealth within psychiatric nursing curricula was evident.
Conclusions: To harness the full potential of telehealth in psychiatric nursing, standardized competency frameworks must be developed and integrated into PMH-APRN curricula. Policymakers and healthcare institutions should collaborate to implement these frameworks and support ongoing professional development in telehealth competencies. Addressing the educational gap in telehealth can significantly enhance the accessibility, efficiency, and quality of mental health services.
References
2. Galpin, K., Sikka, N., King, S. L., Horvath, K. A., Shipman, S. A., & AAMC Telehealth Advisory Committee. (2021). Expert consensus: Telehealth skills for health care professionals. Telemedicine and e-Health, 27(7), 820-824. https://doi.org/10.1089/tmj.2020.0359
3. Hilty, D. M., Gentry, M. T., McKean, A. J., Cowan, K. E., Lim, R. F., & Lu, F. G. (2021). Telehealth for rural diverse populations: Telebehavioral and cultural competencies, clinical outcomes and administrative approaches. Mhealth, 6. https://doi.org/10.21037/mhealth. 2020.02.03
4. Hilty, D. M., Maheu, M. M., Drude, K. P., & Hertlein, K. M. (2018). The need to implement and evaluate telehealth competency frameworks to ensure quality care across behavioral health professions. Academic Psychiatry, 42(6), 818-824.
5. Hilty, D. M., Sunderji, N., Suo, S., Chan, S., & McCarron, R. M. (2018). Telepsychiatry and other technologies for integrated care: evidence base, best practice models and competencies. International Review of Psychiatry, 30(6), 292-309.
6. Johnson, D. S., Ling, A., & Melino, K. (2020). Exploring readiness for teleprecepting in psychiatric mental health nurse practitioner training. Journal of the American Psychiatric Nurses Association, 26(5), 470-475. https://doi.org/10.1177/1078390320948127
7. McClellan, M. J., Florell, D., Palmer, J., & Kidder, C. (2020). Clinician telehealth attitudes in a rural community mental health center setting. Journal of Rural Mental Health, 44(1), 62-72. https://doi.org/10.1037/rmh0000132
8. Sasangohar, F., Bradshaw, M. R., Carlson, M. M., Flack, J. N., Fowler, J. C., Freeland, D., ... & Madan, A. (2020). Adapting an outpatient psychiatric clinic to telehealth during the COVID-19 pandemic: A practice perspective. Journal of Medical Internet Research, 22(10), e22523. https://doi.org/10.2196/22523
9. Smith, T. S., Watts, P., & Moss, J. A. (2018). Using simulation to teach telehealth nursing competencies. Journal of Nursing Education, 57(10), 624-627.