The Importance Of A Psychiatric Milieu In Inpatient Settings
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The patient experience, or patient satisfaction, is becoming one of the most important measures that healthcare systems look at when they are judging the efficiency and effectiveness of the services being provided. Mental health services are no different, and in fact, it could be argued that providers of mental health care have to work harder to ensure an exemplary patient experience. The cornerstone of psychiatric nursing is the therapeutic use of self and the development of relationships and structured programming. Patients still expect this as a part of their inpatient treatment and care, therefore, the focus of the Capstone Project was to create a structured and therapeutic program that included nurse led groups. Involving nurses in groups, created an environment in which they felt more engaged with the patients, and had more autonomy in their practice. An increase in nurse engagement has had a direct correlation with an increase in the patient experience and overall patient satisfaction on an inpatient geriatric psychiatry unit. The modernization of psychiatric medicine and managed care mandates on length of stay, have impeded the nurses ability to effectively meet these expectations. If mental health nurses are going to be successful in meeting modern patient expectations, then they will require ongoing support and training from their nursing leaders and hospital administration. This data will drive nursing practice in inpatient mental health settings in the 21st century.
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