title: Role diversification in the education of advanced practice psychiatric nurses.
abstract: The mode, location, and focus of health care services are changing rapidly, especially delivery of psychiatric services. The high prevalence of psychiatric and medical comorbidity, the national shift in health care to a managed care arrangement with one professional designated as principle provider, and problems with access to comprehensive services for individuals with psychiatric problems interact to create a compelling need for a clear definition of advanced psychiatric-mental health nursing practice. This article is, in part, a response to the national dialogue and debate sparked by the beginning development of a psychiatric nurse practitioner certification exam. However, this debate will be used merely as a starting point to articulate and document the need for a flexible, diverse, and evolving definition of advanced psychiatric-mental health nursing practice that can inform and shape educational programs in the discipline.
authors.affiliation: Yale University School of Nursing, Yale University, New Haven, CT, 06536 USA.
authors.forename: J V
authors.initials: JV
authors.lastname: Pasacreta
authors.forename: P A
authors.initials: PA
authors.lastname: Minarik
authors.forename: J
authors.initials: J
authors.lastname: Cataldo
authors.forename: B
authors.initials: B
authors.lastname: Muller
authors.forename: L
authors.initials: L
authors.lastname: Scahill
mesh_terms: D003237:Connecticut; D003479:Curriculum; D003695:Delivery of Health Care; D004511:Education, Nursing, Graduate; D006801:Humans; D009722:Nurse Practitioners / Q000193:education*; D011568:Psychiatric Nursing / Q000193:education*