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Psychiatric-mental health nursing: career characteristics, professional activities, and client attributes of members of the American Nurses Association Council of Psychiatric Nurses.

As the twenty-first century approaches, psychiatric nursing is reviewing its past and speculating about its future. This article reports on the current status of 525 psychiatric-mental health nurses. The nurses responded to a questionnaire designed to elicit information on career characteristics, professional activities, and client attributes. The nurses work primarily in acute care institutions or hospitals. The typical client is white, middle class, and adult. The focus of care in mental health is moving to the community. If psychiatric nurses want a viable role in the mental health system of the future, they must begin to develop a system of care for at-risk populations in the community now.

Career Mobility↗

[Correlations of the quality of nursing care. The relations between the quality of nursing care on the one side and stress experience, patient satisfaction and the nurse's satisfaction on the other side].

For different reasons interest for the subject 'quality of care' has increased the last couple of years. One of those reasons is a greater emancipation of the patient, who, just like the insurers, will ask for quality guarantees in the future healthcare system. In this context the relation between the quality of the nursing care (process-variable of the quality of care) and perceived stress and satisfaction of patients and the satisfaction of nurses with their work (outcome-variables) has been investigated. In this investigation a positive relationship has been found between the coordination of care (a dimension of the nursing care quality) and the stress experienced by patients. Also a positive relationship between two dimensions of the nursing care quality (the instrumental and expressive dimensions) and the satisfaction of patients has been found. Finally it is indicated that a negative relationship exists between the instrumental-technical dimension and the satisfaction of nurses.

Adult↗