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The problem description summary

 The problem description summary

Psychiatric and mental health nursing deals with the care of the patients with emotional and mental health problems that include and not limited to depression, anxiety, mood disorders, addictions, and stress and various developmental disorders (Phillips, 2016). In this case, the nursing professionals play a significant role in offering both nursing and medical care to the individuals, groups, communities, and even families to promote emotional and mental health. The primary problem experienced in a psychiatric nursing workplace setting is the patient violence that significantly affects the quality of care given and the nursing management outcome (Phillips, 2016). The patient violence particularly occurs in the acute setting of the psychiatric facilities and is believed to result from the nature of the patient condition. This problem remains a global concern and mainly affects the nurses because they remain the primary care givers in the psychiatric facilities and have long hours exposed to the mentally ill patients. A research conducted by Phillips (2016), indicates that over 20%of all psychiatric patients possess violent behavior in a variety of ways ranging from verbal to physical abuse. Various triggers are believed to precipitate the violent behavior and hence proper training, administration, policy making, and proper practice development remain pillars of early detection and prevention of patient violence (Phillips, 2016).

Betty Neuman’s systems model

Middle range theories are highly useful in addressing various nursing problems especially the vulnerable groups, families, or even individuals. In this case, the Betty Neuman’s system model gives a comprehensive system based and holistic approach to nursing with an element of flexibility. This theory primarily focuses on the patient’s response to the existing potential environmental stressors and the utilization of the primary, secondary and the tertiary nursing prevention interventions for maintenance of patient system wellness (Neuman & Fawcett, 2002).

The Neuman’s system theory has various assumptions to put into consideration in its application. The model assumes that a patient system is a unique with composite factors, existence of many universal stressors influencing the patient system stability, each patient has range of responses to the environment, and the interrelations of the patient with care givers at any time can affect the degree to which the client is protected (Neuman & Fawcett, 2002). The model also assumes that the client remains a dynamic system of interrelationships of the existing variables in either state of wellness or illness. In addition, a secondary prevention relates to the symptoms following a behavior or even a reaction and appropriate measuring of the priorities of the intervention and the treatment offered reduces their bad or noxious effects. The primary concepts applied in this model include a person, health, environment, and nursing. This model is highly useful in my identified problem of patient violence in the psychiatric facilities. In this case, the systematic nature of this theory can help the nursing team to do thorough patient management and help reduce the cases of mentally ill patient’s violence against nurses (Neuman & Fawcett, 2002).

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