Maryland’s Psychiatric Bed Crisis: Community Care First — But Not Community Care Only
By Michael Phillips | MDBayNews
For decades, mental health policy in America has been framed as a false choice:“Bring back the asylums” vs. “Keep everyone in the community.”
That’s the wrong debate.
Modern psychiatric hospitals are not 19th-century asylums. They are short-term stabilization units designed to prevent suicide, treat acute psychosis, and manage crisis. They operate under strict…
Trends in health care suggest changes in nursing practice and implications for nursing education. Changing demographics, emphasis on health promotion, health care costs, movement toward community based care, and expanding technology are factors that shape the health care system of the future and educational preparation of nurses. This article examines these trends and implications for nursing education. Faculty are faced with preparing students for future practice that will be more complex and specialized than it now is will be provided in multiple settings and will require extensive knowledge, critical thinking and other cognitive skills, technologic and psychomotor skills, and a valve system for making ethical decisions. Other outcomes of nursing education program include learning to learn, handling ambiguity, thinking like a professional, and accepting responsibility for decisions made in practice. For nursing to assume a central role in the health care system of tomorrow, reform in nursing education is needed today.