Nurses' Perceptions on the Role of Advanced Psychiatric Nurses in Mental Health Care: An Integrative Review

Abstract: Background/Objectives: Advanced psychiatric nurses’ clinical skills and expertise are increasingly challenging registered nurses in mental health. Understanding registered nurses' perceptions on the role of advanced psychiatric nurses is vital for improving mental health care delivery and fostering collaboration for effective patient outcomes. This integrative review aims to explore how registered nurses perceive the role of advanced psychiatric nurses, their competencies, and how they interact with them in practice. Methods: An integrative review methodology was used to synthesize the existing literature following PRISMA guidelines. Both qualitative and quantitative studies to provide a comprehensive understanding of the registered nurses’ perceptions regarding the role of advanced psychiatric nurses in mental health nursing. Results: Several key themes emerged from studies included in the review including recognition of expertise, role ambiguity and boundaries, and the need for structured education and training. Conclusions: The review highlights the need to clarify roles, and communication is essential for improving collaboration, team cohesion, and patient outcomes while promoting interprofessional education to optimize mental health care. In addition, bridging the knowledge gap or the discrepancy between registered nurses and advanced psychiatric nurses. What registered nurses know and what they need to know to perform tasks will improve the quality of mental health care and optimize services for individuals with mental health needs.