Developing Integrated Care Pathways in Mental Health: The Critical Success Factors

Wakefield, Susan; Peet, Malcolm

doi:10.1177/147322970300700107

Cited by 6 publications

(6 citation statements)

References 2 publications

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“…Phlebotomy training is also provided to the nurse. An ICP is a multi‐professional plan of care that details each step in the management of a specific condition or treatment (Wakefield & Peet 2003). The pathway forms the clinical documentation in which each step is signed off by the relevant professional.…”

Section: Resultsmentioning

confidence: 99%

Nurse prescribing in specialist mental health (Part 1): the views and experiences of practising and non‐practising nurse prescribers and service users

Earle

Taylor²,

Peet³

et al. 2011

Psychiatric Ment Health Nurs

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Non-medical prescribing is a relatively new competency that appears to benefit both service users and health professionals alike. However, little is known about its use in mental health settings. This single case study in one UK National Health Service (NHS) Trust aimed to look at these views and consider how the role can be developed further in light of this. Six service users and two nurses trained in nurse prescribing were individually interviewed. One trained nurse had been prescribing for the last 3 years; the other was trained but had never practised. Service users reported that nurse prescribing was more convenient and less anxiety provoking, an issue of particular importance for optimizing mental health services. Offering choice was deemed important; however, for some service users, information about why medication may be beneficial was highlighted as an unmet need in the prescribing process. The practising nurse prescriber described her experiences and credited a good structure of supervision and support from the team. Reasons why trained nurse prescribers may not be practising are discussed, with suggestions for future developments and guidance. This competence appears to work well in a mental health setting when conducted in a supported and structured way.

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Section: Resultsmentioning

confidence: 99%

Nurse prescribing in specialist mental health (Part 1): the views and experiences of practising and non‐practising nurse prescribers and service users

Earle

Taylor²,

Peet³

et al. 2011

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

show abstract

“…The development and use of an ICP has proven highly effective in this case study. An ICP is a multi‐professional plan of care that details each step in the management of a specific condition or treatment (Wakefield & Peet 2003). The pathway forms the clinical documentation in which each step is signed off by the relevant professional.…”

Section: Discussionmentioning

confidence: 99%

Nurse prescribing in specialist mental health (part 2): the views and experiences of psychiatrists and health professionals

Earle¹,

Taylor²,

Peet³

et al. 2011

Journal of Psychiatric and Mental Health Nursing

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The establishment of working relationships between nurse prescribers and other health professionals, particularly psychiatrists offering supervision, can be a rewarding one. However there remains little guidance in terms of how this can be achieved and the opinions of those from different disciplines in specialist mental health teams. This study aims to look at the views and experiences of psychiatrists and other mental health professionals regarding nurse prescribing. Nine health professionals from a multidisciplinary mental health team attended a focus group; and two psychiatrists were interviewed, both with varying degrees of supervision experience. Psychiatrists reported concerns about prescribing in terms of themselves needing better support and communication, and perhaps having an involvement in the selection process. Nonetheless, the psychiatrist who had experience of supervision reported that this was highly positive. Overall, health professionals stated that nurse prescribing enhanced team working; however, most had limited knowledge about the role. Further training for teams, and the establishment of a good supervisory relationship and an agreed working structure are required to fully integrate this competency into specialist mental health services.

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“…The care pathway is usually encompassed in one complete document, that covers the service user's journey through the service. Care pathways detail the care and treatment that is going to be provided and thereby facilitate user information and education (Wakefield & Peet 2003). As pathways define the expected care and treatment that will be given, there will be times when the care and treatment given to the service user differs from the pathway.…”

Section: Background To Care Pathwaysmentioning

confidence: 99%

Language, therapeutic relationships and individualized care: addressing these issues in mental health care pathways

Rayner

2005

Psychiatric Ment Health Nurs

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Care pathways are used extensively in inpatient medical and surgical services to facilitate the delivery of evidence-based health care. There is a growing interest in their use in the mental health arena. However, questions remain about their acceptability to service users and staff. Most current literature is aimed at communicating the value of care pathways. Consequently, issues that are particularly pertinent to mental health, like language, therapeutic relationships and individualized care have not been fully addressed. This paper reports on the development of a care pathway in residential services in Nottingham. It will illustrate how by working in multidisciplinary groups with service users and carers these issues were incorporated into a comprehensive pathway that follows the service user's journey from admission to discharge. The paper concludes by highlighting some of the challenges of care pathway implementation and suggests ways they can be overcome.

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Developing Integrated Care Pathways in Mental Health: The Critical Success Factors

Cited by 6 publications

References 2 publications

Nurse prescribing in specialist mental health (Part 1): the views and experiences of practising and non‐practising nurse prescribers and service users

Nurse prescribing in specialist mental health (Part 1): the views and experiences of practising and non‐practising nurse prescribers and service users

Nurse prescribing in specialist mental health (part 2): the views and experiences of psychiatrists and health professionals

Language, therapeutic relationships and individualized care: addressing these issues in mental health care pathways

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