The clinical skills of community psychiatric nurses working with patients who have severe and enduring mental health problems: an empirical analysis

Devane, Sheila; Haddock, Gillian; Lancashire, Stuart; Baguley, Ian; Butterworth, Tony; Tarrier, Nicholas; James, Abigail; Molyneux, Phillip

doi:10.1046/j.1365-2648.1998.00516.x

Cited by 27 publications

(27 citation statements)

References 15 publications

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“…It may simply be that travelling around congested cities is perceived as far more time‐consuming and tiring than on less busy roads. The study supports the work of Devane et al . (1998) which concludes that more accurate information is required about what proportion of time community staff spend with clients and travelling between clients.…”

Section: Discussionsupporting

confidence: 93%

“…(1997) and Jackson & Stevenson (2000) remark that although professional groups may find themselves vulnerable during times of transition, there are currently unprecedented opportunities for nurses as their role is a nurturing one and central to mental health care. Devane et al . (1998) note that more research is needed into what CMHNs are currently doing and looking at the contexts in which they work.…”

Section: Literature Reviewmentioning

confidence: 99%

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A comparison of the work and values of community mental health nurses in two mental health NHS Trusts

Nolan

Haque

Bourke

et al. 2004

Psychiatric Ment Health Nurs

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With the reconfiguration of health services in both the primary and secondary sectors, the role of community mental health nurses (CMHNs) has become a highly contested one within mental health care. There would be great variability in the skills that CMHNs possess, the contexts in which they work and the nature of the work they do. This study sought to explore aspects of the work of those nurses who provide services at the interface between policy and practice. Two groups of CMHNs were compared, one working in an urban setting (Trust A) and the other in a rural (Trust B), focusing particularly on caseloads and client mix, the values held by CMHNs, the models of care they utilize and what they consider would improve care in the future. A specially designed 39-item questionnaire was employed, with a mix of open and closed questions, and statements to which participants were asked to respond on a three-point Likert scale. The findings raised interesting issues around collaborative working, whether CMHNs are happy to take on clients previously on their caseload, bureaucratization, autonomy, role definition within a culture of working with primary care, lack of specific models utilized by CMHNs, and the demand for greater training and educational support. The implications of the study are discussed with the aim of assisting mental health nurses determine their future roles.

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Section: Discussionsupporting

confidence: 93%

Section: Literature Reviewmentioning

confidence: 99%

A comparison of the work and values of community mental health nurses in two mental health NHS Trusts

Nolan

Haque

Bourke

et al. 2004

Psychiatric Ment Health Nurs

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“…These findings support Hopton's (1997) conclusion that nurses require a stronger ideological base to support their claims to therapeutic efficacy. They also support Devane et al . (1998), who exposed considerable variation in the skills base of mental health nurses.…”

Section: Discussionsupporting

confidence: 88%

“…Devane et al . (1998) found great variability in the skills to which mental health nurses lay claim, and noted that although they relate well to clients, they are poor at providing feedback to them and making explicit their agendas, and do not collaborate with other healthcare personnel.…”

Section: Literature Reviewmentioning

confidence: 99%

The work and values of mental health nurses observed

Haque

Nolan

Dyke

et al. 2002

Psychiatric Ment Health Nurs

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While there is agreement among stakeholders that change is required in mental healthcare, yet the precise nature of this change and how it should be brought about are relatively under-explored. Research has looked at developments taking place in primary mental health services, but relatively little has examined the work of community mental health nurses (CMHNs), especially those working at the interface between primary and secondary care. This study used a 39-item questionnaire to explore how CMHNs perceive their role and the degree to which they are able to carry it out. The findings suggests that while CMHNs are enthusiastic about their work and are keen to see mental health services develop in primary care, many are concerned about how they are perceived by other health personnel, deficiencies in their therapeutic skills and the level of support they currently receive. The study concludes by suggesting areas that managers, commissioners and educators should target to enable CMHNs to continue to play their part in a service that relies heavily upon them.

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“…1999). Another study reported the need for CPNs to acquire more specific cognitive therapy technical skills, hence suggesting the need for training in that area (Devane et al . 1998).…”

Section: Discussionmentioning

confidence: 99%

Communication and information needs of a random sample of community psychiatric nurses in the United Kingdom

Fakhoury

Wright

2000

Journal of Advanced Nursing

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This paper reports on a cross-sectional survey investigating communication and information needs of community psychiatric nurses attached to community mental health teams in the United Kingdom. Community psychiatric nurses' access to and communication with other professionals was also assessed. In total, 200 teams were randomly sampled UK-wide, and postal questionnaires were sent to community psychiatric nurses attached to these teams; 110 questionnaires were completed and returned (55% response rate). Spearman's rho, Pearson's correlation and the chi-square test were used in bivariate analyses and multiple logistic regression in multivariate analysis. Participants reported to be mainly in contact with psychiatrists (71%) and other community psychiatric nurses (52%). Eighty-four per cent and 91% reported psychiatrists and community psychiatric nurses, respectively, to be quite/extremely helpful when consulted; the proportions were lower for general practitioners and counsellors/therapists (32% and 31%, respectively). All reported lack of time and 84% reported communication problems with other professionals as barriers to their work. Although 70% reported having the necessary training/skills for managing severe cases, 76% indicated they had information needs. Being a long-serving community psychiatric nurse (OR = 4.51, 95% CI = 1.06-19.20), perceiving the discussion of cases with other professionals as less helpful (OR = 4.82, 95% CI = 1.16-20.01), being mainly in contact with other CPNs (OR= 6.72, 95% CI= 1.21-37.15), reporting not having the necessary training/skills (OR = 7.78, 95% CI = 1.37-44.25), and wanting information on mental health law (OR= 12.27, 95% CI = 1.75-86.36) were significant predictors of having information needs. This survey provided valuable information on problems facing these nurses and highlighted the need for training and for easier access to and increased communication with other professionals.

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The clinical skills of community psychiatric nurses working with patients who have severe and enduring mental health problems: an empirical analysis

Cited by 27 publications

References 15 publications

A comparison of the work and values of community mental health nurses in two mental health NHS Trusts

A comparison of the work and values of community mental health nurses in two mental health NHS Trusts

The work and values of mental health nurses observed

Communication and information needs of a random sample of community psychiatric nurses in the United Kingdom

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