The challenges of mental health care reform for contemporary mental health nursing practice: delivery of nursing care.
This ethnographic account of mental health nursing in a 22-bed acute inpatient facility in New South Wales, Australia, uncovered cultural meaning and cultural realities associated with the delivery of nursing care within the context of current challenges, demands, and influences brought about by service reforms. The findings demonstrate that mental health nurses have been responsive to changes brought about by the reforms. The ability of nurses to readily identify service gaps in their everyday practice provides them with the opportunity to develop strategies to respond to workplace challenges. As such, findings of the study contribute to current discussions concerning acute inpatient mental health nursing practice.
Cleary
Michelle
M
Central Sydney Area Mental Health Service, New South Wales, Australia. mcleary@roz.cs.nsw.gov.au
D000208:Acute Disease; D000884:Anthropology, Cultural; D001291:Attitude of Health Personnel; D003695:Delivery of Health Care / Q000458:organization & administration; D017144:Focus Groups; D018166:Health Care Reform / Q000458:organization & administration*; D006291:Health Policy; D006301:Health Services Needs and Demand; D006801:Humans; D007400:Interprofessional Relations; D001523:Mental Disorders / Q000451:nursing; D008605:Mental Health Services / Q000458:organization & administration; D009313:National Health Programs / Q000458:organization & administration; D009517:New South Wales; D024802:Nurse's Role / Q000523:psychology; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000458:organization & administration / Q000523:psychology; D009936:Organizational Innovation; D010351:Patient Discharge; D011209:Power, Psychological; D011361:Professional Competence; D011568:Psychiatric Nursing / Q000458:organization & administration*; D012944:Social Support; D011795:Surveys and Questionnaires; D016526:Workload