Exploring the expanded practice roles of community mental health nurses.
Significant changes to the delivery of mental health services have resulted in the expansion of the community mental health nursing role. This qualitative study was undertaken to explore the extent to which community mental health nurses are currently engaged in expanded forms of practice. Focus groups were undertaken with community mental health nurses (n = 27) from metropolitan and rural Victoria, Australia. Thematic analysis identified the following major themes: reported practice, consumers as beneficiaries of expanded practice, risk of harm and litigation, and barriers to expanded practice. The findings emphasize the need for significant changes in current legislation if expanded practice for nurses is to become a reality.
Elsom
Stephen
S
School of Nursing, The University of Melbourne, Carlton, Victoria, Australia.
Happell
Brenda
B
Manias
Elizabeth
E
D000328:Adult; D001291:Attitude of Health Personnel; D003152:Community Health Nursing / Q000193:education / Q000458:organization & administration*; D003156:Community Mental Health Services / Q000458:organization & administration; D011307:Drug Prescriptions / Q000451:nursing; D005194:Family Practice / Q000458:organization & administration; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D016365:Liability, Legal; D019300:Medical Errors / Q000331:legislation & jurisprudence / Q000451:nursing / Q000517:prevention & control; D008875:Middle Aged; D009720:Nurse Clinicians / Q000193:education / Q000458:organization & administration / Q000523:psychology; D009722:Nurse Practitioners / Q000193:education / Q000458:organization & administration / Q000523:psychology*; D024802:Nurse's Role / Q000523:psychology*; D015404:Nursing Methodology Research; D019555:Physician-Nurse Relations; D017009:Professional Autonomy; D011361:Professional Competence; D011568:Psychiatric Nursing / Q000193:education / Q000458:organization & administration*; D036301:Qualitative Research; D020377:Self Efficacy; D014739:Victoria