title: Informal role expansion in Australian mental health nursing.
abstract: OBJECTIVE
  This study aims to determine the extent to which community mental health nurses are currently practicing beyond the traditional scope of nursing practice.
  
  
  METHODS
  A self-administered questionnaire was distributed to community mental health nurses in Victoria, Australia.
  
  
  RESULTS
  The majority of participants reported routine involvement in practices that would normally be considered beyond the scope of nursing practice, such as prescribing, ordering diagnostic tests, and referral to specialists.
  
  
  CONCLUSIONS
  The extent to which the current mental health service system is dependent upon nurses transgressing professional and legal boundaries warrants further study. Psychiatrists and community mental health nurses need to work collaboratively to understand their respective knowledge and skills and to be clear about how they take responsibility for client care.
authors.affiliation: Centre for Psychiatric Nursing, University of Melbourne, Carlton, Victoria, Australia. sjelsom@unimelb.edu.au
authors.forename: Stephen
authors.initials: S
authors.lastname: Elsom
authors.forename: Brenda
authors.initials: B
authors.lastname: Happell
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Manias
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003155:Community Mental Health Centers; D003299:Cooperative Behavior; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000451:nursing; D008875:Middle Aged; D024802:Nurse's Role; D019555:Physician-Nurse Relations; D055656:Prescriptions / Q000451:nursing; D011364:Professional Practice; D011568:Psychiatric Nursing; D011619:Psychotropic Drugs / Q000008:administration & dosage; D011795:Surveys and Questionnaires; D014739:Victoria; D055815:Young Adult
chemical_list: D011619:Psychotropic Drugs