title: A follow-up evaluation of the impact of the Chief Nursing Officer's review of mental health nursing in Mental Health Trusts and Universities in England: comparisons of two e-surveys.
abstract: OBJECTIVE
  This article is a report of a study that aimed to establish a national picture of the implementation of Review recommendations over time in both Mental Health Trusts and Higher Education Institutions (Universities) in England.
  
  
  BACKGROUND
  The 2006 Review of Mental Health Nursing in England by the Chief Nursing Officer made 17 key recommendations for Mental Health Trusts and Universities to improve mental health nursing. This article outlines key findings from a national survey of National Health Service Trusts and Universities in England with regard to prioritization and progress on implementation of these recommendations.
  
  
  METHODS
  An e-survey was carried out in 2008-2009 based on the Chief Nursing Officer review recommendations and guidance. Participants included all Trusts which delivered mental health services (n = 68) and Universities which delivered pre-registration mental health nursing education (n = 50) in England.
  
  
  RESULTS
  There appears to be some evidence that the Chief Nursing Officer review of Mental Health Nursing in England continues to be implemented in both Mental Health Trusts and Universities. There is variety in levels of implementation, but Mental Health Trusts and Universities broadly agree on priority areas.
  
  
  CONCLUSIONS
  The Chief Nursing Officer review has been influential in focusing the care and education of mental health nurses and services in England. There appears to be a range of barriers and facilitators which aid the implementation of healthcare policy. More attention is required from researchers to enhance and evaluate the impact of policy implementation on the quality of care provided.
authors: The University of Manchester, UK. john.a.baker@manchester.ac.uk
authors: John
authors: J
authors: Baker
authors: Caroline
authors: C
authors: Swarbrick
authors: Malcolm
authors: M
authors: Campbell
authors: John
authors: J
authors: Playle
authors: Karina
authors: K
authors: Lovell
mesh_terms: D003479:Curriculum; D004506:Education, Nursing / Q000458:organization & administration* / Q000592:standards; D004739:England; D005500:Follow-Up Studies; D019538:Health Care Surveys; D006801:Humans; D020407:Internet; D008605:Mental Health Services / Q000458:organization & administration* / Q000592:standards; D009936:Organizational Innovation; D016134:Organizational Policy; D017410:Practice Guidelines as Topic; D015397:Program Evaluation; D011568:Psychiatric Nursing / Q000193:education* / Q000458:organization & administration / Q000592:standards; D011787:Quality of Health Care; D013222:State Medicine; D014495:Universities / Q000458:organization & administration* / Q000592:standards