Following the closure of the large psychiatric institutions in New Zealand, there is an increasing demand for limited beds in acute inpatient facilities for acutely mentally ill patients. This change in location and downsizing of acute inpatient beds has challenged traditional roles of mental health nursing, resulting in confusion over what roles mental health nurses should now perform in the new context of care. This study compared the perceptions that registered psychiatric nurses have of their roles with their actual practice. This qualitative descriptive exploratory study observed nursing practice on three selected wards and used focus group interviews to establish from registered nurses what they perceived their roles to be. A key finding of this study was that many of the nursing roles related to delivering care from a crisis management perspective, which covers aspects such as assessment, stabilization of symptoms and discharge planning. Participants also believed that the therapeutic relationship was a fundamental role in inpatient care. Nurses used any opportunity to make it a reality such as kitchen organization, medications, or dealing with a challenging patient. This study highlighted the complexity of the roles that nurses performed and went some way to give voice to what at times seems an invisible practice.
Sustainable development depends on coherence between the development policies of recipients and the providers of development assistance. Yet achieving coherence is difficult. This paper examines the extent to which the Policy Coherence for Development movement offers guidelines for aligning national development priorities with global development priorities. This qualitative paper focuses on alignment between South Africa's National Development and its Medium‐Term Strategic Frameworks and the 2030 Agenda and its Sustainable Development Goals. Based on an analysis of policy documents and peer‐reviewed research on the Policy Coherence for Development movement, it is argued that five guidelines might be of relevance for South Africa, namely (i) prioritizing political buy‐in, (ii) safeguarding country ownership of development priorities, (iii) using and improving existing institutional structures and processes, (iv) stimulating cooperation across government departments by using an issue‐based approach and (v) including a long‐term and transnational perspective when considering policy impacts.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.