Responsibility as professional leadership and decision making: Interviews with non-medical Responsible Clinicians

Oates, Jennifer; Burrell, Carole; Ebrahim, Selma; Taylor, John L.; Veitch, Paul; Brandon, Toby

doi:10.1016/j.ijlp.2020.101575

Cited by 4 publications

(3 citation statements)

References 13 publications

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“…This is in accordance with responsibility as responsiveness, namely the ability to respond and not be indifferent (Presbitero, 2021) (Cechin et al, 2021). responsibility includes awareness of the risks that arise from responding to community needs so as to create a program as a form of service to the community in accordance with applicable standards (Oates et al, 2020) (Pérez & Del Bosque, 2015).…”

Section: Responsibilitymentioning

confidence: 89%

Makassar City Government Performance in Handling Cases of Sexual Violance Against Children

Rahman

Rijal²,

Askar³

et al. 2022

Sosiohumaniora

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This study aims to find out how the performance of the Regional Technical Implementation Unit for the Protection of Women and Children in handling cases of sexual violence against children in Makassar City, besides that this study will also describe how to handle sexual violence around the world. The research method used is a descriptive method using a qualitative approach with data collection techniques through observation, interviews, and documentation. Data analysis uses miles, huberman, and saldana models consisting of data condensation, data presentation and inference. Performance as a public bureaucracy is supported by human resources from various fields so as to be able to develop programs that support organizational performance that cannot be separated from sops based on security guarantees

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Section: Responsibilitymentioning

confidence: 89%

Makassar City Government Performance in Handling Cases of Sexual Violance Against Children

Rahman

Rijal²,

Askar³

et al. 2022

Sosiohumaniora

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“…This paper presents an analysis derived from the higher order theme of 'becoming a Responsible Clinician'. Another higher order theme ('responsibility and power') has been discussed in a previous publication (Oates et al, 2020).…”

Section: Methodsmentioning

confidence: 98%

Implications for mental health workforce strategy, professional training and supervision of more widespread adoption of the multi-professional Responsible Clinician role: Results of a qualitative inquiry

Oates

Burrell

Ebrahim

et al. 2021

International Journal of Law and Psychiatry

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“…argue that if this role is to be extended to more NHS trusts, then role-specific support and supervision arrangements should be in place as part of an overall workforce strategy.The introduction of the Responsible Clinician role was historically and symbolically important in that it allowed, for the first time, nursing and other professional staff to take the lead clinical role for patients detained under mental health law. A study based on interviews with non-medical RCs has suggested that consultant nurses and psychologists who do take on this role may use this an opportunity to influence service developments more widely(Oates et al, 2020). However, since consultant psychiatrists can all act as responsible clinicians and all mental health wards have consultant psychiatrist input, then this almost invariably results in the default position of a psychiatrist becoming the responsible clinician on each ward, as demonstrated by the low level of non-medical responsible clinicians identified in surveys.…”

mentioning

confidence: 99%

Analysis of changes in the national mental health nursing workforce in England, 2011–2021

Brimblecombe

2023

Psychiatric Ment Health Nurs

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Accessible SummaryWhat is known on the subject? Nurses work in mental health services around the world, constituting the largest professional group. Nurses have been identified as being potentially able to carry out a much wider range of functions than are typically allowed in practice, when provided with suitable training. There are long‐term concerns regarding shortages of mental health nurses in England and many other countries. Workforce data is rarely subject to analysis in peer‐reviewed journals. What the paper adds to existing knowledge? This paper provides a case study of the workforce patterns of a national mental health nurse (MHN) workforce overtime allowing comparison with other countries and specialities. MHN numbers reduced from 2011 to 2017, then increased to near the 2011 level by 2021, not meeting ambitious national plans for increasing numbers. The mental health nursing proportion of the total NHS nursing workforce decreased through this period. Advanced practice roles and skills are widely, but unevenly, distributed and are provided by a small proportion of nurses. The proportion of nurses working in community settings has increased to constitute more than half of all nurses for the first time. The ratio of support workers to nurses increased in inpatient settings and will continue to change. What are the implications for practice? Historical challenges in recruiting MHNs suggest that future plans to expand the profession are overly optimistic. To support the development of advanced practice roles and new skill sets, clearer research evidence of impact is required and clearer national guidance regarding best practice models. Good workforce data are essential to inform good workforce planning. AbstractIntroductionData regarding changes in characteristics of the MHN workforce is commonly cited in governmental publications, but is rarely analysed in peer‐reviewed journals, despite ongoing concerns regarding high vacancy rates within mental health services.AimThe aim of the study was to characterize changes in the MHN workforce, implementation of new nursing roles/skills and alignment with national policy.MethodAnalysis of nationally published workforce data, peer‐reviewed publications and governmental policy/planning documents.ResultsNurse numbers declined from 2011 to 2017, subsequently returning to near 2011 levels, but remaining below national targets. Nurses in community settings increased to constitute more than half of all nurses, whilst inpatient numbers declined, although more slowly than bed numbers. The ratio between nurses and support workers changed due to more support workers in inpatient settings. New advanced skills and roles for nurses have increased, but are unevenly distributed, constituting a small proportion of the total workforce.Implications for PracticeThis paper provides a case study against which comparisons may be made with the nursing workforce in other countries and specialities. Even clear policy commitment to nursing growth may not deliver planned changes in numbers and introducing new roles may have uneven impact, especially in the absence of a robust evidence base.

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Responsibility as professional leadership and decision making: Interviews with non-medical Responsible Clinicians

Cited by 4 publications

References 13 publications

Makassar City Government Performance in Handling Cases of Sexual Violance Against Children

Makassar City Government Performance in Handling Cases of Sexual Violance Against Children

Implications for mental health workforce strategy, professional training and supervision of more widespread adoption of the multi-professional Responsible Clinician role: Results of a qualitative inquiry

Analysis of changes in the national mental health nursing workforce in England, 2011–2021

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