The changing relationship between mental health nurses and psychiatrists in the United Kingdom

Brimblecombe, Neil

doi:10.1111/j.1365-2648.2004.03298.x

Cited by 20 publications

(18 citation statements)

References 35 publications

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“…(2005) found that Directors of Nursing considered psychiatrists to be generally positive about supplementary prescribing, even though they had concerns about their ability to be effective nurse mentors. Brimblecombe (2004) argued that the relationships between psychiatrists and nurses have undergone multiple changes over the last four decades and changed beyond recognition since the late 19th century (Nolan 1993). The power once vested in psychiatrists is now dispersed among other disciplines and agencies.…”

Section: Literaturementioning

confidence: 99%

Survey of psychiatrists' views of nurse prescribing

Rana¹,

Bradley

Nolan³

2009

Psychiatric Ment Health Nurs

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For mental health nurses and service users to realize the benefits of non-medical prescribing, psychiatrists need to understand the remit of this role and be actively involved in influencing it. Although healthcare policy in the UK supports the expansion of non-medical prescribing, it requires much more for the successful implementation of such initiatives in practice. The aim of this survey was to explore the attitudes of all grades of psychiatrist working in two mental health trusts in the West Midlands to nurse prescribing. A specifically designed questionnaire was sent out to two groups of psychiatrists to assess their attitudes towards non-medical prescribing. Psychiatrists (n = 147) completed and returned a specifically designed questionnaire of their views. The more senior doctors appeared less concerned about nurse prescribing. Junior doctors expressed equivocation towards the role, suggesting that nurse prescribers be consistently supervised and have limited access to mental health drugs. The findings from this study have considerable implications for teams if junior doctors hold different views to their senior colleagues. Without the assistance of trusts in facilitating role change, the introduction of new roles could potentially heighten conflict between professions.

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Section: Literaturementioning

confidence: 99%

Survey of psychiatrists' views of nurse prescribing

Rana¹,

Bradley

Nolan³

2009

Psychiatric Ment Health Nurs

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“…The result is the ‘legitimate’ control of large groups of staff by a small group of people. In psychiatry, this controlling hierarchy also reinforces other unhealthy historical qualities that we find hard to leave behind, such as remnants of the total institution and a paternalistic value system (Goffman 1968; Brimblecombe 2005). In addition, there is the blame culture, Benson et al .…”

Section: Discussionmentioning

confidence: 96%

Reflections on the process of change on acute psychiatric wards during the City Nurse Project

Flood¹,

Brennan²,

Bowers

et al. 2006

Psychiatric Ment Health Nurs

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The intention of this paper is to discuss the process of therapeutic change on two acute psychiatric wards during a research project that aimed to reduce conflict and containment. Analysis of fieldwork notes, reflection, team discussion and supervision. The City Nurse Project successfully reduced patient aggression, self-harm and absconding. This paper reports on the reflections made over the course of the year as changes and developments to acute wards took place. Specifically discussed are the beneficial effects of an action research approach, the role of the City Nurse, support for ward managers, education and training, clinical supervision as well as difficulties and barriers to the overall process of change. At an interim stage of the project, the staff have shown a willingness to engage in efforts to change and improve two acute wards. This paper shows the potential to improve acute wards and produce positive outcomes using a working model.

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“…1997). It also reflected the reality that the nurses’ right to withdraw their labour was actually the only power they had in an autocratic system (Brimblecombe 2005b).…”

Section: Discussionmentioning

confidence: 99%

Asylum nursing as a career in the United Kingdom, 1890–1910

Brimblecombe

2006

Journal of Advanced Nursing

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For asylum nurses conditions were poor, the work difficult and their public image negative. The reality was that people from working class backgrounds entered asylum nursing at a relatively young age, often travelling some distance to do so, and then many only stayed for short periods. However, some women were able to take advantage of the possibilities offered by asylum work to develop a career for themselves in the absence of other opportunities.

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The changing relationship between mental health nurses and psychiatrists in the United Kingdom

Cited by 20 publications

References 35 publications

Survey of psychiatrists' views of nurse prescribing

Survey of psychiatrists' views of nurse prescribing

Reflections on the process of change on acute psychiatric wards during the City Nurse Project

Asylum nursing as a career in the United Kingdom, 1890–1910

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