ABSTRACT: The aim of this paper is to report on findings identifying some the difficulties encountered by multidisciplinary team in development and implementation a care pathway for patients diagnosed with schizophrenia. Policy direction has shifted towards greater working blurring professional boundaries. Moreover, there need deliver according set standards reach particular outcomes care. Care pathways are relatively new psychiatry will potentially uncover tensions within team. Data were...

The purpose of this study was to explore issues relating the implementation independent nurse prescribing (IP) in mental health settings. Nurse has been promoted through various policy documents and subject extensive research enquiry. Independent is latest form prescriptive authority although little known about how it can be used Focus groups were collect qualitative data. In total, 22 nurses three psychiatrists joined one five focus groups. A grounded theory analyse Three major findings...

Non-medical prescribing presents nursing with the prospect of a good dose change. Martin Jones and Adrian discuss opportunities that are opening up for new wave independent prescribers their patients

Surgical practice in the UK changed 1993, when Suzanne Holmes and her cardiac surgical colleagues introduced care practitioner role (SCP). Within a consultant led extended team, SCPs work alongside variety of healthcare practitioners to provide safe patient care, meet service demands educate future workforce. This article reviews history this development over last fifteen years context busy orthopaedic department discusses some unforeseen consequences.

Although the playing of music is commonplace in operating theatre, there nothing literature examining whether staff feel this beneficial. Questionnaires were distributed amongst a random selection practice at district general hospital: medical from range surgical specialities, anaesthetists, and all grades perioperative (nurse/operating department practitioners/healthcare assistants) encouraged to participate. There 121 health professionals total working theatres. The authors compared...

The purpose of this study was to explore some the issues for implementation supplementary prescribing acute hospital care. design use focus group methodology. In total, 19 nurses and 7 psychiatrists joined 1 6 groups held on psychiatric unit. data were analyzed using a modified grounded theory technique. be reported here, described potential different ways working emerge wards. Two major themes identified: bringing about influencing decisions controlling professional work; developing types...

The objective of this study was to explore perceptions held by nurses and psychiatrists towards the potential application supplementary prescribing on acute psychiatric wards. Six focus groups were conducted with 19 seven who worked three Two major themes identified: first, ways in which patients could receive care treatment through new forms partnership second, be organized deliver their a framework. Nurses generally positive about advent offered views as how patient improved general...

A nurse prescribing scheme has recently been implemented within the Republic of Ireland. This paper reports on views community mental health nurses just prior to implementation scheme. Data were gathered through a 13‐item questionnaire administered 103 members Association Community Mental Health Nurses in Results indicated distinct difference view between male and female nurses, with having greater reservations towards desirability relation educational preparation impact professional...

The article describes the clinical management of a patient referred, with diagnosis schizophrenia, who experienced adverse effects associated an elevated prolactin level. A reflective model was adopted to inform new learning which emerged from scenario. It highlights that Mental Health Nurse Supplementary Prescribers need develop prescribing value base underpinned by choice in addition advanced technical skills manage unhelpful medication.

Case studies are a popular way to explore clinical experiences that occur with patients and nursing staff. We describe case study patient diagnosed schizophrenia who required pharmacological interventions bring about mental health well-being. The role of the nurse prescriber is discussed alongside process engendering choice within prescribing encounter. This paper discusses switching medication one chosen by patient.

Aims and Method To describe the implementation of supplementary prescribing nurse-led care in an acute in-patient unit. The issues delegation distribution responsibility were explicitly addressed. Structures developed for training supervision, to ensure improved medicines management setting. Results We present our five-step model experience using a clinical plan 33 patients. Clinical Implications Implementation provides new ways working, requiring engagement both doctors nurses, clear...

Background Policy and reviews of health-care safety quality emphasise the role NHS managers in ensuring safe, good-quality patient care through effective staffing. Guidance requires that combine professional judgement with evidence-based workforce planning deployment tools technologies (WPTs). Evidence has focused on effectiveness WPTs, but little is known about supporting their implementation, or impact using WPTs across settings. Objectives The review answered following question: ‘NHS...

Introduction Nursing staffing levels in hospitals appear to be associated with improved patient outcomes. National guidance indicates that the triangulation of information from workforce planning and deployment technologies (WPTs; eg, Safer Care Tool) ‘local knowledge’ is important for managers achieve appropriate better Although WPTs provide predictive about future requirements, ensuring safety quality care also requires consideration other sources real time. Yet little attention has been...

The concept of 'whole system' working is fundamental to contemporary policy and consequently practice service development within UK mental health services. This paper reports on an exploratory study the meaning staff adult services in North Wales, conducted a broader project. A focus group was used collect data from multiprofessional drawn two acute inpatient wards, Community Mental Health Teams (CMHTs) assertive outreach team. Thematic analysis generated three themes central effective whole...

Inpatient nurse prescribing is proving to be a useful mechanism by which patients can have their medicines prescribed. A case study described that outlines how prescriber worked with patient who had been diagnosed bipolar disorder. Key issues arisen from this include the importance of multidisciplinary team working, informed management interventions and ability work promote choice. The will draw out difficulties in managing conditions but enable other prescribers adopt similar values practice.

Mental health services have been criticized for the lack of focus and response to people suffering from a serious mental illness (SMI). Assertive community treatment (ACT) offers potential greater partnership working between user provider services. The author describes one approach in developing ACT UK. Four criteria were developed identify most appropriate service users ACT: those with SMI, instability, disability risk self or others. Fifty-five clients identified using these tracked their...