Attitudes regarding mental health nurse prescribing among psychiatrists and nurses: A cross-sectional questionnaire study

Patel, M. X., Robson, D., Rance, J., Ramirez, N. M., Memon, T. C., Bressington, D. and Gray, R. (2009) Attitudes regarding mental health nurse prescribing among psychiatrists and nurses: A cross-sectional questionnaire study. International Journal of Nursing Studies, 46 (11). pp. 1467-1474. ISSN 1873-491X

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Abstract

Background In the United Kingdom, mental health nurses (MHNs) can independently prescribe medication once they have completed a training course. This study investigated attitudes to mental health nurse prescribing held by psychiatrists and nurses. Method 119 MHNs and 82 psychiatrists working in South-East England were randomly sampled. Participants completed a newly created questionnaire. This included individual item statements with 6-point likert scales to test levels of agreement which were summated into 7 subscales. Results Psychiatrists had significantly less favourable, albeit generally positive attitudes than MHNs regarding general beliefs (63% vs. 70%, p < 0.001), impact (62% vs. 70%, p < 0.001), uses (60% vs. 71%, p < 0.001), clinical responsibility (69% vs. 62%, p < 0.001) and legal responsibility (71% vs. 64%, p < 0.001). More MHNs than psychiatrists believed that nurse prescribing would be useful in emergency situations for rapid tranquilisation (82% vs. 37%, p < 0.001), and that the consultant psychiatrist should have ultimate clinical responsibility for prescribing by an MHN (42% vs. 28%, p < 0.001). Approximately half of all participants agreed nurse prescribing would create conflict in clinical teams. Conclusions The majority of both groups were in favour of mental health nurse prescribing, although significantly more psychiatrists expressed concerns. This may be explained by a perceived change in power balance.

Item Type:	Article
Uncontrolled Keywords:	sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
Faculty \ School:	Faculty of Medicine and Health Sciences > School of Nursing and Midwifery (former - to 2011) Faculty of Medicine and Health Sciences > School of Health Sciences
Depositing User:	Users 2731 not found.
Date Deposited:	22 Nov 2011 13:09
Last Modified:	04 Mar 2024 16:40
URI:	https://ueaeprints.uea.ac.uk/id/eprint/35519
DOI:	10.1016/j.ijnurstu.2009.04.010

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