A qualitative study of perceptions of senior health service staff as to factors influencing the development of Advanced Clinical Practice roles in mental health services

Brimblecombe, Neil and Nolan, Fiona (2021) A qualitative study of perceptions of senior health service staff as to factors influencing the development of Advanced Clinical Practice roles in mental health services. Journal of Psychiatric and Mental Health Nursing, 28 (5). pp. 829-837. ISSN 1365-2850

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Official URL: https://doi.org/10.1111/jpm.12792

Abstract

4.1 Introduction- Advanced clinical practice (ACP) roles are increasingly being developed internationally. Identifying factors perceived as affecting the development of ACP can support effective implementation. 4.2 Aim- To understand the views of senior health service staff as to factors influencing the development of ACP roles in mental health services. 4.3 Method- Focus group and semi-structured interviews. Participants were directors of nursing (n = 10) and other senior staff from roles important to workforce development (n = 10). 4.4 Results- Content analysis suggested seven categories: understanding the role and national guidelines, attitudes to the role, learning from implementing other roles, understanding prerequisites for development, challenges, opportunities and future support/actions. Prerequisites for success would include early engagement with stakeholders. Medical attitudes towards ACP roles were perceived as generally more positive than previously. 4.5 Discussion- The study provides unique information regarding perspectives of senior staff regarding the implementation of ACP roles in mental health services. A wide range of mental health services were perceived as potentially benefiting from ACPs, with the importance of role clarity being highlighted and long-term developmental pathways for staff. 4.6 Implications for practice- Successful Implementation of ACP roles may require clear role definition, early engagement with stakeholders and processes to evaluate role outcomes.

Item Type: Journal Article
Keywords: advanced practice, nursing role, professional development, service management and planning, workforce issues
Faculty: Faculty of Health, Education, Medicine & Social Care
Depositing User: Lisa Blanshard
Date Deposited: 26 Oct 2021 12:35
Last Modified: 03 Feb 2022 15:25
URI: https://arro.anglia.ac.uk/id/eprint/707048

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