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New roles for nurses as approved mental health professionals in England and Wales

Coffey, Michael and Hannigan, Ben 2013. New roles for nurses as approved mental health professionals in England and Wales. International Journal of Nursing Studies 50 (10) , pp. 1423-1430. 10.1016/j.ijnurstu.2013.02.014

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This paper critically discusses the challenges mental health nurses face in trying to achieve a balance between fulfilling biomedical and social roles. We suggest that dilemmas exist for nurses in attempting to combine both approaches in their practice. We present a specific example of these as occasioned by the advent of the approved mental health professional role in England and Wales. This statutory role requires the adoption of an independent social perspective as a counterbalance to the biomedical perspective brought by psychiatrists. Using the idea of occupational jurisdictions we discuss how nurses embarking on this new role are effectively crossing into territories previously occupied by the profession of social work. We also reveal the tensions for nurses who fulfil the approved mental health professional role whilst simultaneously carrying out work in other areas which demands a more overtly biomedical approach. We review critical accounts of the validity of bio-psycho-social models and concerns about maintaining positive therapeutic alliances alongside making applications for compulsory detention, assessment and treatment. We argue that the new role may become part of the professional project of mental health nursing, but also present challenges in helping redefine nursing's identity and practice.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Healthcare Sciences
Subjects: R Medicine > RT Nursing
Uncontrolled Keywords: England; Jurisprudence; Mental disorders; Occupational groups; Policy; Professional role; Psychiatric nursing; Social work; Wales; Work
Publisher: Elsevier
ISSN: 0020-7489
Last Modified: 15 Nov 2013 10:50

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Cited 11 times in Google Scholar. View in Google Scholar

Cited 6 times in Scopus. View in Scopus. Powered By Scopus® Data

Cited 5 times in Web of Science. View in Web of Science.

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