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dc.contributor.advisorCrowe, Marie
dc.contributor.authorManuel, Jenni
dc.date.available2012-11-20T19:48:33Z
dc.date.copyright2012
dc.identifier.citationManuel, J. (2012). Clinical Responsibility: The Mental Health Nursing Perspective (Thesis, Master of Health Sciences). University of Otago. Retrieved from http://hdl.handle.net/10523/2629en
dc.identifier.urihttp://hdl.handle.net/10523/2629
dc.description.abstractThis study sought to identify mental health nurses’ perceptions of clinical responsibility. Clinical responsibility refers to the tasks and skills that professional bodies, employers and the court of law can legitimately demand from a health professional and accountability refers to the mechanism in which if a practitioner fails to exercise their responsibilities that disciplinary action can occur. Current standards and guidelines only provide limited information to nurses about the topic. Further to this public inquiries have identified issues in regards to health professionals’ understanding of their clinical responsibilities. A descriptive qualitative design was used to explore the mental health nursing perspective of clinical responsibility. Participants were sampled from the local mental health nursing population and semi-structured interviews were used as the means of data collection. Transcriptions were thematically analysed which produced three major themes; patient responsibility, medical responsibility, and conflicting nursing responsibility. The consumer discourse, the medical discourse and risk management discourse were all considered as competing factors relevant to mental health nursing responsibility which set up a conflicting position in which the nurses perceived their own responsibility. These findings highlighted the challenge for nurses of balancing competing discourses related to clinical responsibility in practice. It is critical that mental health nurses have an awareness of societal and organisational factors that influence practice and decision making. This knowledge will better inform decisions in practice so that they are less likely to be based on misconceptions of accountability.
dc.format.mimetypeapplication/pdf
dc.language.isoen
dc.publisherUniversity of Otago
dc.rightsAll items in OUR Archive are provided for private study and research purposes and are protected by copyright with all rights reserved unless otherwise indicated.
dc.subjectClinical Responsibility
dc.subjectAccountability
dc.subjectMental Health Nursing
dc.subjectNursing Responsibility
dc.subjectMedical Responsibility
dc.subjectPatient Responsibility
dc.subjectQualitative Description
dc.titleClinical Responsibility: The Mental Health Nursing Perspective
dc.typeThesis
dc.date.updated2012-11-20T04:30:00Z
dc.language.rfc3066en
thesis.degree.disciplineNursing
thesis.degree.nameMaster of Health Sciences
thesis.degree.grantorUniversity of Otago
thesis.degree.levelMasters
otago.openaccessOpen
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