Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, 57 Waterloo Road, London SE1 8WA, UK; Northumbria University, Newcastle-upon-Tyne NE1 8ST, UK.
Northumbria University, Newcastle-upon-Tyne NE1 8ST, UK.
Int J Law Psychiatry. 2021 May-Jun;76:101696. doi: 10.1016/j.ijlp.2021.101696. Epub 2021 Mar 22.
Within mental health legislation in England and Wales the Responsible Clinician for specific patients should be the Approved Clinician with the most appropriate expertise to meet their primary assessment and treatment needs. The study aimed to explore nurse and psychologist perspectives on becoming a Responsible Clinician in the context of their limited uptake of the role and calls for an increase in advanced practice roles within mental health. It comprised a qualitative inquiry in the form of a thematic analysis of 12 semi-structured interviews. Four sub-themes emerged under the theme of 'becoming a Responsible Clinician'. They were: (i) the Responsible Clinician amongst other roles; (ii) developing in the role; (iii) working with psychiatrist colleagues; and (iv) organisational context. Responsible Clinicians were juggling the role with other senior clinical responsibilities, often without a coherent programme of ongoing educational development or organisational support structures. If mental health service provider organisations adopt this extended role more widely then role-specific support and supervision arrangements should be in place as part of a coherent workforce strategy. This is particularly important given the legal and ethical responsibilities of the Responsible Clinician.
在英格兰和威尔士的精神卫生立法中，特定患者的责任临床医生应该是具有最合适专业知识的批准临床医生，以满足他们的初步评估和治疗需求。本研究旨在探讨护士和心理学家在其角色接受度有限的情况下成为责任临床医生的观点，以及呼吁在精神卫生领域增加高级实践角色。这是一项定性研究，采用主题分析的形式对 12 名半结构化访谈进行了分析。主题下出现了四个子主题：（i）责任临床医生与其他角色；（ii）角色发展；（iii）与精神科同事合作；以及（iv）组织背景。责任临床医生在其他高级临床职责中兼顾这个角色，通常没有连贯的持续教育发展计划或组织支持结构。如果精神卫生服务提供者组织更广泛地采用这种扩展角色，那么应该制定特定于角色的支持和监督安排，作为连贯劳动力战略的一部分。鉴于责任临床医生的法律和道德责任，这一点尤为重要。
