J D Ross

University of Aberdeen, Aberdeen, SCT, United Kingdom

Are you J D Ross?

Claim your profile

Publications (2)1.59 Total impact

  • J D Ross, A Clarke, A M Kettles
    [Show abstract] [Hide abstract]
    ABSTRACT: ACCESSIBLE SUMMARY: Prescribing medication was previously the monopoly of medical doctors but in recent years suitably qualified mental health nurses among others, have been authorized to prescribe. The nurse-patient relationship is considered paramount in mental health nursing but some mental health nurses are concerned that prescribing may somehow conflict with this relationship. However there has been little reported on the views of mental health nurse prescribers and their clients. In this study clients and other stakeholders from one National Health Service Foundation Trust were interviewed or participated in a focus group regarding their experiences of nurses prescribing medication. Clients in this study believed that nurse prescribing was working well and they were satisfied having their medication prescribed by their nurse. Nurse prescribers believed that their prescribing was well received by their clients and by other professionals. ABSTRACT: Nurse prescribing has been embraced in many areas of nursing, but less so in mental health. Relatively few studies have been published in this field with even fewer asking clients who have their medication prescribed by a mental health nurse about their views. This paper reports findings concerning the mental health nurse prescriber-patient relationship. It draws on data from a qualitative study, which was undertaken in one mental health National Health Service Foundation Trust in England to ascertain the views of clients and other stakeholders (nurse prescribers, pharmacist prescribers, nurse managers and doctors) about nurse prescribing. Data were collected by interview (either face to face or telephone) or focus group. Following Framework analysis, findings revealed that clients liked to have their nurse prescribe for them as they valued the pre-established relationship. They also valued the consistency of seeing the same person and the relative ease of access to appointments. Doctors and nurse managers were aware of positive feedback from clients. Nurse prescribers believed that nurse prescribing provided an enhanced service to clients.
    Journal of Psychiatric and Mental Health Nursing 02/2013; · 0.80 Impact Factor
  • J D Ross, A M Kettles
    [Show abstract] [Hide abstract]
    ABSTRACT: ACCESSIBLE SUMMARY: •  Nurse prescribing was launched in the UK in the 1990s, but was introduced to psychiatric/mental health nursing within the last 7 years. Information is available about nurse prescribing in general practice and adult nursing, but there is little research relating to mental health. Most mental health nurses choose not to qualify to prescribe and many who have qualified to prescribe choose not to. •  As more than half of mental health nurse prescribers in this study were not prescribing, they were asked what they thought prevented them from doing so. •  The majority of prescribers in the study did not feel adequately supported in their role and considered that the additional responsibility of the role should be recognized. •  Nurse prescribing has the potential to improve care provided to service users and to enhance access to services. However, in order for this to happen the barriers which prevent prescribing need to be identified and then removed. This study identified many of these barriers to prescribing and these will be discussed. It is hoped that this study's findings will serve as a catalyst to prompt the removal of barriers to prescribing in mental health nursing and ultimately to enable independent nurse prescribing. Awareness about mental health nurse prescribing needs to be raised so that health care professionals, service users, carers and the general public become more familiar with the role. This should help the role to become more accepted and established in everyday practice. ABSTRACT: This paper reports a pilot study exploring mental health nurse prescribers' perceptions of barriers to prescribing independently but also includes perceptions of barriers to supplementary prescribing. Current prescribing practice as experienced by mental health nurses suggests a need to identify and highlight these barriers. A mixed methodology explanatory sequential study was carried out over 3 months in Scotland in 2008 as part of a Master's degree. A questionnaire was completed by 33 mental health nurse prescribers. A focus group was conducted with 12 mental health nurse prescribers. Participants' views exposed a number of barriers to prescribing previously unidentified in a review of the relevant literature, and concurred with some previously documented barriers. Sixty per cent of mental health nurse prescribers in the study were not prescribing. Barriers identified in the study included concern about how prescribing impacts on the therapeutic relationship, role conflict, lack of support, inappropriateness of prescriber training, remuneration, qualifying to prescribing time, supervision, prescribing policies, clinical governance and nurse management. Nurse prescribing involves increased accountability and responsibility which is not currently recognized in job status or pay banding. Mental health nurse prescribing has the potential to enhance service provision, but until barriers to prescribing have been identified and addressed as part of the process of organizational change, nurse prescribing cannot achieve its maximum potential.
    Journal of Psychiatric and Mental Health Nursing 02/2012; · 0.80 Impact Factor

Publication Stats

1 Citation
1.59 Total Impact Points

Institutions

  • 2012–2013
    • University of Aberdeen
      • Division of Applied Health Sciences
      Aberdeen, SCT, United Kingdom