Use this URL to cite or link to this record in EThOS:
Title: The construction of competence in mental health nurse prescribing
Author: Snowden, Austyn Wayne Alexander
ISNI:       0000 0004 2712 6519
Awarding Body: University of the West of Scotland
Current Institution: University of the West of Scotland
Date of Award: 2012
Availability of Full Text:
Access from EThOS:
Abstract Introduction This thesis develops an interpretation of the impact of mental health nurse prescribing in NHS Greater Glasgow and Clyde. This interpretation is developed through application of an original methodology: concurrent analysis. The purpose of this thesis is therefore twofold 1. To justify and evaluate concurrent analysis as a methodology 2. To analyse the construction of competence in mental health nurse prescribing It was found that concurrent analysis generated a coherent account of mental health nurse prescribing. The most significant empirical finding is that registered mental health nurses were not as competent in medication management as they believed themselves to be. Without change this situation will perpetuate itself. Method 1. In phase 1, 365 (55%) nurse prescribers responded to a questionnaire on their practice and perceptions of nurse prescribing. 2. Phase 2 used a constructivist grounded theory methodology to explore these findings in more depth. Twelve in-depth interviews and all current literature on mental health nurse prescribing were concurrently analysed in order to provide a coherent substantive theory of mental health nurse prescribing in practice3. This theory was verified in the third and final phase of data collection. Thirty two practicing mental health nurse prescribers completed a questionnaire regarding the coherence of the theory. Results Phase 1 found that mental health nurse prescribers were younger, more likely to be male, less experienced as nurses and more likely to work in diverse settings. They were more likely to look up drug reactions and interactions. They had a different perspective on the value of the therapeutic relationship. All nurses viewed prescribing duties as largely positive and felt it saved patients time, improved clinical skills and increased autonomy. Phase 2 developed a grounded theory of the construction of competence in mental health nurse prescribing. In practice it was found that nurse prescribers construct competence through an iterative process of owning and demonstrating competence. Owning competence consists of the categories ‘understanding vs. UNDERSTANDING’ and ‘managing ambiguity’. They demonstrate competence through ‘concording in action’ and ‘delivering better medicines management’. These categories and their integration are discussed in detail. The theory was strongly endorsed in phase 3 as being consistent with 32 mental health nurse prescribers’ experience of prescribing in practice. This theory suggests that mental health nurse prescribing meets the UK government’s stated aims of nurse prescribing
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available