Community Psychiatric Nursing: A research perspective by Edward White (auth.), Charles Brooker BA(Hons), MSc, RMN,

By Edward White (auth.), Charles Brooker BA(Hons), MSc, RMN, DipNEd, RNT, Edward White MSc(SocPol), MSc(SocRes), RMN, DipCPN, PGCEA, RNT (eds.)

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Specialization A similar theme recurred in relation to the notion of specialization of practice by CPNs. Here, too, it should be acknowledged that implicit in any daim to 'specialize', especially in terms oftherapeutic approach, was a set of assumptions about the quality of such work; that is, the work of specialists is somehow different from and, by extension, better than the quality of similar work of individuals, who might not make daim to such a title. Such assumptions were not examined in the present study and they remain open to conjecture until separate empirical research in this substantive area is commissioned.

Three families said they feit at that point that they 'just wanted to band over', so did not particularly want much information then. A surprisingly low interest was expressed by carers in 'getting support for themselves'. Only a minority offamilies had made use of the relative support group affered in one ofthe hospitals, and only 42% (n=5) thought they would benefit from such groups. Patients' views of the things they needed to know in hospital and before discharge were compared with those identified by nurses using a Chi-squared test.

13). GP referrals At the same time, the mean average proportion of referrals from general practitioners (GPs) to CPNs had increased to nearly 36%. This represented an increase of over 12% in general practitioner referral volume, from the 1985 proportion of about 23% . The relationship between the source of CPN referrals and thc location of the CPN's operational base has been commentated on before (Skidmore, 1986), though its nature has remained poorly understood. In the present study, community psychiatric nurses reported being based in up to 17 separate locations per district health authority within a total of 38 different types of accommodation.

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