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Nurse prescribing and the enhancement of mental health services

  • Peter Nolan (a1), Eleanor Bradley (a2) and Neil Carr (a3)
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Abstract

Mental health nurses are relative latecomers to nurse prescribing. This is primarily because nurse prescribing has been seen as more appropriate for general nurses, particularly those working in the community or primary care. Pharmacists and psychiatrists were concerned about the complexity of prescribing for clients with mental health problems and felt that the training of mental health nurses and their clinical experience did not fit them to take on a prescribing role. These, and other impressions, may have influenced which groups of nurses were first selected to become nurse prescribers. However, recent studies have indicated that mental health nurses add considerably to the effectiveness of assessments and care plans, and that they are in an ideal position to integrate drug treatments with a wide range of non-pharmacological therapies knowledgeably, safely, effectively and in a manner that is acceptable to the patient. They have also been found to have an important role to play in monitoring the side effects of drugs and in providing education about medication, and in maintaining a therapeutic alliance with clients on long-term drug treatment. Whatever the limitations, mental health nurses as prescribers may still be deemed to have by some professional groups, and even by themselves, at this stage in the evolution of nurse prescribing, it is now inevitable that they will play a significant part in the overall improvement of mental health services during this decade. They are likely to challenge the existing prescribing practices and help in identifying the conditions under which medication is most therapeutic.

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Brown P. Effective treatments for mental illness are not being used (editorial). Br Med J. 2001;323:769.
Thomas CM, Morris S. Cost of depression among adults in England in 2000. Br J Psychiatr. 2003; 183:5149.
Laurance J. Pure Madness, London: Routledge, Toronto 2003
Laraia MT. Psychopharmacology. In: Stuart G, Laraia MT, editors. Principles and practice of psychiatric nursing. St. Louis, Mosby, MI; 2000. pp. 572607.
Gournay K, Gray R. Should mental health nurses prescribe? London: Maudsley Discussion Paper Series, No. 11; 2001.
Hales A. Perspectives on prescribing: pioneers' narratives and advice. Perspect Psychiatr Care. 2002; 38 (3):7988.
Lam RW. Patients' preferences and counselling for depression in primary care. Lancet. 2001;357:5756.
Badger F, Nolan P. Caring for people with depression. Nurs Stand. 2002;16:336.
Healy D. The creation of psychopharmacology. Toronto: Lorimer; 2002.
Shell RC. Antidepressant prescribing practices of nurse practitioners. Nurse Pract. 2001;26 (7):428.
Greenhalgh T, Gill P. Pressure to prescribe. Br Med J. 1997;315:14823.
DoH. Your Guide to the NHS: Getting the most from your National Health Service. London: DoH; 2001.
Human Rights Act. London: The Stationery Office; 1998.
Cumberlege J. A triumph of sense over tradition: the development of nurse prescribing. Nurse Prescrib. 2003;1:104.
Nazareth I, King M, Davies S. Care of schizophrenia in general practice: the general practitioner and the patient. Br J Gen Pract. 1995;45:3437.
Jordan S, Hardy B, Coleman M. Medication management: an exploratory study into the role of community mental health nurses. J Adv Nurs. 1999;29:106881.
Rees L, Lipsedge M, Ball C. Textbook of psychiatry. London: Arnold; 1997.
Coombs T, Deane F, Lambert G, Griffiths R. What influences patients' medication adherence? Mental health nurse perspectives and a need for education and training. Int J Ment Health Nurs. 2003;12 (2):14852.
Aldridge S. Nurse practitioners are a hit with patients. Br Med J. 2002;324:81923.
Chief Nursing Officer. Prescribing – a supplement of the CNO Bulletin on nurse prescribing. The CNO Bulletin. Department of Health, UK. January 2004 (view website here; accessed 15/11/04).
Donovan JL, Blake DR. Patient compliance: deviance or reasoned decision-making? Soc Sci Med. 1992;34:50713.
Corrigan PW. Adherence to anti-psychotic medication and health behaviour theories. J Ment Health. 2002;11:24354.
Maslen C, Rees L, Redfern P. Role of community pharmacist in the care of patients with chronic schizophrenia in the community. Int J Pharm Pract. 1996;4:18795.
Godin P. The development of community psychiatric nursing: a professional project. J Adv Nurs. 1996;23:92534.
Frank E, Kupfer DJ. Peeking through the door to the 21st century. Arch Gen Psychiatr. 2000;57:835.
Clark JM, Maben J, Jones K. Project 2000 – perceptions of the philosophy and practice of nursing preparation: preparation for practice. J Adv Nurs. 1997;26:24656.
Towers J. Lessons from America. In: Jones M, editor. Nurse prescribing: politics to practice. Edinburgh: Bailliere Tindall & Royal College of Nursing; 1999.
Hem M, Heggen K. Being professional and being human: one nurse's relationship with a psychiatric patient. J Adv Nurs. 2003;43 (1):1018.
Hales A, Dignam D. Nurse prescribing – lessons from the US. Kai Tiaki Nurs New Zeal. 2002; 10 (8):147.
Hickie IB. An approach to managing depression in general practice. Med J Aust. 2000;173:10610.
Ashworth PD, Gerrish K, McManus P. Whither nursing? Discourses underlying the attribution of master's level performance in nursing. J Adv Nurs. 2001;34:6218.
Taylor D, McConnell D, McConnell H, Abel K. The Bethlem & Maudsley NHS Trust Prescribing Guidelines. London: Dunitz; 1999.
Saur CD, Ford SM. Quality, cost-effective psychiatric treatment: a CNS–MD collaborative practice model. Arch Psychiatr Nurs. 1995;9 (6):3327.
Mundinger MO, Kane RL, Lenz ER, Totten AM, Tsai WY. Primary care outcomes in patients treated by nurse practitioners or physicians: a randomised controlled trial. J Am Med Assoc. 2000;283:5968.
Jamison KR. Touched with fire. New York: Simon & Schuster; 1993.
Berger J, Mohr J. A fortunate man: the story of a country doctor. Middlesex: Penguin; 1967.
Glover J. A moral history of the twentieth century. London: Jonathan Cape; 1999.
Kendrick K. Why can't GPs follow guidelines on depression? Br Med J. 2000;320:2001.
Barr O, Sines D. The development of the generalist nurse within pre-registration nurse education in the UK: some points for consideration. Nurse Educ Today. 1996;16:2747.
Bower P, Sibbald B. (2000) Systematic review of the effect of on-site health professionals on the clinical behaviour of general practitioners. British Medical Journal, 320, 614617
Jorm AF. Mental health literacy. Br J Psychiatr. 2000;177:394401.
Fischer W, Goerg D, Zbinden E. Determining factors and the effects of attitudes towards psychotropic medication. In: Guimon J, Fischer W, Sortorius N, editors. Images of madness – the public face of mental illness and psychiatric treatment. Basel: Karger; pp. 16286.
Moynagh M, Worsley R. Tomorrow report. London: Department for Education and Employment; 2000.
Simons L, Mynors-Wallis L, Pickering R, Gray A, Brooking J, Thompson C, Kendrick T. A randomised controlled trial of problem solving for anxiety, depression and life difficulties by community psychiatric nurses among general practice patients: background and method. Primary Care Psychiatr. 2001;4:12938.
Tandon R, Jibson M. Efficacy of newer generation antipsychotics in the treatment of schizophrenia. Psychoneuroendocrinology. 2003;23:926.
Horne R. Adherence to medication: a review of existing research. In: Myers L, Midence K, editors. Adherence to treatment in medical conditions. Amsterdam: Harwood Academic Publishers; 1998. pp. 285310.
Doran CM. Prescribing mental health medication. London and New York: Routledge; 2003.
Gask L, Rogers A, Oliver D, May C, Roland M. Qualitative study of patients' perceptions of the quality of care for depression in general practice. Br J Gen Pract. 2003;53:27883.
Bentall RP, Morrison A. More harm than good: the case against using anti-psychotic drugs to prevent severe mental illness. J Ment Health. 2002;11:3516.
Delgado P. Approaches to the enhancement of patient adherence to antidepressant medication treatment. J Clin Psychiatr. 2000;61 (Suppl 2):69.
Pampallona S, Bollini P, Tibaldi G, Kupelnick B, Munizza C. Patient adherence in the treatment of depression. Br J Psychiatr. 2002;180:1049.
Lin EHB, Von Korff M, Katon W. The role of the primary care physician in patients' adherence to antidepressant therapy. Med Care. 1995;33:6774.
Beaver K, Luker KA, Owens RG, Leinster SJ, Degner LF. Treatment decision-making in women newly diagnosed with breast cancer. Cancer Nurs. 1996;19:819.
Sacks O. Awakenings. New York: Dutton; 1983.
Broody H. Stories of sickness. Oxford: Oxford University Press; 2003.
Makoul G, Arntson P, Schofield T. Health promotion in primary care: physician–patient communication and decision making about prescription medication. Soc Sci Med. 1995;41 (9):124154.
Horne R, Weinmann J. Patients' beliefs about prescribed medicines and their role in adherence to treatment in chronic physical illness. J Psychosom Res. 1999;47 (6):55567.
Schulberg H, Katon W, Simon GE, Rush J, et al. Treating major depression in primary care practice. An update of the Agency for Health Care Policy and Research Practice Guidelines. Arch Gen Psychiatr. 1998;55:11217.
Geddes JR, Freemantle N, Mason J, Eccles MP, Boynton J. SSRIs versus other antidepressants for depressive disorder. The Cochrane Library 2. Update Software, 2000.
Marland GR. Atypical neuroleptics: autonomy and compliance? Journal of Advanced Nursing, 29:615622
Pollock K, Grime J. Patients' perceptions of entitlement to time. Br Med J. 2002;325:16.
Dancy M. ‘Interviews with patients better than surveys for generating change' by Mahoney C. Br Med J, 22 Mar 2003;326 (7390):618. doi:10.1136/bmj.326.7390.618/d (view article; accessed 15/11/04).
Steele DJ, Jackson TC, Gutmann MC. Have you been taking your pills? The adherence-monitoring sequence in the medical interview. J Fam Pract. 1990;30:2949.
Wilkinson G, Moore B, Moore P. Treating people with depression. A practical guide for primary care. Abingdon: Radcliffe Medical Press; 1999.
Dowel J, Hudson H. A qualitative study of medication-taking behaviour in primary care. Fam Pract. 1987;14:36975.
Asen E, Tomson D, Tomson P, Young V. Ten minutes for the family. London: Routledge; 2004.
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Nurse Prescriber
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  • EISSN: 1467-1158
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