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The impact of workplace culture on the accountability of mental health nurses to involve consumers in care planning: A focused ethnography
Author(s) -
Rio Josephien H. M.,
Fuller Jeffrey,
Taylor Kerry,
MuirCochrane Eimear
Publication year - 2021
Publication title -
nursing and health sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.563
H-Index - 47
eISSN - 1442-2018
pISSN - 1441-0745
DOI - 10.1111/nhs.12807
Subject(s) - accountability , mental health , nursing , multidisciplinary approach , organizational culture , ethnography , health care , medicine , work (physics) , psychology , public relations , sociology , political science , psychiatry , social science , anthropology , law , mechanical engineering , engineering
Recovery‐oriented mental health practice guidelines recommend regular consumer involvement in care plans, yet in many acute settings, these are not routinely created thereby compromising accountability. This study explored the impact of workplace culture on the capacity of mental health nurses to involve consumers in care planning and consequently to work accountably. A focused ethnography was undertaken in one Australian inpatient unit involving mental health nurses and other health professionals. Data were derived from in‐depth semistructured interviews with 12 nurses and 6 months of nonparticipant observation of multidisciplinary meetings and clinical handovers. Workplace culture had an impact on mental health nurses' accountability practices. A culture that prioritized reduction in length of stay resulted in less recovery‐oriented care. Health professionals who paid more attention to crisis and risk management resulted in fewer opportunities for consumer‐involved care planning.