Responsibility as professional leadership and decision making: Interviews with non-medical Responsible Clinicians

Oates, Jennifer, Burrell, Carole, Ebrahim, Selma, Taylor, John, Veitch, Paul and Brandon, Toby (2020) Responsibility as professional leadership and decision making: Interviews with non-medical Responsible Clinicians. International Journal of Law and Psychiatry, 71. p. 101575. ISSN 0160-2527

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Official URL: https://doi.org/10.1016/j.ijlp.2020.101575

Abstract

Background
Responsible Clinicians are professionals who are primarily accountable for the care and treatment of patients detained under the Mental Health Act, 1983 in England and Wales. The role has only been taken up by under 100 nurses and psychologists since 2007. The aim of this study was to explore the experiences of non-medical Responsible Clinicians, to inform our understanding of interprofessional dynamics and professional identity in contemporary mental healthcare.

Methods
A qualitative study comprising thematic analysis of interviews with twelve non-medical Responsible Clinicians.

Results
A major theme of ‘Interpretations of responsibility’ emerged, with two sub themes: ‘Responsibility as leadership ‘and ‘Responsibility as decision making’. Taking on the role had implications beyond the care of specific patients. Participants saw themselves as having the power to shape their team and service whilst exercising their authority to make difficult decisions about risk and restrictions.

Conclusions
More widespread adoption of the non-medical Responsible Clinician role should not be seen solely as a solution to workforce shortages or lack of opportunities for professional advancement. Consultant nurses and psychologists who take on this role are seising the opportunity to steer service developments more widely, influencing team dynamics and perceptions of accountability.

Item Type: Article
Uncontrolled Keywords: Mental health services, Risk, Shared decision making, Professionalism
Subjects: B900 Others in Subjects allied to Medicine
L400 Social Policy
M200 Law by Topic
Department: Faculties > Business and Law > Northumbria Law School
Faculties > Health and Life Sciences > Social Work, Education and Community Wellbeing
Depositing User: Elena Carlaw
Date Deposited: 21 Jul 2020 10:15
Last Modified: 21 Jul 2020 15:45
URI: http://nrl.northumbria.ac.uk/id/eprint/43840

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