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Tensions of difference : reconciling organisational imperatives for risk management with consumer-focused care from the perspectives of clinicians and managers

journal contribution
posted on 06.12.2017, 00:00 by Leonie Clancy, Brenda Happell
Aims and objectives. To understand the impact of risk management and assessment on the delivery of mental health care from the perspectives of managers and clinicians. Background. The concept of risk is now embedded in contemporary mental health services. A focus on risk has been identified as a barrier to the provision of consumer-focused care; however, there is a paucity of research in this area, particularly being drawn from key stakeholders in the field. Design. Qualitative exploratory methods. Methods. In-depth interviews were conducted with managers and clinicians from a large metropolitan aged-care mental health service in Australia. The participants represented a range of disciplines and expertise across practice settings (community, inpatient and residential). Results. The theme tensions of difference emerged from this research. This theme referred to the tensions between accountability and attending to risk issues and consumer-centred care, with concerns being raised that procedural and bureaucratic accountability influence (often negatively) the provision of care. Differences in the perspectives of clinicians and managers were also evident in the perceived contribution of evidence-based practice in relation to risk. Conclusions. Prioritising risk management may be interfering with the capacity of clinicians and managers to provide quality and consumer-focused mental health care. Relevance to clinical practice. A deeper examination and reconceptualisation of the role and importance of risk in mental health care are needed to ensure the focus of service delivery remains consumer-focused.

History

Volume

23

Issue

21-22

Start Page

3177

End Page

3187

Number of Pages

11

ISSN

0962-1067

Location

United Kingdom

Publisher

Wiley-Blackwell Publishing Ltd

Language

en-aus

Peer Reviewed

Yes

Open Access

No

External Author Affiliations

School of Nursing and Midwifery (2013- ); TBA Research Institute;

Era Eligible

Yes

Journal

Journal of clinical nursing.

Exports

CQUniversity

Exports