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Involving carers in risk assessment: a study of a structured dialogue between mental health nurses and carers

Wray, Jane; Jackson, Haley; Gardiner, Eric; Flanagan, Tracy

Authors

Haley Jackson

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Miss Jane Wray J.Wray@hull.ac.uk
Director of Research, Senior Research Fellow

Tracy Flanagan

Abstract

Background: Involving carers is a key priority in mental health services. Carers report the sharing of service users safety information by mental health nurses is problematic and seldom takes place.
Aims: To investigate the impact of an intervention on consensus between nurses and carers on perceptions of risk.
Methods: Carer-nurse risk consensus scores were measured pre- and
post- introduction of a structured dialogue (paired t-test/ANOVA). Carer experience with involvement was surveyed pre-test (n=60) and
compared with the post- test intervention group (n=32) (chi-square
tests of linear-by-linear association).
Results: Consensus and perceptions regarding type and severity of risk did not change significantly for carers or nurses after engaging in a structured dialogue. Statistically significant differences were found with carers’ reporting higher levels of satisfaction with services in 4 out of 6 areas surveyed.
Conclusions: Findings provide support for increasing carer contribution to discussions regarding risk. Further work to embed carer involvement in clinical practice is warranted.

Journal Article Type Article
Publication Date Aug 1, 2019
Print ISSN 1744-9871
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 24
Issue 5
Pages 330-341
Institution Citation Wray, J., Jackson, H., Gardiner, E., & Flanagan, T. (2019). Involving carers in risk assessment: a study of a structured dialogue between mental health nurses and carers. Journal of research in nursing : JRN, 24(5), 330-341. https://doi.org/10.1177/1744987119851533
DOI https://doi.org/10.1177/1744987119851533
Keywords Informal carers; Mental health; Nursing practice; Patient safety; Risk management
Publisher URL https://journals.sagepub.com/doi/10.1177/1744987119851533

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