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

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


Haley Jackson

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Dr Jane Wray
Senior Lecturer in Nursing, Senior Clinical Nurse Advisor NHSEI

Eric Gardiner

Tracy Flanagan


© The Author(s) 2019. 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: The impact of an intervention on consensus between nurses and carers on perceptions of risk was investigated. 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 four out of six 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.


Jackson, H., Wray, J., 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.

Journal Article Type Article
Acceptance Date Feb 4, 2019
Online Publication Date Aug 8, 2019
Publication Date Aug 1, 2019
Deposit Date Mar 15, 2019
Publicly Available Date Apr 23, 2019
Journal Journal of Research in Nursing
Print ISSN 1744-9871
Electronic ISSN 1744-988X
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 24
Issue 5
Pages 330-341
Keywords Informal carers; Mental health; Nursing practice; Patient safety; Risk management
Public URL
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