Nursing associates' experiences of education and practice in mental health and learning disability settings.

The nursing associate (NA) role bridges the gap between healthcare assistants and registered nurses. Although becoming more common in mental health and learning disability settings, to the authors' knowledge the role has not yet been evaluated in this context. Aim: To explore the experiences of NAs...

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Published in:British Journal of Nursing Vol. 35; no. 1; pp. 48 - 55
Main Authors: Shiel, Emma Victoria, Brimblecombe, Neil, Downes, Megan, Hemingway, Steve
Format: research tables/charts Journal Article
Published: Mark Allen Holdings Limited 1/8/2026
Online Access:View this record in EBSCOhost
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      dt: 1/8/2026
      vid: 35
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      pub: Mark Allen Holdings Limited
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        10.12968/bjon.2025.0098
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        atl: Nursing associates' experiences of education and practice in mental health and learning disability settings.
      aug:
        au:
          Shiel, Emma Victoria
          Brimblecombe, Neil
          Downes, Megan
          Hemingway, Steve
        affil: previously at the University of Huddersfield, now Researcher, Mental Health Research Group, Department of Nursing, Midwifery, and Social Work, University of Manchester
      sug:
        subj:
          Associate Degree Nurses Psychosocial Factors
          Nurse Attitudes
          Learning Disorders Nursing
          Mental Health
          Mental Disorders Nursing
          Psychiatric Nursing
          Theory-Practice Relationship
          Human
          Male
          Female
          Adult
          Middle Age
          Qualitative Studies
          Semi-Structured Interview
          Exploratory Research
          Questionnaires
          Thematic Analysis
          Registered Nurses
          Certified Nursing Assistants
          Accountability
          Nursing Role
          Education, Nursing, Associate
          Clinical Competence
          Stress, Occupational
          Job Satisfaction
          Workload
          Preceptorship
          Skill Acquisition
          Supervisors and Supervision
          Scope of Practice
          Work Environment
          Professional Role
          Nurse-Patient Relations
          Personnel Staffing and Scheduling
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: The nursing associate (NA) role bridges the gap between healthcare assistants and registered nurses. Although becoming more common in mental health and learning disability settings, to the authors' knowledge the role has not yet been evaluated in this context. Aim: To explore the experiences of NAs in learning disability and mental health settings, focusing on their training and subsequent work. Methods: Eight qualitative semi-structured interviews were conducted. Data were thematically analysed, resulting in four themes: Theory into practice, Not my responsibility, Preparedness, and Finding the balance. Findings: NA training was praised for its hands-on approach, aiding practical application of theoretical knowledge. However, short placements limited skill development, and balancing clinical hours with written tasks caused stress. Trainee NAs often lacked protected learning time, leading to feelings of exploitation; they performed tasks outside their defined scope, both during and after training. Conclusion: Clearer role definitions, good support and protected learning time are essential to improve NA effectiveness and wellbeing.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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