1. PERCEPTIONS OF PROFESSIONAL IDENTITY
IN MENTAL HEALTH NURSING
AND THE IMPLICATIONS FOR RECRUITMENT
AND RETENTION
GYLO (JULIE) HERCELINSKYJ
DIPLOMA APPLIED SCIENCE IN NURSING (RMIT)
BACHELOR APPLIED SCIENCE ADVANCED NURSING/NURSE EDUCATION
(RMIT)
MASTER OF NURSING STUDIES
(DEAKIN UNIVERSITY)
FACULTY OF EDUCATION, HEALTH, AND SCIENCE
A THESIS SUBMITTED FOR THE DEGREE OF DOCTOR OF PHILOSOPHY,
CHARLES DARWIN UNIVERSITY
AUGUST 2010

2. ABSTRACT
Mental illness and its consequences present an ongoing challenge in terms of the provision of
accessible, timely and evidence based interventions by suitably qualified mental health clinicians.
Contemporary mental health services have been transformed with the introduction of primary health
care and recovery based models of care. However, the numbers of nursing graduates entering mental
health have been steadily declining and there is limited retention of experienced mental health nurses
within the health care system.
This naturalistic study gathered the views of a group of experienced mental health nurses and a
group of student nurses. It used a qualitative exploratory descriptive design to explore participants’
understanding of their role as mental health nurses and the impact of this on their professional
identity within the theoretical framework of Role Theory. The study found that changes to the role
of the mental health nurse have impacted on professional identity and that this has implications for
ongoing recruitment and retention. In particular, the development of generic mental health clinician
roles has caused mental health nurses to experience increasing role strain related to role ambiguity
and role conflict.
This study has contributed to existing research into the professional identity of mental health nurses
in relation to their role in contemporary practice. It has enunciated the complexity of the mental
health nurse’s role and explored the impact of changes to mental health service delivery,
developments in nurse education and the inherent challenges of an increasingly complex consumer
group.
Recommendations related to undergraduate nursing education and support and professional
development for mental health nurse clinicians have been made. These will assist in the
development of strategies to improve recruitment and retention and promote mental health nursing
as a career choice.