S.TRUEMAN PhD THESIS 2016

238

This insight partly arises from the close working relationships and partnerships the two groups have, the amount or time that they spend working with and observing each other, and partly because both groups encounter similar issues: Mental health is … tricky [in] that no two jobs are ever the same, even if they have the same diagnosis, just with different personalities and whatnot. [T21, p. 12] There are also concerns such as a lack of personal infrastructure and resources: You can generally read each other, you can feel the vibe. You know what hours they’ve done because you’ve seen a lot of them [remote nurses] during the week, because you’ve been busy as well. [T21, p. 19] 7.4 Other Groups Within the Healthcare System Arena This study identified three groups within the actors’ arena: administrators, facilitators and others. These groups are not constituted of healthcare (or even mental health) trained staff, or of those that have clinical contact with mental health patients. These personnel are still relevant, as their placement in the healthcare system arena is crucial for remote general nurses to function. 7.4.1 Administrators Administrators encompass those organisational service providers who provide administrative or managerial assistance to the remote nurses in the health actors’ arena. In this study, participants in this group were limited to state-wide mental health managers, district mental health managers and area mental health Directors of Nursing. This decision was based on a pragmatic approach of obtaining relevant data from those individuals who are involved in systems, policies and resource allocation directly related to remote nurses delivering mental healthcare.