S.TRUEMAN PhD THESIS 2016

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31 Position Statements, four Guidelines, four Joint Position Statements and one Information Sheet, none of which mention or address remote nurses and the delivery of mental healthcare, thereby highlighting unexpected ‘silences’ and ‘absences’ in the situation or case (Clarke, 2005). The Coalition of National Nursing Organisations (CoNNO) is made up of 53 national nursing organisations in an alliance to work collectively to advance the nursing profession, and to improve healthcare. Its charter is to represent the national interests of nurses in all sectors of the health profession, and is comprised of specialist national nursing organisations. Two of the organisations are relevant, CRANA Plus (remote nursing) and Australian College of Mental Health Nurses (mental health but not remote nurses per se ). This reinforces the relevance and primacy of CRANA Plus being the political body specifically for remote nurses delivering mental healthcare. The second cluster in the non-human arena is geographical and temporal–spatial elements. Two features were reported in this study concerning geography: location (degree of remoteness) and weather. Location is important as it determines the level of remoteness, and in turn the level of health services (Humphreys & Wakerman, 2008). For example, if two remote communities are 10 km apart they are in essence, less remote or isolated than a community 200 km apart. The first two communities are able to travel less distance and in less time, which facilitates the ease of sharing resources to deliver mental healthcare, for example, in summonsing an ambulance or police from one community to another, or the evacuation of a mental health patient out of the community. Hence, remoteness alone is not the issue, as