All were currently employed in district health boards (DHBs) as CMHNs and the time in their current roles ranged from three to nine years.
Theme 2: Positive influences: The participants identified a number of factors that positively influenced their use of CBT in their role as CMHNs.
Theme 1: All participants felt their ability to be "therapeutic" as CMHNs was enhanced by their use of CBT.
The fact CBT was empirically validated, had a large educational component, and the CMHNs were able to identify personally with the model and approach, were three of the key factors that promoted the participants' use of CBT.
Such standards allied the preparation of community nurses, CMHNs included, to specialist practitioner learning outcomes, and to academic achievement at degree level.
National Health Service policies and priorities have continued to shape the role, expectations, and training needs of CMHNs.
Such initiatives encourage CMHNs to assess and meet the needs of people with serious mental health problems as a priority, provide a range of clinically effective, evidence-based interventions, provide care in a collaborative, user-focused manner, work effectively within a community mental health team, and practise effectively across discipline and agency boundaries, including working with primary care professionals, and potentially delivering mental health care to individuals in prison.