Table 2.

Comparing mean importance of statements generated by stakeholder groups

Statements	All participants (n = 43)		Service users (n = 9)		Nurses (n = 10)		Nurse Managers (n = 11)		Psychiatrists (n = 5)		Nurse Academics (n = 8)
	M (SD)	95% CI	M (SD)	95% CI	M (SD)	95% CI	M (SD)	95% CI	M (SD)	95% CI	M (SD)	95% CI
Skilled in engaging people when they are distressed d	1.42 (0.73)	1.20, 1.64	1.22 (0.44)	0.93, 1.51	1.20 (0.42)	0.94, 1.46	1.82 (1.08)	1.18, 2.46	1.60 (0.89)	0.82, 2.38	1.25 (0.46)	0.93, 1.57
Can undertake a risk assessment (harm to self) a	1.72 (1.03)	1.41, 2.03	2.89 (1.36)	2.00, 3.78	1.20 (0.63)	0.81, 1.59	1.73 (0.65)	1.35, 2.11	1.40 (0.55)	0.92, 1.88	1.25 (0.71)	0.76, 1.74
Conduct a mental state examination a	1.74 (1.20)	1.39, 2.10	3.00 (1.32)	2.14, 3.86	1.10 (0.32)	0.90, 1.30	1.55 (1.21)	0.83, 2.27	1.80 (1.30)	0.66, 2.94	1.38 (0.74)	0.87, 1.89
Are able to engage with consumers c	1.74 (1.03)	1.44, 2.05	1.78 (0.83)	1.24, 2.32	1.50 (0.53)	1.17, 1.83	2.18 (1.08)	1.54, 2.82	2.40 (1.95)	0.69, 4.11	1.00 (0.00)	—*
Do not stigmatize patients c	1.75 (1.10)	1.42, 2.08	1.44 (0.73)	0.96, 1.92	1.40 (0.70)	0.97, 1.83	2.45 (1.37)	1.64, 3.26	2.00 (1.26)	0.90, 3.10	1.38 (1.06)	0.65, 2.11
Good communication skills d	1.77 (1.19)	1.41, 2.12	1.67 (0.87)	1.10, 2.24	1.60 (1.07)	0.94, 2.26	1.73 (1.27)	0.98, 2.48	2.80 (1.79)	1.23, 4.37	1.50 (1.07)	0.76, 2.24
Works in a patient centred way c	1.77 (1.02)	1.46, 2.07	1.67 (0.87)	1.10, 2.24	1.70 (0.95)	1.11, 2.29	2.45 (1.13)	1.78, 3.12	1.60 (1.34)	0.43, 2.77	1.13 (0.35)	0.89, 1.37
Knowledge about mental health law e	1.84 (0.84)	1.59, 2.09	2.22 (0.67)	1.78, 2.66	1.50 (0.71)	1.06, 1.94	1.73 (1.01)	1.13, 2.33	2.20 (0.84)	1.46, 2.94	1.75 (0.89)	1.13, 2.37
Are able to effectively manage crisis situations d	1.84 (1.07)	1.52, 2.16	2.00 (1.12)	1.27, 2.73	1.10 (0.32)	0.90, 1.30	1.82 (1.25)	1.08, 2.56	2.60 (1.52)	1.27, 3.93	2.13 (0.64)	1.69, 2.57
Have good observation skills d	1.84 (1.25)	1.46, 2.21	2.44 (1.24)	1.63, 3.25	1.30 (0.67)	0.88, 1.72	1.64 (1.29)	0.88, 2.40	2.60 (1.52)	1.27, 3.93	1.63 (1.41)	0.65, 2.61
Are able to express empathy c	1.86 (1.04)	1.55, 2.17	1.89 (1.05)	1.20, 2.58	1.60 (0.97)	1.00, 2.20	2.45 (1.13)	1.78, 3.12	2.00 (1.22)	0.93, 3.07	1.25 (0.46)	0.93, 1.57
Are knowledgeable about risk factors for mental illness e	1.88 (1.00)	1.58, 2.18	2.22 (0.67)	1.78, 2.66	1.30 (0.48)	1.00, 1.60	1.82 (1.08)	1.18, 2.46	2.60 (1.52)	1.27, 3.93	1.88 (1.13)	1.10, 2.66
Skilled at talking to patients, families and friends c	1.93 (1.16)	1.58, 2.28	2.00 (1.50)	1.02, 2.98	1.50 (0.53)	1.17, 1.83	2.18 (0.87)	1.67, 2.69	2.20 (1.64)	0.76, 3.64	1.88 (1.46)	0.87, 2.89
Skilled at working as part of a team d	1.95 (1.07)	1.63, 2.27	2.33 (1.00)	1.68, 2.98	1.60 (0.84)	1.08, 2.12	1.82 (0.98)	1.24, 2.40	2.40 (1.67)	0.94, 3.86	1.88 (1.13)	1.10, 2.66
Do not make judgements about consumers behaviour c	1.98 (1.02)	1.67, 2.28	1.88 (0.99)	1.23, 2.53	2.40 (1.07)	1.74, 3.06	2.36 (1.12)	1.70, 3.02	1.40 (0.89)	0.62, 2.18	1.38 (0.52)	1.02, 1.74
Knowledge about the principles of recovery b	1.98 (1.06)	1.66, 2.29	2.00 (1.12)	1.27, 2.73	1.80 (0.63)	1.41, 2.19	1.82 (0.98)	1.24, 2.40	2.40 (1.14)	1.40, 3.40	2.13 (1.55)	1.06, 3.20
Are able to handover patients accurately a	1.98 (1.14)	1.63, 2.32	2.33 (1.22)	1.53, 3.13	1.10 (0.32)	0.90, 1.30	2.27 (1.62)	1.31, 3.23	2.40 (1.55)	1.04, 3.76	2.00 (0.76)	1.47, 2.53
Skilled in the management of verbal aggression a	2.00 (1.15)	1.65, 2.35	2.22 (0.97)	1.59, 2.85	1.60 (1.07)	0.94, 2.26	1.82 (1.08)	1.18, 2.46	2.60 (1.52)	1.27, 3.93	2.13 (1.36)	1.19, 3.07
Are focused on empowering consumers c	2.02 (1.24)	1.65, 2.40	1.78 (1.09)	1.07, 2.49	2.10 (1.29)	1.30, 2.90	2.45 (1.29)	1.69, 3.21	2.60 (1.82)	1.00, 4.20	1.25 (0.46)	0.93, 1.57
Skilled in reflecting on their own practice d	2.05 (0.97)	1.76, 2.34	2.11 (0.93)	1.50, 2.72	2.00 (1.05)	1.35, 2.65	2.09 (1.22)	1.37, 2.81	2.40 (0.55)	1.92, 2.88	1.75 (0.89)	1.13, 2.37
Do not assume consumers are dangerous (potentially violent) c	2.07 (0.91)	1.80, 2.34	2.00 (0.71)	1.54, 2.46	1.90 (0.88)	1.35, 2.45	2.27 (0.90)	1.74, 2.80	2.80 (1.30)	1.66, 3.94	1.63 (0.74)	1.12, 2.14
Can undertake a risk assessment (violence) a	2.07 (1.14)	1.73, 2.41	3.22 (1.30)	2.37, 4.07	1.70 (0.48)	1.40, 2.00	1.64 (0.81)	1.16, 2.12	2.00 (0.71)	1.38, 2.62	1.88 (1.46)	0.87, 2.89
Is an advocate for consumers c	2.07 (1.18)	1.72, 2.42	2.11 (1.05)	1.42, 2.80	2.00 (0.94)	1.42, 2.58	2.45 (1.37)	1.64, 3.26	1.80 (1.30)	0.66, 2.94	1.75 (1.39)	0.79, 2.71
Skilled in the management of physical aggression a	2.09 (1.17)	1.74, 2.44	2.89 (1.45)	1.94, 3.84	1.80 (1.23)	1.04, 2.56	1.82 (1.08)	1.18, 2.46	1.60 (0.55)	1.12, 2.08	2.25 (0.89)	1.63, 2.87
Work in a trauma informed way c	2.09 (1.17)	1.74, 2.44	1.67 (1.12)	0.94, 2.40	2.60 (0.84)	2.08, 3.12	2.00 (1.10)	1.35, 2.65	2.80 (1.30)	1.66, 3.94	1.63 (1.41)	0.65, 2.61
Spend time with consumers c	2.10 (1.10)	1.77, 2.42	2.33 (0.87)	1.76, 2.90	1.89 (0.93)	1.31, 2.47	2.36 (1.21)	1.64, 3.08	1.60 (1.34)	0.43, 2.77	2.00 (1.31)	1.09, 2.91
Is not condescending c	2.12 (1.20)	1.76, 2.47	1.78 (1.09)	1.07, 2.49	2.40 (1.43)	1.51, 3.29	2.45 (1.29)	1.69, 3.21	1.80 (1.10)	0.84, 2.76	1.88 (0.99)	1.19, 2.57
Knowledge about the dual diagnosis (mental disorder and an alcohol or drug problem) e	2.12 (0.79)	1.88, 2.35	2.22 (0.67)	1.78, 2.66	1.60 (0.52)	1.28, 1.92	2.36 (0.92)	1.82, 2.90	2.40 (0.89)	1.62, 3.18	2.13 (0.83)	1.55, 2.71
Engender a sense of hope c	2.14 (1.32)	1.75, 2.53	2.11 (1.17)	1.35, 2.87	1.90 (1.29)	1.10, 2.70	2.82 (1.40)	1.99, 3.65	2.60 (1.82)	1.00, 4.20	1.25 (0.46)	0.93, 1.57
Works in a culturally competent way c	2.16 (1.09)	1.84, 2.49	2.00 (1.32)	1.14, 2.86	1.90 (0.99)	1.29, 2.51	2.36 (1.03)	1.75, 2.97	2.60 (1.34)	1.43, 3.77	2.13 (0.99)	1.44, 2.82
Knowledgeable about the use of Pro re nata (PRN) medication e	2.19 (1.26)	1.81, 2.56	3.56 (1.13)	2.82, 4.30	1.50 (0.71)	1.06, 1.94	2.09 (1.51)	1.20, 2.98	1.60 (0.55)	1.12, 2.08	2.00 (0.76)	1.47, 2.53
Is kind c	2.21 (1.26)	1.83, 2.59	2.00 (1.32)	1.14, 2.86	2.00 (0.82)	1.49, 2.51	2.82 (1.25)	2.08, 3.56	2.60 (2.19)	0.68, 4.52	1.63 (0.74)	1.12, 2.14
Are able to work autonomously d	2.23 (0.97)	1.94, 2.52	2.76 (0.97)	2.13, 3.39	1.70 (0.67)	1.28, 2.12	2.36 (1.03)	1.75, 2.97	2.60 (0.89)	1.82, 3.38	1.88 (0.99)	1.19, 2.57
Knowledge of different mental disorders (DSM/ICD) e	2.29 (1.15)	1.95, 2.64	2.56 (1.24)	1.75, 3.37	2.20 (1.03)	1.56, 2.84	2.20 (1.40)	1.37, 3.03	2.50 (1.00)	1.62, 3.38	2.13 (1.13)	1.35, 2.91
Clinical documentation is respectful d	2.30 (1.08)	1.98, 2.63	2.78 (1.09)	2.07, 3.49	2.00 (0.94)	1.42, 2.58	2.18 (1.08)	1.54, 2.82	3.20 (1.30)	2.06, 4.34	1.75 (0.71)	1.26, 2.24
Knowledge about co‐occurring physical health problems e	2.33 (0.94)	2.04, 2.61	2.44 (0.53)	2.09, 2.79	1.80 (0.42)	1.54, 2.06	2.45 (1.21)	1.73, 3.17	3.40 (1.14)	2.40, 4.40	2.00 (0.76)	1.47, 2.53
Knowledge about psychopharmacology e	2.35 (1.19)	1.99, 2.71	3.11 (1.69)	2.01, 4.21	2.10 (1.10)	1.42, 2.78	2.09 (0.94)	1.53, 2.65	2.40 (0.89)	1.62, 3.18	2.13 (0.99)	1.44, 2.82
Skilled at working with family and friends c	2.37 (1.16)	2.03, 2.72	3.22 (1.39)	2.31, 4.13	2.10 (0.99)	1.49, 2.71	2.18 (0.87)	1.67, 2.69	2.20 (1.10)	1.24, 3.16	2.13 (1.25)	1.26, 3.00
Are critical thinkers d	2.38 (1.10)	2.05, 2.71	2.56 (1.24)	1.75, 3.37	2.30 (0.48)	2.00, 2.60	2.36 (1.29)	1.60, 3.12	3.25 (0.50)	2.81, 3.69	1.88 (1.36)	0.94, 2.82
Can undertake a physical health assessment h	2.44 (0.98)	2.15, 2.74	3.11 (1.05)	2.42, 3.80	2.10 (0.88)	1.55, 2.65	2.18 (0.87)	1.67, 2.69	2.60 (1.14)	1.60, 3.60	2.38 (0.92)	1.74, 3.02
Knowledgeable about different psychotherapeutic techniques e	2.51 (1.05)	2.20, 2.83	3.00 (1.58)	1.97, 4.03	2.20 (0.79)	1.71, 2.69	2.36 (0.92)	1.82, 2.90	3.00 (1.00)	2.12, 3.88	2.25 (0.70)	1.76, 2.74
Competent in delivering different psychotherapeutic techniques h	2.53 (1.08)	2.21, 2.86	3.11 (1.36)	2.22, 4.00	2.00 (0.82)	1.49, 2.51	2.82 (0.98)	2.24, 3.40	3.20 (0.84)	2.46, 3.94	1.75 (0.46)	1.43, 2.07
Are well organized d	2.53 (1.14)	2.19, 2.88	2.78 (1.20)	2.00, 3.56	2.00 (0.82)	1.49, 2.51	2.82 (1.25)	2.08, 3.56	2.60 (0.89)	1.82, 3.38	2.50 (1.41)	1.52, 3.48
Attend regular clinical supervision d	2.53 (1.14)	2.19, 2.88	2.78 (1.09)	2.07, 3.49	2.30 (1.16)	1.58, 3.02	2.36 (1.12)	1.70, 3.02	3.40 (1.40)	2.17, 4.63	2.25 (1.16)	1.45, 3.05
Spend time with consumers family and friends c	2.53 (1.18)	2.18, 2.89	2.89 (1.17)	2.13, 3.65	2.50 (1.35)	1.66, 3.34	2.73 (1.01)	2.13, 3.33	1.60 (0.55)	1.12, 2.08	2.50 (1.41)	1.52, 3.48
Are skilled in promoting physical health f	2.56 (1.16)	2.21, 2.91	3.11 (1.17)	2.35, 3.87	2.30 (0.82)	1.79, 2.81	2.73 (1.42)	1.89, 3.57	3.20 (0.84)	2.46, 3.94	1.63 (0.74)	1.12, 2.14
Clinical documentation is reflective d	2.63 (1.22)	2.26, 2.99	2.89 (1.27)	2.06, 3.72	2.40 (1.43)	1.51, 3.29	2.36 (1.12)	1.70, 3.02	3.00 (1.22)	1.93, 4.07	2.75 (1.16)	1.95, 3.55
Knowledge about Safewards interventions e	2.70 (1.19)	2.34, 3.05	3.44 (1.33)	2.57, 4.31	2.20 (1.03)	1.56, 2.84	2.36 (1.29)	1.60, 3.12	3.00 (1.00)	2.12, 3.88	2.75 (0.89)	2.13, 3.37
Knowledge about the social determinants of health e	2.72 (1.14)	2.38, 3.06	2.89 (1.17)	2.13, 3.65	2.20 (1.14)	1.49, 2.91	3.18 (1.33)	2.39, 3.97	3.00 (0.71)	2.38, 3.62	2.38 (0.92)	1.74, 3.02
Are able to administer long acting (depot) injections h	2.74 (1.33)	2.34, 3.13	3.89 (1.45)	2.94, 4.84	2.20 (1.14)	1.49, 2.91	2.45 (1.37)	1.64, 3.26	2.25 (0.50)	1.81, 2.69	2.75 (1.04)	2.03, 3.47
Are able to administer intramuscular injection h	2.74 (1.38)	2.33, 3.16	4.11 (1.17)	3.35, 4.87	1.70 (0.67)	1.28, 2.12	2.82 (1.60)	1.87, 3.77	2.60 (1.14)	1.60, 3.60	2.50 (0.93)	1.86, 3.14
Can generate a nursing diagnosis h	2.74 (1.35)	2.34, 3.15	3.67 (1.12)	2.94, 4.40	2.20 (1.40)	1.33, 3.07	2.55 (1.21)	1.83, 3.27	2.80 (1.30)	1.66, 3.94	2.63 (1.51)	1.58, 3.68
Are able to work flexibly d	2.79 (1.12)	2.45, 3.13	3.33 (0.87)	2.76, 3.90	2.30 (0.95)	1.71, 2.89	2.64 (1.03)	2.03, 3.25	3.80 (1.10)	2.84, 4.76	2.38 (1.30)	1.48, 3.28
Skilled in being able to critically evaluate new research f	2.84 (1.19)	2.48, 3.19	2.78 (1.39)	1.87, 3.69	2.50 (0.71)	2.06, 2.94	2.91 (1.04)	2.30, 3.52	4.20 (1.30)	3.06, 5.34	2.38 (1.19)	1.56, 3.20
Knowledgeable about the history of psychiatric care and treatment e	2.91 (1.31)	2.52, 3.30	3.00 (1.50)	2.02, 3.98	2.40 (1.07)	1.74, 3.06	2.82 (1.47)	1.95, 3.69	3.40 (1.52)	2.07, 4.73	3.25 (1.04)	2.53, 3.97
Have a good sense of humour g	2.95 (1.15)	2.61, 3.30	3.22 (1.30)	2.37, 4.07	2.60 (0.97)	2.00, 3.20	3.27 (1.10)	2.62, 3.92	2.20 (1.30)	1.06, 3.34	3.13 (1.13)	2.35, 3.91
Knowledgeable about new research e	3.12 (1.22)	2.75, 3.48	3.00 (0.71)	2.54, 3.46	2.20 (0.79)	1.71, 2.69	3.45 (1.21)	2.73, 4.17	4.60 (0.55)	4.12, 5.08	3.00 (1.51)	1.95, 4.05
Are able to administer an ECG h	3.60 (1.16)	3.26, 3.95	3.67 (1.22)	2.87, 4.47	3.50 (1.18)	2.77, 4.23	3.64 (0.92)	3.10, 4.18	3.20 (1.64)	1.76, 4.64	3.88(1.25)	3.01, 4.75
Competent in taking blood h	3.86 (1.23)	3.49, 4.23	4.00 (1.41)	3.08, 4.92	3.80 (1.32)	2.98, 4.62	3.91 (1.22)	3.19, 4.63	3.00 (1.00)	2.12, 3.88	4.25 (1.04)	3.53, 4.97
Are able to interpret an ECG h	3.95 (1.00)	3.65, 4.25	4.22 (1.09)	3.51, 4.93	3.70 (1.06)	3.04, 4.36	3.91 (0.54)	3.59, 4.23	3.60 (1.52)	2.27, 4.93	4.25 (1.04)	3.53, 4.97

Each statement was rated regarding its perceived importance as a competence of a mental health nurse using a scale from 1 to 5, with one being the most important. Statements are arranged according to their importance, that is, statements on top were highly rated. The letters (a–h) on each statement represents the eight clusters.

^a Statement in cluster one, assessment and management of risk.

^b Statement in cluster two, understanding recovery principles.

^c Statement in cluster three, family‐ and patient‐centred care.

^d Statement in cluster four, good communication skills.

^e Statement in cluster five, knowledge about mental disorders and treatment.

^f Statement in cluster six, evaluating Research and promoting physical health.

^g Statement in cluster seven, a sense of humour.

^h Statement in cluster eight, physical and psychological interventions.

^*No confidence interval since SD is 0.00.