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The challenges of mental health care reform for contemporary mental health nursing practice: Relationships, power and control

journal contribution
posted on 2023-05-18, 18:58 authored by Cleary, M
This ethnographic investigation was concerned with the way mental health nurses’ construct their practice in an acute inpatient psychiatric unit in light of the current challenges, demands and influences brought about by service reforms of the 1990s. The setting for this study was a 22-bed acute inpatient mental health facility. Over a 5-month period, data were collected through fieldwork observations, focused interviews and discussion groups. In this article, common cultural practices in relation to the imperatives of relationships, power, restrictions and safety are discussed. The findings demonstrate how the client stabilization role of the unit locates these imperatives as central to the delivery of nursing care. The discussion reveals nurses negotiating relationships that are contradictory and challenging in ordinary and everyday ways within the exigencies of daily practice.

History

Publication title

International Journal of Mental Health Nursing

Volume

12

Pagination

139-147

ISSN

1445-8330

Department/School

School of Health Sciences

Publisher

Wiley-Blackwell Publishing Asia

Place of publication

Australia

Rights statement

Copyright 2003 John Wiley and Sons

Repository Status

  • Restricted

Socio-economic Objectives

Mental health

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