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Talking about mental health nursing: a qualitative analysis of nurses’ and service users’ accounts. / Julia Mary Terry

Swansea University Author: Julia Terry

DOI (Published version): 10.23889/Suthesis.43230

Abstract

This study explores talk about mental health nursing, in a policy and practice climate that promotes service user involvement in nursing processes. The intention of this study was to gain multiple perspectives about mental health nursing and service user involvement through in-depth research intervi...

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Published: 2018
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
URI: https://cronfa.swan.ac.uk/Record/cronfa43230
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first_indexed 2018-08-08T12:56:57Z
last_indexed 2020-08-21T03:04:47Z
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spelling 2020-08-20T16:10:48.0527788 v2 43230 2018-08-08 Talking about mental health nursing: a qualitative analysis of nurses’ and service users’ accounts. aeb9b7bc739735cab8b0d3c06ccf6712 0000-0002-6827-0029 Julia Terry Julia Terry true false 2018-08-08 HNU This study explores talk about mental health nursing, in a policy and practice climate that promotes service user involvement in nursing processes. The intention of this study was to gain multiple perspectives about mental health nursing and service user involvement through in-depth research interviews and focus groups with mental health nurses, nursing students and mental health service users. Analysis centred on the meaning making of participants’ talk and how mental health nursing identities are accounted for and constructed.The opportunities for authentic service user involvement in nursing processes within mental health systems that include detention and a focus on compliance are under-explored. Historically mental health services have been linked with power and control, as treatments and interventions have often been coercive and at times involve forced assessment and treatment under mental health legislation. Challenges to power, control and coercion can be found in practices that promote service user involvement. However, a power imbalance in relationships between mental health service users and mental health practitioners is evident, with service users having partial agency and often limited involvement regarding their care and treatment.This study found that nurses and mental health service users talked about how nursing work was often task-focused, and made reference to nurses spending limited therapeutic time directly with service users, who then spoke of their dissatisfaction regarding engagements with nursing staff. Nursing students voiced limited knowledge and exposure to examples of how nurses engage in service user involvement activities in practice indicating they had little experience of this. Instead students said they felt compelled to go along with practices that appeared to work in opposition to involvement. Displays of understanding in participants’ talk about mental health nursing work indicated the existence of powerful professional cultures that included distance and separateness from service users and perpetuated limited involvement. It is important that mental health nurses consider imbalanced power relationships that exist in mental health environments and challenge cultures that discourage nurses from working more collaboratively with service users. E-Thesis Mental health nursing, service user involvement, nursing processes 31 12 2018 2018-12-31 10.23889/Suthesis.43230 A selection of third party content is redacted or is partially redacted from the appendix to this thesis. COLLEGE NANME Nursing COLLEGE CODE HNU Swansea University Doctoral Ph.D Swansea University 2020-08-20T16:10:48.0527788 2018-08-08T12:40:59.0974606 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Julia Terry 0000-0002-6827-0029 1 Julia Mary Terry 2 0043230-08082018144125.pdf Terry_Julia_Mary_PhD_v1.pdf 2018-08-08T14:41:25.7670000 Output 2739304 application/pdf E-Thesis – open access true 2018-08-08T00:00:00.0000000 true
title Talking about mental health nursing: a qualitative analysis of nurses’ and service users’ accounts.
spellingShingle Talking about mental health nursing: a qualitative analysis of nurses’ and service users’ accounts.
Julia Terry
title_short Talking about mental health nursing: a qualitative analysis of nurses’ and service users’ accounts.
title_full Talking about mental health nursing: a qualitative analysis of nurses’ and service users’ accounts.
title_fullStr Talking about mental health nursing: a qualitative analysis of nurses’ and service users’ accounts.
title_full_unstemmed Talking about mental health nursing: a qualitative analysis of nurses’ and service users’ accounts.
title_sort Talking about mental health nursing: a qualitative analysis of nurses’ and service users’ accounts.
author_id_str_mv aeb9b7bc739735cab8b0d3c06ccf6712
author_id_fullname_str_mv aeb9b7bc739735cab8b0d3c06ccf6712_***_Julia Terry
author Julia Terry
author2 Julia Terry
Julia Mary Terry
format E-Thesis
publishDate 2018
institution Swansea University
doi_str_mv 10.23889/Suthesis.43230
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
document_store_str 1
active_str 0
description This study explores talk about mental health nursing, in a policy and practice climate that promotes service user involvement in nursing processes. The intention of this study was to gain multiple perspectives about mental health nursing and service user involvement through in-depth research interviews and focus groups with mental health nurses, nursing students and mental health service users. Analysis centred on the meaning making of participants’ talk and how mental health nursing identities are accounted for and constructed.The opportunities for authentic service user involvement in nursing processes within mental health systems that include detention and a focus on compliance are under-explored. Historically mental health services have been linked with power and control, as treatments and interventions have often been coercive and at times involve forced assessment and treatment under mental health legislation. Challenges to power, control and coercion can be found in practices that promote service user involvement. However, a power imbalance in relationships between mental health service users and mental health practitioners is evident, with service users having partial agency and often limited involvement regarding their care and treatment.This study found that nurses and mental health service users talked about how nursing work was often task-focused, and made reference to nurses spending limited therapeutic time directly with service users, who then spoke of their dissatisfaction regarding engagements with nursing staff. Nursing students voiced limited knowledge and exposure to examples of how nurses engage in service user involvement activities in practice indicating they had little experience of this. Instead students said they felt compelled to go along with practices that appeared to work in opposition to involvement. Displays of understanding in participants’ talk about mental health nursing work indicated the existence of powerful professional cultures that included distance and separateness from service users and perpetuated limited involvement. It is important that mental health nurses consider imbalanced power relationships that exist in mental health environments and challenge cultures that discourage nurses from working more collaboratively with service users.
published_date 2018-12-31T03:54:30Z
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score 11.012678

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