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

Citation

Cleary, M, The challenges of mental health care reform for contemporary mental health nursing practice: Relationships, power and control, International Journal of Mental Health Nursing, 12, (2) pp. 139-147. ISSN 1445-8330 (2003) [Refereed Article]

Copyright Statement

Copyright 2003 John Wiley and Sons

DOI: doi:10.1046/j.1440-0979.2003.00280.x

Abstract

This ethnographic investigation was concerned with the way mental health nursesí 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.

Item Details

Item Type:Refereed Article
Keywords:mental health nursing, acute care, delivery of care, power
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Mental Health
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Mental Health
Author:Cleary, M (Professor Michelle Cleary)
ID Code:108460
Year Published:2003
Web of Science® Times Cited:40
Deposited By:Health Sciences
Deposited On:2016-04-19
Last Modified:2016-08-08
Downloads:0

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