'She's manipulative and he's right off': a critical analysis of psychiatric nurses' oral and written language in the acute inpatient setting

International Journal of Mental Health Nursing
Bridget Elizabeth Hamilton, Elizabeth Manias

Abstract

Remarks such as 'she's manipulative' and 'he's right off' are familiar to psychiatric nurses. This paper critiques the language nurses use in acute inpatient psychiatry services, highlighting the diverse discourses implicated in nurses' writing and speaking about patients. Based on a review of the literature, this paper examines ethnographic studies and discourse analyses of psychiatric nurses' oral and written language. A prominent debate in the literature surrounds nurses' use of standardized language, which is the use of set terms for symptoms and nursing activities. This review of spoken descriptions of patients highlights nurses' use of informal and local descriptions, incorporating elements of moral judgement, common sense language and empathy. Research into written accounts in patient files and records show nurses' use of objectifying language, the dominance of medicine and the emergence of the language of bureaucracy in health services. Challenges to the language of psychiatry and psychiatric nursing arise from fields as diverse as bioscience, humanism and social theory. Authors who focus on the relationship between language, power and the discipline of nursing disagree in regard to their analysis of particular language...Continue Reading

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Citations

Jun 26, 2014·Issues in Mental Health Nursing·Leonie ClancyLorna Moxham
Jun 26, 2015·Nursing Inquiry·Niels Buus, Bridget Elizabeth Hamilton
Apr 27, 2007·Social Science & Medicine·Bridget Elizabeth Hamilton, Elizabeth Manias
Jun 18, 2009·American Journal of Medical Genetics. Part a·Cari Snowman, Angela Scheuerle
Jul 20, 2007·International Journal of Mental Health Nursing·Karen WrightMick McKeown
Oct 23, 2010·Enfermería clínica·Margalida Miró Bonet
May 24, 2013·Journal of the American Psychiatric Nurses Association·Mary E JensenJoan Kenerson King
Aug 3, 2013·ANS. Advances in Nursing Science·Marion AlexWendy Panagopoulos
Feb 18, 2020·Nursing Inquiry·Sherry Dahlke, Kathleen F Hunter
Mar 16, 2019·Frontiers in Psychiatry·Clara StepanowChristian G Huber
Mar 4, 2021·ANS. Advances in Nursing Science·Jean Daniel JacobMary K Canales

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