User participation in district psychiatry. The social construction of 'users' in handovers and meetings

Nursing Inquiry
Vår MathisenPer Måseide

Abstract

An ideal in mental health care is user participation. This implies inclusion and facilitation by clinicians to enable users to participate in decisions about themselves and in the design of suitable treatment. However, much of the work of clinicians consists of handovers and other meetings where patients are not present. It is therefore interesting to study how the patient perspective is handled in such meetings and whether it forms a basis for user participation. We conducted fieldwork in three different inpatient wards in Norwegian District Psychiatric Centres. We used an interactional perspective in our analysis, where speech acts, framing and footing were key concepts. The findings show that the talk in the handovers and meetings contained five main themes and that there was a clear correlation between what was said and how it was said, and whether clinicians related to the content in a decisive, person-centred or indecisive manner. We discuss potential participation statuses for patients and their limited opportunity to influence the talk and possible decisions about themselves. Our conclusion is that handover meetings primarily function as an aid in organising clinicians' work and could ultimately be seen as counteracting...Continue Reading

References

Jul 25, 2000·Journal of Advanced Nursing·M HardeyP Coleman
Apr 23, 2004·Journal of Nursing Management·Amanda SextonPatrick Crookes
May 20, 2004·Journal of Psychiatric and Mental Health Nursing·B Rush
Mar 18, 2009·Issues in Mental Health Nursing·Christine OeyeNorman Anderssen
Nov 25, 2011·Journal of Advanced Nursing·Eric MayorMyriam Aribot
May 31, 2013·International Journal of Mental Health Nursing·Imani GunasekaraSue Patterson

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Citations

Aug 24, 2017·Scandinavian Journal of Caring Sciences·Anne-Kari JohannessenAnne Werner
Sep 11, 2020·International Journal of Environmental Research and Public Health·Kim JørgensenJesper Frederiksen
Dec 2, 2020·International Journal of Environmental Research and Public Health·Kim JørgensenBengt Karlsson
Jun 1, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Rikard WärdigAnn Catrine Eldh

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