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Perspectives of a nurse, a social-worker and a psychiatrist, regarding patient assessment in acute inpatient psychiatry settings : a case study approach
journal contribution
posted on 2004-12-01, 00:00 authored by B Hamilton, Elizabeth ManiasElizabeth Manias, P Maude, T Marjoribanks, Kay CookThis case study explores what informs and organizes the assessment of patients, as undertaken by a nurse, a social worker and a psychiatrist in public, metropolitan, acute mental health service settings. The research data are the transcripts of in-depth interviews with three experienced practitioners, one from each of the three disciplines. The analysis draws on Foucauldian concepts: discourse as constructed through practices of discipline and the gaze. We explored examples of taken-for-granted assessment practices and their interplay with discourse. The findings suggest that participating practitioners use language in assessment in ways that support the powerful discourses of the professional disciplines. The competing discourse of management, associated with industry and economics, is evident in hospital admission processes, dictating the times and places of assessment. Professional and management discourses both effectively marginalize the perspective of another player in assessment, the patient.
History
Journal
Journal of psychiatric and mental health nursingVolume
11Issue
6Pagination
683 - 689Publisher
Wiley InterscienceLocation
New York, N. Y.Publisher DOI
ISSN
1351-0126eISSN
1365-2850Language
engPublication classification
C1.1 Refereed article in a scholarly journalCopyright notice
2004, Blackwell Publishing LtdUsage metrics
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