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Discourses on empowerment.

S Tilley1, L Pollock, L Tait

  • 1Department of Nursing Studies, University of Edinburgh, UK.

Journal of Psychiatric and Mental Health Nursing
|May 21, 1999
PubMed
Summary
This summary is machine-generated.

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This study explores how the concept of empowerment in mental health policy is understood and implemented by practitioners. It highlights the importance of integrating patients' experiences with policy narratives in psychiatric nursing research.

Area of Science:

  • Psychiatric Nursing
  • Mental Health Policy
  • Discourse Analysis

Background:

  • The discourse community in British psychiatric and mental health nursing is characterized by a tension between 'Big Stories' (policy, planning) and 'Little Stories' (nurses' work, patient experiences).
  • Current mental health policy emphasizes 'empowerment,' but its articulation in research funding, design, and practice requires careful examination.
  • There is a risk of ignoring or undervaluing the 'Little Stories' of practice and patient experiences in favor of overarching policy narratives.

Purpose of the Study:

  • To illustrate how the policy concept of 'empowerment' is articulated within research and practice in mental health nursing.
  • To examine the responsibilities of researchers in bridging the gap between practice realities ('Little Stories') and policy directives ('Big Stories').
  • To suggest methods for analyzing qualitative data using discourse analysis to understand the interplay between researchers', policymakers', and practitioners' discourses.

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Main Methods:

  • Qualitative study involving interviews with community psychiatric nurses (CPNs).
  • Application of discourse analysis principles to examine the language used in policy, research, and practice.
  • Reflexive examination of the relationship between researchers' discourses and those of policymakers and practitioners.

Main Results:

  • Early findings indicate a divergence in how 'empowerment' is conceptualized and enacted in policy versus practice.
  • The study highlights the challenges researchers face in capturing and representing the nuances of CPNs' work and patient experiences.
  • Preliminary analysis suggests that discourse analysis can offer valuable insights into the power dynamics and communication patterns within mental health nursing.

Conclusions:

  • Researchers must be mindful of their role in shaping narratives and strive to integrate the 'Little Stories' of practice with the 'Big Stories' of policy.
  • Discourse analysis provides a framework for critically examining how concepts like empowerment are constructed and contested in mental health nursing.
  • Further research is needed to fully understand and support the empowerment of individuals with enduring mental disorders within community psychiatric nursing settings.