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Constructing mentally ill inmates: nurses' discursive practices in corrections.

Amélie Perron1, Dave Holmes

  • 1School of Nursing, Faculty of Health Sciences, University of Ottawa, Faculty of Health Sciences, School of Nursing, 451 Smyth Rd, Ottawa, ON, Canada K1H 8M5. amelie.perron@uottawa.ca

Nursing Inquiry
|July 28, 2011
PubMed
Summary
This summary is machine-generated.

Forensic psychiatric nurses shape inmate subjectivity through discourse, identifying five patient types. Progress notes, while formal, don't fully capture complex nursing practices in corrections.

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Area of Science:

  • Nursing Research
  • Psychiatric Nursing
  • Sociology of Health

Background:

  • Discourse, subjectivity, and power are key concepts for innovative nursing research.
  • Nursing practice provides spaces where various discourses intersect.

Purpose of the Study:

  • To explore how forensic psychiatric nurses construct the subjectivity of mentally ill inmates.
  • To analyze the discursive spaces and their influence on patient subjectivity.

Main Methods:

  • A Foucauldian perspective was employed.
  • Discursive spaces, including progress notes and individual interviews, were examined.
  • Analysis focused on how nurses construct patient subjectivities.

Main Results:

  • Five types of inmate subjectivities were identified: (in)visible, risk, deviant, disturbed, and disciplined.
  • These subjectivities are rooted in the discourses prevalent in the forensic psychiatric setting.
  • Progress notes are the primary formal record but do not represent the full scope of nursing care or discursive practices.

Conclusions:

  • Forensic psychiatric nursing involves complex discursive practices in constructing inmate subjectivities.
  • Progress notes are a limited representation of the nuanced care and communication occurring in corrections.
  • Further research should explore the full spectrum of discursive dimensions in forensic psychiatric nursing.