Leishman June L
School of Social and Health Sciences, The University of Abertay Dundee.
Int J Psychiatr Nurs Res. 2004 Aug;10(1):1136-45.
Mental Health nursing exists as a discipline in the UK within the wider contemporary health care establishment. Throughout its history it has attempted to define itself in ways that differentiate mental health nursing practice from other health care professions and fields of nursing. However, it is not surprising in this climate of contemporary healthcare for individual professional identities to become 'lost' in the melange of interdisciplinary practice. This research presents a discourse analysis of individual mental health nurses' rhetorical constructions of their professional role(s) as they emerge in their talk with each other in focus group discussions. In particular, the focus in this paper is their discursive repertoires related to the historical legacy of mental health nursing and how this sits with what they consider to be a 'custodial and controlling' element of their role. The particular discourse analytic approach adopted in this study illustrates how individuals use language in a particular way to make justifications and explanations of mental health nursing identities. This analytic approach is ensconced within the domain of social psychology and lies at the interface of ethno-methodology and conversation analysis. It is concerned with structural units of discourse, beyond the level of the sentence, that emerge as the nurse participants engage in talking about their practice (Potter and Wetherell, 1987 p.53).
在英国，心理健康护理作为一门学科存在于更广泛的当代医疗保健机构之中。在其历史发展过程中，它一直试图以各种方式界定自身，以便将心理健康护理实践与其他医疗保健专业及护理领域区分开来。然而，在当代医疗保健的这种大环境下，个人的专业身份在跨学科实践的混合体中变得“迷失”，这并不令人惊讶。本研究呈现了一项话语分析，内容是在焦点小组讨论中，个体心理健康护士在相互交谈时对其专业角色的修辞建构。具体而言，本文关注的是他们与心理健康护理历史遗产相关的话语储备，以及这与他们所认为的自身角色中“监管和控制”元素是如何契合的。本研究采用的特定话语分析方法展示了个体如何以一种特定方式运用语言来为心理健康护理身份做出正当理由和解释。这种分析方法扎根于社会心理学领域，处于民族方法论和会话分析的交叉点。它关注的是话语的结构单元，这些单元超越了句子层面，是在护士参与者谈论他们的实践时显现出来的（波特和韦瑟雷尔，1987年，第53页）。
