School of Nursing, Faculty of Health Sciences, University of Ottawa, Faculty of Health Sciences, School of Nursing, 451 Smyth Rd, Ottawa, ON, Canada K1H 8M5.
Nurs Inq. 2011 Sep;18(3):191-204. doi: 10.1111/j.1440-1800.2011.00526.x. Epub 2011 Jul 10.
The concepts of discourse, subjectivity and power allow for innovative explorations in nursing research. Discourse take many different forms and may be maintained, transmitted, even imposed, in various ways. Nursing practice makes possible many discursive spaces where discourses intersect. Using a Foucauldian perspective, were explored the ways in which forensic psychiatric nurses construct the subjectivity of mentally ill inmates. Progress notes and individual interviews constitute discursive spaces within which nurses construct patients' subjectivities. Progress notes provide a written (and permanent) form of discourse, while interviews set the space for a more fluid and contextual form of discourse. We identified five types of subjectivities - the (in)visible patient, the patient as risk, the deviant patient, the disturbed patient and the disciplined patient. These subjectivities were rooted in various types of discourses circulating in the selected setting. Despite the multiple discursive dimensions of forensic psychiatric nursing, progress notes remain the main formal source of information regarding nursing care even though it is not representative of the care provided nor is it representative of nurses' complex discursive practices in corrections.
话语、主体性和权力的概念允许在护理研究中进行创新探索。话语有多种不同的形式，可以以各种方式被维护、传递，甚至强加。护理实践创造了许多话语相交的话语空间。本文运用福柯的观点，探讨了法医精神病护士如何构建精神病囚犯的主体性。护理记录和个别访谈构成了护士构建患者主体性的话语空间。护理记录提供了一种书面（和永久）的话语形式，而访谈则为更流畅和上下文化的话语形式设定了空间。我们确定了五种主体性——看不见的患者、风险患者、异常患者、紊乱患者和受约束的患者。这些主体性根植于所选环境中流传的各种话语类型。尽管法医精神病护理具有多种话语维度，但护理记录仍然是护理信息的主要正式来源，尽管它不能代表所提供的护理，也不能代表护士在惩教场所中的复杂话语实践。
