SHAW, University of Wolverhampton, West Midlands, Walsall, UK.
J Psychiatr Ment Health Nurs. 2013 Nov;20(9):840-50. doi: 10.1111/jpm.12056. Epub 2013 Apr 2.
Those who are familiar with psychiatric inpatient settings will be aware of the expressions 'doing the obs', 'being on checks' and 'special observations'. That is because the task of observing patients is seen as being pivotal to the mental health nursing role. This paper describes an ethnographic research project that offers a rethinking of psychiatric observation. The author uses data from an ethnographic research project to provide an examination of the structure, process and outcome of this seemingly straightforward nursing task and explores how 'doing the obs' has additional symbolic and cultural meaning similar to what Barthes terms myth. The symbolic connotations are numerous and wide-ranging and expose a practice that could be said to punctuate daily activities and an ordering of relationships between nurses and services users. The classic sociological issues of status, power and containment are all relevant, yet rethought. The use of ethnographic research allowed the author to focus on the more symbolic cultural dynamics and develop five initial ethnographic themes concerning the constituting experience of watching and being watched.
熟悉精神科住院环境的人都知道“做观察”“查房”和“特殊观察”这些说法。这是因为观察患者被视为精神科护理工作的关键。本文描述了一个民族志研究项目,该项目对精神科观察进行了重新思考。作者使用民族志研究项目的数据,对这项看似简单的护理任务的结构、过程和结果进行了检查,并探讨了“做观察”如何具有类似于巴特所说的神话的额外象征和文化意义。象征意义是多方面的,揭示了一种可以说是贯穿日常活动和护士与服务使用者之间关系秩序的做法。经典的社会学问题,如地位、权力和遏制,都与这一做法相关,但需要重新思考。民族志研究的使用使作者能够专注于更具象征意义的文化动态,并围绕观察和被观察的构成体验发展了五个初始民族志主题。