School of Nursing and Midwifery, University of Central Lancashire, Preston, Lancashire, UK.
Nurs Inq. 2024 Oct;31(4):e12675. doi: 10.1111/nin.12675. Epub 2024 Sep 16.
Existing challenges to the legitimacy of mental health nursing in the United Kingdom and beyond have stimulated a critical self-reflection and discourse around the mental health nursing role, forcing the profession to question its identity and critically re-evaluate its position within the wider healthcare arena. In this discussion paper, I suggest that the current difficulties in conceptualising mental health nurse identity arise from our role being inherently interwoven with distinctive challenges and unique needs of our service users. Emerging from this idea is that the 'being' (and the 'doing') of mental health nursing is firmly situated within the sphere of intersubjective relations. Drawing upon Hegel's ideas of reciprocal recognitive relations, to support the notion that our profession's role and purpose are better understood when defined in relation to the work that we do with our service users, I argue that it is in the understanding (and even embracing) of intersubjectivity as a core principle of mental health nursing, where we might not just better understand ourselves but also know how to shift asymmetric relations with our service users towards those which are more commensurate and mutually beneficial.
在英国及其他国家，精神健康护理的合法性面临着诸多挑战，这促使精神健康护理行业进行自我反思和讨论，迫使该行业质疑其身份，并在更广泛的医疗保健领域内批判性地重新评估其地位。在这篇讨论论文中，我认为，目前在概念化精神健康护士身份方面所遇到的困难，源于我们的角色与服务对象的独特挑战和独特需求本质上是交织在一起的。由此产生的观点是，精神健康护理的“存在”（和“行动”）牢牢地处于主体间关系的领域内。借鉴黑格尔关于互惠认同关系的观点，为了支持这样一种观点，即当我们根据与服务对象一起开展的工作来定义我们的职业角色和目的时，会更好地理解它们，我认为，在理解（甚至接受）主体间性作为精神健康护理的核心原则时，我们不仅可以更好地了解自己，还可以知道如何将与服务对象的不对称关系转变为更相称和互利的关系。
