Negotiating Realities Making Sense of Interaction Between Patients Diagnosed As Neurotic and Nurses

This contribution to the 'conversation' about psychiatric nursing practice, based on accounts of conversations in practice, makes an original contribution to the methodology of psychiatric nursing research and to understanding the basis of practice. The study on which it was based explored interaction between patients diagnosed as 'neurotic' and nurses in two Scottish psychiatric admission wards. Discourses of British and American psychiatric nursing literature are examined to illustrate problems of theoretical understanding of psychiatric nursing practice. Through a qualitative analysis based on fieldwork and on nurses' and patients' accounts of their day to day talk, the author explores the 'common sense' of psychiatric nursing negotiated when patients and nurses 'work' to recover the patients to the 'paramount reality' of everyday life. The author discusses the empirical findings in terms of knowledge, power, and moral order from both interpretive and Foucaultian perspectives; and poses new arguments about accountability in psychiatric nursing.Tilley, Stephen is the author of 'Negotiating Realities Making Sense of Interaction Between Patients Diagnosed As Neurotic and Nurses' with ISBN 9781856289399 and ISBN 1856289397.