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The real life practice of acute in-patient mental health nurses: an anlysis of 'eight-related bundles of activity'

Deacon, M and Fairhurst, E 2008, 'The real life practice of acute in-patient mental health nurses: an anlysis of 'eight-related bundles of activity'' , Nursing Inquiry, 15 (4) , pp. 330-340.

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    This study focuses on nursing in an inpatient mental health setting. Its analytic structure follows from a previous review of nursing studies by Allen, which did not include studies of mental health nursing. Allen's review concluded that the nurses' role coud be understood as that of the healthcare intermediary and that nurses' work could be analysd as eight inter-realted bundles of activity. These bundles include such matters as managing the work of others. This study aims to assess the fit of this model to mental health nursing and to add to the body of work on the social organisation of nursing. The research materials discussed are from an ethngraphy of a psychiatric unit. The analytic framework employed leads us to conclude that the work of mental health nurses can be understood, too, as that of the healthcare intermediary. However, one bundle is found to fit less well and this is attributed to the fragile uncertainty of knowledge in psychiatry. The use of an additional bundle to decribe in-context nursing interventions is suggested. It is argued that getting to grips with the reflexive relatinship between individual patient care and the social organisation in which this is practised is essential for any practice development efforts.

    Item Type: Article
    Themes: Health and Wellbeing
    Schools: Colleges and Schools > College of Health & Social Care > School of Nursing, Midwifery, Social Work & Social Sciences > Centre for Social Justice Research
    Journal or Publication Title: Nursing Inquiry
    Publisher: Blackwell Publishing
    Refereed: Yes
    ISSN: 13207881
    Depositing User: E Fairhurst
    Date Deposited: 10 Oct 2011 11:31
    Last Modified: 07 Jul 2014 13:29

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