How Writing Records Reduces Clinical Knowledge: A Field Study of Psychiatric Hospital Wards

Buus, Niels

doi:10.1016/j.apnu.2008.04.001

Cited by 14 publications

(19 citation statements)

References 8 publications

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“…, ; Irving et al. ; Buus ; Jefferies et al. ), discharge notes (Hellesø ) and nurses’ entries in patient files (Perron and Holmes ), and only a minority of the articles included descriptions of the records’ particular institutional purposes and the particular recording systems used.…”

Section: Resultsmentioning

confidence: 99%

“…Perron and Holmes () sampled 10 records during fieldwork, but did not qualify the selection criteria. Buus () also sampled during fieldwork and selected a cohort of records written during a week at two wards. In a similar vein, Chapman () selected a cohort of records written during a 4‐month period.…”

Section: Resultsmentioning

confidence: 99%

“…The articles were in several instances difficult to compare and systematically summarise because of varied terminology and limited contextualisation. First, the studies included several different types of records, for instance 24-hour records (Chapman 1988), progress notes (Parker and Gardner 1991), nursing/patient records (Heartfield 1996;Mohr and Noone 1997;Mohr 1999;Hyde et al 2005Hyde et al , 2006Irving et al 2006;Buus 2009;Jefferies et al 2011), discharge notes (Hellesø 2006) and nurses' entries in patient files (Perron and Holmes 2011), and only a minority of the articles included descriptions of the records' particular institutional purposes and the particular recording systems used. Frequently, it was not clear whether the records were paper records or electronic records.…”

Section: Resultsmentioning

confidence: 99%

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Social science and linguistic text analysis of nurses’ records: a systematic review and critique

Buus

Hamilton

2015

Nursing Inquiry

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The two aims of the paper were to systematically review and critique social science and linguistic text analyses of nursing records in order to inform future research in this emerging area of research. Systematic searches in reference databases and in citation indexes identified 12 articles that included analyses of the social and linguistic features of records and recording. Two reviewers extracted data using established criteria for the evaluation of qualitative research papers. A common characteristic of nursing records was the economical use of language with local meanings that conveyed little information to the uninitiated reader. Records were dominated by technocratic-medical discourse focused on patients' bodies, and they depicted only very limited aspects of nursing practice. Nurses made moral evaluations in their categorisation of patients, which reflected detailed surveillance of patients' disturbing behaviour. The text analysis methods were rarely transparent in the articles, which could suggest research quality problems. For most articles, the significance of the findings was substantiated more by theoretical readings of the institutional settings than by the analysis of textual data. More probing empirical research of nurses' records and a wider range of theoretical perspectives has the potential to expose the situated meanings of nursing work in healthcare organisations.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Social science and linguistic text analysis of nurses’ records: a systematic review and critique

Buus

Hamilton

2015

Nursing Inquiry

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“…This could lead to situations where treatment decisions are heavily influenced by the nurses' practices of recording and reporting (cf. Buus ).…”

Section: Discussionmentioning

confidence: 99%

Discourses of aggression in forensic mental health: a critical discourse analysis of mental health nursing staff records

2015

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Managing aggression in mental health hospitals is an important and challenging task for clinical nursing staff. A majority of studies focus on the perspective of clinicians, and research mainly depicts aggression by referring to patient-related factors. This qualitative study investigates how aggression is communicated in forensic mental health nursing records. The aim of the study was to gain insight into the discursive practices used by forensic mental health nursing staff when they record observed aggressive incidents. Textual accounts were extracted from the Staff Observation Aggression Scale-Revised (SOAS-R), and Fairclough's critical discourse analysis was used to identify short narrative entries depicting patients and staffs in typical ways. The narratives contained descriptions of complex interactions between patient and staff that were linked to specific circumstances surrounding the patient. These antecedents, combined with the aggression incident itself, created stereotyping representations of forensic psychiatric patients as deviant, unpredictable and dangerous. Patient and staff identities were continually (re)produced by an automatic response from the staff that was solely focused on the patient's behavior. Such response might impede implementation of new strategies for managing aggression.

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“…While nursing records are under heavy scrutiny in both academic and regulatory circles, it is mainly the adequacy of the information and the legal implications of nursing documentation that constitute the focus of research. Nursing records, as a discursive practice and a reflection of larger institutional and political discourses and power relationships, are only beginning to be the focus of research (see for instance Martin and Street 2003; Buus 2009). Furthermore, there is a lack of research around the writing and the usage of nursing notes in a political environment such as correctional institutions.…”

Section: Introductionmentioning

confidence: 99%

Constructing mentally ill inmates: nurses’ discursive practices in corrections

Perron

Holmes

2011

Nursing Inquiry

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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.

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How Writing Records Reduces Clinical Knowledge: A Field Study of Psychiatric Hospital Wards

Cited by 14 publications

References 8 publications

Social science and linguistic text analysis of nurses’ records: a systematic review and critique

Social science and linguistic text analysis of nurses’ records: a systematic review and critique

Discourses of aggression in forensic mental health: a critical discourse analysis of mental health nursing staff records

Constructing mentally ill inmates: nurses’ discursive practices in corrections

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