Teaching emotional nursing

Franks, Vicky; Griffiths, Peter

doi:10.12968/pnur.2001.12.9.9247

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…It is, of course, necessary for all professionals to be accountable and the public must be protected. The problem is the effect that all these regulations and guidelines have on the systems within which professionals work (Franks & Griffiths 2001). They feel persecuting and they are based on a fantasy that if everything is performed according to a set of strict guidelines then no accidents or mishaps will occur, disturbed people will not kill themselves or someone else and professional staff will not make mistakes.…”

Section: Current Concerns Within Mental Healthmentioning

confidence: 99%

Evidence‐based uncertainty in mental health nursing

Franks

2004

Psychiatric Ment Health Nurs

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The drive towards evidence-based practice is part of a modern reflective and caring service. However there is a paradox at the heart of the notion of evidence-based care. In order to perform any systemized examination of treatment there has to be a conscious acknowledgement of uncertainty about that treatment. This is uncomfortable and when research does find evidence in favour of a treatment, there is a relief and a return to conviction about what is the best. The paradox is that it seems the most valued research practices are predicated on generalizations about patient treatments and categories. However, nursing care is based on the notion of the uniqueness of the patient and the nurse-patient relationship. Sometimes it is necessary to address the particular and not to rush to generalizations and certainty. The psychoanalytic framework promotes a capacity to tolerate uncertainty and provides a model for understanding conflicting feelings, which can occur within the nurse-patient relationship. The author proposes the psychoanalytic observational method as an adjunct to other research methods. This method places certain kinds of evidence within the rubric of evidence-based nursing practice. The evidence collected in this method is the evidence of the conscious and unconscious experience within the nurse-patient relationship. The author will describe and argue for the place of this research method within the canon of other more widely practised methods within mental health practice. She will propose that for safe practice it is necessary to value and examine the veracity of the feelings and tacit understanding of the nurse. She contends that the current climate of excessive bureaucracy and persecutory risk management is having a damaging effect on both the research process and effective nursing care.

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Section: Current Concerns Within Mental Healthmentioning

confidence: 99%