Time and Confinement: Towards a Common Sense of Socio‐temporality in a Special Hospital

Abstract

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An integrative review exploring the experiences of service users carrying a diagnosis of personality disorder and student mental health nurses and the time they share together

“…Cleary and Edwards (1999) found both service users and nurses identified that because nurses are busy, other pressing tasks take time away from relational support. These findings intersect with Chandley (2000) enquiry into the impact of the experience of passage of time in a secure hospital for service users and practitioners; with the time practitioners spend with service users objectified as a commodity. In Looi et al (2016) and colleagues' Swedish study the provision of nursing care based on therapeutic relationships need not be a challenging task, but it takes place in a complex environment with a propensity to make easy things complicated.…”

“…Though the respective caring environments are complex, internationally there are certain common features, spanning US (Shattell et al, 2008) Australia (Cleary & Edwards, 1999), UK (Chandley, 2000;Long et al, 2012;Reavey et al, 2019) and Sweden (Horberg et al, 2012). Cleary and Edwards (1999) found both service users and nurses identified that because nurses are busy, other pressing tasks take time away from relational support.…”

“…More importantly service users welcome interactions with students and find their presence facilitative (Morgan & Sanggaran, 1997;Mukumbang & Adejumo, 2014). The temporal nature of helping relationships and the passage of time in certain care settings has hitherto been remarked upon (Chandley, 2000) but not with respect to service users and student encounters. It is therefore important to consider experiences of the time service users and students share together.…”

‘The Demolition of a Man’: Lessons From holocaust literature for the teaching of nursing ethics

“…35 Discussing the neglected aspects of sociotemporality in the context of special hospitals, Chandley demonstrates how the functional nature of time within a ward routine is given its own social and moral expression: 'from the patient perspective, even going to bed and waking in the morning is a collective activity'. 35 This neglect of the individual resonates with insights from Goffman into the characteristics of 'total institutions' such as asylums, convents and concentration camps. 36 Where the ethos of the institution is all-embracing, criteria of utility in terms of how the system operates come to predominate so that even simple patient requests (e.g.…”

“…for money or other goods) can become trivialized and marginalized by nursing and administrative staff. 35…”