Clients with mental health problems who sexualize the nurse-client encounter: the nursing discourse.
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Higgins, A; Barker P; Begley, C. , Clients with mental health problems who sexualize the nurse-client encounter: the nursing discourse. , Journal of Advanced Nursing , 65, 3, 2009, 616 - 624Download Item:
j.1365-2648.2008.04899.x.pdf (Published (author's copy) - Peer Reviewed) 72.20Kb
Abstract:
Title. Clients with mental health problems who sexualize the nurse-client encounter:
the nursing discourse.
Aim.
This paper is a report of a study of psychiatric nurses? responses to clients who
were sexualizing the nurse?client encounter.
Background.
Studies involving general nurses have reported incidents of `unwanted
sexual attention/behaviour? from clients. These behaviours have been identified, in
the literature, as a form of sexual aggression and sexual harassment. Reported
responses have included physically avoiding the person, ignoring verbal comments
or adopting a no-`nonsense? professional approach.
Methods.
A grounded theory study was conducted in 2005?2006 using tape-
recorded unstructured interviews with 27 psychiatric nurses working in an urban
mental health service in the Republic of Ireland. Tapes were analyzed, with the
assistance of Nud*ist 4, Word documents, mind maps and memoing.
Findings.
There were unwritten and unspoken professional expectations or norms
that clients treated participants and nursing encounters in an asexual way. However,
on occasions, clients transgressed these taken-for-granted norms and engaged in
behaviour labelled `sexualizing the nurse?client encounter?. In contrast to previous
studies, our interviewees did not use the language of sexual harassment, but used the
discourses of `mad/bad? and `inappropriate? to codify the behaviour. The tendency
to view behaviour through the psychiatric discourse of badness and boundary vio-
lation gave rise to nurses either ignoring the behaviour or responding by using
`suppressive strategies?. Consequently, other possible lenses of understanding were
pushed to the background.
Conclusion.
Only when educators and clinicians view clients? sexual behaviours
through alternative lenses of understanding will different actions and outcomes
become possible and the rights of all, both nurses and clients, be respected
Author's Homepage:
http://people.tcd.ie/cbegleyhttp://people.tcd.ie/ahiggins
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Author: Begley, Cecily; Higgins, Agnes
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Journal of Advanced Nursing65
3
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