What do I do now, coach? What to do when your professor says you have a publishable manuscript.
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Biomedical subjects
Publications and source records attributed to Cindy Peternelj-Taylor.
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I hope this brief glimpse into the concept of mental health promotion within forensic and correctional environments will challenge nurses to explore creative ways in which a mental health agenda can be formulated and actualized in practice.
In forensic and correctional environments, it is not uncommon for nurses and other health-care practitioners to depersonalize their patients and clients through their use of language. For example, referring to patients as "inmates" "cons," "psychopaths," "schizophrenics," or "monsters" not only evokes stereotypical images, but, more importantly, casts the individual in the role of the other. Othering is generally viewed as a negative form of engagement, one that is contrary to ethical nursing practice. Through the exploration of relational and contextual factors contributing to this phenomenon, the author argues that othering is a contemporary ethical issue that requires ongoing dialogue within the forensic and correctional nursing communities.
The purpose of this article is to examine the phenomenon of whistleblowing as it relates to a reconstructed case study of an erotic boundary violation that emerged from a clinical situation in forensic psychiatric nursing practice. The unique features of this case are illustrated with the help of a model for decision making. Although the ramifications of exposing a colleague are many, it is argued that, in this particular case, it was morally and ethically the right thing to do.
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1. Establishing and maintaining boundaries creates a relational space in which the patient and nurse are able to explore treatment issues within the safety of the therapeutic relationship. 2. The therapeutic relationship in founded on the basis of trust, respect, and appropriate use of power. Understanding the power differential within the nurse patient relationship is critical to the establishment and maintenance of professional boundaries. 3. Therapeutic integrity is rooted in knowledge, experience, and clinical judgment. As such, there are not always clearly demarcated answers to the tough questions posed by the dilemmas in practice. 4. Questions arising from practice challenge nurses to reflect on the meaning of boundaries in their personal and professional lives.
To extend current knowledge about therapeutic relationships and boundary maintenance with the incarcerated forensic patient, the focus of this naturalistic inquiry was the exploration of the perspectives of forensic patients enrolled in a treatment program for violent offenders. Twelve male participants were interviewed three times. Eight of the twelve participants were interviewed a fourth time for the purpose of soliciting their feedback regarding the researcher's analysis of the data. Analysis of the data collected revealed a core process--the development of "therapeutic" relationships--indicating that the development of relationships was a complex process. Consistent with the participants' tendency to use terms analogous to a house to describe their experiences, the analogy of a house was used to describe the five interrelated themes that emerged from the data. If the interpersonal relationship is the heart of nursing then forensic mental health nurses need to understand the complexity of therapeutic relationships from the perspective of their patients.