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Biomedical subjects

J Cutcliffe

Publications and source records attributed to J Cutcliffe.

7 recordsLinked to original sources
PubMed2006

Problematizing special observation in psychiatry: Foucault, archaeology, genealogy, discourse and power/knowledge.

Special observation by mental health professionals is the recommended approach for those people deemed as at risk or risky. Recent research and academic writing have challenged the benefits of observing people/patients who are defined as 'at risk', and a more human engagement process is being recommended. Despite this assault, practice has not changed substantively, suggesting a need for a thorough exploration and questioning of the practices and process. The paper outlines three Foucaultian approaches to historical analysis. It applies aspects of Foucault's archaeology/genealogy, discourse and power/knowledge to explore the practices of special observation as a means of controlling risk, especially suicide risk. We identify the regulatory function of the 'gaze', professional codes and government policy in relation to restricting professional practices. We argue that observation can be related to moral therapy, wherein the person relinquishes madness for responsibility through a disciplinary process and, in governing risk, a 'professional industry' is created. The regulation of statements about people with mental health issues are exposed and related to what can be said and done by professionals. Finally, we look at productive power in relation to observation, and how it is intimately related to resistance. We conclude with 'soft' recommendations for practice discursively produced through the writing of the paper.

Archaeology↗
PubMedDate not supplied

Critically ill patients' perspectives of hope.

This study examines critical care patients' perspectives of hope. It focuses on the patients' expression of their experience of hope while being critically ill on a coronary care unit. Using a phenomenological methodology, the data were coded and underwent a thematic analysis. The resulting theory of the critical care patients' perspectives of hope comprised four key themes: hope relative to help; hope interwoven with caring; the presence of hope as synonymous with a personal future; and hope as coping resource. The researcher believes that hope is of great therapeutic benefit for these critically ill individuals, and that the nurse's role is pivotal in inspiring this hope. Furthermore, due to the often subtle, unobtrusive nature of hope inspiration, these interventions may enhance the more visible, tangible nursing interventions.

Adaptation, Psychological↗
PubMedDate not supplied

Practice nurses and their 'lived experience' of clinical supervision.

Increased workload in primary care and the advent of primary care groups means that practice nurses (PNs) are experiencing a profusion of changes. As a result, PNs have taken on board many new skills, and this has increased the demands and stresses made upon them. Accordingly, this study investigated 17 PNs' lived experiences of clinical supervision following a 4-day training programme. It adopted a hermeneutic, phenomenological method. Data were collected by means of semistructured interviews within a series of focus groups. The data from the focus groups underwent a thematic analysis, which induced an emerging theory comprising five key themes: (1) providing support (2) nurturing and growth (3) enhancing and enriching practice (4) encountering a new experience, and (5) engaging in intellectually challenging and demanding work. The findings indicated that the central theme of the PNs' experience of clinical supervision was that of 'providing support', in that, without the presence and application of support, the effectiveness of the other themes appears to be diminished. The findings additionally indicated a range of issues, discussed under the headings: practice, education, policy, and further research.

Attitude of Health Personnel↗
PubMedDate not supplied

Evidence-based practice: demolishing some myths.

Most nurses base their practice on evidence produced by research. This article examines alternative ways of working and demolishes commonly held nursing myths in the process.

Clinical Nursing Research↗