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The Tradition of Toughness: A Study of Nonprofessional Nursing Care in Psychiatric Settings

The Tradition of Toughness: A Study of Nonprofessional Nursing Care in Psychiatric Settings Violence is a significant problem in psychiatric settings; however, nursing research that identifies organizational influences related to violent patient behavior is rare. This paper reports on an exploratory study conducted on the psychiatric units of a metropolitan public hospital. The key concept generated by the data was the “tradition of toughness.” Within this psychiatric setting, “control” of patient behavior was emphasized resulting in norms and roles that operationalized the theory. The norms were (a) “The need for physical restraint” and (b) “It's not you we don't trust.” The nursing role was labelled “enforcing” and included the strategies of (a) “Policing,” (b) “Supermanning,” and (c) “Putting on a show.” http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Nursing Scholarship Wiley

The Tradition of Toughness: A Study of Nonprofessional Nursing Care in Psychiatric Settings

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References (33)

Publisher
Wiley
Copyright
Copyright © 1990 Wiley Subscription Services, Inc., A Wiley Company
ISSN
1527-6546
eISSN
1547-5069
DOI
10.1111/j.1547-5069.1990.tb00166.x
Publisher site
See Article on Publisher Site

Abstract

Violence is a significant problem in psychiatric settings; however, nursing research that identifies organizational influences related to violent patient behavior is rare. This paper reports on an exploratory study conducted on the psychiatric units of a metropolitan public hospital. The key concept generated by the data was the “tradition of toughness.” Within this psychiatric setting, “control” of patient behavior was emphasized resulting in norms and roles that operationalized the theory. The norms were (a) “The need for physical restraint” and (b) “It's not you we don't trust.” The nursing role was labelled “enforcing” and included the strategies of (a) “Policing,” (b) “Supermanning,” and (c) “Putting on a show.”

Journal

Journal of Nursing ScholarshipWiley

Published: Mar 1, 1990

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