Are nurses at the point where enough is enough?

Glascott, Michelle; McKeown, Mick

doi:10.1111/jpm.12877

Cited by 5 publications

(5 citation statements)

References 10 publications

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“…Bold solutions are now required if more of our profession are to be found thriving in acute mental health inpatient care. Glascott and McKeown (2022) write of a ‘call to action’ within nursing particularly as we look towards a period of economic uncertainty. Such action is needed to ensure those in need of mental health supports receive the timely care they deserve.…”

Section: Discussionmentioning

confidence: 99%

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Solving the shortage of psychiatric – mental health nurses in acute inpatient care settings

Frawley,

Culhane

2023

Psychiatric Ment Health Nurs

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IntroductionThis debate essay proposes possible remedies to the shortage of nurses in acute inpatient mental health settings and draws inspiration from a Journal of Psychiatric and Mental Health Nursing editorial, Glascott and McKeown (2022, 29, 767).AimThe aim was to stimulate debate within the profession. The art and science of nursing continues to develop but staffing shortages in key areas undermine practice, leadership, academic and policy efforts to improve the quality of care for people attending services.MethodThis is a debate essay which draws on the authors’ experience and presents ideas based on extant literature.ResultsOrganisational, professional and wider societal challenges are explored. Practice‐based solutions as well as recommendations for improving the terms and conditions of employment of nurses are made. Opportunities which may empower the nursing profession are promulgated.DiscussionIt is intended that this paper will provoke further discourse and may reflect the ‘call to action’ advocated by Glascott and McKeown (Journal of Psychiatric and Mental Health Nursing, 2022, 29, 767).Implications for PracticeWhile the focus is on acute inpatient mental health nursing, the ideas presented may have an application to wider nursing groups or a wider cadre of public sector workers.

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Section: Discussionmentioning

confidence: 99%

“…

Glascott and McKeown (2022) spells out major challenges facing not only mental health nursing but wider society. The editorial prompted us to ask what we can do to address some of the challenges facing public services.

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confidence: 99%

Solving the shortage of psychiatric – mental health nurses in acute inpatient care settings

Frawley,

Culhane

2023

Psychiatric Ment Health Nurs

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“…As such—in a neoliberal context that bestows all responsibility onto the shoulders of its citizens, where there is no strategy in place to alleviate environmental or political crises let alone institutional ones—as nurses and scholars, we are preoccupied by the repercussions of neoliberalism on our natural and social ecosystems (hospitals, clinics or research centres), and we notice fellow nurses also calling attention to the vulnerable state of healthcare systems all around the world, as well as to the lack of solutions put forward by governing entities (Dillard‐Wright, 2022; Glascott & McKeown, 2022; Montenegro et al, 2020). Beginning a collective analysis of the unconscious subjectivity within our institutions and bringing back creativity through our institutions could lead to the creation of new structures of social enunciation that could not only be beneficial for hospital institutions, but also for the environment, for society, and for the overall well‐being of nurses.…”

Section: Guattari Neoliberalism and The Need For Institutional Analysismentioning

confidence: 99%

Subjectivity through the lens of Guattari: A key concept for nursing

Lavoie,

Laurin,

Martin

2024

Nursing Philosophy

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Félix Guattari, a French philosopher and psychotherapist often recognized for his collaboration with Gilles Deleuze, also published important work of his own. The way he conceptualizes subjectivity and schizoanalysis (later developed into institutional analysis) can incite us to interpret our social contexts differently and to help frame an emancipatory path in nursing. At La Borde, a psychiatric clinic, subjectivity was seen as the real power that lies within the institutions; invisible and flowing through all levels of the hierarchal structure—like waves—each of them unique but still part of the same ocean. Even with its elusive character, this concept can be wielded through psychotherapeutic techniques of analysis which aim to reduce hierarchies, encourage collaborations, decentralize levers of power and promote initiatives that arise from the base. These concepts deserve further exploration when it comes to modern institutional issues like the ones present in Quebec's (Canada) healthcare system. Therefore, this article borrows theorizations elaborated through psychotherapy and applies them to the hospital institution which is seen as an organized, stable structure (the molar line), while paying attention to fluid, changing processes and the multiplicity of desires for transformation (the molecular line), to promote nursing movements that escape and abolish these structures, creating new possibilities and new forms of thinking (the line of flight).

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“…Adopting anarchist tactics can help individuals to develop more horizontal relationships and eventually structures that meet the real needs of individuals, that run parallel to these institutions. As Glascott and McKeown (2022) remind us, even if there are radical individuals in nursing who participate in a range of resistance or solidarity initiatives, or mutual aid projects in their communities, what is needed is for more nurses to be politically active on a collective scale.…”

Section: Refusing the Existing Structures Of Domination: Acting Colle...mentioning

confidence: 99%

What can anarchism do for nursing?

Martin

Laurin

2023

Nursing Philosophy

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The notion of mutual aid, which Peter Kropotkin introduced in the 19th century, goes against the logic of competition as a natural condition, and instead shows how mutual aid is a more important factor to consider for the survival and flourishing of a group. The best cooperation strategies allow organisms to adapt to different types of changes in their environment—and we have witnessed a lot of these changes since the start of the COVID‐19 pandemic. This propensity towards cooperation is not a foreign concept, despite how it seems to be overshadowed by individualism in Western societies. These reflections then lead us to believe it is possible to apply the anarchist philosophical principle of mutual aid to our social organizations, rather than giving priority, again and again, to competition and professional hierarchies, especially in healthcare systems, and particularly in hospitals were the majority of nurses work. For us, anarchist philosophical precepts, including but not limited to mutual aid, can be the key to a more adequate functioning of healthcare institutions. Anarchism can help to imagine the first steps needed to take to gradually move away from ideologies that encourage competition, professional hierarchies, and illegitimate authority. In this paper, we will first explore some anarchist philosophical precepts before turning to mutual aid as it is currently conceptualised, then highlight several concrete ways it is visible in nursing, as well as ways it can be applied in hospitals, and healthcare systems.

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Are nurses at the point where enough is enough?

Cited by 5 publications

References 10 publications

Solving the shortage of psychiatric – mental health nurses in acute inpatient care settings

Solving the shortage of psychiatric – mental health nurses in acute inpatient care settings

Subjectivity through the lens of Guattari: A key concept for nursing

What can anarchism do for nursing?

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