The reported responsibilities of mental health workers and clients
DOI:
https://doi.org/10.1558/cam.21587Keywords:
mental health, shift report, categorisation, reported speech, responsibilityAbstract
This paper explores how mental health workers construct and categorise the responsibilities allocated to themselves and to their clients, based on how these responsibilities are recorded and located in the handwritten shift reports created during an intensive outpatient rehabilitation course in Finland. The data consist of 27 shift reports, which are first sorted using data-driven inductive analysis that then provides the frame for a more detailed analysis. It is found that the workers see their responsibilities as being to make assessments, and to guide and support their clients to increase their ability to function independently and take responsibility for their everyday lives. Reciprocally, the clients’ responsibilities are seen as being to accept the workers’ advice and support and to attend to their own everyday tasks. The clients are also regarded as responsible for their own rehabilitation. There are also shared responsibilities, including promoting client recovery together. The aim of all these reported responsibilities is to improve clients’ wellbeing and independence.
References
Academy of Finland (2012) Responsible Conduct of Research and Procedures for Handling Allegations of Misconduct in Finland. Helsinki: Finnish Advisory Board on Research Integrity. Online: https://tenk.fi/en/advice-and-materials/RCR-Guidelines-2012
Australian Medical Association (2006) Safe Handover: Safe Patients. Guidance on Clinical Handover for Clinicians and Managers. Kingston, Australian Capital Territory: Australian Medical Association. Online: https://ama.com.au/sites/default/files/documents/Clinical_Handover_0.pdf
Berg, Marc and Geoffrey Bowker (1997) The multiple bodies of the medical record: Toward a sociology of an artifact. Sociological Quarterly 38 (3): 513–537. https://doi.org/10.1111/j.1533-8525.1997.tb00490.x
Bourne, Colin (2000) Intershift report: Standard for handovers. NTresearch 5 (6): 451–459. https://doi.org/10.1177/136140960000500610
Buus, Niels (2009) How writing records reduces clinical knowledge: A field study of psychiatric hospital wards. Archives of Psychiatric Nursing 23 (2): 95–103. https://doi.org/10.1016/j.apnu.2008.04.001
Buus, Niels, Bente Hoeck and Bridget Elizabeth Hamilton (2017) Nurses’ shift reports: A systematic literature search and critical review of qualitative field studies. Journal of Clinical Nursing 26 (19–20): 2891–2906. https://doi.org/10.1111/jocn.13655
Chaboyer, Wendy, Anne McMurray and Marianne Wallis (2010) Bedside nursing handover: A case study. International Journal of Nursing Practice 16 (1): 27–34. https://doi.org/10.1111/j.1440-172X.2009.01809.x
Chin, Georgiana S. M., Narelle Warren, Louise Kornman and Peter Cameron (2012) Transferring responsibility and accountability in maternity care: Clinicians defining their boundaries of practice in relation to clinical handover. BMJ Open 2 (5): Article e000734. https://doi.org/10.1136/bmjopen-2011-000734
Drew, Paul and John Heritage (1992) Analyzing talk at work: An introduction. In Paul Drew and John Heritage (eds) Talk at Work: Interaction in Institutional Settings, 3–65. Cambridge: Cambridge University Press.
Elo, Satu and Helvi Kyngäs (2008) The qualitative content analysis process. Journal of Advanced Nursing 62 (1): 107–115. https://doi.org/10.1111/j.1365-2648.2007.04569.x
Eronen, Tuija (2008) Lastenkoti dokumentoituna, kerrottuna ja yhdessä muisteltuna. Janus 16 (1): 19–34.
Garfinkel, Harold (1967) Studies in Ethnomethodology. Cambridge: Polity Press.
Gelman, Sheldon R. (1992) Risk management through client access to case records. Social Work 37 (1): 73–77.
Gubrium, Jaber F. (1992) Out of Control: Family Therapy and Domestic Disorder. Sage Library of Social Research 189. Newbury Park: Sage Publications. https://doi.org/10.4135/9781483326016
Günther, Kirsi (2012) Asiakassuunnitelmien ammatilliset kehykset. Mielenterveyskuntoutus asiakassuunnitelmien kuvaamana. Janus 20 (1): 15–31.
Günther, Kirsi (2014) Multi-voiced assessment in a mental health final statement. Text & Talk 34 (6): 665–684. https://doi.org/10.1515/text-2014-0026
Günther, Kirsi (2015) Asiakasdokumentaatio arviointina mielenterveystyön arjessa: Tutkimus ammatillisesta kirjaamisesta. Acta Universitatis Tamperensis 2108. Tampere: Tampere University Press.
Hall, Christopher, Stef Slembrouck and Srikant Sarangi (2006) Language Practices in Social Work: Categorisation and Accountability in Child Welfare. London: Routledge.
Heimer, Carol A. and Lisa R. Staffen (1998) For the Sake of the Children: The Social Organization of Responsibility in the Hospital and the Home. Chicago: University of Chicago Press.
Helkama, Klaus (1981) Toward a Cognitive-Developmental Theory of Attribution of Responsibility – A Critical Review of Empirical Research and Some Preliminary Data. Helsinki: Suomalainen tiedeakatemia.
Holen, Mari and Annegrethe Ahrenkiel (2011) ‘After all, you should rather want to be at home’: Responsibility as a means to patient involvement in the Danish health system. Journal of Social Work Practice 25 (3): 297–310. https://doi.org/10.1080/02650533.2011.597177
Iedema, Rick (2003) The medical record as organizing discourse. Document Design 4 (1): 64–84. https://doi.org/10.1075/dd.4.1.07ied
Jefferies, Diana, Maree Johnson and Daniel Nicholls (2012) Comparing written and oral approaches to clinical reporting in nursing. Contemporary Nurse 42 (1): 129–138. https://doi.org/10.5172/conu.2012.42.1.129
Jolanki, Outi (2012) Whose business is it anyway? Distributing responsibilities between family members and formal carers. Journal of Applied Linguistics and Professional Practice 9 (3): 319–340. https://doi.org/10.1558/japl.v9i3.20842
Juhila, Kirsi (2008) Forms of advocacy in social welfare work with homeless women. European Journal of Social Work 11 (3): 267–278. https://doi.org/10.1080/13691450802075246
Juhila, Kirsi and Christopher Hall (2017) Analysing the management of responsibilities at the margins of welfare services. In Kirsi Juhila, Suvi Raitakari and Christopher Hall (eds) Responsibilisation at the Margins of Welfare Services, 57–80. London: Routledge. https://doi.org/10.4324/9781315681757
Juhila, Kirsi, Suvi Raitakari and Christopher Hall (2017) Introduction. In Kirsi Juhila, Suvi Raitakari and Christopher Hall (eds) Responsibilisation at the Margins of Welfare Services, 1–8. London: Routledge. https://doi.org/10.4324/9781315681757
Karlsson, Anna-Malin and Zoe Nikolaidou (2013) Writing about caring: Discourses, genres and remediation in elder care. Journal of Applied Linguistics and Professional Practice 8 (2): 123–143. https://doi.org/10.1558/japl.v8i2.123
Martin, David (2007) Responsibility: A philosophical perspective. In Guy Dewsbury and John Dobson (eds) Responsibility and Dependable Systems, 21–42. London: Springer. https://doi.org/10.1007/978-1-84628-626-1_2
Mäkitalo, Åsa (2014) Categorization. In Christopher Hall, Kirsi Juhila, Maureen Matarese and Carolus van Nijnatten (eds) Analysing Social Work Communication: Discourse in Practice, 25–60. London: Routledge.
Nikolaidou, Zoe and Anna-Malin Karlsson (2012) Construction of caring identities in the new work order. In Charles Bazerman (eds) International Advances in Writing Research: Cultures, Places and Measures, 507–520. Fort Collins, CO and Anderson, SC: WAC Clearinghouse and Parlor Press. https://doi.org/10.37514/PER-B.2012.0452.2.28
Olaison, Anna (2010) Creating images of old people as home care receivers: Categorizations of needs in social work case files. Qualitative Social Work 9 (4): 500–518. https://doi.org/10.1177/1473325010367820
O’Malley, Pat (2009) Responsibilization. In Alison Wakefield and Jenny Fleming (eds) The Sage Dictionary of Policing, 277–279. London: Sage.
Parker, Judith, Glenn E. Gardner and John Wiltshire (1992) Handover: The collective narrative of nursing practice. Australian Journal of Advanced Nursing 9 (3): 31–37.
Raitakari, Suvi (2006) Neuvottelut ja merkinnät minuuksista. Acta Universitatis Tamperensis 1183. Tampere: Tampere University Press.
Raitakari, Suvi and Kirsi Günther (2017) Clients accounting for the responsible self in interviews. In Kirsi Juhila, Suvi Raitakari and Christopher Hall (eds) Responsibilisation at the Margins of Welfare Services, 83–105. London: Routledge.
Räsänen, Jenni-Mari and Kirsi Günther (2018) Inter-organizational use of the electronic health record in mental health. Communication and Medicine 15 (1): 65–76. https://doi.org/10.1558/cam.32398
Räsänen, Jenni-Mari and Sirpa Saario (2017) Welfare workers reflecting their everyday responsibilities in focus groups. In Kirsi Juhila, Suvi Raitakari and Christopher Hall (eds) Responsibilisation at the Margins of Welfare Services, 153–173. London: Routledge.
Sacks, Harvey (1992) Lectures on Conversation (2 vols). Oxford: Blackwell.
Sarangi, Srikant (2012) Owning responsible actions/selves: Role-relational trajectories in counselling for childhood genetic testing. Journal of Applied Linguistics and Professional Practice 9 (3): 295–318. https://doi.org/10.1558/japl.v9i3.25743
Sarangi, Srikant and Lucy Brookes-Howell (2006) Recontextualising the familial lifeworld in genetic counselling case notes. In Maurizio Gotti and Françoise Salager-Meyer (eds) Advances in Medical Discourse Analysis: Oral and Written Contexts, 197–225. Bern: Peter Lang.
Schoot, Tineke, Ireen M. Proot. Marja Legius, Ruud ter Meulen and Luc de Witte (2006) Client-centered home care balancing between competing responsibilities. Clinical Nursing Research 15 (4): 231–254. https://doi.org/10.1177/1054773806291845
Shore, Cris (2017) Audit culture and the politics of responsibility: Beyond neoliberal responsibilization? In Susanna Trnka and Catherine Trundle (eds) Competing Responsibilities: The Ethics and Politics of Contemporary Life, 96–117. Durham, NC: Duke University Press. https://doi.org/10.2307/j.ctv1220q09.7
Smith, Dorothy (1990) Texts, Facts and Femininity: Exploring the Relations of Ruling. London: Routledge.
Solin, Anna (2012) Construing professional norms in journalism: Responsibility and risk reporting. Journal of Applied Linguistics and Professional Practice 9 (3): 387–404. https://doi.org/10.1558/japl.v9i3.20844
Solin, Anna and Jan-Ola Östman (2012) Introduction: Discourse and responsibility. Journal of Applied Linguistics and Professional Practice 9 (3): 287–294. https://doi.org/10.1558/japl.v9i3.20841
Trnka, Susanna and Catherine Trundle (2014) Competing responsibilities: Moving beyond neoliberal responsibilisation. Anthropological Forum 24 (2): 136–153. https://doi.org/10.1080/00664677.2013.879051
Vines, Mary M., Alice E. Dupler, Catherine R. Van Son and Ginny W. Guido (2014) Improving client and nurse satisfaction through the utilization of bedside report. Journal for Nurses in Professional Development 30 (4): 166–173. https://doi.org/10.1097/NND.0000000000000057
Voutilainen, Päivi, Arja Isola and Seija Muurinen (2004) Nursing documentation in nursing homes – State-of-the-art and implications for quality improvement. Scandinavian Journal of Caring Sciences 18 (1): 72–81. https://doi.org/10.1111/j.1471-6712.2004.00265.x
Wolf, Zane Robinson (1988) Nurses’ Work: The Sacred and the Profane. Philadelphia: University of Pennsylvania Press.
Published
Issue
Section
License
copyright Equinox Publishing Ltd.
