Nurses’ discourses of challenging behaviour in inpatient mental-health services

Mellow, Amy, Tickle, Anna, Gresswell, Mark and Jakobsen, Hanne (2018) Nurses’ discourses of challenging behaviour in inpatient mental-health services. Mental Health Review Journal, 23 (4). pp. 253-268. ISSN 1361-9322

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Nurses working in acute mental-health services are vulnerable to occupational stress. One stressor identified is the challenging behaviour of some service users (Jenkins and Elliott, 2004). The purpose of this paper is to discuss the discourses drawn on by nurses to understand challenging behaviour and talk about its management.

Nurses working on acute and psychiatric intensive care unit (PICU) wards were interviewed, and data were analysed using discourse analysis.

Biomedical and systemic discourses were found to be dominant. Alternative psychosocial and emotional discourses were drawn on by some participants but marginalised by the dominant biomedical construction of challenging behaviour.

Existing studies have not considered how discourses socially construct challenging behaviour and its management in inpatient mental-health services.

Additional Information:The final published version of this article can be accessed online at
Keywords:challenging behaviour
Subjects:C Biological Sciences > C840 Clinical Psychology
Divisions:College of Social Science > School of Psychology
ID Code:33822
Deposited On:22 Oct 2018 11:55

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