Discourses of compassion from the margins of healthcare: perspectives of mental health nurses and patients with lived experience of mental health careTools Bond, Carmel (2023) Discourses of compassion from the margins of healthcare: perspectives of mental health nurses and patients with lived experience of mental health care. PhD thesis, University of Nottingham.
AbstractUK healthcare policy has observed over a decade of changes that have arisen from a discourse of compassion as a marker for high-quality experiences of care. However, at the time of writing this thesis, there is little empirical work that has attempted to describe the political influences on the contemporary conceptualisation of compassion and how those influences might have shaped how compassion is understood in healthcare. In addition, despite a growing body of global research on compassion, the practical setting of mental health is largely absent. This thesis sought to address these gaps by using a critical lens to explore compassion and to examine how it is discursively constructed in relation to power, institutions, and social practices. This study adopted a critical discourse method to examine various dimensions of discourse, at multiple social strata. Conducted in three phases, it encompassed data arising from a document analysis (political and organisational discourse), interviews with mental health nurses (n=7), and interviews with patients (n=10). Results were compared to the existing literature and to the chosen theoretical concepts to offer insight into how the data confirmed, contradicted, or expanded current knowledge.
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