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Subordinated masculinities: a critical inquiry into reproduction of gender norms in handovers and rounds in a forensic psychiatric care
Umeå University, Faculty of Medicine, Department of Nursing.
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2020 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 29, no 21-22, p. 4227-4238Article in journal (Refereed) Published
Abstract [en]

Aims and objectives: To examine how gendered discursive norms and notions of masculinity are (re)produced in professional conversations about men cared for as patients in forensic psychiatric care, with a particular focus on the centrality of language and gender.

Background: During verbal handovers and ward rounds, care staff converse to share information about patients and make decisions about their mental status. Spoken language is thus a pivotal tool in verbal handovers and ward rounds, one able to reproduce discourses and gender norms.

Design: Qualitative. Data collected from audio recordings of verbal handovers and ward rounds in a forensic psychiatric clinic were subjected to discourse analysis. The COREQ checklist was used.

Results: While discussing patients, staff subordinated them by reproducing a discourse typical of heteronormative, family‐oriented care. The overarching discourse, which we labelled subordinated masculinities, was supported by three other discourses: being unable to take responsibility, being drug‐addicted and performing masculinity. Such discourse was identified as a disciplining practice that subordinate's patients as a means to maintain order, rules and gender norms.

Conclusion: The study reveals a caring practice that position male patients as children or disabled individuals and, in that way, as subordinated other men within a context were staff reproduces a heteronormative family structured care. The process also reveals a practice were downplaying aggressive and deviant behaviour could disempower and reduce patients' responsibility for personal actions and their possibilities to participate in their care. That finding especially seems to contradict previous findings that patients want to be able to act responsibly and, to that end, want care staff to help them.

Relevance to clinical practice: Nurses need to deepen their understanding of how language (re)produces discursive norms of gender and masculinity in forensic care and that process's consequences for such care.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020. Vol. 29, no 21-22, p. 4227-4238
Keywords [en]
discourse, forensic care, masculinity, power, verbal handovers
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-174872DOI: 10.1111/jocn.15456ISI: 000563406200001PubMedID: 32786169Scopus ID: 2-s2.0-85089917120OAI: oai:DiVA.org:umu-174872DiVA, id: diva2:1468385
Available from: 2020-09-17 Created: 2020-09-17 Last updated: 2021-01-13Bibliographically approved

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Aléx, Lena

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