Seven of the 18 respondents interviewed specifically mentioned the need to engage the patient as part of the assessment process. Others used phrases like ‘putting people at ease’ or building a ‘bit of a rapport’. Nurses, therefore, felt it was important to treat the mental health patient in ‘a very normal way’. This could be achieved by simple social activities like making the patient a cup of tea or being polite:
A cup of tea is important. I am always making cups of tea. You can get the HASA’s [Health and Security Assistant] to make them but I think it is more important that I do it (Nicole, Clinician, 14 years experience).
Although this nurse identifies that another member of staff could bring this cup of tea for the patient, it is the act of making and giving the tea to the patient that is the important part of the engagement process. The simple social act of sharing a beverage – a typical social activity that is often associated with sharing information and establishing a relationship – is consistent with the social experience of people. As Barker et al. (1999) have noted, tea making can afford a layer of symbolism, anchoring the patient in distress to established cultural traditions, normalizing their experience. Making tea for the patient also establishes the equality of the participants during the interaction. From the patient’s perspective, being treated like anyone else is an important aspect of quality care (Schroder et al. 2006). This approach has its advantages; Carlsson et al. (2006) have found that there is less risk of violence if patients are approached in an undisguised, straightforward and open way; that is, treated the way other people are treated.
However, the act of making the cup of tea shows more than simply equality; it also makes clear that the nurse is there to serve the needs of the patient. It establishes that the nurse is here to help – not superior to the patient or ‘doing things’ to the patient – but there with the patient. Of course, there is an alternative interpretation. The act of making tea establishes reciprocity in the relationship. In this act of giving (the tea), it is clear that the patient is expected to give something in return: information on their present situation and an understanding for the nurse as to why the patient is there having a mental health assessment. Here, the subtle power relations at work in the assessment process become a little clearer: the nurse is in a position of power over the patient. Making a cup of tea either knowingly or unknowingly hides the power in the relationship but does open the door to asking the central question.
Seven of the 18 respondents interviewed specifically mentioned the need to engage the patient as part of the assessment process. Others used phrases like ‘putting people at ease’ or building a ‘bit of a rapport’. Nurses, therefore, felt it was important to treat the mental health patient in ‘a very normal way’. This could be achieved by simple social activities like making the patient a cup of tea or being polite: A cup of tea is important. I am always making cups of tea. You can get the HASA’s [Health and Security Assistant] to make them but I think it is more important that I do it (Nicole, Clinician, 14 years experience). Although this nurse identifies that another member of staff could bring this cup of tea for the patient, it is the act of making and giving the tea to the patient that is the important part of the engagement process. The simple social act of sharing a beverage – a typical social activity that is often associated with sharing information and establishing a relationship – is consistent with the social experience of people. As Barker et al. (1999) have noted, tea making can afford a layer of symbolism, anchoring the patient in distress to established cultural traditions, normalizing their experience. Making tea for the patient also establishes the equality of the participants during the interaction. From the patient’s perspective, being treated like anyone else is an important aspect of quality care (Schroder et al. 2006). This approach has its advantages; Carlsson et al. (2006) have found that there is less risk of violence if patients are approached in an undisguised, straightforward and open way; that is, treated the way other people are treated.However, the act of making the cup of tea shows more than simply equality; it also makes clear that the nurse is there to serve the needs of the patient. It establishes that the nurse is here to help – not superior to the patient or ‘doing things’ to the patient – but there with the patient. Of course, there is an alternative interpretation. The act of making tea establishes reciprocity in the relationship. In this act of giving (the tea), it is clear that the patient is expected to give something in return: information on their present situation and an understanding for the nurse as to why the patient is there having a mental health assessment. Here, the subtle power relations at work in the assessment process become a little clearer: the nurse is in a position of power over the patient. Making a cup of tea either knowingly or unknowingly hides the power in the relationship but does open the door to asking the central question.
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Seven of the 18 respondents interviewed specifically mentioned the need to engage the patient as part of the assessment process. Others used phrases like ‘putting people at ease’ or building a ‘bit of a rapport’. Nurses, therefore, felt it was important to treat the mental health patient in ‘a very normal way’. This could be achieved by simple social activities like making the patient a cup of tea or being polite:
A cup of tea is important. I am always making cups of tea. You can get the HASA’s [Health and Security Assistant] to make them but I think it is more important that I do it (Nicole, Clinician, 14 years experience).
Although this nurse identifies that another member of staff could bring this cup of tea for the patient, it is the act of making and giving the tea to the patient that is the important part of the engagement process. The simple social act of sharing a beverage – a typical social activity that is often associated with sharing information and establishing a relationship – is consistent with the social experience of people. As Barker et al. (1999) have noted, tea making can afford a layer of symbolism, anchoring the patient in distress to established cultural traditions, normalizing their experience. Making tea for the patient also establishes the equality of the participants during the interaction. From the patient’s perspective, being treated like anyone else is an important aspect of quality care (Schroder et al. 2006). This approach has its advantages; Carlsson et al. (2006) have found that there is less risk of violence if patients are approached in an undisguised, straightforward and open way; that is, treated the way other people are treated.
However, the act of making the cup of tea shows more than simply equality; it also makes clear that the nurse is there to serve the needs of the patient. It establishes that the nurse is here to help – not superior to the patient or ‘doing things’ to the patient – but there with the patient. Of course, there is an alternative interpretation. The act of making tea establishes reciprocity in the relationship. In this act of giving (the tea), it is clear that the patient is expected to give something in return: information on their present situation and an understanding for the nurse as to why the patient is there having a mental health assessment. Here, the subtle power relations at work in the assessment process become a little clearer: the nurse is in a position of power over the patient. Making a cup of tea either knowingly or unknowingly hides the power in the relationship but does open the door to asking the central question.
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