This discussion paper seeks to explore an approach that metal health nurses can adopt that ensures the patient is at the centre of training and professional development opportunities. Although nurse training and education is shaped by practice and theory, the lived experiences of the patients as an educational resource often become lost in the milieu of 'doing' nursing. We argue that in addition to theoretical knowledge and practice knowledge, there is the need to harness the equally important patient experience knowledge. Drawing upon Ptolemaic concepts, this paper explores the potential tensions for mental health nurses resulting from the imbalance in power when engaging in therapeutic relationships with patients. It is argued that in order for mental health nurses to become more effective, they need to learn how to relinquish some of their power, even where this gives rise to uncomfortable tensions for the nurse. Such tensions result from the centrality afforded to theoretical knowledge and ritualized practice that underpins nursing and the difficulties this may cause for many nurses in accepting the value of patient experience as a primary source of knowledge. The difficulties of adopting this approach point to a need for mental health nurses and nurse educationalists to take a more reflexive approach to their patient encounters and within their encounters with each other.

译文

:本讨论文件旨在探索金属保健护士可以采用的方法,以确保患者处于培训和专业发展机会的中心。尽管护士的培训和教育是由实践和理论决定的,但患者作为“教育”资源的生活经验常常在“做”护理的环境中迷失了。我们认为,除了理论知识和实践知识外,还需要利用同等重要的患者体验知识。借鉴托勒密主义的概念,本文探讨了与患者建立治疗关系时力量不平衡所导致的精神保健护士的潜在压力。有人认为,为了使精神保健护士更有效,他们需要学习如何放弃自己的一些力量,即使这会给护士带来不舒服的压力。这种紧张关系源于理论知识和仪式化实践的中心地位,这是护理的基础,而这可能会给许多护士带来困难,使他们难以接受患者经验作为主要知识来源的价值。采用这种方法的困难表明,心理健康护士和护士教育学家需要对患者的遭遇以及彼此之间的遭遇采取更自反的态度。

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