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Subordinated masculinities: A critical inquiry into reproduction of gender norms in handovers and rounds in a forensic psychiatric care

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  • Kristina Eivergård
  • Ingela Enmarker
  • Mona Livholts
  • Lena Aléx
  • Ove Hellzén

Abstract

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.

Suggested Citation

  • Kristina Eivergård & Ingela Enmarker & Mona Livholts & Lena Aléx & Ove Hellzén, 2020. "Subordinated masculinities: A critical inquiry into reproduction of gender norms in handovers and rounds in a forensic psychiatric care," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(21-22), pages 4227-4238, November.
  • Handle: RePEc:wly:jocnur:v:29:y:2020:i:21-22:p:4227-4238
    DOI: 10.1111/jocn.15456
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    References listed on IDEAS

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    1. Jenelle Matic & Patricia M Davidson & Yenna Salamonson, 2011. "Review: bringing patient safety to the forefront through structured computerisation during clinical handover," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(1‐2), pages 184-189, January.
    2. Verbeke, Evi & Vanheule, Stijn & Cauwe, Joachim & Truijens, Femke & Froyen, Brenda, 2019. "Coercion and power in psychiatry: A qualitative study with ex-patients," Social Science & Medicine, Elsevier, vol. 223(C), pages 89-96.
    3. Niels Buus & Bente Hoeck & Bridget Elizabeth Hamilton, 2017. "Nurses’ shift reports: a systematic literature search and critical review of qualitative field studies," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(19-20), pages 2891-2906, October.
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