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PDF (PhD Thesis) - UWE Research Repository - University of the ...

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in confidence. By challenging his behaviour clearly and directly she might<br />

have let go <strong>of</strong> <strong>the</strong> tiredness, some <strong>of</strong> <strong>the</strong> powerful emotions and <strong>the</strong> impact<br />

<strong>of</strong> this abuse.<br />

So far, many <strong>of</strong> <strong>the</strong> stories in this <strong>the</strong>sis have been multilayered. Several<br />

have focused on my own and nurses‘ frustrations, resentments and anger<br />

at systemic problems (<strong>the</strong> macro level) o<strong>the</strong>rs focus on dysfunctional<br />

relationships (<strong>the</strong> micro level) and <strong>the</strong> personal cost for <strong>the</strong> nurse. Jenny‘s<br />

story shows all three processes and typifies how some nursing<br />

experiences can leave <strong>the</strong>ir mark. Consequently, <strong>the</strong>re is <strong>the</strong> likelihood <strong>of</strong><br />

a build up <strong>of</strong> angry feelings and a sense <strong>of</strong> powerlessness at both <strong>the</strong><br />

system represented by <strong>the</strong> staff in charge <strong>of</strong> <strong>the</strong> ward and herself for her<br />

own inactions. I suggest left unresolved strong emotions such as anger,<br />

frustration and resentment are carried in <strong>the</strong> system and <strong>the</strong> nurse‘s body<br />

leading to tiredness, cynicism, a lack <strong>of</strong> trust and disengagement. The<br />

wider field <strong>of</strong> practice shown in this story denies <strong>the</strong> emotional impact on<br />

Jenny, <strong>the</strong> Staff Nurse and <strong>the</strong> patient. My argument is that in noticing our<br />

emotions and <strong>the</strong>ir bodily impact during care-giving we can channel that<br />

information into being reflexive leading to changed action.<br />

I now move on to explore our co-inquiry relating to anger and reflection<br />

which was our fifth action cycle connecting our shared stories (9/6/05) and<br />

was represented by <strong>the</strong> image overleaf. For a month we noticed when we<br />

became angry and what happened as a consequence. I also analysed my<br />

diaries looking for entries that focused on feeling angry at work. As<br />

Jenny‘s story showed, I found plenty <strong>of</strong> anger present in <strong>the</strong> ward that was<br />

not openly acknowledged. It seemed to reduce <strong>the</strong> possibilities for learning<br />

and reflecting; instead it promoted whinging and sometimes an emotional<br />

orgy. As Powell (1989 p.829) found in her observational study <strong>of</strong> reflection-<br />

in-action, practising nurses failed to extrapolate learning opportunities in<br />

<strong>the</strong> ward. Twenty years later, with more educated nurses than ever before,<br />

why was this still <strong>the</strong> case?<br />

219

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