S.TRUEMAN PhD THESIS 2016
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with access to psychiatrists and mental health team members, while the patient remains in the community. This cannot be undertaken when video conference facilitates are not available, resulting in the patient waiting for the psychiatrist or mental health team to visit the community. As one nurse participant stated: We use video conferencing all the time … It’s a good way to get help from a psychiatrist or mental health nurses when you need help or just doing the rounds [case conferences]. [T29, p. 2] Abstract objects include beliefs, systems, understandings and practices (e.g., ‘boundary objects’). These are discussed in the next chapter. The last element in the ‘resources group’ of the non-human arena is the ‘social’. This refers to social facilities and amenities available to remote nurses. They need not be created by human design but can be natural facilities or resources that endear the social to occur. The nurse located in the middle of desert will not be able to go fishing, while the nurse located near a range of mountains can go mountaineering, and the nurses in a community without a bowls club will not be able to socialise with others while bowling. The relevance of this to delivering remote mental healthcare is that remote nurses are not machines. Remote nurses require a social aspect to their lives (social world) to sustain pleasure in staying in the remote area or location. If the nurse is keen on fishing, then they are unlikely to locate to a desert, and hence any demand for mental healthcare will not involve that nurse. If that position in the desert cannot be recruited to, then the mental health service is shaped or influenced by the fact that there are no fishing spots. The second point of relevance is that social resources ensure that nurses do not suffer from burn out and ensure a work/life balance. This sustains their presence in the
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