ABSTRACT

Isabel Menzies Lyth's study of hospital life provided a clear and challenging view of the nature of nursing work, a view that is still of relevance today. It informed a stream of work that focused on developing therapeutic intent incorporating relational aspects of care, knowing the person, understanding their needs, and directing care in ways that benefit them. This work has developed alongside significant changes in the way nurses are educated and in healthcare demand and provision. This chapter considers Menzies Lyth's work in light of the influence it had on developing nursing practice and ways of organizing care that facilitate patient-centred care. This is demonstrated through the evolution of Nursing Development Units, relationship-focused care, and the concept of emotional labour. The chapter also considers current concerns regarding managerial pressures impacting on health environments. It suggests that Menzies Lyth's work still has relevance when reflecting on current healthcare and the provision of care within scarce resources.