This phenomenological study was undertaken to discern the meaning psyc
hiatric nurses attach to their patient education experiences. Although
patient education crosses all nursing specialty areas, no studies hav
e attempted to describe how it is unique to psychiatric nursing. Herme
neutic analysis of audiotaped, semistructured, in-depth interviews rev
ealed three themes, The Teaching Way, Being In-Between, and Seeing Ins
ide, which, when taken together, formed one constitutive pattern: pers
everance, The results indicate that psychiatric nurses are very much i
nvolved in educating their patients and that the process differs from
traditional expectations of learning readiness. There is also an appar
ent need to educate students about the realities of health care settin
gs and how to deal with them. The researcher, herself a psychiatric nu
rse, came away from this study with a renewed respect for nurses' comm
itment to patient education, for their ability to use themselves as th
erapeutic tools, and for their ability to practice from within politic
al settings which seldom encourage or reward nurses for patient educat
ion. Further studies are needed to explore how nurses deal with the po
litical realities affecting their practices and how they maintain thei
r commitment to patient care under such circumstances. Copyright (C) 1
998 by W.B. Saunders Company.