From Subversion to Hard-Wiring Equity: A Discourse Analysis of Nurses' Equity-Promoting Practices in Emergency Departments.

IF 1.6 4区医学 Q2 NURSING

Advances in Nursing Science Pub Date : 2023-11-20 DOI:10.1097/ANS.0000000000000517

Allie Slemon, Vicky Bungay, Colleen Varcoe, Amélie Blanchet Garneau

引用次数: 0

Abstract

Nursing has articulated a shared commitment to equity in response to inequities in health and health care; however, understandings of how nurses enact equity are needed to uphold this professional mandate. This Foucauldian discourse analysis examined how nurses' equity-promoting practices are shaped by dominant discourses within the emergency department and illustrated that within this institutional context that constrained equity, nurses engaged in equity-promoting practices through subversion of discursive power. This study illustrates the need for embedding equity discourses within health care systems and ensuring meaningful supports for nurses in enacting equity-promoting practices within the emergency department setting.

查看原文本刊更多论文

从颠覆到硬连线公平:急诊科护士促进公平实践的话语分析。

护理已明确表达了对公平的共同承诺，以应对卫生和保健方面的不公平现象;然而，需要理解护士如何制定公平，以维护这一专业授权。福柯话语分析研究了急诊科的主导话语如何塑造护士促进公平的实践，并说明了在这种限制公平的制度背景下，护士通过颠覆话语权力参与促进公平的实践。本研究说明了在卫生保健系统中嵌入公平话语的必要性，并确保在急诊科设置中为护士制定促进公平的做法提供有意义的支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Nursing Science 医学-护理

CiteScore

2.80

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： Consistently ranked as one of the most-read and most assigned journals by faculties of graduate programs in nursing, Advances in Nursing Science (ANS) is intellectually challenging, innovative and progressive, and features articles from a wide range of scholarly traditions. The journal particularly encourages works that speak to the need for global sustainability and that take an intersectional approach, recognizing class, color, sexual and gender identity, and other dimensions of human experience related to health. Articles in ANS are peer-reviewed and chosen for their pioneering perspectives and for their significance in contributing the evolution of the discipline of nursing.