Witness: The Canadian Journal of Critical Nursing Discourse最新文献_第3页

Health Inequity and Institutional Ethnography: Mapping the Problem of Policy Change 健康不平等和制度人种学:绘制政策变化问题

Witness: The Canadian Journal of Critical Nursing Discourse Pub Date : 2021-12-18 DOI: 10.25071/2291-5796.117

Elizabeth A McGibbon, K. Fierlbeck, T. Ajadi

{"title":"Health Inequity and Institutional Ethnography: Mapping the Problem of Policy Change","authors":"Elizabeth A McGibbon, K. Fierlbeck, T. Ajadi","doi":"10.25071/2291-5796.117","DOIUrl":"https://doi.org/10.25071/2291-5796.117","url":null,"abstract":"Health equity (HE) is a central concern across multiple disciplines and sectors, including nursing. However, the proliferation of the term has not resulted in corresponding policymaking that leads to a clear reduction of health inequities. The goal of this paper is to use institutional ethnographic methods to map the social organization of HE policy discourses in Canada, a process that serves to reproduce existing relations of power that stymie substantive change in policy aimed at reducing health inequity. In nursing, institutional ethnography (IE) is described as a method of inquiry for taking sides in order to expose socially organized practices of power. Starting from the standpoints of HE policy advocates we explain the methods of IE, focusing on a stepwise description of theoretical and practical applications in the area of policymaking. Results are discussed in the context of three thematic areas: 1) bounding HE talk within biomedical imperialism, 2) situating racialization and marginalization as a subaltern space in HE discourses, and 3) activating HE texts as ruling relations. We conclude with key points about our insights into the methodological and theoretical potential of critical policy research using IE to analyze the social organization of power in HE policy narratives. This paper contributes to critical nursing discourse in the area of HE, demonstrating how IE can be applied to disrupt socially organized neoliberal and colonialist narratives that recycle and redeploy oppressive policymaking practices within and beyond nursing.","PeriodicalId":354700,"journal":{"name":"Witness: The Canadian Journal of Critical Nursing Discourse","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123945650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Nurses as Boundary Actors in Sustainable Health Care: A Discussion Paper 护士作为可持续卫生保健的边界行动者:讨论文件

Witness: The Canadian Journal of Critical Nursing Discourse Pub Date : 2021-12-18 DOI: 10.25071/2291-5796.105

Joanna Law, M. Kalogirou, S. Dahlke

引用次数: 2

Nursing (on) a Sick Planet: Critical Consciousness and Action in a Time of Planetary Decline 护理(在)一个生病的星球:关键的意识和行动在一个时代的行星衰落

Witness: The Canadian Journal of Critical Nursing Discourse Pub Date : 2021-12-18 DOI: 10.25071/2291-5796.119

Wanda Martin, J. Kaminski

引用次数: 0

Intersection of Climate Change and Health: An Explication of the Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity 气候变化与健康的交集:对2020-2030年护理未来的解释:绘制实现健康公平的路径

Witness: The Canadian Journal of Critical Nursing Discourse Pub Date : 2021-12-18 DOI: 10.25071/2291-5796.114

P. Nicholas, Clara M. Gona, Linda M. Evans, Eleonor Pusey Reid

引用次数: 66

COP26: This time, nurses are taking a lead. 这一次，护士们起了带头作用。

Witness: The Canadian Journal of Critical Nursing Discourse Pub Date : 2021-12-18 DOI: 10.25071/2291-5796.118

R. McDermott-Levy

引用次数: 1

Deceitful Stories 虚假的故事

Witness: The Canadian Journal of Critical Nursing Discourse Pub Date : 2021-06-30 DOI: 10.25071/2291-5796.100

Vanessa Van Bewer

引用次数: 0

Commitment to Positive Change: Structural Anti-racism Audit of Nursing Education Programs 积极改变的承诺:护理教育项目的结构性反种族主义审计

Witness: The Canadian Journal of Critical Nursing Discourse Pub Date : 2021-06-30 DOI: 10.25071/2291-5796.89

A. Kennedy, R. Lisa Bourque Bearskin, Kaija Freborg

{"title":"Commitment to Positive Change: Structural Anti-racism Audit of Nursing Education Programs","authors":"A. Kennedy, R. Lisa Bourque Bearskin, Kaija Freborg","doi":"10.25071/2291-5796.89","DOIUrl":"https://doi.org/10.25071/2291-5796.89","url":null,"abstract":"Amidst many opportunities to create positive change and examine systemic anti-racist decolonial practices (Moorley et al., 2020), we are advocating for concrete action at the root of Nursing education programs by way of a structural anti-racism audit. Based on decolonial and antiracist theory (Garneau et al, 2018; Gaudry & Lorenz, 2018; Kendi, 2019; McGibbon & Etowa, 2009), we propose to engage in systems-level action (McGowan et al, 2020; Mulgan, 2006; van Wijk t al., 2018) and examine institutional structures through an anti-racist framework (Sutton, 2002) based on audit processes for equity, diversity, and inclusion (Chun & Evans, 2019; Olson, 2020; Skrla et al., 2004; Skrla et al., 2009; Zion, et al., 2020). Structures within and influencing curriculum, pedagogy, evaluation will be examined to advance systems-level anti-racist practices and policies (Moorley et al., 2020) with Nursing students, faculty, staff, leadership as a foundation for equitable Nursing education and care (National Collaborating Centre for the Determinants of Health, 2014). This anti-racist approach to Nursing education reform promises to address the pernicious harms of discrimination in the healthcare system, as noted in a recent report on Indigenous-specific racism (Turpel-Lafonde, 2020). We aim to conduct a strengths-based structural anti-racism audit that does not lose sight of disparities (Fogarty et al., 2018). We are currently conducting a literature review and audit framework development and will pilot the structural anti-racism audit in fall 2021. Rather than requesting endorsement of our project, and with respect for diverse approaches, we asked Nursing colleagues to sign this letter to demonstrate shared commitment to critically examine racist challenges and anti-racist opportunities in their Nursing program at a structural level (see this survey: https://forms.gle/tZPN2z1kUoARNPp1A","PeriodicalId":354700,"journal":{"name":"Witness: The Canadian Journal of Critical Nursing Discourse","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126687101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Why Reconciliation should be an urgent priority for the Nursing profession 为什么和解应该是护理专业的当务之急

Witness: The Canadian Journal of Critical Nursing Discourse Pub Date : 2021-06-30 DOI: 10.25071/2291-5796.106

Shazday Usmani

引用次数: 0

Etuaptmumk (Two-Eyed Seeing) and Ethical Space: Ways to Disrupt Health Researchers’ Colonial Attraction to a Singular Biomedical Worldview Etuaptmumk(双眼观察)和伦理空间:扰乱健康研究人员对单一生物医学世界观的殖民吸引力的方法

Witness: The Canadian Journal of Critical Nursing Discourse Pub Date : 2021-06-30 DOI: 10.25071/2291-5796.94

Moneca Sinclaire, A. Schultz, J. Linton, Elizabeth A McGibbon

引用次数: 4

No more settler tears, no more humanitarian consternation: Recognizing our racist history and present NOW! 不要再有定居者的眼泪，不要再有人道主义的惊愕:现在就承认我们种族主义的历史和现在!

Witness: The Canadian Journal of Critical Nursing Discourse Pub Date : 2021-06-30 DOI: 10.25071/2291-5796.107

Catherine Larocque, Thomas Foth, W. Gifford

{"title":"No more settler tears, no more humanitarian consternation: Recognizing our racist history and present NOW!","authors":"Catherine Larocque, Thomas Foth, W. Gifford","doi":"10.25071/2291-5796.107","DOIUrl":"https://doi.org/10.25071/2291-5796.107","url":null,"abstract":"The recent ‘discoveries’ of the remains of the 215 murdered children at the Kamloops residential school, and the 751 murdered children at the Marieval residential school in Saskatchewan, has, for many, brought to the forefront the systematic and willful negation of Canada’s genocidal settler colonial history that continues today. We write as two white settler colonialists with European descent (Thomas and Wendy) and one non-status Indigenous person from the Oneida Nation (Catherine) in what is today called Canada. What we find most striking is the outrage and outpouring of white tears in the aftermath of these ‘discoveries’; this outrage is both perplexing and offensive. It is perplexing as these are not ‘discoveries’ at all. Indigenous people have always known about these massacres, about the children who would go out to the field at night and never return; about the bodies that were never returned to their families; about the children who were told their parents never wanted to see them again and were forcibly placed into settlers’ homes; children who were tortured and molested to ‘beat the Indian out of the child’; the countless suicides in bathrooms; and the forced abortions and sterilizations of girls who were raped by priests and clergy, to name only a few of the atrocities (Berrera, 2021; Mosby, 2013). Indigenous people have been screaming and pleading for decades to be heard, to be listened to, and to be believed (Kestler-D’Amour, 2021). Countless oral histories and traditional historical accounts, reports, declarations r(e.g., United Nations Declaration on the Rights of Indigenous Peoples), commissions (e.g., Truth and Reconciliation Commission of Canada), court battles, etc. have sought to bring these stories to the forefront and yet, we ask, where was the outrage then?","PeriodicalId":354700,"journal":{"name":"Witness: The Canadian Journal of Critical Nursing Discourse","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132337396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6