Nursing Philosophy最新文献

{"title":"The Fallacy of Person-Centred Care: Deconstructing the Discourse to Reimagine Practice.","authors":"Asam Latif, Nargis Gulzar","doi":"10.1111/nup.70043","DOIUrl":"10.1111/nup.70043","url":null,"abstract":"<p><p>Person-centred care dominates today's sociopolitical landscape, influencing the approach and conduct of healthcare institutions, organisations and practices. It seeks to elevate and transcend former biomedical models by centralising a person's needs, preferences and values in the care process. Positioned as the 'gold standard' approach, person-centred care has become a central attribute in shaping professional identities and public discourse, influencing the ethos, attitudes and behaviours of healthcare professionals. Despite its dogmatic prominence in policy and professional discourse, there are entrenched bureaucratic structures, organisational barriers and conflicting agendas that impede professional efforts to uphold patient agency and autonomy; this has resulted in inconsistencies in its understanding and implementation. Furthermore, the framework itself fails to empower healthcare professionals to challenge practice when it is felt that person-centred principles are compromised, rendering it little more than a rhetorical device used to promote self-interest, enhance professional status and power. Given this fallacy, this critique contends that person-centred care is effectively 'dead'; its demise regrettably orchestrated at the hands of those entrusted to deliver it. In line with a Derridean deconstructive approach, we also provocatively question whether the very concept was ever 'alive' to begin with and whose interest it ultimately served. While its demise may signal time for a paradigmatic shift, it also presents an opportunity to reimagine healthcare practice in a manner that aligns with a more authentic approach. Inspired by Nietzsche's concept of the Übermensch ('Over-man'), we propose a vision of the 'Über-professional', whose 'Will to Power' transcends institutional constraints and conventional practices. By embracing authenticity, the Über-professional model offers both opportunity and 'permission' for adoptees to recognise and resist practices when these conflict with the provision of care. It therefore empowers them to ensure that all voices are heard, preferences are respected and the interests of patients are fully represented in all care decisions.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 4","pages":"e70043"},"PeriodicalIF":2.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12503392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On Thinking, Nursing Scholarship and the Science of the Unique.","authors":"Stefanos Mantzoukas","doi":"10.1111/nup.70044","DOIUrl":"10.1111/nup.70044","url":null,"abstract":"<p><p>In this paper, I go back to one of Gary Rolfe's seminal papers entitled \"Thinking as a subversive activity: doing philosophy in the corporate university\" (2012), published in the journal Nursing Philosophy, to acknowledge and possibly expand on Rolfe's work on thinking, scholarship and the future of the nursing profession. Rolfe is a prolific academic nurse author, and while there is a thread linking his extensive authorship, his work branches out on a variety of sub-topics that this paper cannot do justice to, nor does it intend to be a comprehensive review of his work. In this paper, I aim to develop an account and provide my understanding, inspired by Rolfe's work, on how thinking, scholarship, and nursing science interlink and develop each other, and how scholarly thinking can potentially, notwithstanding certain caveats, flourish and guide the future of nursing education within the university sector.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 4","pages":"e70044"},"PeriodicalIF":2.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12503390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Finding the Extraordinary in the Ordinary: Understanding the Role of Everyday Life in Coping With Health Challenges.","authors":"Berta M Schrems","doi":"10.1111/nup.70039","DOIUrl":"10.1111/nup.70039","url":null,"abstract":"<p><p>Theories of everyday life provide valuable insights into the experience of health and illness. Everyday life, as an essential part of social reality, is characterized by routines, familiarity, and practices that offer meaning, orientation, and security. However, its ordinariness also enables transformation, as disruptions caused by illness or social change necessitate adaptation and innovation. Nursing extends beyond medical treatment by considering how illness affects daily routines, relationships, and emotions. A theoretical framework of everyday life is particularly relevant in nursing, helping practitioners understand how people experience health, illness, and care. Acknowledging the role of daily living supports people in integrating health challenges into their routines and fosters person-centered care. Given the absence of a unified theory of everyday life, this study synthesizes concepts from various thinkers against empirical insights on health and illness. Philosophers such as Husserl, Heidegger, and Schütz highlight the importance of everyday preconceptions in interpreting life. They argue that individuals navigate challenges by relying on familiar patterns and adapting their experiences within daily life. In contrast, critical phenomenologists like Ahmed, Yancy, Salamon, and Al-Saji challenge this perspective, arguing that experience is shaped by social, political, and historical structures, including ethnicity, gender, class, and colonialism. In turn, theorists such as Lefebvre, Heller, and de Certeau emphasize everyday life as a dynamic space where repetition, creativity, and social relations intersect. Together, these approaches form a foundation for understanding the significance of everyday life. The synthesis of these theories with empirical findings underscores that everyday life plays a crucial role in coping with health and illness. It provides stability and orientation while enabling change, making it both a source of security and a space for transformation. This dual role of everyday life can be leveraged in nursing care to support people in managing illness and adapting to health challenges.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 4","pages":"e70039"},"PeriodicalIF":2.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12503389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Situating Filipino Nursologies in the Pluriverse of Nursing Knowledge: Narsolohiyang Pilipino as a Decolonial Project in Nursing.","authors":"Jerome Visperas Cleofas","doi":"10.1111/nup.70033","DOIUrl":"https://doi.org/10.1111/nup.70033","url":null,"abstract":"<p><p>The ongoing movement to decolonize nursing remains largely shaped by Global North perspectives. In solidarity with Global South voices working to center marginalized knowledge systems within nursing scholarship, this critical essay proposes Narsolohiyang Pilipino as a decolonial paradigm for theorizing nursing grounded in Filipino epistemologies and lifeways. Anchored in the Pluriverse of Nursologies (PoN), the paper advocates for the pluricentricity of nursing knowledge beyond Western and Global North (W&GN) paradigms. It begins by establishing PoN as the paper's philosophical foundation, then articulates the rationale for formalizing Filipino nursologies. Next, it describes Narsolohiyang Pilipino as a tentative decolonial paradigm for pagdadalumat (theorizing) in nursing, identifying its key philosophical movements: pagbaklas (disassembling) and pag-ugnay (connecting). Lastly, the paper presents a brief exemplar of Filipino nursological analysis through the local concept of pakikiramdam (relational attunement), then it maps the possibilities, challenges, and caveats of advancing Narsolohiyang Pilipino.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 3","pages":"e70033"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to \"The Lesson of Sleeping Beauty: Person-Centred Care for the Unconscious, Unresponsive ICU Patient in the Face of Levinas' Radical Alterity\".","authors":"","doi":"10.1111/nup.70030","DOIUrl":"10.1111/nup.70030","url":null,"abstract":"","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 3","pages":"e70030"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12416967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Martin Lipscomb: 'Questioning the Use Value of Qualitative Research Findings' (2012).","authors":"John Paley","doi":"10.1111/nup.70032","DOIUrl":"https://doi.org/10.1111/nup.70032","url":null,"abstract":"<p><p>This article discusses a paper by Martin Lipscomb, published in 2012. Martin's paper asks whether the findings in qualitative nursing research can provide evidence robust enough to inform nursing practice. Martin appraises various arguments designed to establish that qualitative studies do provide a basis for action, and concludes that they fail. I provide a commentary on the paper, and then look at more recent attempts to vindicate the use value of qualitative research. I argue that the question 'What requirements must qualitative studies meet if they are to serve as a basis for future action?' has only one persuasive answer. Unfortunately, the relevant requirements are not met by the majority of qualitative studies in nursing.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 3","pages":"e70032"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to \"Trust as a Solution to Human Vulnerability: Ethical Considerations on Trust in Care Robots\".","authors":"","doi":"10.1111/nup.70029","DOIUrl":"10.1111/nup.70029","url":null,"abstract":"","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 3","pages":"e70029"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12416989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neoliberal Rationality: A Primary Impetus for Reification and Derecognition of the Patient in Nursing Care.","authors":"Mohamad Hamze Al-Chami","doi":"10.1111/nup.70021","DOIUrl":"10.1111/nup.70021","url":null,"abstract":"<p><p>In this article, I discuss the implications of the neoliberal transformations on healthcare that are justified under the aegis of economic efficiency. Drawing on the work of German critical philosopher Axel Honneth, I present a critical-social and philosophical perspective that reinterprets these transformations as pathological consequences with devastating impacts on how we understand what human beings and social relations are. I argue that in a neoliberal context, nursing care becomes a form of reification defined as 'forgetfulness of recognition' of the human identity of the patient which contradicts the assumed ethical foundations of nursing. The article provides a detailed account on how neoliberal rationality that governs nursing performance promotes an objective and a 'neutral stance' of care that neglects emotional engagement and deals with the patient as an object or a thing which violates all dimensions of patient recognition. I also emphasize that neoliberalism must rather be understood as a specific form of governmentality that goes beyond mere economization and structures a specific way of understanding people in the healthcare context. Neoliberal rationality, as conceptualized in this article, not only considers human being as homo economicus, where decisions are based on economic ideals, but also neutralizes relationships and disseminates an 'objective' and purely scientific stance in caring interactions. This leads to the detachment of nurses and reification of patients. Thus, nursing care is reduced to an instrumental rationality that focuses on technical care, which diminishes any possibility for nurses to engage with patients and understand their unique phenomenological world necessary for coping and recognition. Finally, nurses are urged to raise their voices against neoliberal rationality that programs their ideas of what 'good care' is. A critical emancipatory mode of thinking provides an opportunity to challenge neoliberal rationality and revitalize nursing agency to resist the devastating transformations taking place in health care.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 2","pages":"e70021"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11896633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introducing Vulnerability Theory for Nursing Research Concerning Infants in Out of Home Care.","authors":"Rachel Gregory-Wilson, Liesel Spencer, Elizabeth Handsley, Toby Raeburn","doi":"10.1111/nup.70023","DOIUrl":"10.1111/nup.70023","url":null,"abstract":"<p><p>Nurses often play crucial roles on teams involved in providing care to infants and families in the context of child protection services, making them well-placed to research topics concerning these groups. Developed by North American legal scholar Martha Fineman in 2008, a contemporary macro-legal-political theory with potential to inform studies related to the nexus between healthcare and law is 'vulnerability theory.' Conceiving vulnerability as a universal, inevitable, and enduring aspect of the human condition, it contends that the onus is on the State to respond to universal vulnerability by ensuring institutions and structures do not confer unfair advantage or disadvantage. When access to rights is particularly difficult, a 'targeted group approach' should be considered as well as consideration of the notion that responses to vulnerability have the potential to increase vulnerability. This paper outlines the background of vulnerability theory, explaining its key tenets and criticisms, before considering how it might be useful to inform studies focused on infants in out of home care.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 2","pages":"e70023"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Preface: Well-Being and Dignity.","authors":"Stefanos Mantzoukas","doi":"10.1111/nup.70026","DOIUrl":"https://doi.org/10.1111/nup.70026","url":null,"abstract":"","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 2","pages":"e70026"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}