Nursing Philosophy最新文献

{"title":"Art of Caring Model for Emergency Care Patients and Professionals.","authors":"Carina Elmqvist, Michaela Ivarsdotter, Anna Bratt","doi":"10.1111/nup.70024","DOIUrl":"10.1111/nup.70024","url":null,"abstract":"<p><p>The Art of Caring model is developed from a general structure of the flow in the encounter between the injured patients and the different professionals within emergency care, in turn founded on four phenomenological essences, which encompass the experiences of patients, next of kin, and various professionals during the encounter at the scene of an accident and at the emergency department. The Art of Caring model represents a philosophical and theoretical rethinking of an ethical approach. It draws upon the works of the Danish philosopher Løgstrup, the French philosopher Levinas as well as selected aspects of Merleau Ponty. The Art of Caring model is illustrated by coppersmith and artist Michaela Ivarsdotter, further developed and reflected upon with Anna Bratt, a psychologist working according to the compassion-focused tradition. The model is made to disclose and visualise the Art of Caring and facilitate reflections on achieving a win-win situation for both patients and different professionals within emergency care. Healthcare involves a variety of professions, and for the benefit of the patient, we must recognise the significance of professionals taking on the advocacy role from a caring science perspective, which includes the unique and shared experiences of the lifeworld. This is a challenge within the context of demanding efficiency and time pressure in emergency care. To address this, a concrete action plan for ethical reflections is needed to find a balance between giving and receiving, essential for healthcare professionals to avoid compassion fatigue. In the context of ethical competence and the challenges faced by different healthcare professionals within emergency care, the Art of Caring model could be used for ethical reflections, as an approach to achieve a balance between patient advocacy, ethical considerations, and effective emergency care delivery. Achieving this goal will lead to better patient outcomes and a more supportive work environment for the entire emergency care team.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 2","pages":"e70024"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711924","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":"Trust as a Solution to Human Vulnerability: Ethical Considerations on Trust in Care Robots.","authors":"Mario Kropf","doi":"10.1111/nup.70020","DOIUrl":"10.1111/nup.70020","url":null,"abstract":"<p><p>In the care sector, professionals face numerous challenges, such as a lack of resources, overloaded wards, physical and psychological strain, stressful constellations with patients and cooperation with medical professionals. Care robots are therefore increasingly being used to provide relief or to test new forms of interaction. However, this also raises the question of trust in these technical companions and the potential vulnerability to which these people then expose themselves. This article deals with an ethical analysis of the two concepts of trust and vulnerability in the context of care robotics. The first step is to examine what can be understood by vulnerability, focusing specifically on Misztal's three proposed types (relationships, future anticipation, past experiences). This strategy is often used as a starting point by authors and also seems relevant for the connection to the concept of trust. In a second step, these three types of human vulnerability are examined on the basis of a technical concept of trust. It is shown that (1) relationships and thus also interdependence can create additional options, (2) the anticipation problem with regard to the actions of others also makes responsibility transferable and (3) an explication of freedom is also associated with potential traumatic experiences. The final step brings together the previous considerations and makes it clear once again that trust in a care robot need not only be associated with vulnerability, but that vulnerability can also potentially be reduced, transferred and overcome.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 2","pages":"e70020"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11896634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607086","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":"What Can Free Nursing Schools Do for Anarchism? A Reflection on \"What Can Anarchism Do for Nursing\" by Martin and Laurin (2023).","authors":"Simon Malfait","doi":"10.1111/nup.70025","DOIUrl":"https://doi.org/10.1111/nup.70025","url":null,"abstract":"<p><p>This is a response on the interesting read \"What can anarchism do for nursing\" by Martin and Laurin (2023), published in a previous issue of this journal. My foremost point is congratulating the authors on emphasizing the urgent need for a deviant voice or movement within nursing. It is a needed and necessary plea. Without such a voice or movement, which deviates from the current discourse(s) in healthcare, the future of our healthcare systems are looking grim and perhaps even more authoritarian than their current state. Rather than providing a comment to their work, I deemed it useful to make two additions and one suggestion to their essay. I would like to elaborate on (1) why alternative education is crucial in installing this type of thinking and action in nursing and (2) why, next to the concept of mutual aid, the concept of individual deviant action by nurses can be crucial in installing a new paradigm in nursing. I argue that both alternative education and individual action cannot be fostered by the traditional nursing education and common career paths and propose the reinvention of the concept of free (nursing) schools. Such free school could empower nurses, throughout their career, to acquire a general culture in which critical reflection and political awareness are cornerstones to identify the balances of power which affects them. This could enhance the solidarity between nurses and unity in the nursing profession. At the end of this reflection, I outline the principles of these free nursing schools.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 2","pages":"e70025"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062435","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":"The Lesson of Sleeping Beauty: Person-Centred Care for the Unconscious, Unresponsive ICU Patient in the Face of Levinas' Radical Alterity.","authors":"Theresa Clement, Peter Anna Zeillinger, Hanna Mayer, Brendan McCormack","doi":"10.1111/nup.70022","DOIUrl":"10.1111/nup.70022","url":null,"abstract":"<p><p>The development of person-centred practice is inextricably linked with the debate about being a person and personhood. This debate takes on a particular relevance when certain prerequisites, which are often used as defining characteristics of persons, can no longer be autonomously fulfilled. This is the case, for example, with intensive care patients who are often (temporarily) impaired in their responsiveness and consciousness due to their critical state of health. Due to sedation, severity of illness and loss of voice, delivery of person-centred care in the intensive care setting is described as challenging. Despite far reaching implications on the therapeutic, ethical, and legal handling of patients in the intensive care setting, a definition of personhood at the stage of briefly diminished (by anesthetic measures), limited, or absent consciousness and ability to communicate has so far been discussed only superficially. To meet this challenge and to develop an understanding of person-centred practice suitable for the context of intensive care, Emmanuel Levinas' relational ethics and his understanding of radical alterity is discussed. We uncover the implications of Levinas Ethics of Radical Alterity on the care of the unconscious and unresponsive patient in the intensive care unit and further on the person-centred approach to practice. The perspectives proposed in this paper provide an opportunity for the ontological embedding of a person-centred care approach, which makes it possible to meet and care for these patients in a person-centred manner.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 2","pages":"e70022"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659286","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":"The Folk Concept of Nursing in Australia: A Decolonising Conceptual Analysis.","authors":"Jacinta Mackay, Jordan Lee-Tory, Kylie Smith, Luke Molloy, Kathleen Clapham","doi":"10.1111/nup.70012","DOIUrl":"10.1111/nup.70012","url":null,"abstract":"<p><p>This article presents a conceptual analysis of the contemporary understanding of NURSING in Australia and proposes strategies for decolonisation. Through historical reflection and the lens of cultural safety and critical race theory, it examines some conditions which make up this concept, including \"Florence Nightingale-influenced practices,\" \"intellectual practitioners,\" and \"whiteness in nursing.\" This analysis aims to identify conditions which we take to be necessary for the folk concept of NURSING to be satisfied and which result in negative outcomes. The article explores why these conditions are plausibly included in this concept and possible objections to their inclusion. These conditions, and subsequently the concept of NURSING, are then critiqued. In this conceptual analysis of NURSING in Australia, we explore three conditions. By critically examining these conditions through the lens of cultural safety and employing decolonising methodologies, the article sheds light on the complex interplay of historical legacies, contemporary practices and potential negative outcomes within the nursing profession. The conclusions drawn propose a shift toward decolonisation, advocating for a cultural safety framework to address historical injustices and highlights possible ways in which one might amend the concept of nursing to be more inclusive of Aboriginal and Torres Strait Islander people. The need for this change is emphasised by the acknowledgement of historical conditions that perpetuated racism and hindered equitable healthcare. Ultimately, the article advocates for a comprehensive decolonisation of the concept of NURSING in Australia, urging the nursing profession to implement cultural safety for the overall well-being of Aboriginal and Torres Strait Islander people. The authors of this article would like to acknowledge the people of the Dharawal and Dharug language group, who are the custodians of the unceded land we have worked on throughout this project. We would also like to acknowledge Aboriginal and Torres Strait Island people nationwide and warn them that some traumatic aspects of Aboriginal and Torres Strait Islander history are mentioned throughout this article. Always was, always will be, Aboriginal land. Two authors on this article identify as Aboriginal, while three do not. Two authors are registered nurses, one is an anthropologist, one is a philosopher and one is a historian.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 1","pages":"e70012"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061359","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":"Correction to \"Transgressive Acts: Michel Foucault's Lessons on Resistance for Nurses\".","authors":"","doi":"10.1111/nup.70011","DOIUrl":"10.1111/nup.70011","url":null,"abstract":"","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 1","pages":"e70011"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11977841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957857","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":"Transgressive Acts: Michel Foucault's Lessons on Resistance for Nurses.","authors":"Cristina Moreno-Mulet, Joaquín Valdivielso-Navarro, Margalida Miró-Bonet, Alba Carrero-Planells, Denise Gastaldo","doi":"10.1111/nup.70008","DOIUrl":"10.1111/nup.70008","url":null,"abstract":"<p><p>In this paper, we bring together Foucault's biography and oeuvre to explore key concepts that support the analysis of nurses' acts of resistance. Foucault reflected on the power relations taking place in health services, making his contribution especially useful for the analysis of resistance in this context. Over three decades, he proposed a nonnormative philosophy while concomitantly engaging in transgressive practices guided by values such as human rights and social justice. Hence, Foucault's philosophy and public activism are an apparent contradiction, but we argue that when analysed together they allow for a different understanding of his work. We describe the evolution of the concept of resistance in Foucault's work, supported by the approaches of Brent Picket (1996) and Miguel Morey (2013). Foucault started his work considering the idea of transgressiveness as it connects to being at the margins of society. He then spent considerable time elaborating the concept of power and identifying resistance strategies as forms of power exercise. In doing so, he considered that people engage with social change from multiple positions, including limited desire for change, fomenting reforms, or engaging in everyday revolutionary acts. As he further elaborated on power relations and defined resistance, Foucault asserted that resistance involves both repressive and productive dimensions of power, governance of biological life, state governance, and deliberate practices of illegalisms. Finally, Foucault shifted his attention to the freedom of ethical subjects, proposing the use of counter-conduct and counter-discourses to speak truth against oppression. Such framework offers a comprehensive lens for analysing nurses' acts of resistance within the complexities of the healthcare system and in society. In summary, Foucault's conceptual framework on resistance expands the role of nurses, to understand them not only as caregivers, but also as political agents capable of confronting and transforming oppressive institutional practices.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 1","pages":"e70008"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774242","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":"Deconstructing Professionalism as Code for White (Power): Authenticity as Resistance in Nursing.","authors":"Katerina Melino, Blythe Bell, Kaija Freborg","doi":"10.1111/nup.70002","DOIUrl":"10.1111/nup.70002","url":null,"abstract":"<p><p>The concept of professionalism is embedded into all aspects of nursing education and practice yet is rarely critically interrogated in nursing scholarship. This paper describes how professionalism in nursing is based on whiteness. When actualized, this oppressive construct homogenizes individuals' identities to assist nurses in building and wielding power against each other and against patients, and results in dehumanization and disconnection. Foregrounding an ethic of authenticity as a practice of resistance against white professionalism offers an alternative possibility for how nursing could be taught, practiced and theorized. As such a practice must begin with oneself, the authors outline a reflexive process from which to begin this work.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 1","pages":"e70002"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629931","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":"Exploring the Relevance of Indigenous Knowledges to Dementia Care in Nursing.","authors":"Christine Meng, Helen Brown","doi":"10.1111/nup.70018","DOIUrl":"10.1111/nup.70018","url":null,"abstract":"<p><p>In this paper, we engage in philosophical inquiry to consider the relevance of Indigenous Knowledges (IKs) for reimagining dementia care for individuals living with dementia. We outline the limitations of philosophical perspectives aligned with Eurocentric academic knowledge, arguing that such knowledge relies on an individualistic view of self and neglects the body and embodied experience in dementia care. We demonstrate how a personal diachronicity perspective diminishes the importance of valuing the fluid and dynamic self-identities of persons living with dementia. We then turn to the epistemological foundations of IKs through philosophical inquiry, focusing on relationality, connectiveness, and holism, and discuss the role of IKs in institutional knowledge systems. We then explore the potential relevance of IKs to widen the epistemological and ontological gaze centering on the relational concepts of personhood, holism, continuity, embodiment, and homogeneity of self that are foundational to reimaging dominant approaches to dementia care.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 1","pages":"e70018"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048555","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":"Applying the Concept of Epistemic Injustice as a Philosophical Window to Examine Discrimination Experiences of LGBTQIA+ Migrants With Nurses.","authors":"Roya Haghiri-Vijeh","doi":"10.1111/nup.70007","DOIUrl":"10.1111/nup.70007","url":null,"abstract":"<p><p>Both stigma and discrimination, defined as a lack of knowledge of and a sense of discomfort in providing care to lesbian, gay, bisexual, transgender, queer, intersex, and + (LGBTQIA+) migrants, was found to manifest in a sample of LGBTQIA+ migrants who received nursing care in a recent study. The study concluded that nurses continue to have a limited understanding of the experiences of LGBTQIA+ migrants in the Canadian context, and that LGBTQIA+ migrants continue to have troubling 'care' experiences with nurses. Miranda Fricker has developed the concept of epistemic injustice drawing on feminist philosophy and social epistemology. Epistemic injustice refers to unfair treatment of a person by judging them as 'not a knower' in a communicative situation. For example, in a few circumstances when LGBTQIA+ migrants were admitted to psychiatric units due to suicide ideations as a direct result of identifying as a LGBTQIA+ migrants, the medical and nursing team responded with 'They are in Canada now. It is safe here!' and 'So, you are [LGBTQIA + ]! What's the big deal?' These unjust statements reflect an epistemic situation in which the hearer is negating what was heard, that is, that the speaker's intersecting identities of LGBTQIA+ and new immigrant has directly led to suicide ideation. The concept of epistemic injustice helps to frame this situation as one where the care provider is not doing justice to the needs of LGBTQIA+ migrants. This article draws on the narrative of an LGBTQIA+ migrant who is not recognised as a credible source of knowledge about their own lives and needs in the context of Canadian nursing care. Epistemic injustice helps to understand how stigma and discrimination is produced in this community by the very nursing profession who ostensibly want to help them.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 1","pages":"e70007"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629840","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}