Nursing Philosophy最新文献

{"title":"Camp, Nursing, and the Politics of Seriousness.","authors":"Teresa A Graziano","doi":"10.1111/nup.70099","DOIUrl":"10.1111/nup.70099","url":null,"abstract":"<p><p>This paper examines how camp, an aesthetic grounded in exaggeration, humor, and theatricality, functions as a legitimate nursing practice that challenges the cisheteronormative seriousness embedded in professional nursing culture. I begin by tracing how seriousness became a dominant aesthetic standard in nursing, shaping expectations for comportment, emotional restraint, and professionalism in ways that marginalize queer and trans nurses. Drawing from Sontag's Notes on Camp, I argue that seriousness is not an objective requirement of safe or ethical care but a culturally specific performance that restricts who and what count as 'professional'. I then introduce camp as a counter-aesthetic that exposes the performative nature of these norms. Through playfulness and intentional artifice, camp destabilizes the boundaries of professional conduct and opens space for alternative, culturally grounded expressions of care. To illustrate this, I examine the work of Bobbi Campbell, known as Sister Florence Nightmare RN, as a historical exemplar of a drag nurse who promoted health education, reduced stigma, and community resilience during the early HIV/AIDS epidemic. I then pull on Nurse Anne Thracks and Mandy Mango as contemporary examples of drag-as-nursing. These examples demonstrate how queer nurses use drag and camp to strategically engage communities, communicate health information, and model radically inclusive care. I extend this analysis to contemporary nursing contexts, arguing that integrating camp is a form of ethical authenticity aligned with the profession's commitments to dignity, self-regard, and social justice. I show how campy and drag nurses actively subvert restrictive norms by transforming the figure of the nurse-through language, attire, and performance-while still providing effective, culturally relevant care. Ultimately, I propose camp as a generative framework for reimagining nursing aesthetics and practice. Embracing camp expands the boundaries of what is considered professional, ethical, and therapeutic, offering a model of nursing that honors joy, relationality, sociopolitical wellness.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"27 3","pages":"e70099"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474020","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":"Gadamerian Hermeneutic Philosophy and Caring Science.","authors":"Danielle Granderson","doi":"10.1111/nup.70103","DOIUrl":"10.1111/nup.70103","url":null,"abstract":"<p><p>This paper examines the relevance of Gadamerian hermeneutic philosophy for caring science by clarifying how understanding, interpretation, and ethical responsiveness are implicated in nursing practice. Drawing on key Gadamerian concepts, including prejudice, language, dialog, and the fusion of horizons, the paper explores the ontological and epistemological foundations of caring as a relational process of coming to understanding within historically and culturally situated nurse-patient encounters. Caring is articulated not as a discrete action or technical competence, but as a mode of being that unfolds through dialogical engagement and openness to the other. While Gadamerian hermeneutics has been widely employed within qualitative nursing research, this paper argues that its significance for caring science lies less in methodological prescription than in its philosophical orientation to understanding and application as inseparable. By examining interpretive approaches to studying caring and critically reflecting on the tendency to treat the fusion of horizons as an endpoint, the paper highlights how Gadamerian hermeneutics sustains caring as an ongoing, ethically consequential practice rather than a finalized interpretive outcome. Clinical Trial Registration: N/A.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"27 3","pages":"e70103"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13380937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148498222","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 Language Games of Pain in Nursing: A Wittgensteinian Analysis of NANDA-I Diagnoses.","authors":"Montserrat Mariscal Delgadillo","doi":"10.1111/nup.70097","DOIUrl":"10.1111/nup.70097","url":null,"abstract":"<p><p>Despite technical and regulatory advances in pain assessment, persistent challenges in recognizing, interpreting, and documenting the experience of pain continue to reveal a structural gap in nursing practice. Traditionally, these difficulties have been addressed from biomedical approaches focused on nociception and objective measurement, without questioning the linguistic and normative conditions that shape what counts as pain in clinical contexts. This article argues that the problem is not primarily technical or instrumental, but conceptual and linguistic. Drawing on the philosophy of language, it proposes to understand pain assessment and diagnosis as language games governed by rules of use that shape the conditions under which certain expressions become intelligible, legitimate, and clinically valid. Based on a conceptual analysis of the pain diagnosis in the NANDA-I taxonomy, the article examines how the interpretive stratification of pain among nociception, subjective experience, and diagnostic categories produces grammatical mismatches that affect clinical communication and foster forms of epistemic injustice, particularly when the patient's testimony does not fit available normative criteria. Through an analytical comparison of different nursing diagnoses and the development of a conceptual case, it is shown that the diagnosis of pain operates more as a normative linguistic device than as a neutral description of experience. The analysis supports the argument that difficulties in pain assessment do not stem from the lack of more precise instruments, but from the rigidity of the rules governing the diagnostic language game. In this sense, the article does not propose a new theory of pain or a clinical prescription, but a philosophical reconfiguration that makes visible the normative character of nursing language and opens the possibility of interpretive practices more sensitive to the patient's lived experience. Understanding pain as a grammatically mediated phenomenon makes it possible to recognize the distinctive contribution of nursing in the clinical encounter and to rethink diagnosis as a relational, interpretive, and ethically situated practice.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"27 3","pages":"e70097"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473996","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":"Process, Pragmatism, and Philosophy: An Examination of Pragmatism and Textualism in Nursing Philosophical Discourse.","authors":"Nicholas DiGiovine, Mary McCurry","doi":"10.1111/nup.70067","DOIUrl":"10.1111/nup.70067","url":null,"abstract":"<p><p>Textualism and Pragmatism are often analyzed within discourse in the setting of the United States Supreme Court. Both philosophies seek to find legal truth to advance legal knowledge. A similar dichotomy is currently surfacing within nursing philosophy and theory as disciplinary knowledge and meaning-making are advanced. While Textualism and Pragmatism cannot be used universally given their philosophical limitations, they do enhance disciplinary discourse when used as methods. The current debate in both legal and nursing contexts using Breyer's (2024) arguments in favor of Pragmatism over Textualism are critiqued and the serious limitations of these philosophies clarified. An alternate philosophy, Process philosophy, is presented and applied. Process philosophy's application to the analysis organizes abstractions of legal arguments and clarifies Textualism and Pragmatism's ontological context-related implications. Finally, an exploration of ethical codes, a potential sign of dominant disciplinary Pragmatism, is provided with rationale for the need to consider process when evaluating ethics of care.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"27 2","pages":"e70067"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151108","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":"Criptiquing Disability Models: Compulsory Able-Bodiedness, Nursing Practice, and Reimagined Disability.","authors":"Teresa A Graziano","doi":"10.1111/nup.70075","DOIUrl":"10.1111/nup.70075","url":null,"abstract":"<p><p>Within nursing education and practice, disability has been shaped by models of disability that narrowly focus on rehabilitating the body to a normative, able-bodied state. This has profound moral implications for nursing practice and affects the nurse-patient dynamic. Typically, this empowers the nurse while disempowering the disabled person by portraying the nurse as the expert in disability and the disabled person as a passive recipient of care. This paper applies crip theory, specifically McRuer's framework of compulsory able-bodiedness, to critically examine the enduring presence of the charity, moral, and medical models of disability in nursing education and practice. Compulsory able-bodiedness is the system that produces disability by othering non-normative bodies. This produces a hierarchy of bodily normalcy, with people who are able-bodied at the top, people with visible disabilities in the middle, and people with invisible disabilities at the bottom. I argue that these three historically dominant models are etic, ignore disabled people's voices, and perpetuate ableist assumptions that limit the profession's capacity to support disabled people in liberatory and socially just ways. I then present an alternate crip paradigm: the social model of disability. The social model of disability offers nurses the opportunity to honour the disabled person as the expert in their care, focus on the individual's strengths rather than deficits, and recognise the complex interplay between physiological, social, political, and environmental factors that contribute to the experience of disability. In raising this critical consciousness, I call for a reimagined nursing education and practice that honours disability as a source of knowledge, transformation, and resistance.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"27 2","pages":"e70075"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12950276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327796","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":"Don't Mess With Tita Marites: Camp as Critique and Care in the Filipino Nursing Diaspora.","authors":"Jerome Visperas Cleofas, Joseph S Cadeliña, Luis Emmanuel A Abesamis, Liegh Jovim Entila, Charlize Amanda Tanay","doi":"10.1111/nup.70085","DOIUrl":"10.1111/nup.70085","url":null,"abstract":"<p><p>Professional discourses continue to view nursing through an aesthetic of seriousness that polices comportment, voice, and credibility, especially among migrant nurses. This discussion paper examines how campful comedy can unsettle these regimes while simultaneously performing care, focusing on the recurring TikTok persona \"Tita Marites\" by Filipino-Canadian nurse-creator @nurse.johnn. Drawing on camp theory and Narsolohiyang Pilipino (Filipino Nursologies), we conduct a discursive, multimodal reading of public short-form videos to trace how exaggerated performance functions as both critique and care in diasporic nursing contexts. We show how Tita Marites' camp performance (i.e., bob wigs and colourful scrubs as costume, Taglish cadence, kinship address, food-giving, and micro-choreographed gestures) recasts governance, challenges physician primacy and textbookism, and builds solidarity through gastronomic hospitality and kinship. Audience reception further demonstrates how this Filipino-coded persona resonates as a recognisable unit figure and a shared language of protection and care. We argue that campful comedy offers nursing philosophy a way to theorise counterperformance, visibility, and relational care under conditions of migrant struggles.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"27 2","pages":"e70085"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787262","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":"Benner's Model Guiding Skill and Knowledge Acquisition of Advanced Practice Nurses.","authors":"Maya Zumstein-Shaha","doi":"10.1111/nup.70078","DOIUrl":"10.1111/nup.70078","url":null,"abstract":"<p><p>In 2016, Bowen and Prentice published a dialogue on Benner's model 'From Novice to Expert'. Their main concern was to explore the development of expertise in nursing and the evolution of this expertise when domains of practice change. In this contribution, this dialogue by Bowen and Prentice (2016) is the starting point to consider Advanced Practice Nurses (APN). The argument will propose that Benner's model can help perceive APN skill (and knowledge) acquisition. For this purpose, Benner's original works, the philosophical bases on knowing that and knowing how, as well as the concept of APN, which was developed by Ann Hamric (2014; Tracy et al. 2023), are consulted. Eventually, it will be demonstrated that Benner's model can be employed in conjunction with APN and can provide valuable insight into skill and knowledge acquisition and career development. Therefore, APN can reinvigorate Benner's model and render it again very valid for today. This contribution will conclude with suggestions for supporting APNs' skill and knowledge development and indications for the evolvement of Benner's model.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"27 2","pages":"e70078"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582834","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":"Nursing After Virtue: Revisiting the Work of Derek Sellman.","authors":"Darlaine Jantzen","doi":"10.1111/nup.70076","DOIUrl":"10.1111/nup.70076","url":null,"abstract":"<p><p>Between 1997 and 2009 Derek Sellman published a series of articles that explore the question: what makes a good nurse. To answer this question, Sellman engaged at length with the virtue ethics of Alisdair MacIntyre. Sellman contends that modern nursing is a professional practice, in the sense of practice described by MacIntyre. Based on nursing's ends and moral tradition, therefore, certain professional virtues can be collectively discerned and then nurtured in developing nurses. Contemporary bioethics approaches, including consequentialism, which tend to dominate ethics in nursing, are largely dismissive of virtue ethics. Sellman offers a corrective, proposing MacIntyrean virtue ethics as a solution to the loss of attention to a nurse's character in current ethical theorising within nursing. He proposes the virtues of open-mindedness and trustworthiness as required for nurses to respond to patients and their families or carers; patients, Sellman argues, who are more-than-ordinarily vulnerable. In revisiting Sellman's work, I consider its importance, reflect on the profession's engagement with it, and examine a few of the challenges it presents. Throughout the analysis, I explore MacIntyre's approach in the context of philosophical shifts in the mid-20th century, specifically in relation to moral philosophy and the aretaic turn, and social sciences. The value of contextualising nursing scholars' work in philosophy, and specifically moral philosophy, is presented, with a call to more explicit integration of moral theorising and cognitive science.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"27 2","pages":"e70076"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12993912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391532","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":"Wonder, Awe, and Imagination in Nursing Professional Practice Education.","authors":"Darlaine Jantzen, Michael Morelli, Angela C Wolff","doi":"10.1111/nup.70088","DOIUrl":"10.1111/nup.70088","url":null,"abstract":"<p><p>Education for nursing entered universities based on the assumption that the complexity of nursing practice required an education beyond apprenticeship-style training focused mostly, if not wholly, on technical knowledge and skills. Although there were calls for academic education as early as 1932, this shift as an entry-to-practice did not happen in Canada until the early 2000s. In the intervening years, the argument for a liberal-arts education defined the expectations for academic nursing leadership, the institutions that provide BSN education, and nurse educators. The value of both science and the humanities was clear. Over the past decades, economic and ideological positions have generated doubts about this clarity and re-ignited resistance to a liberal arts and humanities education. These reservations have eroded the foundations for nurses' academic education. In contrast to the call for humanities-informed nursing, academic nurse leaders are enticed to shift the focus from educating for human flourishing to producing market-ready graduates. As part of a multi-method study on educating nursing students for dispositions deemed important for safe, competent, and ethical nursing practice, we have engaged in philosophical enquiry. In this study, we are extending the work of Derek Sellman, who draws from Alasdair MacIntyre's After Virtue, to develop an account of what makes a good nurse. Here we compare the MacIntyrean approach with that of Kristján Kristjánsson, an educationalist whose work has informed research related to character education for the professions. For Kristjánsson, wonder, awe, and epiphanies are crucial parts of this approach, particularly in relation to enchanted human flourishing. In this article, we pose the following question and formulate a preliminary answer: Is the integration of Kristjánsson's view into nursing education complementary to Sellman and not only possible, but promising, for nursing in the twenty-first century?</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"27 2","pages":"e70088"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13125969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787372","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":"Baruch Spinoza and the Ethics of Care: Towards A Monistic Understanding of Spiritual Care at the End of Life.","authors":"Daniel Giménez Lorente, José Siles González","doi":"10.1111/nup.70072","DOIUrl":"10.1111/nup.70072","url":null,"abstract":"<p><p>Dualism has shaped current healthcare based on the dichotomies of body-mind, science-spirituality and life-death, consolidating a biomedical paradigm that treats the patient as an object, marginalising the spiritual dimension. This article explores Baruch Spinoza's philosophy as an alternative to the ethics of nursing care, integrating the physical, emotional, and spiritual dimensions within the same ontological continuum. Through a philosophical-conceptual approach inspired by hermeneutic interpretation, key concepts from the work Ethics are presented, inviting the reader to reflect on them in the nursing context of spiritual care at the end of life. In Spinoza, life and death are expressions of the same necessary order of Nature, and freedom arises from understanding that necessity. From this perspective, caring for the dying becomes an affective, collective and rational act, based on knowledge of the natural order. Spinozian philosophy allows us to conceive of care as an ontological-existential mode that is relational, structural, and immanent. Nurses participate in the process of human interdependence and expand the power to act. Understanding the rational transformation of emotions provides tools for accompanying suffering. A Spinozian ethic of care restores a holistic and affirmative view of life to nursing, unifying spirituality and reason.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"27 2","pages":"e70072"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272576","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}