Nursing Philosophy最新文献_第5页

Beyond loss: An essay about presence and sparkling moments based on observations from life coexisting with a person living with dementia. 超越失落：根据与痴呆症患者共处的生活观察，写一篇关于存在和闪光时刻的文章。

IF 2.2 3区医学

Nursing Philosophy Pub Date : 2024-01-01 Epub Date: 2023-02-27 DOI: 10.1111/nup.12425

Janne B Damsgaard, Jette Lauritzen, Charlotte Delmar, Monica E Kvande

{"title":"Beyond loss: An essay about presence and sparkling moments based on observations from life coexisting with a person living with dementia.","authors":"Janne B Damsgaard, Jette Lauritzen, Charlotte Delmar, Monica E Kvande","doi":"10.1111/nup.12425","DOIUrl":"10.1111/nup.12425","url":null,"abstract":"This is an essay based on a story with observations, about present and sparkling moments from everyday life coexisting with a mother living with dementia. The story is used to begin philosophical underpinnings reflecting on 'how it could be otherwise'. Dementia deploys brutal existential experiences such as cognitive deterioration, decline in mental functioning and often hurtful social judgements. The person living with dementia goes through transformation and changes of self. Cognitive decline progressively disrupts the foundations upon which social connectedness is built, often creating a profound sense of insecurity. The challenge for carers and healthcare professionals is therefore to find ways of clarifying a concept of agency. It will be worthwhile developing the ability of attuning into 'what is there' arising from every corner of the care situation. Understanding and practicing this can strengthen existence and the experience of connectedness and meaning, empowering the person with dementia. It is important to find ways, relational moves, in which carers and healthcare professionals can embed the creativity appearing in mundane everyday situations filled with surplus of meaning, sharing mental landscapes (and embodied relational understanding) with the person living with dementia - seizing and sharing aesthetic moments (verbal and nonverbal) being present together. We argue that carers and healthcare professionals may find this understanding of care useful. This implies looking into a phenomenological-hermeneutic perspective developing competences as well as practical wisdom understanding and being aware of the creative and innovative possibilities (often preverbal and unnoticed small things) in everyday life of what we, inspired by psychoanalyst Daniel Stern, call sparkling moments of meeting, creating experience with the other that is personally undergone and lived through in the present.","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":" ","pages":"e12425"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10779432","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}

引用次数: 0

A visionary platform for decolonization: The Red Deal. 一个有远见的非殖民化平台:红色协议。

IF 2.2 3区医学

Nursing Philosophy Pub Date : 2024-01-01 Epub Date: 2023-11-28 DOI: 10.1111/nup.12471

Mohamad H Al-Chami, Wendy Gifford, Veldon Coburn

{"title":"A visionary platform for decolonization: The Red Deal.","authors":"Mohamad H Al-Chami, Wendy Gifford, Veldon Coburn","doi":"10.1111/nup.12471","DOIUrl":"10.1111/nup.12471","url":null,"abstract":"In this study, we discuss the colonial project as an eliminatory structure of indigenous ways of knowing and doing that is built into Canadian social and health institutions. We elaborate on the role nursing plays in maintaining systemic racism, marginalization and discrimination of Indigenous Peoples. Based on historical practices and present-day circumstances, we argue that changing language in research and school curriculums turns decolonization into what Tuck and Yang call a 'metaphor'. Rather, we propose decolonization as a political project where nurses acknowledge their involvement in colonial harms and disrupt the assumptions that continue to shape how nurses interact with Indigenous people, including knowledge systems that perpetuate colonial interests and privilege. Decolonization requires nurses to understand the colonial practices that led to dispossession of land, erasure of knowledge, culture and identity, while upholding indigenous ways of knowing and doing in health, healing and living. As a political manifesto that liberates indigenous life from oppressive structures of colonialism and capitalism, The Red Deal is presented as a visionary platform for decolonization. The aim of this study is to articulate three dimensions of caretaking within The Red Deal as a framework to decolonize nursing knowledge development and practice. Based on the philosophical dimension embedded in The Red Deal that revoke norms and knowledge assumptions of capitalism that destroy indigenous ways of knowing and doing, we underscore an approach toward decolonizing nursing. Our approach rejects the apolitical nature of nursing as well as the unilateral western scientific knowledge approach to knowledge development and recognition. A critical emancipatory approach that addresses the socio-political and historical context of health care, recognizes dispossession of land and adopts a 'multilogical' vision of knowledge that gives space for representation and voice is needed for true decolonization of nursing.","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":" ","pages":"e12471"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138446790","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}

引用次数: 0

Lefebvre's production of space: Implications for nursing. 列斐伏尔的空间生产：对护理工作的启示。

IF 2.2 3区医学

Nursing Philosophy Pub Date : 2024-01-01 Epub Date: 2023-02-07 DOI: 10.1111/nup.12420

Jacqueline A Strus, Dave Holmes, Patrick O'Byrne, Chad Hammond

引用次数: 0

Examining the role of nurse executives in homecare through the lens of the Sociology of Ignorance and Critical Management Studies. 从 "无知社会学 "和 "批判管理研究 "的视角审视护士主管在家庭护理中的作用。

IF 2.2 3区医学

Nursing Philosophy Pub Date : 2024-01-01 Epub Date: 2023-04-27 DOI: 10.1111/nup.12445

Lisa Ashley, Amélie Perron

引用次数: 0

Emily's struggle for dignity: An idiographic case study of a woman with multiple sclerosis. 艾米丽为尊严而战：多发性硬化症女性患者的特异性案例研究。

IF 2.2 3区医学

Nursing Philosophy Pub Date : 2024-01-01 Epub Date: 2023-12-20 DOI: 10.1111/nup.12470

Lucia Podolinská, Juraj Čáp

{"title":"Emily's struggle for dignity: An idiographic case study of a woman with multiple sclerosis.","authors":"Lucia Podolinská, Juraj Čáp","doi":"10.1111/nup.12470","DOIUrl":"10.1111/nup.12470","url":null,"abstract":"Dignity is one of the essential values and central concepts in nursing care. Dignity can be threatened due to radical life changes; therefore, this idiographic case study aimed to explore the sense of dignity experienced by a woman with multiple sclerosis. An interpretative phenomenological analysis was adopted, using data collected through a face-to-face semistructured interview with Emily, a 45-year-old woman. The study was approved by the local ethics committee. Six personal experiential themes were identified: To be ruled by a sick body; Silent progression; Loss of independence as a burden for the family; Will to fight for the meaning of life; Maintaining dignity-in-relation; Dignified care in a period of greater vulnerability. Emily's dignity is based on the effort to fight for a meaningful life, utilization of her full potential, maintain independence in activities of daily living and support in relationships. Continuous changes in functional ability, loss of self-control and an uncertain future have a negative impact on the experience of her dignity. In the context of dignified health care, she considers individual care and maintaining autonomy important. The idiographic case study can contribute to a better understanding of the experience of a woman suffering from multiple sclerosis. It is possible to carry out interventions that aim to support her dignity, improve her quality of life and contribute to individually oriented health care.","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":" ","pages":"e12470"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138802903","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}

引用次数: 0

Re-examining the relationship between moral distress and moral agency in nursing. 重新审视护理工作中道德困扰与道德代理之间的关系。

IF 2.2 3区医学

Nursing Philosophy Pub Date : 2024-01-01 Epub Date: 2023-02-07 DOI: 10.1111/nup.12419

Georgina Morley, Lauren R Sankary

{"title":"Re-examining the relationship between moral distress and moral agency in nursing.","authors":"Georgina Morley, Lauren R Sankary","doi":"10.1111/nup.12419","DOIUrl":"10.1111/nup.12419","url":null,"abstract":"In recent years, the phenomenon of moral distress has been critically examined-and for a good reason. There have been a number of different definitions suggested, some that claimed to be consistent with the original definition but in fact referred to different epistemological states. In this paper, we re-examine moral distress by exploring its relationship with moral agency. We critically examine three conceptions of moral agency and argue that two of these conceptions risk placing nurses' values at the center of moral action when it ought to be the patient's values that shape nurses' obligations. We propose that the conception of moral agency advanced by Aimee Milliken which re-centers patient values, should be more broadly accepted within nursing. We utilize a case example to demonstrate a situation in which the values of a patient's parents (surrogates) justifiably constrained nurses' moral agency, creating moral distress. Through an examination of constraints on nurse agency in this case, we illustrate the problematic nature of 'narrow' moral distress and the value of re-considering moral distress. Finally, we provide an action-oriented proposal identifying mediating steps that we argue have utility for nurses (and other healthcare professionals) to mediate between experiences of narrow moral distress and the exercise of moral agency.","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":" ","pages":"e12419"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10668156","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}

引用次数: 0

From informed to empowered consent 从知情同意到授权同意

IF 2.2 3区医学

Nursing Philosophy Pub Date : 2023-12-29 DOI: 10.1111/nup.12475

Chelsea O. P. Hagopian

{"title":"From informed to empowered consent","authors":"Chelsea O. P. Hagopian","doi":"10.1111/nup.12475","DOIUrl":"https://doi.org/10.1111/nup.12475","url":null,"abstract":"Informed consent is ethically incomplete and should be redefined as empowered consent. This essay challenges theoretical assumptions of the value of informed consent in light of substantial evidence of its failure in clinical practice and questions the continued emphasis on autonomy as the primary ethical justification for the practice of consent in health care. Human dignity—rather than autonomy—is advanced from a nursing ethics perspective as a preferred justification for consent practices in health care. The adequacy of an ethic of obligation (namely, principlism) as the dominant theoretical lens for recognising and responding to persistent problems in consent practices is also reconsidered. A feminist empowerment framework is adopted as an alternative ethical theory to principlism and is advanced as a more practical and complete lens for examining the concept and context of consent in health care. To accomplish this, the three leading conceptions of informed consent are overviewed, followed by a feminist critique to reveal practical problems with each of them. The need for a language change from informed to empowered consent is strongly considered. Implications for consent activities in clinical practice are reviewed with focused discussion on the need for greater role clarity for all involved in consent—beyond and inclusive of the patient-physician dyad, as the practice and improvement of consent is necessarily a transdisciplinary endeavour. Specific concrete and practical recommendations for leveraging nursing expertise in this space are presented. Perhaps what is most needed in the discourse and practice of consent in health care is nursing.","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"1 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139065889","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}

引用次数: 0

African philosophy and nursing: A potential twain that shall meet? 非洲哲学与护理学：可能相遇的两个人？

IF 2.2 3区医学

Nursing Philosophy Pub Date : 2023-12-07 DOI: 10.1111/nup.12472

Jonathan Bayuo

{"title":"African philosophy and nursing: A potential twain that shall meet?","authors":"Jonathan Bayuo","doi":"10.1111/nup.12472","DOIUrl":"https://doi.org/10.1111/nup.12472","url":null,"abstract":"Undoubtedly, the discipline of nursing has been influenced extensively by both Western and Eastern/Asian philosophies. What remains unknown or, perhaps, poorly articulated is the potential influence of African philosophy on the onto-epistemology of nursing. As a starting point, this article sought to examine the core claims of African philosophy and how they may offer new meanings to the metaparadigm domains of interest in the discipline of nursing. At the core of African philosophy is the notion of personhood (which is distinguished from what it means to be a human being), community, solidarity, and relationality. A major claim of African philosophy is the notion that ‘a person is a person through persons’ which may mean that nursing will be relevant from the African philosophical perspective if it is able to attain this. Health and illness from the African philosophical perspective are defined relationally which shifts attention from the biomedical framework to holism and relational care. The sick ‘person’ is also distinguished from the sick ‘human being’ which has the potential of leading to exclusion from the African philosophical viewpoint. Put together, the African philosophical stance potentially extends the meaning of the metaparadigm domains of interest to the discipline of nursing which warrants further exploration.","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"48 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138567695","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}

引用次数: 0

Pain cannot (just) be whatever the person says: A critique of a dogma. 痛苦不能（仅仅）是一个人所说的：对教条的批判。

IF 2.2 3区医学

Nursing Philosophy Pub Date : 2023-10-01 Epub Date: 2023-05-03 DOI: 10.1111/nup.12446

Charles Djordjevic

引用次数: 1

Positionality. 位置性。

IF 2.6 3区医学

Nursing Philosophy Pub Date : 2023-10-01 Epub Date: 2022-12-25 DOI: 10.1111/nup.12415

Carole Rushton

引用次数: 0