Nursing Philosophy最新文献

{"title":"Social Justice in Nursing: A Critical Interpretive Synthesis.","authors":"Allie Slemon, Ingrid Handlovsky, Sage Schmied","doi":"10.1111/nup.70045","DOIUrl":"10.1111/nup.70045","url":null,"abstract":"<p><p>While social justice is widely upheld as a foundational value and responsibility within nursing, this concept remains poorly articulated and lacking in a clear and cohesive definition. In particular, prior conceptualizations of social justice within nursing have been critiqued as lacking a strong theoretical foundation and being insufficiently critical in orientation. Resultantly, guidance for nurses in engaging in social justice action is scant, and ultimately, the profession is challenged in truly taking up social justice as a central aim. As such, this critical interpretive synthesis aims to explore and synthesize how social justice is conceptualized within the nursing literature, and apply critical theoretical approaches to re-conceptualize social justice to guide nursing theory, research, and practice. To comprehensively review the literature on social justice (and the related concept of equity) in nursing, CINAHL and Medline (Ovid) databases were searched using nursing, social justice, and equity keywords. Following title/abstract and full text screening of 1428 references, N = 216 were retained for analysis, utilizing critical interpretive synthesis approaches through a critical social theory lens. Through a critical thematic analysis of the nursing literature, this review identifies that concepts of social justice and equity were often conflated in the nursing literature, and that dominant conceptualizations advance notions of social justice as distributive justice and as fairness. Engaging with these dominant conceptualizations through a critical lens illustrates that a re-conceptualization of social justice is necessary to establish conceptual clarity and more meaningfully support nurses in engaging with social justice through theory and practice. As such, this review presents the following re-conceptualized definition of social justice: As a guiding principle for nursing, social justice is a process of recognizing and remediating inequities at individual and structural levels towards a state of equity.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 4","pages":"e70045"},"PeriodicalIF":2.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12539788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349546","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":"Personhood and Community: African Philosophical Perspectives.","authors":"Jonathan Bayuo","doi":"10.1111/nup.70052","DOIUrl":"https://doi.org/10.1111/nup.70052","url":null,"abstract":"<p><p>The interplay between personhood and community anchors philosophical enquiry into the essence of identity and selfhood, interrogating how societal frameworks both shape and are shaped by individuals. Despite advancements in these philosophical discourses, the notions of personhood and community remain underexplored in the African philosophical worldviews. As a starting point, this paper sought to remedy the underrepresentation of African philosophical views on personhood and community in global philosophical discourse. Rooted in the works of John Mbiti, Ifeanyi Menkiti, Kwame Gyekye and Kwasi Wiredu, African philosophical traditions emphasise that personhood is cultivated through ethical engagement, social participation and adherence to cultural norms. Mbiti posits that personhood is not inherent at birth, requiring rites of passage and active integration into communal life for its realisation, encapsulated in his axiom, 'I am because we are'. Menkiti extends this, framing personhood as an 'ontological progression' towards moral maturity, where communal norms and responsibilities shape one's identity. Gyekye, while acknowledging an inherent baseline of personhood, argues it is augmented through communal practices, critiquing exclusionary views that deny moral status to children. Wiredu introduces a dialectical model, where personhood is socially conferred through language, ethics and reciprocity, yet remains vulnerable to loss through moral failure, necessitating communal restoration. Collectively, these thinkers reject Cartesian dualism, advocating an approach that highlights interconnectedness and relational autonomy, holism, dynamism, communal identity, ethical mediation and communal healing practices. Divergences emerge between Mbiti and Menkiti's emphasis on earned personhood and Gyekye and Wiredu's recognition of inherent moral worth, reflecting nuanced debates within African communitarianism. These perspectives carry profound implications for healthcare, urging a shift from biomedical individualism to practices honouring cultural, spiritual and communal dimensions. In an era of global diversity, these thoughts offer a transformative framework for holistic, dignified healthcare, where healing transcends physical treatment.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 4","pages":"e70052"},"PeriodicalIF":2.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349563","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":"Diminishment by Design: The Role of Class, Gender and Architecture in Shaping the Nursing Profession.","authors":"Jennifer Dunn","doi":"10.1111/nup.70042","DOIUrl":"10.1111/nup.70042","url":null,"abstract":"<p><p>This paper advances a critical, multidisciplinary argument that nursing's persistent subordination is not the result of historical accident, but of institutionalized power/knowledge asymmetries deliberately embedded within healthcare systems. Rather than offering an exhaustive literature review, this paper develops a theoretically informed synthesis of historical, spatial, feminist and policy scholarship. The analysis draws on comparative evidence from Canada, the United States, Australia and the United Kingdom, while also incorporating emerging insights from healthcare systems in Pakistan, Brazil, Sri Lanka, Turkey, Ireland, Finland, Portugal and New Zealand. The analysis traces how patriarchal norms, architectural arrangements, credentialing hierarchies and governance structures have systematically constrained nursing's authority, visibility and epistemic legitimacy, even amidst professionalization. To counter this structural injustice, the paper proposes six interlocking domains as foundations for genuine autonomy: clinical authority, governance integration, control over working conditions, spatial equity, independent advancement pathways and epistemic recognition. Each domain is situated within broader philosophical concerns about moral agency, institutional ethics and epistemic justice. Through critical synthesis across disciplines, the paper offers not only a conceptual critique but also a normative framework for reimagining healthcare design. It positions nursing as a full epistemic and strategic partner in leadership and system transformation, arguing that such recognition is both a professional necessity and a philosophical imperative for building just, resilient and inclusive health systems.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 4","pages":"e70042"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12452810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114860","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":"Rethinking the Meaning of Nursing: Albanian Nursing's Philosophical Journey.","authors":"Dyanne Affonso, Alessandro Stievano, Gennaro Rocco, Ippolito Notarnicola, Noemi Giannetta, Blerina Duka","doi":"10.1111/nup.70050","DOIUrl":"10.1111/nup.70050","url":null,"abstract":"<p><p>The evolution of nursing in Albania offers a unique philosophical skylight into its transformation. Albanian nurses are rethinking nursing, bolstered by global nursing philosophy within an Albanian philosophical and cultural context. The meaning of nursing emerges from a journey of discovery that leverages a philosophical lens to harmonise global nursing philosophy with Albanian culture. Nursing philosophical discourse in Albania is proposing solutions to address challenges posed by the country's significant healthcare transitions. Albanian nurse leaders have created a fruitful dialogue between global nursing philosophical concepts and the rediscovery of Albania's cultural principles amidst their efforts to redefine nursing. Through its newly developed 'BESA, kerING, pivetel' philosophy, Albanian nursing enriches the country's healthcare system, imbuing it with humanised, ethical, and culturally meaningful care.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 4","pages":"e70050"},"PeriodicalIF":2.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145355774","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":"Social Theory in Nursing Scholarship, From Humanism to Post-Humanism: Revisiting S. Nairn on the Structure-Agency Debate.","authors":"Crystal A West, Olga Petrovskaya","doi":"10.1111/nup.70040","DOIUrl":"10.1111/nup.70040","url":null,"abstract":"<p><p>Agency and structure are notable concepts in nursing philosophy and research. In this paper, we revisit two articles by Stuart Nairn which contrast selected theoretical perspectives exemplifying different positions within the structure-agency debate. Nairn's chief argument in 2009 was that nursing scholarship overemphasized the role of agency while neglecting the concept of social structure. The goal of Nairn's articles was to remedy this asymmetrical perspective. Building on his analyses of Lévi-Strauss, Parsons, Giddens, Archer, and Bourdieu, and the nursing examples he employed, we critique and extend Nairn's contributions by situating the structure-agency debate within the broader context of sociological theory. We suggest that his included theoretical perspectives largely assume agency to be an exclusively human attribute. Recent developments in critical posthumanism challenge this anthropocentric view, conceptualizing agency as distributed across human and nonhuman actors. Recognizing that differing approaches to structure and agency carry distinct implications for nursing knowledge and practice, we call for nurse scholars to make explicit their theoretical commitments when engaging these concepts in research and theorizing.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 4","pages":"e70040"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12452806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114930","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 Relations Between Nursing and Philosophy … Some Wonderings.","authors":"Miriam Bender","doi":"10.1111/nup.70046","DOIUrl":"10.1111/nup.70046","url":null,"abstract":"<p><p>In this paper I summarize a talk I was invited to give by the International Philosophy of Nursing Society (IPONS) as the Steven Edwards Memorial Lecture at the 2024 international nursing philosophy conference in association with IPONS. This occurred in the absolutely sublime setting of the restored outdoor Dodona Theatre, home to the ancient Greek oracle Dodona, mentioned in both the Iliad and the Odyssey, and which lies a few miles outside Ioannina, Greece, which was the site of the conference. In this magical setting I described a long tradition of rich diversity in terms of how nursing has engaged philosophy to produce, refine, and critique ideas, concepts, and arguments relevant to nursing. I then interrogated some of these relations and wondered about some future potentials for nursing and philosophy.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 4","pages":"e70046"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12539787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349572","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":"Gadamer, Habermas and Ricoeur: Toward a Hermeneutic Philosophy of Care.","authors":"José Ricardo C M Ayres","doi":"10.1111/nup.70049","DOIUrl":"10.1111/nup.70049","url":null,"abstract":"<p><p>This essay builds upon the dialogue with Missel and Birkelund's reflections on the contributions of contemporary hermeneutics-particularly the work of Paul Ricoeur-to health research. While endorsing these authors' central thesis, the present discussion seeks to extend the argument by advocating for hermeneutics' relevance to clinical practice as well. Drawing on the ideas of Gadamer, Ricoeur, and Habermas, the text critiques the excessive hegemony of techno-scientific knowledge over clinical practice and its harmful consequences for outcomes. It argues that revisiting Aristotle's distinction between theoria, techne, and praxis and fostering a genuine synergy among these spheres of rationality represents a potential hermeneutic contribution to the emancipatory reconstruction of health practices. The concept of Care is adopted as the philosophical horizon for this critical-hermeneutic reconstruction.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 4","pages":"e70049"},"PeriodicalIF":2.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12539786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349631","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":"The Self Amongst Others: A Critical Analysis of the Interplay Between Ubuntu and Self-Leadership in Nursing Education.","authors":"Vhothusa Edward Matahela","doi":"10.1111/nup.70051","DOIUrl":"10.1111/nup.70051","url":null,"abstract":"<p><p>This article critically explores the interplay between ubuntu and self-leadership as frameworks for understanding the moral, professional, and pedagogical development of nurse educators. While ubuntu is rooted in African communal ethics that emphasise interconnectedness, dignity, and relational being, self-leadership foregrounds the individual's capacity for self-direction, motivation, and personal mastery. At face value, these constructs may appear to rest at opposing ends of the philosophical spectrum with one prioritising collective identity; the other, personal autonomy. Using a transcultural philosophical lens, however, this study argues that ubuntu and self-leadership are not inherently contradictory, but can coexist and enrich each other in the context of transformative nursing education. Drawing from the life of Albertina Sisulu, a nurse, activist, and moral exemplar, the article illustrates how self-leadership practices such as resilience, self-regulation, goal-setting, and intrinsic motivation were exercised within an ubuntu worldview of care, service, and solidarity. This exploration emphasises the potential for a harmonised model of educator development that is grounded in both reflective autonomy and communal responsibility. The analysis is framed within contemporary debates on decolonising nursing education, calling for pedagogies that recognise African epistemologies while developing learners' self-determined capacities. The article engages critical perspectives on moral development, integrating ethical theories that span both individualistic and relational paradigms. In doing so, it reveals the limitations of binary thinking and the value of hybrid philosophical approaches in nursing education. The implications for curriculum transformation, educator development, and student formation are examined, highlighting the need for self-reflective, socially accountable nurse educators who can navigate tensions between in- and interdependence. Ultimately, the nurse educator is not a completed subject, but a figure in continuous becoming, shaped by the ethical urgencies of care, the ruptures of history, and the emergent demands of a pluralistic educational landscape.</p>","PeriodicalId":49724,"journal":{"name":"Nursing Philosophy","volume":"26 4","pages":"e70051"},"PeriodicalIF":2.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12549016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356518","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}