Nursing Inquiry最新文献

When Experience Is Not Enough: Critical Methodologies and Nursing Workforce Scholarship. 当经验不够：关键方法和护理人力奖学金。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-07-01 DOI: 10.1111/nin.70115

Alan Ramsay, Kris McBain-Rigg, Peter Hartin

引用次数: 0

From Concept to Conditions of Practice: Digital Empathy Must be Designed, Taught, and Protected. 从概念到实践条件：数字同理心必须被设计、教授和保护。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-07-01 DOI: 10.1111/nin.70132

Feng-Yi Huang, Lien-Chung Wei

引用次数: 0

Power, Resistance, and Family Absence During Resuscitation: A Foucauldian Analysis. 复苏过程中的权力、抵抗与家庭缺失：福柯式分析。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-07-01 DOI: 10.1111/nin.70111

Tamara J Young, Rochelle Einboden

{"title":"Power, Resistance, and Family Absence During Resuscitation: A Foucauldian Analysis.","authors":"Tamara J Young, Rochelle Einboden","doi":"10.1111/nin.70111","DOIUrl":"10.1111/nin.70111","url":null,"abstract":"Although family presence during resuscitation demonstrates benefits such as facilitating the grieving process through fostering a sense of closeness, providing reassurance that all efforts were made, and offering an opportunity for a final farewell, its integration for adult patients in healthcare facilities remains contested. Drawing on a Foucauldian lens, this paper explores the complex network of power relations that sustain resistance towards family presence during resuscitation. What counts as truth, and what knowledge is rendered admissible in this discussion, is an effect of the discursive power relations that envelop and organize this practice. Offering a perspective that moves beyond the dominant discourse of benefit-risk analysis, this paper explores the underlying structures that frame the context of family presence during resuscitation. Examination points to the tenacity of power that sustains medical and organizational authority amidst the proliferation of rhetoric of patient- and family-centered care. Knowledge mobilization to support practice advancement requires more than reiterating or disseminating evidence; it necessitates examination of the power relations that marginalize nursing knowledge, the identification of points of resistance, and the exploration of opportunities for nursing to act as a catalyst for meaningful change.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70111"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148037175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

The Disciplined Body: A Genealogy of Naturalized Discipline in Nursing Education. 学科主体：护理教育归化学科谱系。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-07-01 DOI: 10.1111/nin.70124

R Colin Blenis

{"title":"The Disciplined Body: A Genealogy of Naturalized Discipline in Nursing Education.","authors":"R Colin Blenis","doi":"10.1111/nin.70124","DOIUrl":"10.1111/nin.70124","url":null,"abstract":"Punitive culture in nursing education has been documented for over four decades. Interventions have proliferated, yet the problem persists. This paper argues that persistence is not an implementation failure but an epistemic one. Drawing on nursing's own critical tradition, particularly Roberts's application of Freire's oppressed group behavior model and the Foucauldian scholarship of Gastaldo, Holmes, and their successors, I trace three historically specific disciplinary logics that converge in a professional epistemology experienced as natural rather than constructed: religious moral formation, which naturalized obedience as virtue; biomedical hierarchical subordination, which naturalized hierarchy as scientific authority; and gendered labor discipline, which naturalized self-sacrifice as caring. These logics persist through what Bourdieu termed habitus: durable dispositions transmitted through intergenerational socialization, the hidden curriculum, and clinical evaluation structures. Behavioral interventions fail because they target outputs without making the generating logics visible. What is needed is not better behavioral management but genealogical consciousness: the capacity to recognize the profession's disciplinary inheritance as historical construction rather than natural order.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70124"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13479390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What We Owe: A Liberatory Ethics of Harm Reduction. 我们所欠的：减少伤害的解放伦理。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-07-01 DOI: 10.1111/nin.70137

R Colin Blenis

{"title":"What We Owe: A Liberatory Ethics of Harm Reduction.","authors":"R Colin Blenis","doi":"10.1111/nin.70137","DOIUrl":"10.1111/nin.70137","url":null,"abstract":"Needle exchange programs and other harm reduction interventions are typically defended on utilitarian grounds or through appeals to liberal autonomy. These defenses are valid but insufficient. They reduce persons to cost calculations or presuppose an unencumbered agent abstracted from the conditions under which people arrive at the encounter. I argue that trauma-informed care principles, Freirean critical pedagogy, and the concept of epistemic injustice provide a more ethically coherent foundation for harm reduction. The argument proceeds in four stages. First, I establish that trauma-informed care principles constitute ethical demands of just encounter under conditions of power asymmetry and institutional violation, not technical responses to a presumed etiology. Second, I reframe harm reduction as problem-posing public health praxis in which people who inject drugs are recognized as knowing subjects, not passive recipients of expert intervention. Third, I reconceive the communitarian objection to needle exchange as a form of hermeneutical injustice requiring expansion of the moral community. Finally, I articulate implications for nursing ethics, education, and practice. The resulting framework shifts the moral question from permissibility to obligation. Trial Registration: Not applicable.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70137"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13479393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Impact of Anti-Black Racism on Black Undergraduate Nursing Students in Canada. 反黑人种族主义对加拿大黑人护理本科学生的影响。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-07-01 DOI: 10.1111/nin.70110

Florence Luhanga, Delasi Essien, Kamogelo Amanda Matebekwane, Sithokozile Maposa, Vivian Puplampu, Eunice Abudu, Olufunke Oba, Andrew Ansah, Crystal Garvey, Keisha Jefferies, Oluwabukola Salami

{"title":"The Impact of Anti-Black Racism on Black Undergraduate Nursing Students in Canada.","authors":"Florence Luhanga, Delasi Essien, Kamogelo Amanda Matebekwane, Sithokozile Maposa, Vivian Puplampu, Eunice Abudu, Olufunke Oba, Andrew Ansah, Crystal Garvey, Keisha Jefferies, Oluwabukola Salami","doi":"10.1111/nin.70110","DOIUrl":"10.1111/nin.70110","url":null,"abstract":"The graduation rate of Black undergraduate students in nursing programs remains lower than that of their peers despite a notable increase in enrollment. Without disaggregated data, anecdotal and emerging evidence suggests student attrition rates are associated with unreasonable demands and unmet learning needs. Black nursing students experience systemic anti-Black racism from instructors, nurses, peers, and patients, which also contributes to their slow progress. These experiences impact equity, diversity, and inclusion in higher education and nursing. We explored the experiences of Black students in the two undergraduate nursing programs in Saskatchewan, Canada, to deepen our understanding of their needs and inform strategies for addressing anti-Black racism in nursing education. Using focused ethnography grounded in critical race theory and intersectionality, N = 26 individual interviews with current and former Black students from Saskatchewan nursing programs were analyzed using thematic analysis. Racist experiences reported by study participants were more prominent in clinical than classroom settings. Five main themes were identified. This paper focuses on Theme 1, \"Racism is part of the culture in nursing,\" and its subthemes, namely racial microaggressions, racial stereotyping and accent bias, isolation and exclusion, unfavorable environment, and impact on mental health and well-being. Support and accountability measures in nursing education are needed to facilitate social justice.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70110"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148037143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Generative AI in Qualitative Health Research: What the Emerging Evidence Shows. 定性健康研究中的生成人工智能：新出现的证据显示了什么。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-07-01 DOI: 10.1111/nin.70140

Pallavi Gupta, Maxim Topaz, Kathryn A Connell, Hyunmin Yu, Laura-Maria Peltonen

引用次数: 0

Moral Distress as Subordination by Design: Silence, Containment and the Ethical Erosion of Nursing. 设计从属的道德困境：护理的沉默、遏制和伦理侵蚀。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-07-01 DOI: 10.1111/nin.70123

Alan Ramsay, Kris McBain-Rigg, Peter Hartin

{"title":"Moral Distress as Subordination by Design: Silence, Containment and the Ethical Erosion of Nursing.","authors":"Alan Ramsay, Kris McBain-Rigg, Peter Hartin","doi":"10.1111/nin.70123","DOIUrl":"10.1111/nin.70123","url":null,"abstract":"Moral distress has become one of the most prominent ethical constructs in contemporary nursing, widely used to describe nurses' experiences of constraint, frustration and ethical unease. While moral distress scholarship continues to retain important ethical and structural dimensions, the broader operationalisation of moral distress within healthcare organisations and professional discourse may influence how ethical conflict is understood and managed within healthcare organisations. This paper argues that such framings can have unintended consequences for nursing's moral authority and professional standing. Adopting a critical theoretical and conceptual synthesis, and drawing on feminist theory, Foucauldian analyses of power and contemporary nursing scholarship, this paper reconceptualises moral distress as functioning within conditions of subordination by design, understood as organisational, discursive and material arrangements that may systematically constrain nursing authority while influencing the conditions under which ethical dissent is manageable and non-disruptive. Within this framework, this paper advances three related concepts: moral containment, referring to organisational responses that absorb and redirect ethical dissent; ethical erosion, describing the cumulative diminishment of nurses' moral agency over time, and ethical laundering, naming the institutional process through which ethical harm may be acknowledged yet rendered politically inert. Rather than rejecting moral distress scholarship, the paper situates moral distress within a broader architecture of organisational power, contributing to contemporary debates regarding nursing voice, professional authority and the structural conditions under which nursing ethics can be meaningfully enacted.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70123"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13268359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Beyond Deskilling: Reframing Skill Disruption Among Internationally Educated Nurses as a Problem of Skill Governance. 超越技能：将国际教育护士的技能中断作为技能治理问题进行重构。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-07-01 DOI: 10.1111/nin.70127

Daniel Joseph E Berdida

{"title":"Beyond Deskilling: Reframing Skill Disruption Among Internationally Educated Nurses as a Problem of Skill Governance.","authors":"Daniel Joseph E Berdida","doi":"10.1111/nin.70127","DOIUrl":"10.1111/nin.70127","url":null,"abstract":"Internationally educated nurses are increasingly central to healthcare systems facing persistent workforce shortages, ageing populations, and rising care demands. Yet research continues to show that migration and workforce entry are often accompanied by significant disruption to professional practice. Although these experiences are commonly described through the language of deskilling, post-migration skill change is still often framed as a linear process of adaptation and eventual professional equivalence. In this discursive paper, I argue that linear accounts of post-migration skill adjustment are analytically limited because they obscure how host healthcare systems shape what counts as legitimate nursing competence. I propose instead that deskilling, upskilling, unskilling, and mis-skilling should be understood as overlapping and sometimes contradictory outcomes of how these systems regulate, recognize, and reorganize nursing labor. Drawing on nursing workforce scholarship, professional regulation literature, migration studies, and the sociology of work, I reframe skill disruption as a structural effect of skill governance, shaped by risk management, selective recognition, and the preservation of professional hierarchies. A conceptual model of skill governance is presented to show how prior expertise is filtered through regulatory and organizational processes, producing uneven forms of professional incorporation. This reframing has implications for workforce policy, regulatory practice, and nursing leadership by shifting attention from individual adaptation to system accountability and more equitable forms of workforce integration.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70127"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13479398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Antiracist Nursing Pedagogy and Decolonising Curriculum Design: Fostering Critical Consciousness for Equity in Nurse Education. 反种族主义护理教育学和非殖民化课程设计：培养护士教育公平的批判意识。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-07-01 DOI: 10.1111/nin.70128

Mynesha Sankar, Agness Tembo, Calvin Moorley

引用次数: 0