Nursing Inquiry最新文献

Critical posthumanism: A double-edged sword for advancing nursing knowledge in planetary health. 批判的后人道主义：促进地球健康护理知识的双刃剑。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2024-10-02 DOI: 10.1111/nin.12677

Lesley A Hodge, Joanne K Olson

{"title":"Critical posthumanism: A double-edged sword for advancing nursing knowledge in planetary health.","authors":"Lesley A Hodge, Joanne K Olson","doi":"10.1111/nin.12677","DOIUrl":"https://doi.org/10.1111/nin.12677","url":null,"abstract":"In this article, we aimed to evaluate the utility of critical posthumanism for nurses interested in planetary health-a growing area of study that requires a decentering of the human, and environmental justice considerations. We used Chinn and colleagues' method to describe and critically reflect on critical posthumanism, extending the theory analysis method to include a wide range of academic and video sources. We found that critical posthumanism is like a double-edged sword: It provides a lens through which to transcend human-centric approaches to healthcare but is marred by its lack of clarity and inaccessibility. We argue critical posthumanism can be adapted to enhance its potential at the intersection of nursing and planetary health. An analysis of critical posthumanism is followed by a discussion framed by five ways of knowing in nursing, highlighting real-world examples of how critical posthumanism can aid nurses in dealing with planetary health concerns. By exploring the intersections of critical posthumanism with nursing knowledge, we demonstrate how critical posthumanism can enable nurses to comprehend and tackle environmental issues intricately linked to human health.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367212","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 itinerary of children in search of healthcare: A scoping review and proposal of an explanatory model. 儿童寻求医疗保健的行程：范围审查和解释模型建议。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2024-10-02 DOI: 10.1111/nin.12678

Joseir Saturnino Cristino, Altair Seabra de Farias, Lilian Dornelles Santana de Melo, Vinícius Azevedo Machado, Jacqueline Sachett, Wuelton Monteiro

{"title":"The itinerary of children in search of healthcare: A scoping review and proposal of an explanatory model.","authors":"Joseir Saturnino Cristino, Altair Seabra de Farias, Lilian Dornelles Santana de Melo, Vinícius Azevedo Machado, Jacqueline Sachett, Wuelton Monteiro","doi":"10.1111/nin.12678","DOIUrl":"https://doi.org/10.1111/nin.12678","url":null,"abstract":"This scoping review mapped the academic literature focused on the therapeutic itinerary of children who seek care in health services and proposed an explanatory model to expand the concept and classification of these health itineraries. A total of 789 articles were reviewed, of which 28 were eligible for inclusion. In these 28 it was possible to observe that the child's therapeutic itinerary is more than a physical path, but also encompasses all choices within a specific social and cultural environment in which the child is inserted. Our proposal is to expand the concept beyond the therapeutic, classifying the itinerary also according to the objective, the decision-making agent, respect for the presence of company, the health subsystem used, according to the physical continuity of the itinerary, the perception of efficacy of the patient, the nature of the illness, the administration of healthcare, the means of transport used, the person providing information about the itinerary, the planning of the itinerary and its completeness. Knowing the child's itineraries toward healthcare allows the development of innovative discourses and practices for future public policies, through which the principles of comprehensiveness and resoluteness in children's health would be strengthened. There is still a need to deepen knowledge about the meanings and feelings regarding their interpretations of the events suffered in childhood.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367213","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

Ableism and the discourse of risk and safety in patient-facing work-integrated learning. 在面向患者的工作一体化学习中，能力主义与风险和安全的论述。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2024-09-20 DOI: 10.1111/nin.12671

Iris Epstein, Lindsay Stephens, Melanie Baljko, Greg Procknow, Paula Mastrilli

{"title":"Ableism and the discourse of risk and safety in patient-facing work-integrated learning.","authors":"Iris Epstein, Lindsay Stephens, Melanie Baljko, Greg Procknow, Paula Mastrilli","doi":"10.1111/nin.12671","DOIUrl":"https://doi.org/10.1111/nin.12671","url":null,"abstract":"In many countries, such as Canada, the USA, England, and Australia, to graduate from a regulated profession such as nursing, students must complete a set of work-integrated learning (WIL) hours and demonstrate their ability to safely perform physical skills and apply knowledge in relation to professional standards. For a disabled nursing student (DNS) undergoing training in higher education institutions (HEI), securing proper accommodations to participate effectively in WIL experiences has been difficult due to concerns related to risks to self and patient safety. This study used critical discourse analysis to investigate the framing of risk and safety in association with providing DNS with accommodation in WIL. Our data were collected from an intensive codesign (group-based discussion) session with participants (n = 16), including clinicians and DNS, from four institutions (two WIL-sites and two HEI organizations). Using an iterative thematic approach based on Foucauldian framework, our analysis revealed three ways in which health professionals discursively framed risk and safety: (a) beliefs that a lack of disclosure by disabled students decreases patient safety and indicates poor self-reflection, (b) concerns that accommodating students poses a risk to institutions offering WIL experiences and to the relationships between HEI and institutions offering WIL-sites, and (c) a framing which challenges the dominant discourse by thinking about safety and risk more expansively. Our findings suggest the first two of these framings are ableist and function to enact barriers to access for DNSs in WIL, whereas the third framing serves the goal of inclusion. Recommendations to address the current ableist discourse within the Canadian nursing context are provided, which may also be applicable across other regulated health professions.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299576","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

It's all about relationships: Developing nurse‐led primary health care in rural communities 关键在于关系：在农村社区发展以护士为主导的初级保健服务

IF 2.3 4区医学

Nursing Inquiry Pub Date : 2024-09-19 DOI: 10.1111/nin.12674

Sue Randall, Debra M. Jones, Giti Hadaddan, Danielle White, Rochelle Einboden

{"title":"It's all about relationships: Developing nurse‐led primary health care in rural communities","authors":"Sue Randall, Debra M. Jones, Giti Hadaddan, Danielle White, Rochelle Einboden","doi":"10.1111/nin.12674","DOIUrl":"https://doi.org/10.1111/nin.12674","url":null,"abstract":"The role of nurses in leading the design and delivery of primary health care services to address health inequities is growing in prominence, specifically in rural Australia. However, limited evidence exists to inform nurse‐led primary health care in this context. Based on a focus group with nursing executives and semi‐structured interviews with registered nurses we describe nurse experiences of leading the design of a primary health care service in rural Australia and nurse transition to and practice in this service. Nurse experiences were analysed using reflexive thematic analysis. The study reveals the centrality of relational integration in service design and nurse acquisition of relational practice as it relates to nurse to care recipient and nurse to nurse relationships. Tensions between primary health care nurses and their peers, and resultant de‐valuing of primary health care practice, are described. The acquisition of nurse professional agency draws attention to investments required to position nurses to lead and sustain care innovations external to hospital settings. The authors propose that relational approaches may provide nurses with the opportunity to reframe their leadership and service contributions towards community literate primary health care provision and provide a pathway to professional emancipation from constrained practice expectations.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142255592","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

Learning, internalisation and integration of the COVID-19 pandemic in healthcare workers: A qualitative document analysis. 医护人员对 COVID-19 大流行病的学习、内化和整合：定性文件分析。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2024-09-19 DOI: 10.1111/nin.12673

Eva Abad-Corpa, Manuel Rich-Ruiz, Dolores Sánchez-López, Carmen Solano Ruiz, Elvira Casado-Ramírez, Beatriz Arregui-Gallego, María Teresa Moreno-Casbas, Daniel Muñoz-Jiménez, M Clara Vidal-Thomàs, M Consuelo Company-Sancho, María Isabel Orts-Cortés

{"title":"Learning, internalisation and integration of the COVID-19 pandemic in healthcare workers: A qualitative document analysis.","authors":"Eva Abad-Corpa, Manuel Rich-Ruiz, Dolores Sánchez-López, Carmen Solano Ruiz, Elvira Casado-Ramírez, Beatriz Arregui-Gallego, María Teresa Moreno-Casbas, Daniel Muñoz-Jiménez, M Clara Vidal-Thomàs, M Consuelo Company-Sancho, María Isabel Orts-Cortés","doi":"10.1111/nin.12673","DOIUrl":"https://doi.org/10.1111/nin.12673","url":null,"abstract":"The COVID-19 pandemic triggered an unprecedented health crisis that impacted healthcare systems worldwide. This study explores how Spanish healthcare workers learned, internalised and integrated values and work behaviours during the COVID-19 pandemic and their impact on the personal sphere. This documentary research, using images, narratives and audiovisual content, was framed within the interpretative hermeneutic paradigm. Categories and subcategories emerged after a final theoretical sampling that focused on the analysis. Data triangulation between researchers favoured theoretical saturation. A total of 117 images and 27 texts were selected. The analysis identified three stages: bewilderment, seeking functionality in the chaos and integrating chaos into care. The data reflects how the need for security and knowledge, and the exhaustion and frustration caused by the initial working conditions, prompted adaptive responses. These responses involved focusing on problem-solving and strengthening group sentiments and solidarity. Subsequently, the data indicates the acceptance of new structural, organisational and communication aspects. The findings of the analysis will contribute towards finding a framework that can help understand community health crisis events.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299579","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

Enactivism: Embodied cognition, sense-making, and nursing. 行动主义：具身认知、感知生成和护理。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2024-09-16 DOI: 10.1111/nin.12672

Graham McCaffrey

引用次数: 0

From self-reflection to shared recognition: Reconceptualising mental health nursing as an intersubjective phenomenon. 从自我反思到共同认可：将心理健康护理重新概念化为一种主体间现象。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2024-09-16 DOI: 10.1111/nin.12675

Michael Haslam

{"title":"From self-reflection to shared recognition: Reconceptualising mental health nursing as an intersubjective phenomenon.","authors":"Michael Haslam","doi":"10.1111/nin.12675","DOIUrl":"https://doi.org/10.1111/nin.12675","url":null,"abstract":"Existing challenges to the legitimacy of mental health nursing in the United Kingdom and beyond have stimulated a critical self-reflection and discourse around the mental health nursing role, forcing the profession to question its identity and critically re-evaluate its position within the wider healthcare arena. In this discussion paper, I suggest that the current difficulties in conceptualising mental health nurse identity arise from our role being inherently interwoven with distinctive challenges and unique needs of our service users. Emerging from this idea is that the 'being' (and the 'doing') of mental health nursing is firmly situated within the sphere of intersubjective relations. Drawing upon Hegel's ideas of reciprocal recognitive relations, to support the notion that our profession's role and purpose are better understood when defined in relation to the work that we do with our service users, I argue that it is in the understanding (and even embracing) of intersubjectivity as a core principle of mental health nursing, where we might not just better understand ourselves but also know how to shift asymmetric relations with our service users towards those which are more commensurate and mutually beneficial.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299578","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

Correction to “Critical ethnography and its others: Entanglement of matter/meaning/madness” 批判性民族志及其他：物质/意义/疯狂的纠缠"

IF 2.3 4区医学

Nursing Inquiry Pub Date : 2024-09-11 DOI: 10.1111/nin.12676

引用次数: 0

Family caregivers and the ethical relevance of moral identity. 家庭照顾者与道德认同的伦理相关性。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2024-08-29 DOI: 10.1111/nin.12670

Mario Kropf, Martina Schmidhuber

{"title":"Family caregivers and the ethical relevance of moral identity.","authors":"Mario Kropf, Martina Schmidhuber","doi":"10.1111/nin.12670","DOIUrl":"https://doi.org/10.1111/nin.12670","url":null,"abstract":"Many people want to spend the last stages of their lives at home, in familiar surroundings, and possibly with people they know. However, this increasing desire on the part of older, ill, or even dying people also makes support from other people unavoidable, which in many cases involves family members, loved ones, or even friends. These family caregivers care for the person concerned, even though they lack the professional skills of nursing staff, for example, and have usually not been prepared for this task. This article focuses on the ethical significance of the moral identity of family caregivers. While the effects of this care constellation on the caregivers have often been discussed in the scientific literature, ethical considerations regarding moral identity have so far been neglected. In the first step, the question of what is actually meant by the term moral identity is examined. The second step shifts attention to those people who have taken on the care of a loved one. The relevance of this previously discussed identity is emphasized by using study results and work in this context, and placed in relation to family caregivers. The third step shows that (1) moral identity must be understood as a necessary prerequisite for adequate and humane care, (2) this identity can be enhanced through the caregiving relationship, and (3) the activities undertaken by family caregivers reveal their moral identity. These considerations are finally summarized, provided with ethical aspects, and awareness of this important work of family caregivers is raised.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114122","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

Why are nurses indifferent to the phenomenon of gaslighting of patients in medical systems? 为什么护士对医疗系统中对病人进行毒气照射的现象无动于衷？

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2024-08-25 DOI: 10.1111/nin.12669

Gabay Gillie, Yaarit Bokek-Cohen

引用次数: 0