Nursing Inquiry最新文献

When Children's Needs Do Not Fit the System: Street-Level Bureaucrats Facilitating Home Care for Children Living With Respiratory Support. 当儿童的需求不符合系统：街头官僚促进家庭照顾生活在呼吸支持下的儿童。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-10-01 DOI: 10.1111/nin.70175

Johan Florén, Berit Lindahl, Sepideh Olausson, Agneta Markström, Andreas Palm, Åsa Israelsson-Skogsberg

{"title":"When Children's Needs Do Not Fit the System: Street-Level Bureaucrats Facilitating Home Care for Children Living With Respiratory Support.","authors":"Johan Florén, Berit Lindahl, Sepideh Olausson, Agneta Markström, Andreas Palm, Åsa Israelsson-Skogsberg","doi":"10.1111/nin.70175","DOIUrl":"https://doi.org/10.1111/nin.70175","url":null,"abstract":"This study explores the meanings of acting as a street-level bureaucrat in facilitating home care for children living with respiratory support and their families. A phenomenological hermeneutic approach was used, based on interviews with professionals involved in assessment, decision-making and care provision across different parts of the welfare system. The findings show that this work is lived in tensions between compassion and regulation, closeness and distance, and enduring needs and finite resources. Acting as a bureaucrat in this context means being confronted by the vulnerability of the child and family while being bound to formal language, legal categories and organisational limits. Home care is made possible through these structures, yet never fully contained by them. Responsibility emerges as exposed, stretching beyond the moment of decision and continuing into a life that unfolds elsewhere. Bureaucratic work thus appears as more than administration. It is lived as an effort to respond to what is pressing and fragile while remaining within frameworks that cannot fully receive it. The study highlights the importance of institutions that not only uphold justice but also make good care possible.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 4","pages":"e70175"},"PeriodicalIF":3.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185327","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

Caring Without the Body: Semantic Displacement From Embodied Nursing to Artificial Intelligence. 没有身体的护理：从具身护理到人工智能的语义位移。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-10-01 DOI: 10.1111/nin.70173

Marziyeh Mohammadi

{"title":"Caring Without the Body: Semantic Displacement From Embodied Nursing to Artificial Intelligence.","authors":"Marziyeh Mohammadi","doi":"10.1111/nin.70173","DOIUrl":"https://doi.org/10.1111/nin.70173","url":null,"abstract":"This paper examines an ontological question raised by the growing use of artificial intelligence (AI) in clinical care: what happens to concepts such as clinical intuition, suffering and presence when their origin shifts from the embodied, mortal nurse to a machine with no body and no history of vulnerability? Using critical conceptual analysis combined with reflexive engagement with clinical vignettes drawn from the author's own nursing experience, we check these vignettes against the established nursing-knowledge literature for referential adequacy. We argue that AI can reproduce the outward form of care-alerts, affective language and monitoring-without sharing the embodied history from which that form first acquired meaning for the person receiving it. We call this gap 'semantic displacement' and propose an asymmetry-of-cost criterion for judging when the gap matters clinically: displacement is most consequential where the human act, unlike its AI equivalent, costs the carer something. At the same time, we reject any suggestion that embodied human care is therefore uniformly superior or safe by default; documented failures of compassion in nursing history, and the evidenced effects of fatigue, burnout and bias on clinical judgement, show the embodied source of care is itself imperfect and unevenly distributed. The paper's contribution is accordingly not a defence of an idealised human nurse against a deficient machine, but an argument for a hybrid model in which AI absorbs monitoring and data-heavy labour so that scarce nurse time is protected for the embodied work AI cannot perform-while that freed time is itself protected from the workload pressures already eroding human care.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 4","pages":"e70173"},"PeriodicalIF":3.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117660","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

A Focused Ethnography of a 2S/LGBTQIA+ Liaison Nurse Role in Acute Care: Advancing Equity Through Relational Practice. 2S/LGBTQIA+联络护士在急症护理中的作用：通过关系实践推进公平。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-10-01 DOI: 10.1111/nin.70165

Ingrid Handlovsky, Allie Slemon, Coady Babin, Sage Schmied

{"title":"A Focused Ethnography of a 2S/LGBTQIA+ Liaison Nurse Role in Acute Care: Advancing Equity Through Relational Practice.","authors":"Ingrid Handlovsky, Allie Slemon, Coady Babin, Sage Schmied","doi":"10.1111/nin.70165","DOIUrl":"10.1111/nin.70165","url":null,"abstract":"Two-Spirit, lesbian, gay, bisexual, transgender, queer, intersex, asexual, and other gender and sexual orientation diverse (2S/LGBTQIA + ) people experience profound interpersonal and structural discrimination in health care settings, contributing to poor health outcomes. This study reports on a novel Liaison Nurse role enacted in a Canadian acute care setting to support equitable care. A focused ethnography was conducted over 7 months, utilizing observations of the Liaison Nurse across two acute care hospitals. Field notes were analyzed using iterative coding and constant comparison to examine institutional considerations and practice dynamics. Three interrelated dimensions of practice were identified via analysis: being present, knowledge of physiologic considerations for 2S/LGBTQIA+ clients, and advocating for the needs of 2S/LGBTQIA+ clients in the health system. These dimensions of practice facilitated the Liaison Nurse's capacity to foster trust, inform clinical decision-making, and navigate institutional constraints to promote equitable care. The findings highlight that the integration of nursing knowledge and lived experience is central to addressing individual and structural inequities. The Liaison Nurse role functions as a relational, clinical, and systems-level intervention that advances equity for 2S/LGBTQIA+ people in acute care. Implementing such roles within health systems supports more responsive, inclusive, and equitable care practices.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 4","pages":"e70165"},"PeriodicalIF":3.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13616425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069727","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 Ethics of no One Watching: Levinas, Benner and Conscience in Perioperative Nursing. 无人旁观的伦理：围手术期护理中的列维纳斯、本纳与良知。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-10-01 DOI: 10.1111/nin.70178

Nuran Ayşen Pamir Aksoy

{"title":"The Ethics of no One Watching: Levinas, Benner and Conscience in Perioperative Nursing.","authors":"Nuran Ayşen Pamir Aksoy","doi":"10.1111/nin.70178","DOIUrl":"https://doi.org/10.1111/nin.70178","url":null,"abstract":"The operating room is a distinctive moral space: the patient is unconscious, the body is draped and much of what happens is never witnessed. This paper examines why a nurse does the right and safe thing when the patient is anaesthetised and no one is checking, drawing on Levinas's ethics of responsibility and Benner's concept of ethical comportment. Three arguments are advanced. First, anaesthesia does not diminish the patient's claim on the nurse but intensifies it. Second, right action is grounded not only in rules or outcomes but in an embodied practical wisdom, phronesis, accompanied by conscience. Third, this paper makes philosophically explicit an unwitnessed, non-dialogical form of patient advocacy that established conceptualisation of advocacy already permit, but that may be obscured when advocacy is primarily understood through visible and dialogical acts such as speaking up, challenging decisions or escalating concerns. This framework is then tested against two tensions: the assumption that ethical courage depends on a witnessing team climate, which sits uneasily beside a responsibility that precedes any witness, and the risk that emphasising individual conscience absolves institutions of their structural failures. Levinas's concept of the third party offers a way of holding the individual and the institutional together rather than as alternatives. Ethical comportment in unwitnessed moments is a necessary but not sufficient contributor to patient safety alongside protocols and institutional systems, and must be completed by structural reform.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 4","pages":"e70178"},"PeriodicalIF":3.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228880","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

From Person to Patient: Power, Control and the Construction of Vulnerability in the Operating Room. 从人到病人：手术室中的权力、控制与脆弱性建构。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-10-01 DOI: 10.1111/nin.70179

Mirko Prosen

{"title":"From Person to Patient: Power, Control and the Construction of Vulnerability in the Operating Room.","authors":"Mirko Prosen","doi":"10.1111/nin.70179","DOIUrl":"https://doi.org/10.1111/nin.70179","url":null,"abstract":"The operating room is a highly organised clinical environment in which patients experience a shift from autonomous individuals to dependent recipients of care. This transformation is often regarded as a clinical necessity, but it is also actively shaped by everyday practices, organisational structures and professional interactions. This study explored how healthcare professionals interpret mechanisms of power, control and patient vulnerability in the operating room. A qualitative design was used, employing semi-structured interviews with 32 healthcare professionals (13 perioperative nurses, 6 nurse anaesthetists and 13 surgeons) from a general hospital. Data were analysed using reflexive thematic analysis. Three themes were identified: (1) From person to patient: loss of control and transformation in the operating room; (2) The body as object: routinised practice and negotiated authority; and (3) Ethics under pressure: dignity and vulnerability in everyday practice. The findings show that patient vulnerability is not only a consequence of clinical condition but also actively produced through routine practices, hierarchical relations and organisational priorities. Anaesthesia emerged as a critical turning point, where attention shifts from the person to the procedure. Although these practices are often normalised as necessary for efficiency and safety, they may contribute to reduced patient visibility and agency.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 4","pages":"e70179"},"PeriodicalIF":3.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228942","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

Black Women Academic Nurse Leaders in the United States Defining Leadership Success on Their Own Terms. 美国黑人女性学术护士领袖以她们自己的方式定义领导成功。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-10-01 DOI: 10.1111/nin.70176

Kechi Iheduru-Anderson

{"title":"Black Women Academic Nurse Leaders in the United States Defining Leadership Success on Their Own Terms.","authors":"Kechi Iheduru-Anderson","doi":"10.1111/nin.70176","DOIUrl":"https://doi.org/10.1111/nin.70176","url":null,"abstract":"Black women remain markedly underrepresented in senior academic nursing leadership positions despite credential parity with peers. Scholarship has documented the barriers that produce this underrepresentation but has under-examined how Black women define leadership success when given the epistemic authority to define it. This secondary qualitative analysis examined interview transcripts from 14 senior Black women academic nurse leaders using Black feminist analytic principles and an iterative four-domain coding apparatus. Five thematic findings were developed. Participants' self-defined success diverged systematically from institutional metrics and formed along dimensions recurring across the dataset, with relational success the most stable definition across the dataset and legacy the dominant late-career frame. A consolation prize cycle, in which the credentials institutions demanded produced lesser positions rather than the advancement promised, structured institutions' failure to recognize the participants' leadership. Institutional context emerged as a condition of sustained leadership rather than a backdrop to it. Leaders who had advanced without consistent early sponsorship generated three original theoretical concepts, offered as contributions to leadership scholarship. The findings hold direct implications for how academic nursing institutions evaluate, recognize, and reward leadership, contributing a Black feminist empirical case to the broader research assessment reform movement.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 4","pages":"e70176"},"PeriodicalIF":3.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229213","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

Beyond Technification: Ontological and Hermeneutic Foundations of Nursing Care. 超越技术：护理的本体论和解释学基础。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-10-01 DOI: 10.1111/nin.70170

Antonio Vázquez-Sellán, María Carmen Sellán-Soto, Ginés Mateo-Martínez

{"title":"Beyond Technification: Ontological and Hermeneutic Foundations of Nursing Care.","authors":"Antonio Vázquez-Sellán, María Carmen Sellán-Soto, Ginés Mateo-Martínez","doi":"10.1111/nin.70170","DOIUrl":"10.1111/nin.70170","url":null,"abstract":"In this article, we examine the ontological, hermeneutic, and temporal dimensions of nursing care to explore how contemporary nursing practice and professional identity may be understood beyond exclusively technical accounts of care. Drawing primarily on Heidegger's ontology and Gadamer's philosophical hermeneutics, and engaging with concepts such as liminality, temporality, vulnerability, and self-care, the article develops a theoretical framework for understanding nursing as a relational, interpretive, and ethically situated practice. Particular attention is given to the role of understanding, dialogue, and the fusion of horizons (Horizontverschmelzung) in clinical encounters, highlighting how caring involves not only technical competence and scientific knowledge but also the interpretation of patients' lived experiences within specific historical, cultural, and biographical contexts. From this perspective, care emerges as a practice through which professional knowledge, ethical responsibility, and responsiveness to vulnerability are continuously negotiated and enacted. We argue that ontological and hermeneutic approaches enrich contemporary understandings of nursing by illuminating dimensions of care that cannot be fully captured through procedural, managerial, or productivity-oriented frameworks alone. This perspective contributes to ongoing debates concerning nursing identity, autonomy, clinical decision-making, and the humanization of healthcare, while reaffirming the importance of integrating scientific rigor, technical excellence, and interpretive understanding within professional nursing practice.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 4","pages":"e70170"},"PeriodicalIF":3.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13616429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149070290","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

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

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