Nursing Inquiry最新文献

"Organizing practice": The hidden work of homecare nurses in fighting health inequity and advancing social justice. "组织实践"：家庭护理护士在消除健康不平等和促进社会正义方面的隐性工作。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2025-01-01 Epub Date: 2024-10-27 DOI: 10.1111/nin.12681

Anitha M Tind, Bente Hoeck, Helle Elisabeth Andersen, Charlotte Delmar

{"title":"\"Organizing practice\": The hidden work of homecare nurses in fighting health inequity and advancing social justice.","authors":"Anitha M Tind, Bente Hoeck, Helle Elisabeth Andersen, Charlotte Delmar","doi":"10.1111/nin.12681","DOIUrl":"10.1111/nin.12681","url":null,"abstract":"The nursing profession has a long history of advocating for social justice and health equity, and both values profoundly infuse nursing ethics, theory, and education. Homecare nursing occurs between the patient's daily life at home and the public health care system. Therefore, homecare nurses ideally possess insight into the living conditions and social determinants of health that their patients experience. This interpretive phenomenological study explores the strategies employed by homecare nurses to fight health inequity and advance social justice. Data were collected through participant observations, situational interviews, and small group interviews with 12 homecare nurses from two municipalities. Three analytical approaches were used: paradigm cases, exemplars, and thematic analysis. The data identified two primary strategies homecare nurses use to circumvent, solve, and mitigate the negative consequences of social determinants of health on patients' care and treatment: \"Negotiating practice\" and \"Aligning practice.\" \"Negotiating practice\" ensures that care and treatment are delivered in a way acceptable to all involved. \"Aligning practice\" ensures cohesion, progression in the treatment and care trajectory, and support for patients and relatives in navigating the system. Both strategies are part of nurses' largely hidden work, reflecting the nursing profession's position as nested between the individual patient and the system.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":" ","pages":"e12681"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511700","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

Challenges for hospital management in supporting nurses to deliver humanized care. 医院管理层在支持护士提供人性化护理方面面临的挑战。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2025-01-01 Epub Date: 2021-06-02 DOI: 10.1111/nin.12422

Maria Luisa Martin-Ferreres, Laia Wennberg-Capellades, Encarnación Rodríguez, Mireia Llaurado-Serra, M Angeles de Juan Pardo

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 : 2024-10-01 Epub 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":"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":" ","pages":"e12671"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","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

Seeking inclusion while navigating exclusion: Theorizing the experiences of disabled nursing faculty in academe. 在被排斥的同时寻求包容：将残疾护理教师在学术界的经历理论化。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2024-10-01 Epub Date: 2024-08-04 DOI: 10.1111/nin.12659

Dena Hassouneh, Laura Mood, Kendra Birnley, Andrew Kualaau, Ellen Garcia

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 : 2024-10-01 Epub Date: 2024-08-25 DOI: 10.1111/nin.12669

Gabay Gillie, Yaarit Bokek-Cohen

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 : 2024-10-01 Epub Date: 2024-09-16 DOI: 10.1111/nin.12672

Graham McCaffrey

引用次数: 0

Bridges between two medical realities: Perspectives of Indigenous medical and nursing students on snakebite care in the Brazilian Amazon. 两种医疗现实之间的桥梁：土著医护学生对巴西亚马逊地区蛇咬伤护理的看法。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2024-10-01 Epub Date: 2024-08-13 DOI: 10.1111/nin.12667

Altair Seabra de Farias, Guilherme Pinto Viana, Joseir Saturnino Cristino, Franciane Ribeiro Farias, Lara Francisca Ribeiro Farias, Raquel Nascimento de Freitas, Felipe Murta, Vinícius Azevedo Machado, Jacqueline de Almeida Gonçalves Sachett, Wuelton M Monteiro

{"title":"Bridges between two medical realities: Perspectives of Indigenous medical and nursing students on snakebite care in the Brazilian Amazon.","authors":"Altair Seabra de Farias, Guilherme Pinto Viana, Joseir Saturnino Cristino, Franciane Ribeiro Farias, Lara Francisca Ribeiro Farias, Raquel Nascimento de Freitas, Felipe Murta, Vinícius Azevedo Machado, Jacqueline de Almeida Gonçalves Sachett, Wuelton M Monteiro","doi":"10.1111/nin.12667","DOIUrl":"10.1111/nin.12667","url":null,"abstract":"In the Brazilian Amazon, snakebite envenomations (SBEs) disproportionately affect Indigenous populations, and have a significantly higher incidence and lethality than in non-Indigenous populations. This qualitative study describes the Indigenous and biomedical healthcare domains for SBE care from the perspective of the Indigenous medical and nursing students in Manaus, Western Brazilian Amazon. In-depth interviews were conducted with five Indigenous students from the Amazonas State University, between January and December 2021. The interviews were analyzed using inductive content analysis. We organized an explanatory model with five themes: (1) participants' identities; (2) causality levels in Indigenous and biomedical systems; (3) therapeutic itineraries in Indigenous and biomedical systems; (4) ideological implications of adding biomedical devices to Indigenous healing systems; and (5) therapeutic failure in and efficacy of Indigenous and biomedical systems. From a noncolonial perspective and seeking to increase the quality and acceptability of health care for the Indigenous populations of the Brazilian Amazon, the training of Indigenous health professionals presents itself as a promising strategy. For this goal, universities should serve as empowering settings for Indigenous health students that support them in their growth and development, raise their awareness of injustice, and catalyze change toward a culturally adapted and effective service for the users.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":" ","pages":"e12667"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977046","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

How should nursing think about peace? 护理工作应如何看待和平？

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2024-10-01 Epub Date: 2024-10-18 DOI: 10.1111/nin.12679

Sally Thorne

引用次数: 0

Reassembling nursing in the digital age: An actor-network theory perspective. 在数字时代重新组合护理工作：行动者网络理论视角。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2024-10-01 Epub Date: 2024-06-28 DOI: 10.1111/nin.12655

Matthew Wynn, Lisa Garwood-Cross

{"title":"Reassembling nursing in the digital age: An actor-network theory perspective.","authors":"Matthew Wynn, Lisa Garwood-Cross","doi":"10.1111/nin.12655","DOIUrl":"10.1111/nin.12655","url":null,"abstract":"This article explores the application of actor-network theory (ANT) to the nursing profession, proposing a novel perspective in understanding nursing in the context of modern digital healthcare. Traditional grand nursing theories, while foundational, often fail to encapsulate the dynamic and complex nature of nursing, particularly in an era of rapid technological advancements and shifting societal dynamics. ANT, with its emphasis on the relationships between human and nonhuman actors, offers a framework to understand nursing beyond traditional paradigms. This article makes two key arguments: first, that nursing can be viewed as a highly organised social assemblage, where both human (nurses, patients and policymakers) and nonhuman actors (technologies, medical equipment, institutional policies) play a crucial role, and second, that ANT can be used to enhance existing nursing theory to better understand the role of technology in nursing practice. The article considers how ANT can provide a more holistic and adaptable model for describing the nursing profession, particularly in an era where technology plays an integral role in healthcare delivery. It discusses the implications of viewing nursing through ANT, highlighting the need for nursing education and practice to adapt to the interconnected and technologically advanced nature of modern healthcare. The article also acknowledges the limitations of ANT, particularly its potential oversimplification of the complex ethical dimensions inherent in nursing and its focus on observable phenomena.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":" ","pages":"e12655"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471978","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

Political action in nursing and medical codes of ethics. 护理和医学伦理守则中的政治行动。

IF 2.2 4区医学

Nursing Inquiry Pub Date : 2024-10-01 Epub Date: 2024-07-07 DOI: 10.1111/nin.12658

Ryan Essex, Lydia Mainey, Jess Dillard-Wright, Sarah Richardson

{"title":"Political action in nursing and medical codes of ethics.","authors":"Ryan Essex, Lydia Mainey, Jess Dillard-Wright, Sarah Richardson","doi":"10.1111/nin.12658","DOIUrl":"10.1111/nin.12658","url":null,"abstract":"Political action has a long history in the health workforce. There are multiple historical examples, from civil disobedience to marches and even sabotage that can be attributed to health workers. Such actions remain a feature of the healthcare community to this day; their status with professional and regulatory bodies is far less clear, however. This has created uncertainty for those undertaking such action, particularly those who are engaged in what could be termed 'contentious' forms of action. This study explored how advocacy and activism were presented in nursing and medical codes of ethics, comparing disciplinary and temporo-spatial differences to understand how such action may be promoted or constrained by codes. The data for this study comes from 217 codes of ethics. Because of the size of the corpus and to facilitate analysis, natural language processing was utilised, which allowed for an automated exploration of the data and for comparisons to be drawn between groups. This was complemented by a manual search and contextualisation of the data. While there were noticeable differences between medical and nursing codes, overall, advocacy, activism and even politics were rarely discussed explicitly in most codes. When such action was spoken about, this was often vague and imprecise with codes speaking of 'political action' and 'advocacy' in general terms. While some codes were far more forthright in what they meant about advocacy or broader political action (i.e., Nursing codes in Denmark, Norway, Canada) more forceful language that spoke in specific terms or in terms of oppositional or specific actions (e.g., civil disobedience or marches) was almost completely avoided. These results are discussed in relation to the broader literature on codes and the normative questions they raise, namely whether such action should be included in codes of ethics at all.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":" ","pages":"e12658"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555807","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