Nursing InquiryPub Date : 2024-10-01Epub Date: 2024-07-19DOI: 10.1111/nin.12657
Shira Birnbaum
{"title":"The everyday phenomenology of bedside insight: Response to Paley's critique of phenomenological research in nursing.","authors":"Shira Birnbaum","doi":"10.1111/nin.12657","DOIUrl":"10.1111/nin.12657","url":null,"abstract":"<p><p>The quality of phenomenological research in nursing has been a subject of long-standing debate and critique, but conversation took a particularly contentious turn following publication of John Paley's 2017 Phenomenology as Qualitative Research (Routledge), which elicited strong reactions. Faculty in nursing doctoral programs now face a challenge: in light of current controversies, what can we teach that is appropriately labeled phenomenological, and is there a way to present philosophical concepts that might equip students to avoid the most egregious mistakes of the past? In this article, I suggest that ordinary clinical nursing practice is an inherently phenomenological enterprise, and creative bedside insights belong at the center of our teaching, as they embody an everyday phenomenology which exemplifies core elements of the phenomenological method. Instead of following ever-more-precisely elaborated instructional manuals, I propose, our students should begin their studies of phenomenology by returning attention to the way creative insight emerges during routine care. Bedside insights have been rendered invisible by our discipline's valuing of technical proceduralism over artistry in research and by the turn to evidence-based practice in clinical work, but they are a valuable pathway to learning and should be part of our response to the current crisis.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":" ","pages":"e12657"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731570","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}
Nursing InquiryPub Date : 2024-10-01Epub Date: 2024-08-13DOI: 10.1111/nin.12668
Lee SmithBattle, Ashley D Schmuke, Patricia A Dettenmeier, Katie A Donahue
{"title":"The indelible role of the interpretive researcher's fore-structure in traversing the hermeneutic circle.","authors":"Lee SmithBattle, Ashley D Schmuke, Patricia A Dettenmeier, Katie A Donahue","doi":"10.1111/nin.12668","DOIUrl":"10.1111/nin.12668","url":null,"abstract":"<p><p>Phenomenological researchers are obliged to grasp the epistemological and ontological differences between the Husserlian and Heideggerian branches of phenomenology to avoid misappropriating phenomenological terms or mischaracterizing study design. To that end, we spell out the key differences between both phenomenological traditions as background for describing the indelible role that the researcher's background assumptions, or fore-structure, play in interpretive studies. We draw on our four studies to illustrate how we traversed the hermeneutic circle to disclose, challenge, and refine the personal, cultural, clinical, and scientific assumptions hidden in our fore-structures. Our reflections highlight how understanding evolves, not by bracketing or disengaging ourselves from the phenomena we study, but by engaging in an open dialog that seeks understanding as lived by patients and families.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":" ","pages":"e12668"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977048","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}
Nursing InquiryPub Date : 2024-10-01Epub Date: 2024-08-13DOI: 10.1111/nin.12665
Ana Carla Petersen de Oliveira Santos, Climene Laura de Camargo, Mara Ambrosina de Oliveira Vargas, Cristina Nunes Vitor de Araujo, Maria Carolina Ortiz Whitaker, Francielly Zilli, Ridalva Dias Martins, Nadirlene Pereira Gomes
{"title":"A critical perspective on institutional violence against hospitalized children: Testimonies by health professionals and family members.","authors":"Ana Carla Petersen de Oliveira Santos, Climene Laura de Camargo, Mara Ambrosina de Oliveira Vargas, Cristina Nunes Vitor de Araujo, Maria Carolina Ortiz Whitaker, Francielly Zilli, Ridalva Dias Martins, Nadirlene Pereira Gomes","doi":"10.1111/nin.12665","DOIUrl":"10.1111/nin.12665","url":null,"abstract":"<p><p>The purpose of this study is to understand institutional violence (IV) in the relationships between health professionals, hospitalized children, and family members. This is a qualitative study developed at the pediatric inpatient unit of a university hospital in the city of Salvador, Bahia, Brazil. The research participants consisted of 39 health professionals who specialized in pediatrics and 10 family members of hospitalized children. Semi-structured interviews were the method used for data collection. Using discourse analysis as a basis and taking a Foucauldian perspective, the researchers observed that the expressions of IV could be traced to abusive power relations within the system. We found four discursive forms within the data set: communication problems as IV, violence through inattention and neglect, violence as an action and consequent materialization on the body, and psychological violence as a submission mechanism. Based on these findings, we argue that professionals, managers, the scientific community, and users might be able to better guarantee the safety of children by recognizing IV and effectively intervening in it.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":" ","pages":"e12665"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977045","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}
Nursing InquiryPub Date : 2024-10-01Epub Date: 2024-09-19DOI: 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":"10.1111/nin.12673","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":" ","pages":"e12673"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","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}
Nursing InquiryPub Date : 2024-10-01Epub Date: 2024-07-22DOI: 10.1111/nin.12661
Shivinder Dhari, Allie Slemon, Emily Jenkins
{"title":"The Subaltern: Illuminating matters of representation and agency in mental health nursing through a postcolonial feminist lens.","authors":"Shivinder Dhari, Allie Slemon, Emily Jenkins","doi":"10.1111/nin.12661","DOIUrl":"10.1111/nin.12661","url":null,"abstract":"<p><p>Inpatient mental health nursing operates with an overarching goal to support people living with mental health challenges by managing risk of harm to self and others, decreasing symptoms, and promoting capacity to live outside of hospital settings. Yet, dominant, harmful stereotypes persist, constructing patients as less than, in need of saving, and lacking self-control and agency. These dominant assumptions are deeply entrenched in racist, patriarchal, and Othering beliefs and continue to perpetuate and (re)produce inequities, specifically for people with multiple intersecting identities relating to race, class, gender, and culture. This paper explores the relevance of postcolonial feminism, particularly Gayatri Spivak's concept of Subaltern-conceptualized as groups of people who are denied access to power and therefore continue to be systematically oppressed and marginalized-in illuminating the problematic and dominant assumptions about people living with mental health challenges as lacking agency and requiring representation. Through an understanding of Subalternity, this paper aims to decenter and deconstruct dominant colonial, patriarchal narratives in mental health nursing, and ultimately calls for mental health nursing to fundamentally reconsider prevailing assumptions of patients as needing representation and lacking agency.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":" ","pages":"e12661"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749519","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}
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":"75 1","pages":""},"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}
{"title":"Correction to “Critical ethnography and its others: Entanglement of matter/meaning/madness”","authors":"","doi":"10.1111/nin.12676","DOIUrl":"https://doi.org/10.1111/nin.12676","url":null,"abstract":"","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"5 1","pages":"e12676"},"PeriodicalIF":2.3,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142222612","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}
Nursing InquiryPub Date : 2024-07-01Epub Date: 2024-01-11DOI: 10.1111/nin.12621
Martin Lipscomb
{"title":"Can professional nursing value claims be refused? Might nursing values be accepted provisionally and tentatively?","authors":"Martin Lipscomb","doi":"10.1111/nin.12621","DOIUrl":"10.1111/nin.12621","url":null,"abstract":"<p><p>Value-act relationships are less secure than is commonly supposed and this insecurity is leveraged to address two questions. First, can nurses refuse professional value claims (e.g., claims regarding care and compassion)? Second, even when value claims are accepted, might values be held provisionally and tentatively? These questions may seem absurd. Nurses deliver care and nursing is, we are told, a profession the members of which hold and share values. However, focusing attention on the problematic nature of professional value claims qua claims permits a more conciliatory and realistic stance to be taken towards nurses holding alternative values and value interpretations. This could prove beneficial.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":" ","pages":"e12621"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139418454","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}
Nursing InquiryPub Date : 2024-07-01Epub Date: 2024-05-29DOI: 10.1111/nin.12645
Tenzin Wangmo, Vanessa Duong, Nadine Andrea Felber, Yi Jiao Angelina Tian, Emilian Mihailov
{"title":"No playing around with robots? Ambivalent attitudes toward the use of Paro in elder care.","authors":"Tenzin Wangmo, Vanessa Duong, Nadine Andrea Felber, Yi Jiao Angelina Tian, Emilian Mihailov","doi":"10.1111/nin.12645","DOIUrl":"10.1111/nin.12645","url":null,"abstract":"<p><p>This paper explores the ways in which health care professionals, family carers, and older persons expressed attitudes and opinions on using Paro, a social robot designed to stimulate patients with dementia. Thereafter, we critically evaluate existing prejudicial views toward Paro users to provide recommendations for its future use. Using an exploratory qualitative interview method, we recruited a total of 67 participants in Switzerland. They included 23 care professionals, 17 family carers, and 27 older persons. Data obtained were analyzed thematically. Study findings present general agreement that Paro is an appealing and beneficial social robot, but it is not a tool that everyone feels comfortable with. Because it is perceived as \"child play,\" it would be demeaning for competent adults to play with such things. Consequently, Paro is appropriate only for persons with dementia. These findings brought forth ethical concerns about deception, infantilization, and respecting older persons' dignity. The idea of who is an appropriate Paro user led to our discussions on predicting future Paro users. The meaning of using social robotics in nursing homes can be conditioned by a rigid interpretation of adulthood and playful behavior. To protect future selves when one is living with dementia from prejudices, it may be useful for older persons and their loved ones to plan their future care situations to ensure that they are treated in accordance with their delineated decisions.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":" ","pages":"e12645"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141176784","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}