Nursing Inquiry最新文献

{"title":"Crossing Borders of Care: The Professionalization of Women in Nursing and China-US Collaboration at Xiangya, 1909-1926.","authors":"Yao Tang, Dominique Tobbell","doi":"10.1111/nin.70119","DOIUrl":"10.1111/nin.70119","url":null,"abstract":"<p><p>This article examines the development of modern nursing education in China through a case study of the Xiangya School of Nursing in Changsha between 1909 and 1926. Founded in 1911 by the Yale-in-China Association, a non-denominational mission, Xiangya was among the earliest nursing schools in China to promote undergraduate nursing education and public health nursing. Drawing on archival materials, published primary sources, and Chinese and English historiography, we analyze the cultural, political, and gendered challenges that shaped the school's development under the leadership of American nurse Nina Gage. While Gage initially sought to implement an Americanized model of nursing education, she and her colleagues adapted admission policies, educational goals, and curricula to local social and cultural conditions. Recognizing the need for Chinese nursing leadership, they prioritized the establishment of a Bachelor of Science degree to prepare nurses for teaching, administration, and public health roles. By 1926, Xiangya had trained approximately 16% of China's qualified nurses and had become one of only two schools in China offering university-level nursing education. This history highlights the interplay of transnational influence, cultural adaptation, and gendered reform in the professionalization of nursing in early 20th-century China.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70119"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13249211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213171","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}

{"title":"The Disentanglement of the Body-Consciousness-World Intertwining: A Phenomenology of Severe Mental Illness.","authors":"Rui Gomes, Patrícia Silva-Pereira","doi":"10.1111/nin.70134","DOIUrl":"10.1111/nin.70134","url":null,"abstract":"<p><p>Severe mental illness is frequently approached through nosological criteria focused on symptom severity, neglecting the complexity of lived experience. Phenomenology understands psychopathology not as an isolated biological dysfunction, but as a radical alteration in the structure of being-in-the-world. Grounded in Merleau-Ponty's ontology and Max van Manen's phenomenology of practice, this article presents partial findings from a broader study, aiming to unveil the lived experience of the body-consciousness-world intertwining in persons with severe mental illness. To this end, phenomenological conversational interviews were conducted with 12 clinically stabilized adults attending a community institution, prioritizing the depth and phenomenological richness of the accounts. The experiential material was analyzed through epoché, eidetic reduction, and vocative writing. Findings unveil that the illness emerges as a disentanglement, materialized in the essential theme: \"a disentanglement in multiple forms of body-consciousness-world metamorphosis.\" The experience manifests through a violent rupture of the intentional arc: the body loses its transparency and the world its familiarity, yielding lived experiences of withdrawal, corporeal doubt, blackout of consciousness, and a fracturing of intercorporeality. This highlights the urgency for a humanistic nursing that transcends symptom management and embraces the ethics of welcoming, establishing itself as an ontological mediation that validates the person's lived experience and promotes the re-intertwining of new possibilities of being-in-the-world.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70134"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473387","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}

{"title":"Calibrated Emotional Engagement in Perioperative Care: A Middle-Range Theory for Sustainable Clinical Practice.","authors":"Johan Eriksson","doi":"10.1111/nin.70122","DOIUrl":"10.1111/nin.70122","url":null,"abstract":"<p><p>Emotional engagement in clinical practice has been theorised as a professional virtue, a form of emotional labour and a potential pathway to compassion fatigue and burnout. Although these traditions have shown that emotional practice is shaped by relational and organisational conditions, they have less clearly specified how clinicians regulate engagement in high-demand perioperative settings, or what organisational conditions make such regulation achievable. Drawing on emotion regulation theory, nursing scholarship on caring and emotional labour and Donabedian's structure-process-outcome framework, we introduce calibrated emotional engagement as a middle-range theoretical concept describing the dynamic, professionally regulated adjustment of emotional, attentional and relational involvement required to remain clinically responsive without becoming detached or overwhelmed. Calibrated emotional engagement is understood as a multilevel process: individually enacted, team-mediated and organisationally conditioned. A three-zone model, comprising under-engagement, over-engagement and a calibrated zone of functionally sustainable engagement, offers a way of conceptualising the range of emotional states in high-demand perioperative settings, including the cue-deprived character of the operating room where anaesthetised patients and sterile draping remove the relational feedback that ordinarily supports empathic practice. We further propose that organisational conditions, including staffing, team stability, autonomy and recovery structure, constitute an empathic infrastructure that shapes whether calibrated engagement is achievable in practice. The concept opens new directions for perioperative education, workforce policy and research that move beyond individual resilience towards systemic accountability for the emotional conditions of care.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70122"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13249212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213169","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}

{"title":"Learning Caught in the System: An Interactionist Qualitative Study of Workplace-Based Clinical Education in an Acute Hospital Ward.","authors":"Trine Schifter Larsen, Louise Søgaard Hansen, Nina Halberg, Sophia Alberte Fisker Rasmussen, Pia Søe Jensen","doi":"10.1111/nin.70105","DOIUrl":"10.1111/nin.70105","url":null,"abstract":"<p><p>Educational activities are increasingly implemented in clinical nursing practice with the expectation that teaching will improve care. Drawing on Biesta and van Braak's theoretical perspective on learning as professional formation, this study critically examines a video-based educational activity as a case of workplace-based clinical education in an acute hospital ward in Denmark. Based on interviews and an interactionist, abductive analytical approach, the analysis shows how learning in clinical settings is shaped by organisational, epistemic and socio-material conditions, challenging assumptions of education as a linear process of knowledge transfer leading to practice improvement. The article shows that rather than operating as neutral interventions, clinical educational activities are embedded within existing clinical systems that shape what learning can become. The activity was experienced by nursing professionals as providing new knowledge; however, this knowledge was framed through risk communication and medical authority, reconfiguring oral care from a relational, well-being-oriented nursing practice into a treatment-focused and risk-oriented intervention, functioning as a socialising and identity-forming force. We conclude that without organisational engagement in the learning process, knowledge does not translate into learning in practice, and clinical workplace-based educational initiatives risk reinforcing existing constraints, transforming learning into professional adaptation rather than professional formation.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70105"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822871","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}

{"title":"Ethical Care Begins With Wellbeing: Reframing Nursing Practice Within Inequitable Systems.","authors":"Johanna Gaskins, Roberta Waite, Kechi Iheduru-Anderson","doi":"10.1111/nin.70126","DOIUrl":"10.1111/nin.70126","url":null,"abstract":"<p><p>Nursing scholarship has extensively documented the harms of inequity within healthcare systems, including racism, bias, and structural exclusion affecting patients and the nursing workforce. Less examined, however, is a foundational ethical question: what does ethical care require of the caregiver within inequitable systems? This paper argues that wellbeing should be understood not merely as an outcome shaped by justice, but as a professional and organizational capacity necessary for ethical, relational, and accountable nursing practice in its presence. We introduce the concept of implicit conditioning to shift analytic attention from individual moral deficiency to the systemic imprinting of perception and response under chronic strain. From this perspective, inequitable care can be understood as a predictable expression of conditioned responses within environments of depletion. Wellbeing, therefore, functions as ethical infrastructure, supporting regulation, reflection, and accountability without defensiveness. We examine implications for nursing education and organizational ethics, contending that institutions play a decisive role in cultivating or constraining the capacities ethical practice requires. Reframing wellbeing as foundational to ethical nursing practice clarifies responsibility across individual and structural levels and expands what becomes possible for equitable care within inequitable systems.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70126"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13479392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260492","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}

{"title":"Clinical Legibility: Recognition Infrastructure in Nursing.","authors":"Joshua Sandifer","doi":"10.1111/nin.70145","DOIUrl":"10.1111/nin.70145","url":null,"abstract":"<p><p>Clinical recognition is not produced by nursing judgment alone. Building on Fricker's account of epistemic injustice and extending critical theories of legibility, classification, measurement, and the clinical gaze, this article advances clinical legibility as a foundational theoretical construct for nursing. Clinical legibility names the structural condition under which patient testimony, bodily signs, and nursing concern can be captured, recognized, documented, transmitted, and acted upon equitably across populations. It shifts recognition from the individual knower's mind to the infrastructures that make patient reality actionable, distinguishing clinical legibility from epistemic injustice, implicit bias, structural bias, diagnostic error, and failure to rescue through its focus on the prior problem of recognizability. Three interlocking conditions structure clinical legibility: instruments that produce valid inferences across patient populations, educational repertoires adequate to diverse bodies and presentations, and documentation and escalation systems capable of preserving patient testimony and nursing concern as actionable knowledge. For nursing, clinical legibility clarifies how surveillance, documentation, advocacy, escalation, and care all depend on recognition infrastructure capable of holding patient reality. Reforming that infrastructure is not peripheral to nursing's disciplinary project; it is a condition of ethical care and a disciplinary obligation.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70145"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13380941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148498313","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}

{"title":"Anti-Black Racism in Nursing in Canada and Black Nurses' Resistance: An Analytic Review of Newspaper Coverage, 1940s-2020.","authors":"Goldameir Oneka, Anne-Emanuelle Birn","doi":"10.1111/nin.70100","DOIUrl":"10.1111/nin.70100","url":null,"abstract":"<p><p>Black women's participation in nursing in Canada has been marked by a long history of discrimination and exclusion, even after they were formally permitted to enter the profession in the mid-1940s. Examining mainstream Canadian newspaper coverage, this study traces anti-Black racism in Canadian nursing from the 1940s to 2020. Newspaper database keyword searches using contemporary and contextually employed descriptors identified 13 newspapers with substantial coverage across the 80-year period. Thematic analysis of relevant articles generated four narrative frames: (1) 1940s-1950s: claims of \"no barriers\" to nursing education; (2) 1960s-1970s: clear acknowledgment of racism against Black nurses; (3) 1980s-1990s: incipient recognition of systemic nature of discrimination; and (4) 2000s-2020: deepening understandings of systemic racism in nursing. The extent and nature of coverage within and across timeframes varied, influenced by each newspaper's editorial stance and ideological leanings. Some outlets highlighted the lived experiences of racism reported by Black nurses; others downplayed or denied that racism existed. Overall, the findings show that despite some progress and growing public recognition of anti-Black racism, systemic discrimination remains deeply embedded within Canadian nursing. Addressing these longstanding inequities requires sustained, multi-level action. Although this study is Canada-focused, the methodological approach and findings have broader relevance for other societies with histories of anti-immigrant and racial discrimination. Trial Registration: N/A.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70100"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148037035","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":"Thinking Care Through Intersectionality: Toward a Critical Epistemology of Care in Nursing Sciences.","authors":"Aline Chenou, Valérie Wilmé, Nadia Tiberti, Erik-André Sauleau, Sabrina Garnier-Kepka","doi":"10.1111/nin.70142","DOIUrl":"10.1111/nin.70142","url":null,"abstract":"<p><p>Despite their proclaimed universality, healthcare systems produce systematic inequities shaped by intersecting axes of power, a paradox that intersectionality is uniquely positioned to address. This philosophical‑reflexive inquiry proposes repositioning intersectionality within nursing sciences not merely as an analytical framework but as the foundation of a critical epistemology of care. Drawing on feminist standpoint theory (Hartsock, Harding, and Collins) and intersectional scholarship (Crenshaw, Bilge), we identify five interrelated pillars: (1) situated knowledge as epistemic foundation, (2) interlocking power relations as analytical core, (3) reflexive positionality for strong objectivity, (4) methodological pluralism responsive to complexity, and (5) care as political praxis oriented toward social justice. Through conceptual analysis and argumentative synthesis, we demonstrate how intersectionality challenges nursing's traditional reliance on biomedical neutrality, inviting reflexive inquiry into the production of knowledge about care. This epistemological reorientation equips nursing sciences to illuminate structural inequities beyond isolated social determinants, fostering research and practice attuned to relational dynamics of power and vulnerability. Applied to French nursing scholarship, where intersectionality remains under‑theorized, this framework offers pathways for educational reform, clinical reflexivity, and methodological innovation. Ultimately, it reaffirms nursing's commitment to generating transformative knowledge that not only explains but actively contests the structural production of health inequities.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70142"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473743","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}

{"title":"Digital Empathy or Algorithmic Care? Toward an Integrated Ontology of Techno-Caritas in Nursing.","authors":"Joko Gunawan","doi":"10.1111/nin.70112","DOIUrl":"10.1111/nin.70112","url":null,"abstract":"","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70112"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148037007","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":"Infanticide and the Figure of Disordered Mothers: How Forensic Psychiatric Nurses Construct Their Patients' Temporalities of Will, Madness, and Care.","authors":"Dave Holmes, Jennifer Kilty, Jean-Laurent Domingue, Rochelle Einboden, Julie Chartrand, Chad Hammond","doi":"10.1111/nin.70135","DOIUrl":"10.1111/nin.70135","url":null,"abstract":"<p><p>Infanticide is defined as the killing of a child under 1 year of age by their mother. In Canada and many other jurisdictions, infanticide is a legal offense that can be committed only by women. Although it is a rare and complex phenomenon, social and legal attitudes toward women convicted of infanticide are strongly gendered. This gendered legal construction has generated considerable debate regarding whether such laws acknowledge or obscure the complex social realities of motherhood; whether they privilege or disadvantage women within the criminal justice system; and whether they facilitate access to appropriate mental health care for women experiencing psychological distress. In this study, a qualitative critical discourse analysis (CDA), informed by feminist and poststructuralist theory, was conducted to examine nurses' social representations of women convicted of infanticide. More specifically, this empirical investigation explored the social factors shaping forensic psychiatric nursing practices toward mothers convicted of infanticide. Five forensic psychiatric nurses who had provided care to women convicted of infanticide were interviewed as part of this qualitative research. We organized our analysis of the interviews into three key findings: (1) Participants constructed specific, medicalized discourses of pathology and responsibility around the women in their care; (2) Threaded into these discourses of willfulness was a stigmatizing figuration of women convicted of infanticide as \"the disordered mother\"; and (3) Participants worked to manage the stigma and abjection they felt toward their patients through two particular orientations to care: objectivity and context-sensitivity. The findings highlight the need, across legal, media, public, and medical domains, for narratives that enable women to reclaim agency from the gendered, classed, and medicalized stories that often define them. A context-sensitive orientation to care may represent one possible avenue for challenging and dismantling the construction of the \"disordered infanticidal mother\" within forensic psychiatric institutions.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70135"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13345645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413632","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}