Nursing InquiryPub Date : 2024-07-01Epub Date: 2024-06-28DOI: 10.1111/nin.12651
Amy-Louise Byrne, Jennifer Mulvogue, Siju Adhikari, Ellie Cutmore
{"title":"Discriminative and exploitive stereotypes: Artificial intelligence generated images of aged care nurses and the impacts on recruitment and retention.","authors":"Amy-Louise Byrne, Jennifer Mulvogue, Siju Adhikari, Ellie Cutmore","doi":"10.1111/nin.12651","DOIUrl":"10.1111/nin.12651","url":null,"abstract":"<p><p>This article uses critical discourse analysis to investigate artificial intelligence (AI) generated images of aged care nurses and considers how perspectives and perceptions impact upon the recruitment and retention of nurses. The article demonstrates a recontextualization of aged care nursing, giving rise to hidden ideologies including harmful stereotypes which allow for discrimination and exploitation. It is argued that this may imply that nurses require fewer clinical skills in aged care, diminishing the value of working in this area. AI relies on existing data sets, and thus represent existing stereotypes and biases. The discourse analysis has highlighted key issues which may further impact upon nursing recruitment and retention, and advocates for stronger ethical consideration, including the use of experts in data validation, for the way that aged care services and nurses are depicted and thus valued.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":" ","pages":"e12651"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471977","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: 2024-04-01DOI: 10.1111/nin.12635
Carolina da Silva Bulcão, Pedro E G Prates, Iago M B Pedrosa, Guilherme R de Santana Santos, Layze B de Oliveira, Jhonata de Souza Joaquim, Lilian C G de Almeida, Caíque J N Ribeiro, Glauber W Dos Santos Silva, Felipe A Machuca-Contreras, Anderson R de Sousa, Isabel A C Mendes, Álvaro F L de Sousa
{"title":"Exploring self-care practices and health beliefs among men in the context of emerging infectious diseases: Lessons from the Mpox pandemic in Brazil.","authors":"Carolina da Silva Bulcão, Pedro E G Prates, Iago M B Pedrosa, Guilherme R de Santana Santos, Layze B de Oliveira, Jhonata de Souza Joaquim, Lilian C G de Almeida, Caíque J N Ribeiro, Glauber W Dos Santos Silva, Felipe A Machuca-Contreras, Anderson R de Sousa, Isabel A C Mendes, Álvaro F L de Sousa","doi":"10.1111/nin.12635","DOIUrl":"10.1111/nin.12635","url":null,"abstract":"<p><p>Our goal was to explore self-care practices among men who have sex with men in the context of Mpox in Brazil. This study used qualitative research methods, including interviews and thematic analysis, to collect and analyze data from male participants across the Brazilian territory. The narratives unveil men's perspectives on self-care, risk reduction, and health beliefs during the Mpox pandemic. Our findings highlight a multifaceted approach to self-care among men, encompassing hygiene, physical contact management, mask usage, skin lesion vigilance, and adherence to official guidelines. Men's attitudes toward sexual behaviors emphasize the importance of reducing sexual partners, practicing safe sex, and combating misinformation through accurate information dissemination. The development of these behaviors and self-care practices can be facilitated by nurses guided by Dorothea Orem's Self-Care Theory, supported by patient-centered care, with strategies to address and confront the stigma associated with the disease and provide emotional support. Thus, the study underscores the pivotal role of self-care in mitigating infection risks, especially in the context of emerging infectious diseases. It acknowledges the impact of socio-cultural factors and healthcare policies on men's preventive measures. However, it also recognizes limitations, such as potential bias due to stigma concerns and a nonrepresentative sample. Ultimately, the research advocates for tailored education, promotion of gender equity, and healthcare empowerment to effectively manage health risks in such contexts.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":" ","pages":"e12635"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337384","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: 2024-03-20DOI: 10.1111/nin.12632
Jerome Visperas Cleofas
{"title":"Toward diverse SOGIESC-transformative theorizing in nursing: A revisitation and expansion of Im and Meleis' guidelines for gender-sensitive theorizing.","authors":"Jerome Visperas Cleofas","doi":"10.1111/nin.12632","DOIUrl":"10.1111/nin.12632","url":null,"abstract":"<p><p>Over two decades have passed since Im and Meleis proposed \"gender-sensitive theories\" as a category of nursing theories in 2001. Since then, the global conditions of women and minoritized identities across the various spectra of sexual orientation, gender identity and expression, and sexual characteristics (SOGIESC) have changed. Moreover, feminist theorizing has evolved, prompting the need to update how nurses theorize and research the interactions of gender and health in their practice. This discursive essay aims to (1) provide a summary of Im and Meleis' characterization and guidelines in the development of gender-sensitive theories in nursing and present exemplars that use these guidelines; (2) assess the gender-sensitive nursing theory guidelines in terms of gender-responsiveness; and (3) expand the transformative potential of gender-sensitive theorizing in nursing by proposing Diverse SOGIESC-Transformative Theories. Diverse SOGIESC-Transformative Theories include three additional aspects to enhance the transformative potential of gender-responsive theorizing in nursing: inclusion of diverse SOGIESC, elaboration of intersectionality, and consideration of men and masculinities.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":" ","pages":"e12632"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177431","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: 2024-06-09DOI: 10.1111/nin.12647
Kyla F Woodward, Mayumi Willgerodt, Elaine Walsh, Susan Johnson
{"title":"Answering the call: Experiences of nurses of color during COVID-19.","authors":"Kyla F Woodward, Mayumi Willgerodt, Elaine Walsh, Susan Johnson","doi":"10.1111/nin.12647","DOIUrl":"10.1111/nin.12647","url":null,"abstract":"<p><p>In the years following the COVID-19 pandemic, issues such as high job demands, burnout, and turnover continue to influence the nursing workforce, with heavier impacts to marginalized groups. Understanding the work and life contexts of nurses of color can help guide strategies for workplace equity and meaningful support. This qualitative study explored the experiences of nurses of color in the United States during the pandemic, focusing on feelings about the profession and job decisions. The overarching theme was \"answering the call,\" with subthemes of \"COVID shone a light,\" \"being consumed by COVID,\" and \"is it worth it?\" Participants shared how their racial identities shaped their perceptions and job decisions in positive and negative ways, noting how racism impacted many facets of their work and added to the stressors felt in the workplace and the community. Findings provide insight into the underrepresented perspectives of nurses of color and suggest strategies to eliminate racism in nursing.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":" ","pages":"e12647"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11286350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297178","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}
Nursing InquiryPub Date : 2024-07-01Epub Date: 2024-03-27DOI: 10.1111/nin.12637
Martin Ejnar Hansen, Steven David Pickering
{"title":"From plaster casts to picket lines: Public support for industrial action in the National Health Service in England.","authors":"Martin Ejnar Hansen, Steven David Pickering","doi":"10.1111/nin.12637","DOIUrl":"10.1111/nin.12637","url":null,"abstract":"<p><p>This paper explores public sentiment towards strike action among healthcare workers, as a result of their perceived inadequate pay. By analysing survey data collected in England between 2022 and 2023, the study focuses on NHS nurses and junior doctors, due to their critical role in delivering essential public services. Results indicate higher public support for strikes by nurses and junior doctors compared to other professions such as postal workers, teachers, rail workers, airport workers, civil servants and university lecturers. However, variation in support for strikes by healthcare workers is observed across societal segments. Significant disparities in support are linked to individual political affiliations, left-right ideological positions and trust in the NHS. In short, nonconservative voters, individuals leaning towards left-wing politics and those with greater trust in the NHS demonstrate higher likelihoods of supporting strikes by health workers. These findings carry implications for future strike decisions and highlight specific target groups for enhanced communication efforts to garner increased public support.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":" ","pages":"e12637"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295110","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: 2024-02-13DOI: 10.1111/nin.12627
Marie Stenberg, Mariette Bengtsson, Elisabeth Mangrio, Elisabeth Carlson
{"title":"Supporting each other towards independence: A narrative analysis of first-year nursing students' collaborative process.","authors":"Marie Stenberg, Mariette Bengtsson, Elisabeth Mangrio, Elisabeth Carlson","doi":"10.1111/nin.12627","DOIUrl":"10.1111/nin.12627","url":null,"abstract":"<p><p>Collaboration for nursing is a core competence and therefore educational interventions are essentials for collaborative skills. To identify such interventions, we carried out a study to understand nursing students' collaborative process. A narrative inquiry method was used to explore the collaborative process of first-year undergraduate nursing students. The analysis was conducted on field notes from 70 h of observation of 87 nursing students' collaboration during skills lab activities. It also included transcriptions of four focus group discussions with 11 students. The results are presented as a sequential process of (1) navigating in unfamiliar territory, (2) navigating together to cope, and (3) navigating together towards independency and the future nursing profession. We identified a transition from teacher-led assistance and guidance to student interdependency and reciprocal learning, ending with student-led assistance supporting independency. In line with Vygotsky's theory of zone of proximal development, different scaffolding interventions are needed depending on where the students are in the collaborative process.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":" ","pages":"e12627"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730834","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: 2024-03-12DOI: 10.1111/nin.12631
Hugo Schalkwijk, Martijn Felder, Pieterbas Lalleman, Manon S Parry, Lisette Schoonhoven, Iris Wallenburg
{"title":"Five pathways into one profession: Fifty years of debate on differentiated nursing practice.","authors":"Hugo Schalkwijk, Martijn Felder, Pieterbas Lalleman, Manon S Parry, Lisette Schoonhoven, Iris Wallenburg","doi":"10.1111/nin.12631","DOIUrl":"10.1111/nin.12631","url":null,"abstract":"<p><p>The persistence of multiple educational pathways into the nursing profession continues to occupy scholars internationally. In the Netherlands, various groups within the Dutch healthcare sector have tried to differentiate nursing practice on the basis of educational backgrounds for over 50 years. Proponents argue that such reforms are needed to retain bachelor-trained nurses, improve quality of care and strengthen nurses' position in the sector. Opponents have actively resisted reforms because they would mainly benefit bachelor-trained nurses and neglect practical experience and technical skills. This historical case study aims to provide insight in this apparent stalemate. Our analysis of this debate is informed by literature on institutional work and current debates within the historiography of nursing. This study contributes to a better understanding of this contemporary debate by examining a broader timeframe than is usually studied, and by highlighting nurses' roles in complex processes of change. We argue that, rather than being stuck in their professional development, different groups of nurses have forged their own path forward in their professional development, albeit via different strategies.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":" ","pages":"e12631"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140111969","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: 2024-06-05DOI: 10.1111/nin.12646
Marianne Sofronas, Franco A Carnevale, Mary Ellen Macdonald, Vasiliki Bitzas, David Kenneth Wright
{"title":"\"We are not the person we will be when these things happen:\" Reflections on personhood from an ethnography of neuropalliative care.","authors":"Marianne Sofronas, Franco A Carnevale, Mary Ellen Macdonald, Vasiliki Bitzas, David Kenneth Wright","doi":"10.1111/nin.12646","DOIUrl":"10.1111/nin.12646","url":null,"abstract":"<p><p>Neuropalliative care developed to address the needs of patients living with life-limiting neurologic disease. One critical consideration is that disease-related changes to cognition, communication, and function challenge illness experiences and care practices. We conducted an ethnography to understand neuropalliative care as a phenomenon; how it was experienced, provided, conceptualized. Personhood served as our conceptual framework; with its long philosophical history and important place in nursing theory, we examined the extent to which it captured neuropalliative experiences and concerns. Personhood contextualized complex losses, aligning the impact of functional and relational changes. Cognition, communication, and functional alterations stretched conceptions of personhood, insinuating it can be relational, fluid, adaptive. Although normative conceptions of personhood guided research and decision-making, ethical considerations suggested personhood could be transformed, remade. We consider the implications of our findings through three themes. First, we examine how literature on illness experience fails to integrate the realities of people living with and dying from neurologic disease; we counter this by interrogating the concept of experience. Second, we turn to Ricoeur's work on recognition to illuminate relational conceptions of personhood to inform care practices. Finally, we reflect on how personhood can bridge the gap left by functional changes, enhance relational engagement, and promote dignity at the end of life.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":" ","pages":"e12646"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141260384","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: 2024-01-04DOI: 10.1111/nin.12622
Emma Lundberg, Joakim Öhlén, Lisen Dellenborg, Anneli Ozanne, Daniel Enstedt
{"title":"Deconstructing spiritual care: Discursive underpinnings within palliative care research.","authors":"Emma Lundberg, Joakim Öhlén, Lisen Dellenborg, Anneli Ozanne, Daniel Enstedt","doi":"10.1111/nin.12622","DOIUrl":"10.1111/nin.12622","url":null,"abstract":"<p><p>Religion and spirituality are integral to the philosophy of palliative care, shaping its approach to spiritual care. This article aims to examine the discourses within palliative care research to illuminate prevailing assumptions regarding spiritual care. Eighteen original articles were analyzed to examine how spiritual care is understood within palliative care. The analysis, informed by Foucault, aimed to identify recurring discourses. The finding reveals that, in palliative care research, spirituality is viewed as enigmatic yet inherently human and natural, assuming that every individual has a spiritual dimension. The analysis points to healthcare professionals being expected to hold certain qualities to put spiritual care into practice. The analysis also reveals that in the analyzed articles, the concept of spiritual care is rooted in a Christian context, with the belief that all individuals possess inherent spirituality or religiosity, a concept often associated with Christian theology. The included articles often utilize theological terms and emphasize a monotheistic viewpoint. Spirituality is articulated as a complex, distinct concept, challenging clear definitions and professional responsibilities. Further, a moral formation of healthcare professionals is described, interpelling and ascribing qualities that healthcare professionals need to provide spiritual care.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":" ","pages":"e12622"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139099077","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}