Nursing Inquiry最新文献

{"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}

{"title":"What AI Cannot Teach: An Epistemological Reconceptualisation of the Nurse Educator Role Based on an Analysis of Carper's Ways of Knowing.","authors":"Esra Sezer","doi":"10.1111/nin.70118","DOIUrl":"10.1111/nin.70118","url":null,"abstract":"<p><p>The rapid integration of artificial intelligence into healthcare and education is transforming how nurses teach, learn and acquire knowledge. Despite this, the nursing literature has largely viewed artificial intelligence as a tool to either adopt or reject, with limited engagement with the deeper epistemological shifts it entails for the nurse educator role. This discursive paper critically examines how artificial intelligence challenges the fundamental ways of knowing that have traditionally defined the work of nurse educators. Using Carper's patterns of knowing in nursing and their subsequent expansions, the analysis considers how each epistemic realm, empirical, aesthetic, personal and ethical, is reshaped when artificial intelligence becomes part of the teaching relationship. It is argued that artificial intelligence does not simply add to the nurse educator's role but fundamentally redefines its epistemological foundations. Four reimagined dimensions of the nurse educator role are introduced: epistemic mediator (empirical knowing), relational anchor (aesthetic and personal knowing), ethical navigator (ethical and sociopolitical knowing) and transformative facilitator (emancipatory knowing), along with an analysis of their implications for nursing education, curriculum development and professional identity.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70118"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13243936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200881","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":"Weaponized Spirits: Alcohol as a Colonial Legacy and Its Impact on Trauma and Relational, Structural, and Epistemic Harms in a Rural Native Hawaiian Community: A Qualitative Study.","authors":"Cynthia T Greywolf, Donna-Marie Palakiko, Pallav Pokhrel, Merle Kataoka-Yahiro","doi":"10.1111/nin.70141","DOIUrl":"10.1111/nin.70141","url":null,"abstract":"<p><p>This study explored how Native Hawaiian (NH) community members understand the relationship between alcohol use, interpersonal and domestic violence (IPV/DV), and the relational, structural, and epistemic harms of colonization and historical trauma. Guided by transcendental phenomenology and the Indigenous Talk Story method, 10 NH adults in a rural Hawai'i community participated in interviews that were thematically analyzed for shared meanings across generations. Nine interrelated themes showed how alcohol, introduced and weaponized through colonization, continues to produce relational, structural, and epistemic harms. Participants described alcohol as a colonial tool that normalized family violence, fractured 'ohana and 'āina ties, and entrenched carceral and child-welfare intervention; yet within these same narratives, they identified pathways of resistance and healing through storytelling, cultural education, and 'āina-based practices that restore balance. These findings position alcohol-related IPV/DV not as individual or cultural deficiency but as a colonial legacy reproduced and sustained through an ongoing colonial SuperStructure. Culturally grounded, trauma-informed approaches are therefore essential to nursing practice, education, and research that advance healing, sovereignty, and relational accountability. Trial Registration: Not applicable.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70141"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473782","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":"Madpessimism: A Manifesto.","authors":"Simon Adam","doi":"10.1111/nin.70133","DOIUrl":"10.1111/nin.70133","url":null,"abstract":"<p><p>In this paper, I argue that contemporary psychiatry is confronting a paradigmatic crisis as it collides with posthuman critiques that challenge its foundational assumptions about subjectivity, knowledge, and governance. Rather than a neutral medical practice, psychiatry is theorized as an ontological apparatus embedded within broader regimes of control that classify, regulate, and manage difference through the figure of the Human. Drawing on posthuman philosophy and Afropessimist thought, the article develops the concept of Madpessimism to argue that psychiatry's violences are not incidental or reformable, but structurally necessary to a world organized around Humanism's Man-a normative figure that equates rationality, autonomy, and coherence with value and legitimacy. I interrogate emerging developments such as the integration of biomarkers into psychiatric classification, showing how these innovations extend surveillance and deepen the biological inscription of so-called mental illness. In critiquing reformist calls for \"Humanizing\" psychiatry, I demonstrate how such efforts often recalibrate rather than dismantle psychiatric power by reproducing the same exclusionary logics that define Humanity itself. Moving beyond genealogical critiques, the analysis reframes psychiatry as a structural condition of possibility for modern governance, rather than a historically contingent institution that can be improved through ethical reform. In developing the idea of Madpessimism, I name a refusal of this framework, rejecting both inclusion within psychiatric systems and the Humanist ontology that sustains them. While refusing the promise of full liberation, this article foregrounds practices of opacity, refusal, and alternative care as modes of survival within conditions of ongoing capture. Ultimately, the paper calls for an abolitionist reorientation that seeks not the reform of psychiatry, but the gradual erosion of its necessity and the Humanist metaphysics that nourish it.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70133"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377687","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":"Dignity of Risk or Redistribution of Responsibility? Re-Thinking Ethics, Autonomy and Nursing Practice in Contemporary Aged Care.","authors":"Gideon Dzando","doi":"10.1111/nin.70108","DOIUrl":"10.1111/nin.70108","url":null,"abstract":"<p><p>The principle of dignity of risk (DoR) has become a cornerstone of contemporary aged care reform. DoR is ethically framed as an extension of autonomy and person-centred care. While widely considered in policy and professional discourse, DoR is often treated as a self-evident ethical good, with limited critical attention to how it is operationalised within regulated care systems. This paper offers a critical ethical analysis of DoR as enacted in contemporary aged care, arguing that it functions not merely as a moral principle but as a moral technology that redistributes responsibility, liability and ethical burden across residents, nurses, families, organisations and regulatory structures. Drawing on nursing ethics, relational autonomy and regulatory theory, the paper examines how documentation practices, audit cultures and family involvement reconstitute nurses as ethical risk brokers who must legitimise resident choice while remaining accountable for adverse outcomes. Rather than rejecting DoR, the paper reframes it as a form of collective ethical responsibility which requires organisational, regulatory and moral support for nurses beyond individualised accountability. This analysis highlights the need to move from symbolic invocations of autonomy toward ethically sustainable practices that recognise the relational and institutional labour underpinning DoR in everyday nursing practice.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70108"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13479759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943464","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 Paradox of Technological Tenderness: The Disappearance and Reconstruction of Neonatal Touch in the NICU.","authors":"Xiaomin Lin","doi":"10.1111/nin.70121","DOIUrl":"10.1111/nin.70121","url":null,"abstract":"","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70121"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13479774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213159","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":"Flight Forward or Rational Adaptation? Nurse Prescribing Through Herbert Simon's The Sciences of the Artificial.","authors":"José Miguel Seguro, Hugo Neves","doi":"10.1111/nin.70113","DOIUrl":"10.1111/nin.70113","url":null,"abstract":"<p><p>The expansion of prescribing authority to nurses is no longer debated on safety grounds. But a quieter anxiety remains: does prescribing change what nursing is? This paper uses Herbert Simon's The Sciences of the Artificial (1996) to move beyond the stalemate between two narratives: prescribing as rational adaptation to systemic complexity, or as defensive flight from the devaluation of relational work. Simon's concepts of inner and outer environment, satisficing and artefacts allow us to see the prescription as a human-made tool. Its impact on professional identity depends on how well nursing's inner environment, comprising its knowledge, values and relational logic, is designed into the act. The paper makes three claims. First, diagnostic authority, rather than prescribing itself, is the deeper boundary crossing. Second, the rational-defensive binary can be resolved with four contingency criteria: systemic demand, role clarity, relational proximity and educational design. Third, there is no timeless nursing essence to protect; prescribing is an artefact, and its effects are a matter of design, not destiny. The paper ends with a focused research agenda, practical implications and an invitation to treat the prescription pad as a test of whether nursing will prescribe as nursing or as something else.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70113"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13479770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148037158","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":"Male Infertility Stigma as Relational Inequity: Nursing Implications for Women's Invisible Burdens in Reproductive Care.","authors":"Mehrdad Abdullahzadeh","doi":"10.1111/nin.70131","DOIUrl":"10.1111/nin.70131","url":null,"abstract":"<p><p>Infertility affects an estimated 15% of couples worldwide, with male factors contributing to nearly half of the cases. Yet infertility continues to be culturally framed as a woman's problem, positioning women as primary targets of medical investigation and social blame. This study employs a Critical Interpretive Synthesis across sociology, nursing, psychology, anthropology and bioethics to theorise male infertility stigma as a relational inequity rather than an individual burden. To strengthen the empirical grounding of this conceptual analysis, we incorporated a structured secondary analysis of published qualitative quotations from men experiencing infertility. These first‑order accounts illuminate how men narrate stigma, masculinity and relational strain, providing empirical illustrations of four relational mechanisms-concealment, blame transfer, emotional labour and role reconfiguration-through which men's spoiled masculinity invisibly restructures women's roles in reproductive care. By foregrounding women's invisible burdens, the analysis advances a relational sociology of health with direct implications for nursing practice. The findings demonstrate how nurses encounter and mediate stigma spillover in clinical encounters, family systems and community contexts. Applied implications include dyadic, stigma‑sensitive interventions, couple‑centred care pathways and structural reforms that challenge cultural scripts linking masculinity to fertility. Conceptualising infertility stigma as a relational inequity not only extends stigma theory but also strengthens nursing inquiry into gender, caregiving and reproductive justice.</p>","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70131"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13479389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347135","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":"On the Curse of Publication Metrics.","authors":"Sally Thorne","doi":"10.1111/nin.70147","DOIUrl":"10.1111/nin.70147","url":null,"abstract":"","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 3","pages":"e70147"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594232","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}