Nursing Inquiry最新文献_第6页

The Ontological and Ethical Limits of Artificial Intelligence in Nursing Practice. 人工智能在护理实践中的本体论和伦理限制。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-04-01 DOI: 10.1111/nin.70090

Rachell Nguyen

{"title":"The Ontological and Ethical Limits of Artificial Intelligence in Nursing Practice.","authors":"Rachell Nguyen","doi":"10.1111/nin.70090","DOIUrl":"10.1111/nin.70090","url":null,"abstract":"The rapid integration of artificial intelligence (AI) into healthcare raises important questions about the foundational nature of nursing practice. As AI systems, such as clinical decision support, predictive analytics, and automated assessments, increasingly influence nurse-patient interactions, nursing must examine how authentic care can continue when patients are reduced to algorithmic data. Drawing on phenomenology, hermeneutics, Heidegger, and Levinas, this analysis examines conflicts between AI's computational logic and nursing's relational essence. Examples like electronic health record risk scores, remote monitoring, and AI-assisted education demonstrate that uncritical AI adoption risks replacing practical wisdom, turning patients into measurable resources, and weakening embodied nursing judgment. AI provides valuable pattern recognition and evidence synthesis. However, it cannot replicate the ethical, face-to-face encounter central to care. Instead of rejecting technology, this analysis recommends positioning nurses as the mediating presence within the nurse-patient-technology relationship. Thoughtful AI integration should support and strengthen nursing's human-centered, ethical approach.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 2","pages":"e70090"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327784","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

From Resilience to Resistance: Rethinking Faculty Well-Being as a Moral and Political Problem in Nursing Education-Toward a Humane Ethics of Academic Care. 从弹性到抵抗：重新思考教师福祉作为护理教育的道德和政治问题-走向学术关怀的人道伦理。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-04-01 DOI: 10.1111/nin.70092

Suha Ballout, Samira Hamadeh

{"title":"From Resilience to Resistance: Rethinking Faculty Well-Being as a Moral and Political Problem in Nursing Education-Toward a Humane Ethics of Academic Care.","authors":"Suha Ballout, Samira Hamadeh","doi":"10.1111/nin.70092","DOIUrl":"10.1111/nin.70092","url":null,"abstract":"This paper explores faculty well-being in nursing education as a moral and political issue, emphasizing a humane ethics of academic care that confronts institutional harm, moral distress, and inequality. Despite nursing's commitments to compassion, equity, and justice, many educators face excessive workloads, racial exclusion, and moral conflicts, leading to burnout and moral injury. Current wellness approaches individualize distress and hide institutional responsibility. Drawing on critical, decolonial, and ethical traditions, the paper challenges resilience-based discourses, framing faculty well-being as a collective moral obligation rooted in governance and power. It synthesizes decolonial scholarship, moral resilience, transformational leadership, and human rights, grounded in ethical principles and ESG standards. Using examples from faculty development and institutional practice, it introduces the Becoming HUMANE Framework as a lens, not a model, to understand healing, rights, resilience, accountability, belonging, and empowerment as essential to ethical academic environments. Nurse educators are positioned as tempered radicals whose reflective resistance turns moral distress into collective agency and accountability. Reframing well-being as a moral and political issue reveals the limits of individual resilience and advocates for humane academic systems. Nursing education must address institutional conditions affecting educator well-being to uphold its moral commitments.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 2","pages":"e70092"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12926933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272598","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}

引用次数: 0

From Aeromedical Evacuation to Planetary Habitation: A PubMed-Based Historical Mapping Review of Aerospace Nursing (1946-2025). 从航空医疗后送到行星居住：基于pubmed的航空航天护理历史地图回顾（1946-2025）。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-04-01 DOI: 10.1111/nin.70098

Kazumi Kubota, Satoko Tsuda, Anna Kubota

{"title":"From Aeromedical Evacuation to Planetary Habitation: A PubMed-Based Historical Mapping Review of Aerospace Nursing (1946-2025).","authors":"Kazumi Kubota, Satoko Tsuda, Anna Kubota","doi":"10.1111/nin.70098","DOIUrl":"10.1111/nin.70098","url":null,"abstract":"Civilian spaceflight and long-duration missions are expanding, creating a need for nursing frameworks that extend beyond survival-focused transport care toward habitation-oriented support. This PubMed-based historical mapping review traced the evolution of aerospace nursing across 1946-2025 and examined how clinical priorities, target populations, and theoretical lenses have shifted over time. A focused PubMed search retrieved 208 records (last searched December 30, 2025). Title and abstract screening excluded clearly non-relevant records (n = 12); no full-text records were excluded. The remaining 196 records were synthesized using thematic and chronological mapping and summarized in an evolutionary matrix. Four phases were identified: Origins (1946-1970s), centered on aeromedical evacuation and survival during transport; Professionalization (1980s-1990s), emphasizing provider well-being and the emergence of nursing theory in space contexts; Clinical Adaptation (2000s-2010s), focusing on procedural adaptation, training, and safety practices in altered gravity; and the New Frontier (2020s-2025), addressing civilian participation and competencies for long-duration missions. Across eight decades, the field shifted from guarding survival to facilitating habitation. Persistent gaps include everyday living support, life-course and reproductive care, and chronic disease management in altered gravity, with implications for workforce development and policy.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 2","pages":"e70098"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582874","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}

引用次数: 0

Communicative Justice in Later Life: A Critical Discourse Study and Bioethics-of-Vulnerability Analysis of Older Adults' Primary Care in Spain. 晚年生活中的交际正义：西班牙老年人初级保健的批评性话语研究和生物伦理学脆弱性分析。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-04-01 DOI: 10.1111/nin.70089

Pablo Martínez-Angulo, María José Millán-Eslava

{"title":"Communicative Justice in Later Life: A Critical Discourse Study and Bioethics-of-Vulnerability Analysis of Older Adults' Primary Care in Spain.","authors":"Pablo Martínez-Angulo, María José Millán-Eslava","doi":"10.1111/nin.70089","DOIUrl":"10.1111/nin.70089","url":null,"abstract":"Older adults' experiences of primary care are shaped not only by service capacity but by the language and routines through which access and care are organised. Using a qualitative Critical Discourse Studies (CDS) approach informed by the bioethics of vulnerability, we analysed interviews and focus groups with 12 community-dwelling older adults living alone in southern Spain. Critical Discourse Analysis (CDA) linked micro-level talk to meso-level scripts and macro-rationales. Participants portrayed appointment systems and digital channels as gatekeeping devices that shifted agency to family 'brokers', with telephone and app-based booking often producing situational-or, after repeated failures, pathogenic-vulnerability. In consultations, haste, technical jargon and the 'doctor-patient-computer' triad curtailed understanding; age-based commonplaces (e.g., 'what do you expect at your age') legitimised truncated responses; discontinuity with physicians contrasted with nurse-led clarity and vigilance. Emotional sequelae included strategic silence and reduced help-seeking. We argue that vulnerability here is produced rather than intrinsic and can be mitigated via human-assisted booking parity, plain-language and teach-back as safety practices, continuity-by-design, and explicit de-ageing of triage and policy scripts. Communicative justice emerges as a core condition for equitable care in later life.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 2","pages":"e70089"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12926928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272624","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}

引用次数: 0

Cannabis, Religion, and Trust in the Medical Profession: A Cross-Religious Study of Patients' Attitudes Toward Medical and Recreational Use in Northern Israel. 大麻，宗教和对医疗专业的信任：以色列北部患者对医疗和娱乐使用态度的跨宗教研究。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-04-01 DOI: 10.1111/nin.70093

Loay Zaknoun, Salman Zarka, Ygal Plakht, Orli Grinstein-Cohen

{"title":"Cannabis, Religion, and Trust in the Medical Profession: A Cross-Religious Study of Patients' Attitudes Toward Medical and Recreational Use in Northern Israel.","authors":"Loay Zaknoun, Salman Zarka, Ygal Plakht, Orli Grinstein-Cohen","doi":"10.1111/nin.70093","DOIUrl":"10.1111/nin.70093","url":null,"abstract":"Despite the global expansion of medical cannabis, limited empirical attention has been given to the sociocultural and religious factors shaping patient attitudes, particularly in multi-faith societies. Israel provides a distinctive context for such examination, combining advanced medical cannabis regulation with substantial religious diversity. This cross-sectional study examined how religious affiliation and trust in the medical profession influence attitudes toward medical and recreational cannabis among patients in Northern Israel. A survey was administered to 374 hospitalized patients from four religious groups-Jewish, Muslim, Christian, and Druze-using validated measures of cannabis-related attitudes and trust in the medical profession. Exploratory factor analyses supported scale validity and reliability. Analyses included ANCOVA and correlations, controlling for age, religiosity, and prior exposure to medical cannabis. Attitudes toward cannabis differed significantly by religious affiliation. Christian participants reported the most favorable views toward both medical and recreational cannabis, followed by Jewish respondents, while Muslim and Druze participants expressed more conservative attitudes. Contrary to prior literature, higher trust in the medical profession was associated with more negative cannabis attitudes overall. A mixed-design ANCOVA revealed a significant interaction between religious affiliation, trust level, and cannabis type, indicating religion-specific patterns in how trust shapes cannabis attitudes. These findings underscore the importance of culturally and religiously informed health communication and policy approaches in pluralistic healthcare settings.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 2","pages":"e70093"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12989244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147464065","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}

引用次数: 0

Justice-Oriented Critical Care in the Pediatric Intensive Care Unit: A Nursing Analysis of Barriers, Needs, and Opportunities. 以正义为导向的儿科重症监护室重症监护：障碍、需求和机会的护理分析。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-04-01 DOI: 10.1111/nin.70084

Daniel Joseph E Berdida, Rizal Angelo N Grande

{"title":"Justice-Oriented Critical Care in the Pediatric Intensive Care Unit: A Nursing Analysis of Barriers, Needs, and Opportunities.","authors":"Daniel Joseph E Berdida, Rizal Angelo N Grande","doi":"10.1111/nin.70084","DOIUrl":"10.1111/nin.70084","url":null,"abstract":"Justice-oriented critical care in the pediatric intensive care unit (PICU) requires nurses and the ICU team to recognize that suffering, vulnerability, and healing unfold within moral, social, and structural conditions. The PICU is one of the most ethically charged sites in healthcare, where children confront life-threatening illness, and families confront fear, uncertainty, and power imbalances. This paper uses philosophical perspectives from distributive justice, relational ethics, phenomenology, and critical theory to analyze how justice can be strengthened in PICU practice. It identifies the main barriers that prevent equitable care, outlines the needs that must be addressed, and highlights opportunities to create a morally robust and socially accountable approach. Justice in the PICU cannot be reduced to fair allocation of resources or equal treatment. It must consider how children and families experience moral recognition, voice, respect, and compassion within a high acuity environment. This paper argues that the future of critical care nursing requires moving beyond rule-based frameworks toward an embodied and relational understanding of justice that honors the lived realities of patients, families, nurses, and the healthcare team.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 2","pages":"e70084"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127162","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

Strangers in a Strange Land. 异乡生人。

IF 3 4区医学

Nursing Inquiry Pub Date : 2026-04-01 DOI: 10.1111/nin.70103

Sally Thorne

引用次数: 0

Consequences and Coping Strategies Following Exposure to Obstetric Violence Among Maternity Healthcare Professionals. 产科保健专业人员遭受产科暴力后的后果和应对策略。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-04-01 DOI: 10.1111/nin.70081

Dganit Sharon, Raghda Alnabilsy

{"title":"Consequences and Coping Strategies Following Exposure to Obstetric Violence Among Maternity Healthcare Professionals.","authors":"Dganit Sharon, Raghda Alnabilsy","doi":"10.1111/nin.70081","DOIUrl":"10.1111/nin.70081","url":null,"abstract":"The objective of this study was to examine the impacts of obstetric violence (OV) on maternity healthcare professionals (MHPs) in Israel and the coping strategies they employ. This qualitative study was conducted in various maternity care settings across Israel. Data were collected through semi-structured, in-depth interviews with 21 MHPs, who had witnessed or had been involved in incidents of OV. The interviews were transcribed and analyzed thematically to identify key patterns related to the emotional and professional effects of OV, and to the coping strategies used by the participants. The analysis revealed two primary themes. The first relates to the consequences of exposure to OV on MHPs, including the impact on professional identity and functioning, emotional and psychological distress, and ambivalent responses to colleagues involved in such incidents. The second theme addresses MHPs' coping strategies such as disclosing incidents despite anticipated repercussions and feelings of isolation alongside coping through personal initiatives (raising awareness and promoting action regarding OV within and beyond the workplace). Findings highlight the imperative for a dual strategy: eradication of OV and providing meaningful support to all affected individuals, both the women subjected to OV and the MPHs exposed to or involved in such events.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 2","pages":"e70081"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12879272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127128","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}

引用次数: 0

A Critical Discourse Analysis of Indigenization in Saskatchewan's Undergraduate Nursing Programs. 萨斯喀彻温省本科护理专业本土化的批判性话语分析。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-04-01 DOI: 10.1111/nin.70087

Delasi Essien

{"title":"A Critical Discourse Analysis of Indigenization in Saskatchewan's Undergraduate Nursing Programs.","authors":"Delasi Essien","doi":"10.1111/nin.70087","DOIUrl":"10.1111/nin.70087","url":null,"abstract":"The nursing academy in Canada, motivated by the release of Canada's Truth and Reconciliation Commission's Calls to Action in 2015, has declared support for and commitment to Indigenization. This study, framed by the historical context of colonialism in Canadian healthcare and nursing education, aimed to understand the current state of Indigenization within undergraduate nursing programs in Saskatchewan. I explored three areas of inquiry: how strategic plans define Indigenization, staff experiences and practices in implementing it, and how these discourses and practices perpetuate or transform existing power structures. With Spivak's theory of the deconstruction of marginality as the overarching theoretical framework, I examined the strategic plans of three major post-secondary institutions and their respective undergraduate nursing programs using Fairclough's dialectical-relational approach to critical discourse analysis. I also interviewed a total of seven nursing staff members from the three programs to gain an understanding of their practices of Indigenization. The study identified four key constructs of Indigenization within the discourse of the province of Saskatchewan's nursing education strategic plans: Indigenous inclusion, relationship, reconciliation, and decolonization. A critical finding is that presenting these four constructs as interchangeable diminishes their unique, albeit interconnected roles in achieving Indigenization goals. The research further shows how nursing programs are centering marginalized Indigenous Knowledges and systems but also reveals that racism remains a barrier to Indigenization. The study emphasizes the importance of explicitly defining Indigenization and its goals to deconstruct power dynamics and practices within nursing programs, and to continuously examine racism as a persistent issue in nursing education. The study encourages the nursing academy to adopt a decolonial lens in its everyday Indigenization efforts, which will bring about transformation of the academy.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 2","pages":"e70087"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12879278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127108","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}

引用次数: 0

The Weight of Words: Discursive Burdening and Ideological Shaping of Work Through the 2025 International Council of Nurses' Definition of "Nurse". 话语的重量：从2025年国际护士理事会对“护士”的定义看工作的话语负担和意识形态塑造。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-04-01 DOI: 10.1111/nin.70086

Jerome Visperas Cleofas

{"title":"The Weight of Words: Discursive Burdening and Ideological Shaping of Work Through the 2025 International Council of Nurses' Definition of \"Nurse\".","authors":"Jerome Visperas Cleofas","doi":"10.1111/nin.70086","DOIUrl":"10.1111/nin.70086","url":null,"abstract":"This critical discussion paper examines how the International Council of Nurses' (ICN) 2025 definition of \"nurse\" may shape nursing work by functioning as a discursive artifact and proposes the mid-range concept of discursive burdening to help explain the potential downstream effects on nurses' labor. Grounded in Fairclough's critical discourse analysis (CDA) and the social ecology of nursing, this study analyzes the ICN definition alongside its explanatory report and selectively mapped it to scholarly, policy, and gray sources to illustrate how professional definitions can travel into practice. Using CDA tools, linguistic features of the text were linked to discourse and wider social practices. From the CDA of the ICN definition, the concept of discursive burdening emerges with three interrelated dimensions: (1) deontological dumping, (2) amorphous scope expansion, and (3) intensifying emancipatory labor. Mapped onto nursing's social ecology, these dynamics plausibly cascade through overlapping regulatory, bureaucratic, occupational, gender, and multi-professional systems. The ICN report also names buffers that can diffuse these effects when made co-present with the public definition, which includes legal conditionality, regulator mediation, contextualization, resource support, clarifying and sharing roles, and education/leadership investment.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 2","pages":"e70086"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127143","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