Nursing Inquiry最新文献_第8页

Balancing Regulations and Patient Needs: A Typology of Nursing Flexibility. 平衡法规和病人需求：护理灵活性的一种类型。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-04-01 DOI: 10.1111/nin.70096

Smadar Weinstein, Dana Yagil

{"title":"Balancing Regulations and Patient Needs: A Typology of Nursing Flexibility.","authors":"Smadar Weinstein, Dana Yagil","doi":"10.1111/nin.70096","DOIUrl":"10.1111/nin.70096","url":null,"abstract":"Flexibility lies at the heart of person-centered care, enabling nurses to respond to the particularities of patients' needs, preferences, and circumstances. Yet hospital work unfolds within highly regulated systems designed to ensure safety and consistency, often constraining individualized practice. This tension sometimes positions nurses between organizational regulations and the imperatives of care, a space documented in the literature but still posing important questions about how nurses manage competing demands. This study explores how nurses manage conflicts between institutional rules and patient needs and develops a typology of the strategies they use to do so. Data were generated through semi-structured interviews and shadowing observations in internal medicine, surgical, neurological, and orthopedic wards across four hospitals. Findings show that nurses' strategies align along two axes: procedure orientation-patient orientation and personalization-depersonalization. Nurses moved fluidly among these modes, revealing flexibility as a dynamic practice rather than a fixed trait. The typology offers a conceptual lens for understanding how nurses enact discretion within highly standardized systems. Recognizing these patterned responses can help organizations support professional judgment, creating space for safe, responsive care without undermining institutional integrity.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 2","pages":"e70096"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488140","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

Care, Discipline, and the Politics of Visibility in Allied Surgical Histories, 1870-1945. 1870-1945年联合外科史中的护理、纪律和政治能见度。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-04-01 DOI: 10.1111/nin.70101

Jennifer Dunn

{"title":"Care, Discipline, and the Politics of Visibility in Allied Surgical Histories, 1870-1945.","authors":"Jennifer Dunn","doi":"10.1111/nin.70101","DOIUrl":"10.1111/nin.70101","url":null,"abstract":"Allied operating theaters between 1870 and 1945 were sites of surgical innovation and military urgency. This study argues that they functioned as infrastructures of power. It reconceptualizes the operating theater as an ideological formation where authority is spatially choreographed, emotional discipline institutionalized, and professional legitimacy unevenly distributed. Advancing three central claims, this inquiry argues that architecture and photographic composition functioned as epistemic practices that produced and reflected hierarchy. Second, it shows that emotional labor operated as institutional governance, regulating comportment, reinforcing hierarchy, and shaping professional recognition. Third, it contends that archival absence constitutes evidence of epistemic exclusion. Hiring policies privileging British birth and Christian affiliation structured access to care roles, while ward placements, military recruitment criteria, and publication networks shaped whose care entered the historical record. Methodologically, this inquiry adopts an intensive, relational narrative approach, triangulating personal narratives, administrative records, and institutional photographs across Canadian, British, American, and Scottish contexts. Treating storytelling as epistemic production, it reads tonal rupture, irony, compression, devotional framing, and strategic silence as evidence of nurses' negotiation of constraint. Foregrounding nurses' testimonies, this study reframes allied surgical history as terrain where space, affect, and archive converge to discipline and differentially recognize care, offering a critical re-reading of surgical modernity and calling for historiographies attentive to the infrastructures that produce visibility, authority, and memory.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 2","pages":"e70101"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13061354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640486","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

Tooling Up Nursing Research: Ethical Tensions Within Psychometric Scale Development. 提高护理研究：心理测量量表发展中的伦理紧张。

IF 3 4区医学

Nursing Inquiry Pub Date : 2026-01-01 DOI: 10.1111/nin.70065

Ricardo Ayala, Mirelle Finkler, Pierre Pariseau-Legault

引用次数: 0

Five Years Post COVID-19. 2019冠状病毒病后的五年。

IF 3 4区医学

Nursing Inquiry Pub Date : 2026-01-01 DOI: 10.1111/nin.70080

Sally Thorne

引用次数: 0

The Sounds of Silence: Problematizing Voicelessness in Nursing Practice. 沉默之声：护理实践中的无声问题。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-01-01 DOI: 10.1111/nin.70070

Lori L Rietze, Mary Ellen Purkis, Kelli I Stajduhar, Denise S Cloutier

{"title":"The Sounds of Silence: Problematizing Voicelessness in Nursing Practice.","authors":"Lori L Rietze, Mary Ellen Purkis, Kelli I Stajduhar, Denise S Cloutier","doi":"10.1111/nin.70070","DOIUrl":"10.1111/nin.70070","url":null,"abstract":"A positive healthcare environment and effective nurse recruitment are widely recognized as interconnected factors that improve outcomes for patients, families, and staff. Despite this, frontline nurses and their managers often have conflicting views on workplace issues. Although some hospitals have implemented \"speak-up\" initiatives, nurses in acute care settings still feel silenced, as interventions designed to improve workplace culture have had limited long-term impact. This underscores the need for a deeper understanding of how nurses are silenced. This qualitative, ethnographic study aimed to improve our understanding of how nurses are silenced in the acute care workplace. Through semi-structured interviews with registered nurses (n = 14) and administrators (n = 9), observational field notes (20 h), and documents (n = 8), we found that although nurses used various channels to voice concerns about patient safety, patient-centered care, and workplace health to their managers, they still felt ignored and unsupported, leading to feelings of vulnerability, anger, and abandonment. Administrators understood staff frustrations but felt powerless, seeing themselves as conduits for top-down directives rather than active participants in organizational initiatives. These findings offer crucial insights for clinicians, researchers, educators, and administrators aiming to create a more inclusive culture that prioritizes collaboration and high-quality care.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 1","pages":"e70070"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12662626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642132","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

Correction to "Tooling up Nursing Research: Ethical Tensions Within Psychometric Scale Development". 修正“工具护理研究：伦理紧张在心理测量量表的发展”。

IF 3 4区医学

Nursing Inquiry Pub Date : 2026-01-01 DOI: 10.1111/nin.70075

引用次数: 0

Contesting Professional Nursing Values. 挑战专业护理价值观。

IF 3 4区医学

Nursing Inquiry Pub Date : 2026-01-01 DOI: 10.1111/nin.70064

Denise J Drevdahl, Mary K Canales, Kathleen Shannon Dorcy

{"title":"Contesting Professional Nursing Values.","authors":"Denise J Drevdahl, Mary K Canales, Kathleen Shannon Dorcy","doi":"10.1111/nin.70064","DOIUrl":"10.1111/nin.70064","url":null,"abstract":"A code of ethics, as proof of nursing professionalism, is used to promote nursing's core values. In the United States, the American Nurses Association's (ANA) Code of Ethics is accepted as the primary source for professional nursing values. Particular processes are used within nursing to embed professional values into nursing discourse. A historical review of the ANA Code of Ethics, a review of published articles about professional nursing values, and an examination of the development and globalization of the Nurses Professional Values Scale informed our examination of nursing's efforts to delineate, instill, and measure professional nursing values. The analysis was informed theoretically by Bourdieu and his concept of \"playing the game.\" Constructing and reinforcing professional nursing values reveals difficulties about what constitutes core nursing values and what they mean, particularly with respect to values that comprise the good nurse; the inability to measure and evaluate said values; and the colonization of Western values globally. The inordinate amount of time and energy spent on nursing values surfaced the vexing nature of such efforts. The concept of profession and its accompanying values must be regarded with suspicion.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 1","pages":"e70064"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551700","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

Phronesis and Ethical Nursing Practice: Insights From Nursing Ontology. 护理学与伦理护理实践：来自护理本体论的见解。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-01-01 DOI: 10.1111/nin.70074

María Soledad Paladino

{"title":"Phronesis and Ethical Nursing Practice: Insights From Nursing Ontology.","authors":"María Soledad Paladino","doi":"10.1111/nin.70074","DOIUrl":"10.1111/nin.70074","url":null,"abstract":"The literature largely agrees in recognizing care as a central and defining aspect of nursing. However, this concept takes on diverse nuances, as evidenced by the variety of nursing theories. We align with the perspective of Chris Gastmans and others who conceptualize the ontology of nursing from a relational standpoint: at the core of nursing practice lies the personal nurse-patient relationship-the caring relationship. This relationship possesses an intrinsic moral dimension, stemming from the integration of scientific knowledge and sound ethical judgment, all directed toward the provision of good care-the intrinsic teleological dimension of nursing. In a virtue ethics framework, questions concerning the character of the ethical agent take precedence over those regarding correct actions, principles, or consequences. The primary concern is to identify the qualities a person must cultivate to be ethically good, given that the moral value of actions is largely shaped by the character of the agent performing them. This approach supports reflection from a praxis-oriented perspective. The aim of this paper is to explore the role that virtues and phronesis-as developed within a Neo-Aristotelian perspective-play in fulfilling the telos of nursing practice, and consequently, in the flourishing of the professional. Trial Registration: Not applicable.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 1","pages":"e70074"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145918971","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

Cultural Safety: A First Nations Perspective. 文化安全：第一民族视角。

IF 3 4区医学

Nursing Inquiry Pub Date : 2026-01-01 DOI: 10.1111/nin.70073

Vicki Tillott, Tarunna Sebastian, Michelle Donelly, Stuart Barlo, Beth Mozolic-Staunton, Kirsten Atkinson, Dylan Berger, Cynthia Briggs, Julie Carey, Tracy Singleton, Cheryl Swinton

{"title":"Cultural Safety: A First Nations Perspective.","authors":"Vicki Tillott, Tarunna Sebastian, Michelle Donelly, Stuart Barlo, Beth Mozolic-Staunton, Kirsten Atkinson, Dylan Berger, Cynthia Briggs, Julie Carey, Tracy Singleton, Cheryl Swinton","doi":"10.1111/nin.70073","DOIUrl":"10.1111/nin.70073","url":null,"abstract":"Curriculum designed to promote the cultural safety of health professionals is now expected in Australia. There is, however, limited research demonstrating the relationship between this curriculum content and the ability to work in a culturally safe manner. Eleven advisory group members were recruited from various First Nations groups in Australia. Through participation in Yarns, members were invited to describe their experiences of cultural safety in healthcare and their desires regarding the education of healthcare students. Yarns were digitally audio-recorded and analysed using reflexive thematic analysis. For First Nations Peoples, cultural safety is a multifaceted, lifelong journey, marked by continuous growth and relational learning. The experience of cultural safety is unique to each person receiving care. Authentic relationships and respect for cultural protocols and responsibilities are essential. Forming genuine connections with local First Nations Communities and sustaining authentic relationships through empathy, respect and deep listening is fundamental. Structural barriers to addressing cultural safety were identified, including: constraints on the time and resources of health professionals; the enduring impact of colonial policies; the role of tertiary institutions in marginalising Indigenous knowledges and voices, and the fact that opportunities for creating respectful and direct engagement with First Nations Communities remain limited in tertiary education programmes.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 1","pages":"e70073"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642177","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

Beyond the Binary: Intersectional Nursing Approaches to Male Infertility. 超越二元：男性不育症的交叉护理方法。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-01-01 DOI: 10.1111/nin.70077

Mehrdad Abdullahzadeh

{"title":"Beyond the Binary: Intersectional Nursing Approaches to Male Infertility.","authors":"Mehrdad Abdullahzadeh","doi":"10.1111/nin.70077","DOIUrl":"10.1111/nin.70077","url":null,"abstract":"Male infertility contributes to nearly half of the global infertility, yet nursing scholarship continues to marginalize men's experiences, reflecting entrenched assumptions that equate reproduction with femininity. This article reframes male infertility as a relational, socially embedded phenomenon and a site of disciplinary transformation. Drawing on intersectionality, masculinity theory, performativity, and stigma, this article shows how race, class, sexuality, disability, and cultural context intersect to produce compounded stigma, invisibility, and restricted access to care. For example, queer and trans men remain largely invisible in heteronormative reproductive discourse, while men from low-resource settings face systemic barriers to psychosocial support. To address these silences, this paper proposes an intersectional nursing proposition grounded in reflexivity, cultural humility, couple-centeredness, and structural awareness. Visual scaffolding (one table and two figures) clarifies the pathway from entrenched binaries to intersectional praxis. The manuscript presents male infertility as both a clinical and theoretical challenge, urging nursing to reconceptualize care, vulnerability, and reproductive justice to serve diverse masculinities and reduce structural inequities.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 1","pages":"e70077"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145946646","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