Nursing Inquiry最新文献_第9页

When Care Colludes: Nursing and Medical Misogyny. 当护理勾结：护理和医疗厌女症。

IF 3 4区医学

Nursing Inquiry Pub Date : 2026-01-01 DOI: 10.1111/nin.70066

Debra Jackson, Adrianna Watson, Carmel Bond, Michelle Cleary

引用次数: 0

Tug of War Over Power: A Case Study on the Development of Professional-Informal Caregiver Tensions in Residential Dementia Care. 权力拉锯战：专业-非正式照护者关系发展之个案研究。

IF 3 4区医学

Nursing Inquiry Pub Date : 2026-01-01 DOI: 10.1111/nin.70068

Marleen D W Dohmen, Charlotte van den Eijnde, Tineke A Abma, Barbara C Groot, Johanna M Huijg

{"title":"Tug of War Over Power: A Case Study on the Development of Professional-Informal Caregiver Tensions in Residential Dementia Care.","authors":"Marleen D W Dohmen, Charlotte van den Eijnde, Tineke A Abma, Barbara C Groot, Johanna M Huijg","doi":"10.1111/nin.70068","DOIUrl":"10.1111/nin.70068","url":null,"abstract":"Effective collaboration between professional and informal caregivers is essential in residential dementia care, but often disrupted by relational tensions. This 2-year case study explores how these tensions emerge and develop. Using visual and inductive analysis of qualitative data, we study a strained professional-informal caregiver relationship in a Dutch residential dementia care facility, focusing on the personal, relational, and organizational factors that shape it. Findings indicate that divergent conceptualizations of good care, rooted in distinct ethical frameworks, lead to relational tensions between professional and informal caregivers. These tensions tend to escalate through a series of interrelated dynamics that ultimately result in a tug of war over power, which triggers a downward spiral in the relationship. Organizational processes such as pseudo-participation and unintentional support for distancing practices further entrench these dynamics. Professional and informal caregivers are prompted to work around rather than resolve the conflict. Set within a Dutch residential dementia care context, the study offers broader implications for similar care settings globally. It advocates a shift from person-centered care to relational care, emphasizing multidirectionality to address power asymmetries. Key implications include promoting relational care as the moral standard, implementing organizational changes to support relational care and embedding moral skills into nursing education.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 1","pages":"e70068"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12626431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551661","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

Panarchy: From Ecological Theory to Mental Healthcare Practice. 层次感：从生态学理论到心理健康实践。

IF 3 4区医学

Nursing Inquiry Pub Date : 2026-01-01 DOI: 10.1111/nin.70069

Cathy J Francis, Michael Hazelton, Rhonda L Wilson

引用次数: 0

The Coercive Edge of Kindness: A Critical Analysis of 'Random Acts' in Nursing. 善意的强制边缘：对护理中“随机行为”的批判性分析。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-01-01 DOI: 10.1111/nin.70082

Debra Jackson, Carmel Bond, Brendan McCormack, Adrianna Watson, Denise Wilson, Michelle Cleary

{"title":"The Coercive Edge of Kindness: A Critical Analysis of 'Random Acts' in Nursing.","authors":"Debra Jackson, Carmel Bond, Brendan McCormack, Adrianna Watson, Denise Wilson, Michelle Cleary","doi":"10.1111/nin.70082","DOIUrl":"10.1111/nin.70082","url":null,"abstract":"Kindness is frequently framed as an unassailable virtue, celebrated across social, professional and political domains as a simple and uncomplicated good. It is rarely problematised, and its assumed benefits are seldom interrogated, leaving kindness largely positioned as a self-evident moral imperative. In this paper, we adopt a Foucauldian lens, not to seek an essential definition of kindness, but to consider how it circulates and operates discursively, what effects it produces and what is surrendered in its performance. We position kindness as a discourse that does not merely encourage compassion or generosity but also regulate behaviour, shapes subjectivities and establishes boundaries around what may or may not be said. Through such mechanisms, the imperative to 'be kind' can act to silence resistance, temper critique and foster compliance, functioning as a subtle technology of governance. By problematising kindness in this way, we reveal how a practice so often presented as wholly benevolent can also operate as a powerful disciplinary force. We suggest that alternatives to the disciplinary framing of kindness may be found within First Nations knowledge systems, which offer different ways of understanding generosity and care beyond Western institutional logics. Our purpose is not to argue for the abandonment of kindness, but to highlight that it should not be accepted uncritically; its operations and consequences must be understood in order for it to be engaged ethically and politically.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 1","pages":"e70082"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12850621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146068313","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

If a Bed Is Just a Bed, What Does That Make the Nurse? Nurses' Negotiations of Identity in a Contested Discursive Terrain-An Institutional Ethnography. 如果一张床只是一张床，那护士是什么？一个有争议的话语领域中护士的身份谈判——一个制度民族志。

IF 3 4区医学

Nursing Inquiry Pub Date : 2026-01-01 DOI: 10.1111/nin.70067

Lisbeth Lauge Andersen, Lene Lauge Berring, Bibi Hølge-Hazelton, Louise Phillips

{"title":"If a Bed Is Just a Bed, What Does That Make the Nurse? Nurses' Negotiations of Identity in a Contested Discursive Terrain-An Institutional Ethnography.","authors":"Lisbeth Lauge Andersen, Lene Lauge Berring, Bibi Hølge-Hazelton, Louise Phillips","doi":"10.1111/nin.70067","DOIUrl":"10.1111/nin.70067","url":null,"abstract":"A person-centred approach in healthcare has garnered increasing global attention and is promoted in research and by the WHO as an approach that holds potential for improving the quality of healthcare, patient safety and nurses' work environment. This, in turn, supports the recruitment and retention of nurses. This institutional ethnography is situated on a Danish University hospital where a person-centred approach is central to the hospitals' visions, goals and strategy in nursing practice. We explore the connections between institutional discourses and nurses' negotiations of meaning and identity and the implications for a person-centred approach. These connections often remain invisible until they are subjected to analysis. The study is based on participant observation, interviews with nurses and nurse managers and scrutiny of the fields' documents. Additionally, we conducted a series of co-creation workshops (WS) with nurses as co-researchers to facilitate critical reflection through joint analysis. The empirical material is analysed by the authors by using mapping and Bakhtin's concept of voice. This study sheds light on the multiple ways in which policy and institutional discourses constitute ruling relations that activate, mediate and coordinate nursing practice as institutional logics infuse nurses' person-centred, holistic voice. Thus, the study provides perspectives on how neoliberal efficiency discourses contribute to a cross-pressure affecting nurses' work environment, shaping their ability to engage in person-centred care and communication.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 1","pages":"e70067"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551698","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

Professional Experiences of Male Nurses With Gender Dynamics, Challenges, and Social Perceptions: A Qualitative Study in Türkiye. 男性护士的性别动态、挑战和社会认知的专业经验：一项质性研究。

IF 3 4区医学

Nursing Inquiry Pub Date : 2026-01-01 DOI: 10.1111/nin.70071

Esra Gedik, Aydan Eda Urvaylıoğlu-Johns

引用次数: 0

Crystallizing Theory Evaluation: A Human-AI Collaborative Framework for Multi-Perspective Nursing Theory Analysis. 结晶化理论评价：多视角护理理论分析的人机协作框架。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-01-01 DOI: 10.1111/nin.70078

Damla Er, Kemal Yayla, Betül Aktaş

{"title":"Crystallizing Theory Evaluation: A Human-AI Collaborative Framework for Multi-Perspective Nursing Theory Analysis.","authors":"Damla Er, Kemal Yayla, Betül Aktaş","doi":"10.1111/nin.70078","DOIUrl":"10.1111/nin.70078","url":null,"abstract":"The NLN/Jeffries Simulation Theory (JST) occupies an important and debated position in nursing education. It is widely used for its practical value but often criticized for lacking theoretical clarity. Traditional evaluation methods rely on single theoretical perspectives and have not resolved this contradiction, leading to fragmented and incomplete assessments. This study presents a Human-AI collaborative framework for comprehensive meta-theoretical analysis and uses JST as a demonstration case. The framework is based on the concept of crystallization and combines evaluation criteria from Fawcett, Meleis, and Walker and Avant. Artificial intelligence is used to organize and systematically analyze complex and multidimensional theoretical evidence, while the human researcher performs interpretation and synthesis. The findings show that JST's lack of precision is not a weakness but a strength that allows it to function as a boundary object. It serves as a flexible structure that supports collaboration across nursing education, research, and practice. This study provides a practical and transparent model for using Human-Centered Artificial Intelligence in academic research. It shows how technological tools can augment rather than displace the critical, interpretive judgment of nursing scholars.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 1","pages":"e70078"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145946718","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

Reforming Care, Reframing Nursing: A Critical Policy Analysis of Home Care Nursing in Denmark. 改革护理，重塑护理：丹麦家庭护理的关键政策分析。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-01-01 DOI: 10.1111/nin.70076

Julie Duval Jensen, Anne Bendix Andersen

{"title":"Reforming Care, Reframing Nursing: A Critical Policy Analysis of Home Care Nursing in Denmark.","authors":"Julie Duval Jensen, Anne Bendix Andersen","doi":"10.1111/nin.70076","DOIUrl":"10.1111/nin.70076","url":null,"abstract":"This study critically examines how home care nursing is constructed as a policy problem in the 2024 Danish Health Reform. Drawing on Bacchi's \"What is the Problem Represented to be?\" (WPR) framework, we analyze the reform document to uncover the discursive mechanisms through which home care nursing is problematized, framed, and governed. The analysis identifies four dominant problem representations: unequal access to care, fragmented patient trajectories, insufficient municipal competencies, and an overreliance on hospital-based services. These representations legitimize the centralization of healthcare governance and the transfer of specialized nursing tasks from municipalities to regions. In this framing, home care nursing is discursively positioned as \"general\" and less complex, despite its central role in coordinating care and managing chronic conditions. Silences regarding working conditions, patient experiences, and structural determinants of health further marginalize nursing expertise. The reform's framing produces discursive, subjectification, and lived effects that risk undermining care continuity and professional recognition. We argue that the reform reflects a technocratic logic that privileges specialization and structural reorganization, while neglecting the relational and contextual dimensions of nursing practice. This study contributes to critical nursing inquiry by highlighting the need for inclusive policy processes that recognize the complexity of home care nursing and the value of frontline professional knowledge.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 1","pages":"e70076"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967722","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

Between Ideal and Reality: A Cross-Sectional Study of Nurses' Professional Values and Barriers to Professionalism in Türkiye. 理想与现实之间：台湾护士专业价值观与专业障碍的横断面研究。

IF 3 4区医学

Nursing Inquiry Pub Date : 2026-01-01 DOI: 10.1111/nin.70072

Burcin Demircioglu, Elif Atici

{"title":"Between Ideal and Reality: A Cross-Sectional Study of Nurses' Professional Values and Barriers to Professionalism in Türkiye.","authors":"Burcin Demircioglu, Elif Atici","doi":"10.1111/nin.70072","DOIUrl":"10.1111/nin.70072","url":null,"abstract":"Evaluating nurses' professionalism and the obstacles they face is crucial for enhancing healthcare quality and professional satisfaction. The identified challenges still appear to be similar on a global scale. The present cross-sectional study investigated nurses' challenges in meeting professional standards in tertiary healthcare and explored the link between nurses' values and the underlying reasons for these challenges. Data were collected from 500 nurses at a state university hospital using three tools: \"Nurse Introduction Form\" for sociodemographic and work-related information, \"Professionalism Form\" to assess understanding of professionalism criteria and barriers, and \"Nurses' Professional Values Scale.\" Results show a positive relationship between the attainability of professional standards and values. The most significant obstacle hindering the achievement of professional standards is systemic. Nurses lack awareness of professional values and are dissatisfied with their profession, especially due to negative working conditions and low income. Due to a lack of authorization, nurses are often unable to provide services fully in line with professional standards. Additionally, this lack of authorization can lead to deviations from their defined job responsibilities. Nurses have limited autonomy and decision-making power despite prioritizing values like human dignity. Meeting professional standards is linked to strongly holding professional values. The relationships between negative factors and NPVS scores show how these issues shape nurses' perception of professionalism.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 1","pages":"e70072"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662510","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

Vaccination in the Age of Memes: An Exploration of Digital Health Communication. 模因时代的疫苗接种：数字健康传播的探索。

IF 3.2 4区医学

Nursing Inquiry Pub Date : 2026-01-01 DOI: 10.1111/nin.70079

Michael Coriasco, Avie Thacker, Catherine Van Son

{"title":"Vaccination in the Age of Memes: An Exploration of Digital Health Communication.","authors":"Michael Coriasco, Avie Thacker, Catherine Van Son","doi":"10.1111/nin.70079","DOIUrl":"10.1111/nin.70079","url":null,"abstract":"This study explores how internet memes serve as digital communication tools in public health discourse, influencing public perceptions by spreading both accurate and misleading health information. Utilizing a dual qualitative approach, Qualitative Content Analysis (QCA) and Reflexive Thematic Analysis (RTA), this study examined 99 vaccine-related memes shared online during the 2019 and 2025 measles outbreaks and the 2020 COVID-19 pandemic. QCA analyzed rhetorical tones (pathos, ethos, and logos) and vaccine stances (pro, anti, and neutral), while RTA identified key themes. Memes were sampled from Google Images using broad vaccine-related search terms (e.g., \"vaccine meme,\" \"vaccination meme\"), allowing inclusion of memes related to a wide range of vaccine-preventable diseases rather than limiting the dataset to any single condition. While memes predominantly targeted emotional appeals (pathos), emergent themes include increased use of logical appeals (logos), political polarization, and anti-vaccine sentiments. Nurses and other public health communicators must counter misinformation and foster evidence-based dialogue to shape digital health literacy. Rhetorical patterns (e.g., humor, emotional resonance, and appeals to credibility) are communication strategies that transcend national boundaries. These findings, therefore, provide a foundation for understanding how similar dynamics might appear in other linguistic and cultural settings, while highlighting the need for ongoing research.","PeriodicalId":49727,"journal":{"name":"Nursing Inquiry","volume":"33 1","pages":"e70079"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145946733","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