{"title":"脱下白大褂,在医学模仿之外重塑护理的身份。","authors":"Trae Stewart","doi":"10.1097/JXX.0000000000001188","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>The white coat has become a contested symbol in nursing-a garment once exclusive to medicine that now reflects deeper tensions about professional identity, legitimacy, and visual authority. Although some nurses wear it out of practicality or institutional policy, its broader adoption risks reinforcing hierarchies that devalue nursing's distinct epistemology, which emphasizes relational, experiential, and embodied care. Drawing from critical theory, poststructuralism, and postmodernism, this essay explores how the white coat perpetuates colonial mimicry and epistemic violence by aligning nursing with a model of clinical detachment and scientific supremacy. Through both historical analysis and personal reflection, the author examines how uniform symbolism affects nurse-patient dynamics, role clarity, and self-perception. Practical counterarguments-including hygiene, patient trust, and professional image-are acknowledged and addressed. The essay ultimately advocates for context-specific attire and meaningful professional rituals, such as pinning ceremonies and value-based tokens. These alternatives better align with nursing's pluralistic philosophy and can empower nurses to define their visual and symbolic identity on their own terms. Letting go of the white coat is not a dismissal of professionalism but an invitation to reimagine it through the lens of care, justice, and authenticity.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":"37 10","pages":"529-532"},"PeriodicalIF":1.6000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Shedding the white coat to reclaim nursing's identity beyond medical mimicry.\",\"authors\":\"Trae Stewart\",\"doi\":\"10.1097/JXX.0000000000001188\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Abstract: </strong>The white coat has become a contested symbol in nursing-a garment once exclusive to medicine that now reflects deeper tensions about professional identity, legitimacy, and visual authority. Although some nurses wear it out of practicality or institutional policy, its broader adoption risks reinforcing hierarchies that devalue nursing's distinct epistemology, which emphasizes relational, experiential, and embodied care. Drawing from critical theory, poststructuralism, and postmodernism, this essay explores how the white coat perpetuates colonial mimicry and epistemic violence by aligning nursing with a model of clinical detachment and scientific supremacy. Through both historical analysis and personal reflection, the author examines how uniform symbolism affects nurse-patient dynamics, role clarity, and self-perception. Practical counterarguments-including hygiene, patient trust, and professional image-are acknowledged and addressed. The essay ultimately advocates for context-specific attire and meaningful professional rituals, such as pinning ceremonies and value-based tokens. These alternatives better align with nursing's pluralistic philosophy and can empower nurses to define their visual and symbolic identity on their own terms. Letting go of the white coat is not a dismissal of professionalism but an invitation to reimagine it through the lens of care, justice, and authenticity.</p>\",\"PeriodicalId\":17179,\"journal\":{\"name\":\"Journal of the American Association of Nurse Practitioners\",\"volume\":\"37 10\",\"pages\":\"529-532\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the American Association of Nurse Practitioners\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/JXX.0000000000001188\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American Association of Nurse Practitioners","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/JXX.0000000000001188","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Shedding the white coat to reclaim nursing's identity beyond medical mimicry.
Abstract: The white coat has become a contested symbol in nursing-a garment once exclusive to medicine that now reflects deeper tensions about professional identity, legitimacy, and visual authority. Although some nurses wear it out of practicality or institutional policy, its broader adoption risks reinforcing hierarchies that devalue nursing's distinct epistemology, which emphasizes relational, experiential, and embodied care. Drawing from critical theory, poststructuralism, and postmodernism, this essay explores how the white coat perpetuates colonial mimicry and epistemic violence by aligning nursing with a model of clinical detachment and scientific supremacy. Through both historical analysis and personal reflection, the author examines how uniform symbolism affects nurse-patient dynamics, role clarity, and self-perception. Practical counterarguments-including hygiene, patient trust, and professional image-are acknowledged and addressed. The essay ultimately advocates for context-specific attire and meaningful professional rituals, such as pinning ceremonies and value-based tokens. These alternatives better align with nursing's pluralistic philosophy and can empower nurses to define their visual and symbolic identity on their own terms. Letting go of the white coat is not a dismissal of professionalism but an invitation to reimagine it through the lens of care, justice, and authenticity.
期刊介绍:
The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners.
Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.