The impact of regulatory perspectives and practices on professional innovation in nursing
This study explored the impact that regulatory processes have on innovation in nursing roles. Nurses in a range of unique practice situations were interviewed, including nurses in non‐traditional roles and/or settings, those with cross‐jurisdictional career histories, and those working in interdisciplinary practices and educational settings. For these nurses, nursing practice was viewed through a traditional clinical lens, which did not fit for them. They experienced hassle, delay, and inconsistencies in regulatory practices. They felt mistreated and fearful of the regulator and lamented the ways in which ambitious, cr...
Source: Nursing Inquiry - April 1, 2017 Category: Nursing Authors: Sarah Stahlke Wall Tags: FEATURE Source Type: research
To stand back or step in? Exploring the responses of employees who observe workplace bullying
This study examines bystander responses to bullying and factors that influence decisions to intervene. We explore relationships between bystanders’ perceptions of psychological safety across three levels (organisation, supervisor and colleague) and reactions to witnessing bullying. We suggest psychological safety would be positively associated with the decision to intervene. Findings indicate the most pervasive reaction to witnessing incidents of bullying is to discuss with colleagues, a low‐involvement reaction. We find perceptions of supervisory and organisational safety/support are positively related to high‐invol...
Source: Nursing Inquiry - April 1, 2017 Category: Nursing Authors: Sarah MacCurtain, Caroline Murphy, Michelle O'Sullivan, Juliet MacMahon, Tom Turner Tags: FEATURE Source Type: research
Improving socially constructed cross ‐cultural communication in aged care homes: A critical perspective
This study challenges aged care homes to establish policies, criteria and procedures in cross‐cultural communication. There is also the challenge to provide ongoing education and training for staff to improve their cross‐cultural communication capabilities. (Source: Nursing Inquiry)
Source: Nursing Inquiry - April 1, 2017 Category: Nursing Authors: Lily Dongxia Xiao, Eileen Willis, Ann Harrington, David Gillham, Anita De Bellis, Wendy Morey, Lesley Jeffers Tags: FEATURE Source Type: research
Tensions in the personal world of the nurse family carer: A phenomenological approach
The incidence of chronic illness is growing globally. As a result, there are fiscal and social implications for health delivery. Alongside the increased burden on health resources is the expectation that someone within the family will assume the responsibility of carer for those who are chronically ill. The expectation to assume the role of carer may be amplified for family members who are also nurses. Currently, there is little research that investigates the impact of nurses who are carers for family with a chronic illness. Consequently, this qualitative study, based on face‐to‐face and telephone dialogue, was conduct...
Source: Nursing Inquiry - April 1, 2017 Category: Nursing Authors: Loretto Quinney, Trudy Dwyer, Ysanne Chapman Tags: FEATURE Source Type: research
Instrumentalisation of the health system: An examination of the impact on nursing practice and patient autonomy
Most current management systems of healthcare institutions correspond to a model of market ethics with its demands of competitiveness. This approach has been called managerialism and is couched in terms of much‐needed efficiencies and effective management of budgetary constraints. The aim of this study was to analyse the decision‐making of nurses through the impact of health institution management models on clinical practice. Based on Foucault's ethical theory, a qualitative study was conducted through a discourse analysis of the nursing records in a hospital unit. The results revealed that the health institution stand...
Source: Nursing Inquiry - April 1, 2017 Category: Nursing Authors: Jes ús Molina‐Mula, Elizabeth Peter, Julia Gallo‐Estrada, Catalina Perelló‐Campaner Tags: FEATURE Source Type: research
Applying cultural safety beyond Indigenous contexts: Insights from health research with Amish and Low German Mennonites
People who identify as members of religious communities, such as the Amish and Low German Mennonites, face challenges obtaining quality health care and engagement in research due in part to stereotypes that are conveyed through media and popular discourses. There is also a growing concern that even when these groups are engaged in research, the guiding frameworks of the research fail to consider the sociocultural or historical relations of power, further skewing power imbalances inherent in the research relationship. This paper aims at discussing the uses of cultural safety in the context of health research and knowledge t...
Source: Nursing Inquiry - April 1, 2017 Category: Nursing Authors: Am élie Blanchet Garneau, Helen Farrar, HaiYan Fan, Judith Kulig Tags: FEATURE Source Type: research
Governing citizens and health professionals at a distance: A critical discourse analysis of policies of intersectorial collaboration in Danish health ‐care
It is widely recognised that the delivery of services across health‐care sectors faces multiple challenges related to incoherence in patient pathways. There are multiple reasons for this incoherence, which are often dealt with through national legislation and policy‐making. This paper discusses policies as powerful actors and explores how effects of a concrete policy are adapted for intersectorial collaboration in Danish health‐care. The paper is based on a critical discourse analysis of a central policy document in Danish health‐care known as the ‘Health Agreements’. Using Fairclough's three‐dimensional mode...
Source: Nursing Inquiry - April 1, 2017 Category: Nursing Authors: Anne Bendix Andersen, Kirsten Frederiksen, Raymond Kolb æk, Kirsten Beedholm Tags: FEATURE Source Type: research
Crisis at Guy's Hospital (1880) and the nature of nursing work
This historical study aims to refine understanding of the nature of nursing work. The study focuses on the 1880 crisis at Guy's Hospital in London to examine the nature and meaning of nursing work, particularly the concept of nursing work as many ‘little things.’ In this paper, an examination of Margaret Lonsdale's writing offers an original contribution to our understanding of the ways in which nursing work differs from medical practice. In this way, we use the late‐nineteenth‐century controversy at Guy's Hospital as a prism through which to examine the contested nature of nursing work. Lonsdale's ideas are corrob...
Source: Nursing Inquiry - April 1, 2017 Category: Nursing Authors: Sheri Tesseyman, Christine Hallett, Jane Brooks Tags: FEATURE Source Type: research
Safety in psychiatric inpatient care: The impact of risk management culture on mental health nursing practice
The discourse of safety has informed the care of individuals with mental illness through institutionalization and into modern psychiatric nursing practices. Confinement arose from safety: out of both societal stigma and fear for public safety, as well as benevolently paternalistic aims to protect individuals from self‐harm. In this paper, we argue that within current psychiatric inpatient environments, safety is maintained as the predominant value, and risk management is the cornerstone of nursing care. Practices that accord with this value are legitimized and perpetuated through the safety discourse, despite evidence re...
Source: Nursing Inquiry - April 1, 2017 Category: Nursing Authors: Allie Slemon, Emily Jenkins, Vicky Bungay Tags: FEATURE Source Type: research
Academic voice: On feminism, presence, and objectivity in writing
Academic voice is an oft‐discussed, yet variably defined concept, and confusion exists over its meaning, evaluation, and interpretation. This paper will explore perspectives on academic voice and counterarguments to the positivist origins of objectivity in academic writing. While many epistemological and methodological perspectives exist, the feminist literature on voice is explored here as the contrary position. From the feminist perspective, voice is a socially constructed concept that cannot be separated from the experiences, emotions, and identity of the writer and, thus, constitutes a reflection of an author's way o...
Source: Nursing Inquiry - April 1, 2017 Category: Nursing Authors: Kim M. Mitchell Tags: FEATURE Source Type: research
Issue Information
(Source: Nursing Inquiry)
Source: Nursing Inquiry - January 25, 2017 Category: Nursing Tags: Issue Information Source Type: research
Sexuality behind bars in the female central penitentiary of Santiago, Chile: Unlocking the gendered binary
We report upon the experiences of ten inmates in the Female Central Penitentiary of Santiago, Chile, regarding their sexuality within prison. We used a qualitative, descriptive research approach. Individual and semistructured interviews were conducted with women from different sections of the prison over a 2‐month period. Participants highlighted the site for conjugal visits, the Venusterio, as a place of privacy and sexual expression between couples from outside prison. Motivated by loneliness, need of protection, and desire for affection, participants enacted alternate gender and sexual identities and sexual orientatio...
Source: Nursing Inquiry - January 25, 2017 Category: Nursing Authors: Francisca Alejandra Castro Madariaga, Bel én Estefanía Gómez Garcés, Alicia Carrasco Parra, Jennifer Foster Tags: FEATURE Source Type: research
‘Unladylike Commotion’: Early feminism and nursing's role in gender/trans dialogue
Abstract
From nursing's history comes the impetus and grounding for our current voice in gender/trans dialogue. Modern nursing struggled its way into being against restrictive, unjust, and oppressive social structures. Many of the obstructions and constraints that nurses and nursing leaders faced were shared by the general populace of women, and yet nurses were different from other women. Nurses worked outside the home, caring for strangers, including unrelated men, in a period when women were otherwise confined to the home. Nurses fought for women's suffrage, for child labor laws, for the welfare of factory workers, for g...
Source: Nursing Inquiry - January 25, 2017 Category: Nursing Authors: Marsha D. Fowler Tags: INVITED COMMENTARY Source Type: research
Respecting variations in embodiment as well as gender: Beyond the presumed ‘binary’ of sex
Although societies and health care systems are increasingly recognizing gender outside traditional binary categories, the notion persists of two, and only two sexes, ‘naturally’ aligned between chromosomes and phenotypic body. Yet there are more than a dozen documented genetic or phenotypic variations that do not completely fit the two simplistic categories, and together, they may comprise 1%–2% of the population worldwide. In this commentary, I consider how adherence to binary notions of sex has created and maintained social and health care structures that perpetuate health care inequities, and may well violate our ...
Source: Nursing Inquiry - January 25, 2017 Category: Nursing Authors: Elizabeth M. Saewyc Tags: INVITED COMMENTARY Source Type: research
Gender queer: politics is killing us
(Source: Nursing Inquiry)
Source: Nursing Inquiry - January 25, 2017 Category: Nursing Authors: Laura C. Hein, Mary F. Cox Tags: INVITED COMMENTARY Source Type: research
