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Witness: The Canadian Journal of Critical Nursing Discourse最新文献

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Developing Nursing Geography with an Ecological Lens 以生态视角发展护理地理学
Pub Date : 2022-12-16 DOI: 10.25071/2291-5796.135
Alysha Jones, Jacqueline Avantay Strus
In this paper, we propose that community health nursing is a promising context for ecologically inclusive and “place-sensitive” (Andrews, 2002) nursing practice. With a strong grounding in social justice, we believe that Canadian community health nurses have the power to create a differential space of research and practice for environmental justice and planetary health thereby challenging harmful anthropocentric and biomedical models of health and health care. To do this, we theorize an ‘environmental nursing geography’ including Henri Lefebvre’s idea of the production of space. Lefebvre’s dialectics give us tools to ecologize space and place and further the efforts of CHNs to support the health of all people and the planet through justice and equity.
在本文中,我们提出社区卫生护理是生态包容性和“地方敏感”(Andrews, 2002)护理实践的一个有希望的背景。我们相信,加拿大社区保健护士有强大的社会正义基础,有能力为环境正义和地球健康创造一个不同的研究和实践空间,从而挑战有害的以人类为中心和生物医学的健康和保健模式。为了做到这一点,我们将“环境护理地理学”理论化,其中包括亨利·列斐伏尔的空间生产思想。列斐伏尔的辩证法为我们提供了实现空间和地点生态化的工具,并进一步推动中国通过正义和公平支持所有人和地球健康的努力。
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引用次数: 0
Remembering Dr. Benita Cohen: A tribute to a life well-lived 纪念贝尼塔·科恩博士:对美好生活的致敬
Pub Date : 2022-12-16 DOI: 10.25071/2291-5796.134
Cheryl Cusack, Annette Schultz, L. Scruby, N. Dyck, Donna E. Martin, Claire Betker, Cheryl Van Daalen-Smith
To honor the legacy of Dr. Benita Cohen, this special volume of Witness: The Canadian Journal of Critical Nursing Discourses is dedicated in remembrance of her. This Invited Commentary reflects on Benita’s career, passions, personality and key contributions to public health and  nursing. Dr. Cohen was an exceptional nurse, researcher, educator, mentor, and health policy consultant. Her vision has shaped the fields of public health and community health nursing, and her impact will be felt for many generations to come. 
为了纪念贝尼塔·科恩博士的遗产,这本特别卷的见证:加拿大护理评论杂志是为了纪念她而专门出版的。本特邀评论反映了贝尼塔的职业生涯、激情、个性以及对公共卫生和护理的重要贡献。科恩博士是一位杰出的护士、研究员、教育家、导师和卫生政策顾问。她的愿景塑造了公共卫生和社区卫生护理领域,她的影响将被许多代人感受到。
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引用次数: 1
Twenty-three accounts of reproductive injustice in Canada: Stories for nurses to know 加拿大生育不公平的23个案例:护士要知道的故事
Pub Date : 2022-12-16 DOI: 10.25071/2291-5796.143
M. Lebold, Judith A MacDonnell
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引用次数: 0
Health Inequities and Moral Distress Among Community Health Nurses During the COVID-19 Pandemic COVID-19大流行期间社区卫生护士的卫生不公平和道德困境
Pub Date : 2022-12-16 DOI: 10.25071/2291-5796.137
Catherine Baxter, R. Schofield, Claire Betker, Genevieve Currie, F. Filion, Patti Gauley, May Tao, Mary-Ann Taylor
     The core values of community health nursing practice are rooted in the social determinants of health, health equity and social justice.  Throughout the COVID-19 pandemic, community health nurses (CHNs) witnessed first-hand the impact on individuals in situations of marginalization. This research inquiry explored how health inequities among client populations contributed to experiences of MD among CHNs in Canada during the pandemic.     A total of 245 CHNs from across Canada participated in an online survey. Participants reported that during the pandemic individuals living in situations of marginalization were disproportionately impacted. CHNs were unable to provide the necessary health promotion interventions and experienced high levels of moral distress. The negative impact of the pandemic on individuals living in situations of marginalization illuminated the intersecting social and structural inequities that drive negative health outcomes and emphasized the need to adopt an equity focus for current and future pandemic planning, response, and recovery.  
社区卫生护理实践的核心价值植根于健康、卫生公平和社会正义的社会决定因素。在2019冠状病毒病大流行期间,社区卫生护士亲眼目睹了边缘化人群受到的影响。本研究探讨了在大流行期间,客户群体中的卫生不平等如何影响加拿大CHNs的医学经验。来自加拿大各地的245名chn参与了一项在线调查。与会者报告说,在大流行病期间,生活在边缘化状况中的个人受到了不成比例的影响。中国护士无法提供必要的健康促进干预措施,并经历了高度的道德困境。这一大流行病对生活在边缘化情况下的个人的负面影响,突显了导致负面健康结果的社会和结构不平等现象,并强调需要在当前和未来的大流行病规划、应对和恢复中注重公平。
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引用次数: 0
One country, two education models: exploring the pedagogical approaches to training undergraduate nurses for mental health care in Canada 一个国家,两种教育模式:探索加拿大精神卫生保健本科护士培训的教学方法
Pub Date : 2022-06-27 DOI: 10.25071/2291-5796.116
J. Jackson, L. Molloy
The training and registration of psychiatric/mental health nurses has a contested past in Canada. One of the consequences of the professional jostling between psychiatry and nursing for control over this area is the unusual circumstances of Canada having two education systems for this specialty. To understand why the schism has taken place and the impact it has had on psychiatric/mental health nursing, the authors have undertaken a critical review of the ontological and epistemological assumptions of these two pedagogical approaches. This review reveals that while the approaches share much in common, groups from both the east and the west receive different levels of mental health-related curriculum within their training. While it could be argued that psychiatric/mental health nursing practice is different enough to warrant its own framework for the preparation of specialist practitioners, there is no clear answer as to whether one of the current models should be implemented over the other. In this context, this paper argues that it is important that psychiatric nurses advocate for a future for the speciality in Canada.
在加拿大,精神科/精神保健护士的培训和注册问题一直存在争议。精神病学和护理学为了控制这一领域而相互竞争的结果之一是,加拿大在这一领域拥有两种不同寻常的教育体系。为了理解分裂发生的原因及其对精神病学/心理健康护理的影响,作者对这两种教学方法的本体论和认识论假设进行了批判性回顾。这一审查表明,虽然这些方法有很多共同点,但来自东方和西方的群体在其培训中接受的心理健康课程水平不同。虽然可以认为精神病学/心理健康护理实践是不同的,足以保证其自己的框架来准备专业从业人员,但对于当前的一种模式是否应该实施而不是另一种模式,没有明确的答案。在这种情况下,本文认为,这是重要的精神科护士倡导未来的专业在加拿大。
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引用次数: 0
Non-State Torture of Women: Reclaiming Their Human Right 非国家对妇女的酷刑:恢复她们的人权
Pub Date : 2022-06-27 DOI: 10.25071/2291-5796.121
J. Sarson, Linda MacDonald
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引用次数: 0
Critical Posthuman Nursing Care 关键后人类护理
Pub Date : 2022-06-27 DOI: 10.25071/2291-5796.126
Jane Hopkins Walsh, Jessica Dillard-Wright, Brandon Brown, Jamie Smith, Eva-Maria Willis
Nursing care is an embodied and co-creative world-building practice made hypervisible in pandemic times. A traditional praxis that became a professionalized care practice, nursing bares the indelible mark of the ideologies that have come to shape the discipline like whiteness, patriarchy, and capitalism to name a few. Embracing a critical feminist posthuman and new materialist perspective, in this paper we advance the notion that nursing care is a situated and embodied endeavor that cannot and should not be disconnected from sites of care, people receiving care, and the powers that structure care relations. Even in idealised contexts, nursing care is shaped by the confines of these forces. We tease out ideas that have molded nursing across time and within the epoch of the Covid pandemic. We draw upon imaginations from Arundhati Roy that the pandemic is a portal, an opportunity for rebirth. Care practices are proposed with a critical posthuman perspective, in the spirit of Haraway’s idea of composting. Composting is used metaphorically as actions to morph and decay the boundaries beyond traditional notions of care based in humanism. We imagine this in an effort to rethink what worlds we want to co-produce, a call to action where care can be revisioned as an arena where nurses, people, all matter, all creatures and worlds are co-created.
护理是一种具体的、共同创造的世界建设实践,在大流行时期尤为明显。作为一种传统的实践,护理成为了一种专业的护理实践,它带有不可磨灭的意识形态印记,这些意识形态已经形成了这门学科,比如白人、父权制和资本主义。在本文中,我们采用批判女权主义和新唯物主义的观点,提出护理是一种定位和具体化的努力,不能也不应该与护理场所、接受护理的人以及构建护理关系的权力分离开来。即使在理想的环境中,护理也受到这些力量的限制。我们梳理出了在新冠疫情大流行时期塑造护理的思想。我们借鉴阿兰达蒂·罗伊的想象,即大流行病是一个门户,是重生的机会。护理实践是在哈拉威的堆肥思想的精神下,以批判的后人类视角提出的。堆肥被比喻为一种超越传统人道主义关怀观念的行为。我们想象这是在努力重新思考我们想要共同创造什么样的世界,一个行动的呼吁,在这个世界上,护理可以被修改为一个舞台,在这个舞台上,护士,人,所有的物质,所有的生物和世界都是共同创造的。
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引用次数: 8
Hearing Our Voices: A Descriptive Process of Using Film for Anti-racist Action in Nursing 听到我们的声音:在护理中使用电影进行反种族主义行动的描述过程
Pub Date : 2022-06-27 DOI: 10.25071/2291-5796.122
Michelle C. Danda, Claire Pitcher, J. Key
Racism in healthcare is real and it impacts nurses in ways that permeate the culture of healthcare. In the context of increasing social discourse about racism in healthcare, a group of nurses in British Columbia, Canada, felt a moral obligation to expose the social injustice of the systemic racism they had witnessed or experienced. They used film, an arts-based medium, as an innovative tool with the potential to reach an array of viewers, for this nurse activist project in anti-racist action. The creative process allowed for a racially diverse group of nurses to engage in meaningful dialogue about racism in healthcare. The purpose of this descriptive methodological article is to describe how a creative team of novice nurse filmmakers used the nursing process as a framework to carry this project from concept to execution. The stages described include the rationale for developing the film, the process of utilizing this as a means of nurse activism, and the value of using film as a strategy for social activism. Film was used to engage nurses and nursing students in anti-racist work that critically challenges the structural racism embedded in healthcare. We request that all readers view our film in conjunction with reading this article to best grasp how this article and the film complement one another because the film and article are intended to co-exist and not to exist in isolation from one another.
医疗保健中的种族主义是真实存在的,它以渗透到医疗保健文化中的方式影响护士。在关于医疗保健中的种族主义的社会讨论日益增多的背景下,加拿大不列颠哥伦比亚省的一群护士感到有道德义务揭露她们所目睹或经历的系统性种族主义的社会不公正。他们利用电影这种以艺术为基础的媒介,作为一种创新的工具,有可能接触到一系列的观众,用于这个反种族主义行动的护士活动家项目。这一创造性的过程使一群种族多样化的护士能够就医疗保健中的种族主义进行有意义的对话。这篇描述性方法学文章的目的是描述一个由新手护士电影制作人组成的创意团队如何将护理过程作为框架,将这个项目从概念到执行。所描述的阶段包括开发电影的基本原理,将其作为护士行动主义手段的过程,以及将电影作为社会行动主义策略的价值。电影被用来让护士和护生参与反种族主义的工作,批判性地挑战嵌入医疗保健中的结构性种族主义。我们要求所有读者在阅读这篇文章的同时观看我们的电影,以最好地理解这篇文章和电影是如何相互补充的,因为电影和文章的目的是共存,而不是彼此孤立存在。
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引用次数: 0
Problematizing transitions in relation to correctional centres for people living with HIV: Unpacking the taken for granted. 与艾滋病毒感染者惩教中心相关的过渡问题:拆解被视为理所当然的东西。
Pub Date : 2021-12-18 DOI: 10.25071/2291-5796.103
Morgan Wadams
Transitions into and out of correctional facilities for people living with HIV are a pivotal point in the HIV treatment cascade where adherence metrics are significantly affected. In this paper I use Alvesson and Sandberg’s problematization method of literature analysis to critique and understand the taken-for-granted assumptions underpinning how knowledge is generated within the intersecting fields of HIV, transitions, and corrections. Utilizing problematization, two assumptions underpinning knowledge generation are identified: the linearity of the HIV care continuum model and the tendency to create and perpetuate spatially segregating metaphors of transitions inside versus outside correctional facilities for people living with HIV. These assumptions are discussed in the context of how they shape dominant ways of thinking and practicing in the field. An alternative way to understand transitions for people living with HIV is proposed along with recommendations to guide the HIV care practices of nurses and other healthcare providers.
艾滋病毒感染者进出教养设施的过渡是艾滋病毒治疗级联中的关键一环,其依从性指标受到重大影响。在本文中,我使用Alvesson和Sandberg的文献分析问题化方法来批评和理解那些想当然的假设,这些假设支撑着知识是如何在HIV、过渡和纠正等交叉领域中产生的。利用问题化,确定了支持知识生成的两个假设:艾滋病毒护理连续模型的线性关系,以及为艾滋病毒感染者创造和延续空间隔离隐喻的趋势,即惩教设施内外的过渡。这些假设是在它们如何塑造该领域的主导思维和实践方式的背景下讨论的。本文提出了了解艾滋病毒感染者过渡的另一种方法,并提出了指导护士和其他医疗保健提供者的艾滋病毒护理实践的建议。
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引用次数: 0
Rhizomatic Assemblages: Connecting Climate Change to Nursing Action 根茎组合:将气候变化与护理行动联系起来
Pub Date : 2021-12-18 DOI: 10.25071/2291-5796.113
Lindsey Vold, M. Meszaros
Calls for nursing action to address climate change are resounding throughout the nursing community, yet many nurses feel ill-prepared to engage in climate action. As a collective practice discipline, we argue that nursings’ internalized a rigid view of what nursing is and, through self-disciplining practices, actively police our knowledge and practice to conform within a bounded domain that fails to view global issues, such as climate change, as being within the scope of nursing. To build nurses’ climate action capacity, we draw on Deleuze and Guarttari’s (1987) concept of rhizomatic assemblages to make an explicit connection between health and climate change, but also how climate action is a moral imperative in the scope of nursing education and practice. Using examples in the four domains of nursing - education, practice, research, and policy, we present how nurses can engage in coordinated and collaborative efforts both within and outside of ‘traditional’ nursing practice to address the connecting and complicated pathways of a changing climate. 
整个护理界都在呼吁采取护理行动应对气候变化,但许多护士觉得自己还没有做好参与气候行动的准备。作为一门集体实践学科,我们认为护理内化了一种关于护理是什么的僵化观点,并通过自律实践,积极地监督我们的知识和实践,使其符合一个有限的领域,而这个领域未能将全球问题(如气候变化)视为护理的范围。为了建立护士的气候行动能力,我们借鉴了德勒兹和瓜塔里(1987)的根状组合概念,明确了健康与气候变化之间的联系,以及气候行动如何成为护理教育和实践范围内的道德要求。通过护理教育、实践、研究和政策四个领域的例子,我们展示了护士如何在“传统”护理实践内外进行协调和合作,以解决气候变化的联系和复杂途径。
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引用次数: 2
期刊
Witness: The Canadian Journal of Critical Nursing Discourse
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