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.
{"title":"Developing Nursing Geography with an Ecological Lens","authors":"Alysha Jones, Jacqueline Avantay Strus","doi":"10.25071/2291-5796.135","DOIUrl":"https://doi.org/10.25071/2291-5796.135","url":null,"abstract":"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.","PeriodicalId":354700,"journal":{"name":"Witness: The Canadian Journal of Critical Nursing Discourse","volume":"155 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129166545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Remembering Dr. Benita Cohen: A tribute to a life well-lived","authors":"Cheryl Cusack, Annette Schultz, L. Scruby, N. Dyck, Donna E. Martin, Claire Betker, Cheryl Van Daalen-Smith","doi":"10.25071/2291-5796.134","DOIUrl":"https://doi.org/10.25071/2291-5796.134","url":null,"abstract":"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.\u0000 ","PeriodicalId":354700,"journal":{"name":"Witness: The Canadian Journal of Critical Nursing Discourse","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121533920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Twenty-three accounts of reproductive injustice in Canada: Stories for nurses to know","authors":"M. Lebold, Judith A MacDonnell","doi":"10.25071/2291-5796.143","DOIUrl":"https://doi.org/10.25071/2291-5796.143","url":null,"abstract":"","PeriodicalId":354700,"journal":{"name":"Witness: The Canadian Journal of Critical Nursing Discourse","volume":"275 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133103871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Health Inequities and Moral Distress Among Community Health Nurses During the COVID-19 Pandemic","authors":"Catherine Baxter, R. Schofield, Claire Betker, Genevieve Currie, F. Filion, Patti Gauley, May Tao, Mary-Ann Taylor","doi":"10.25071/2291-5796.137","DOIUrl":"https://doi.org/10.25071/2291-5796.137","url":null,"abstract":" 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.\u0000 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.\u0000 \u0000 ","PeriodicalId":354700,"journal":{"name":"Witness: The Canadian Journal of Critical Nursing Discourse","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128024001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"One country, two education models: exploring the pedagogical approaches to training undergraduate nurses for mental health care in Canada","authors":"J. Jackson, L. Molloy","doi":"10.25071/2291-5796.116","DOIUrl":"https://doi.org/10.25071/2291-5796.116","url":null,"abstract":"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.","PeriodicalId":354700,"journal":{"name":"Witness: The Canadian Journal of Critical Nursing Discourse","volume":"11 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116794201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Non-State Torture of Women: Reclaiming Their Human Right","authors":"J. Sarson, Linda MacDonald","doi":"10.25071/2291-5796.121","DOIUrl":"https://doi.org/10.25071/2291-5796.121","url":null,"abstract":"","PeriodicalId":354700,"journal":{"name":"Witness: The Canadian Journal of Critical Nursing Discourse","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121861810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Critical Posthuman Nursing Care","authors":"Jane Hopkins Walsh, Jessica Dillard-Wright, Brandon Brown, Jamie Smith, Eva-Maria Willis","doi":"10.25071/2291-5796.126","DOIUrl":"https://doi.org/10.25071/2291-5796.126","url":null,"abstract":"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.","PeriodicalId":354700,"journal":{"name":"Witness: The Canadian Journal of Critical Nursing Discourse","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126826804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Hearing Our Voices: A Descriptive Process of Using Film for Anti-racist Action in Nursing","authors":"Michelle C. Danda, Claire Pitcher, J. Key","doi":"10.25071/2291-5796.122","DOIUrl":"https://doi.org/10.25071/2291-5796.122","url":null,"abstract":"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.","PeriodicalId":354700,"journal":{"name":"Witness: The Canadian Journal of Critical Nursing Discourse","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125086349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Problematizing transitions in relation to correctional centres for people living with HIV: Unpacking the taken for granted.","authors":"Morgan Wadams","doi":"10.25071/2291-5796.103","DOIUrl":"https://doi.org/10.25071/2291-5796.103","url":null,"abstract":"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.","PeriodicalId":354700,"journal":{"name":"Witness: The Canadian Journal of Critical Nursing Discourse","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127607903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Rhizomatic Assemblages: Connecting Climate Change to Nursing Action","authors":"Lindsey Vold, M. Meszaros","doi":"10.25071/2291-5796.113","DOIUrl":"https://doi.org/10.25071/2291-5796.113","url":null,"abstract":"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. ","PeriodicalId":354700,"journal":{"name":"Witness: The Canadian Journal of Critical Nursing Discourse","volume":"588 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123938801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}