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

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Nurses Learning Our Way, From the Land, With the People 护士学习我们的方式,从土地,与人民
Pub Date : 2020-06-11 DOI: 10.25071/2291-5796.54
J. Fraser, Evelyn Voyageur, P. Willie, Patricia Woods, V. Dick, Kate Moynihan, Jennifer Spurr, Heather McAnsh, Cara Tilston, Heidi Deagle
The story of land-based immersion learning for nursing students in remote First Nations communities is told through the stories of ten authors. We represent a collaboration between First Nations Knowledge Keepers, nursing students, and nursing faculty. Our inquiry draws on Indigenous knowledge paradigms and research methodologies. Currently in the preliminary stages of gathering our findings, we are learning how transformation happens through culturally safe relationships and ethical learning spaces. We are learning that inquiry requires commitment, authenticity, and a respect for differences. Most importantly, we are learning that nurses need to uncover ingrained and colonized assumptions in order to imagine new possibilities for learning and inquiring with Indigenous people and communities. 
通过十位作者的故事,讲述了偏远的第一民族社区护理学生的陆上沉浸式学习的故事。我们代表了第一民族知识守护者,护理学生和护理教师之间的合作。我们的调查借鉴了本土知识范式和研究方法。目前,我们正处于收集研究结果的初步阶段,我们正在学习如何通过文化安全关系和道德学习空间实现转型。我们正在学习,探究需要承诺、真实和对差异的尊重。最重要的是,我们正在认识到,护士需要揭示根深蒂固和被殖民的假设,以便想象与土著人民和社区学习和询问的新可能性。
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引用次数: 0
Msit No'kmaq: An Exploration of Positionality and Identity in Indigenous Research No’kmaq先生:本土研究中的定位与认同探索
Pub Date : 2020-06-10 DOI: 10.25071/2291-5796.43
Erica Samms Hurley, M. Jackson
In this paper I explore the Mi’kmaq words Mist No’kmaq, which can be translated as ‘all my relations’. Msit No'kmaq is not only at the center of who I am as a person, but also who I am becoming as a researcher. Reflecting on how to honor all my relations within research, has allowed me to explore my beliefs about research, thereby developing a clear understanding of the purpose and intentions of engaging in Indigenous research. Rather than seeing researchers as insiders or outsiders within the context of Indigenous communities, I argue that it is important to engage in reflexive processes that make visible a researcher’s positionality and who they are and are becoming.   *Keywords: Identity, positionality, Indigenous research, relations, relational accountability
本文探讨了米克马克语中的Mist No ' kmaq,它可以翻译为“我的所有关系”。No’kmaq先生不仅是我作为一个人的核心,也是我作为一名研究人员的核心。反思如何尊重我在研究中的所有关系,使我能够探索我对研究的信念,从而对从事土著研究的目的和意图有了清晰的理解。我认为,与其将研究人员视为土著社区背景下的局内人或局外人,重要的是要参与反射过程,使研究人员的地位以及他们是谁和正在成为谁可见。关键词:认同、定位、本土研究、关系、关系问责
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引用次数: 7
Bearing Witness to Indigenous Health Nursing 土著保健护理的见证
Pub Date : 2020-06-03 DOI: 10.25071/2291-5796.70
R. Lisa Bourque Bearskin, A. Kennedy, C. Joseph
We acknowledge the traditional lands where this journal’s special issue “ Nīpawīstimatowin - “Bearing Witness for One Another” is published, on the unceded traditional territories of Anishinabek Nation, the Haudenosaunee Confederacy and the Huron-Wendat peoples. This territory is subject of the Dish with One Spoon Wampum Belt Covenant, an agreement between the Anishnabek and Haudenosaunee to peaceably share and care for the Great Lakes region.
我们承认,本刊特刊“互相见证”的传统土地是在阿尼什纳别克族、豪德诺苏尼邦联和休伦-温达特族未被割让的传统领土上出版的。这片领土是“一勺一碟”Wampum腰带契约的主体,这是Anishnabek族和Haudenosaunee族之间的一项协议,旨在和平地分享和照顾大湖地区。
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引用次数: 4
L’ Expression de la sexualité de patients masculins en milieux de psychiatrie légale 在法医精神病学环境中男性病人的性表达
Pub Date : 2020-02-10 DOI: 10.25071/2291-5796.78
Myriam Kaszap, D. Holmes
La situation actuelle en milieux de psychiatrie légale ne permet pas aux patients d’exprimer pleinement leur sexualité durant leur hospitalisation. Dans certains cas, les relations sexuelles sont tout simplement interdites. Non seulement, les politiques institutionnelles en place briment, en partie, les personnes dans l’exercice de leurs droits fondamentaux elles manquent aussi de clarté au regard de la façon dont le personnel infirmier devrait gérer les besoins des patients. Une étude ethnographique critique a été conduite dans un centre de psychiatrie légale canadien. La collecte de données a inclus des entrevues semi-structurées, la collecte de documents institutionnels et l’observation du milieu. Nos résultats s’articulent autour de trois thèmes: situer la sexualité en contexte médico-légal, faire l’expérience de la sexualité en tant que patient et gouverner la sexualité des patients. Les données récoltées permettent de constater que ces discours façonnent les croyances et les actions des patients, des infirmières et des autres professionnels tels que les psychiatres, les éducateurs et les psychologues.
目前合法精神病学环境的情况不允许病人在住院期间充分表达他们的性取向。在某些情况下,性行为是被禁止的。现有的制度政策不仅在一定程度上限制了人们行使其基本权利,而且在护理人员应如何管理病人的需求方面也缺乏明确。在加拿大法医精神病学中心进行了一项关键的民族志研究。数据收集包括半结构化访谈、机构文件收集和环境观察。我们的研究结果围绕三个主题展开:将性置于医学法律背景下,作为病人体验性行为,以及管理病人的性行为。数据表明,这些话语塑造了患者、护士和其他专业人士(如精神病学家、教育工作者和心理学家)的信念和行动。
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引用次数: 1
The Feminization of Poverty 贫穷的女性化
Pub Date : 2019-06-30 DOI: 10.25071/2291-5796.6
Cassandra Lauren Melo
Poverty among women and girls remains a prevalent social justice and health issue that stunts the life potential and freedom of females throughout the globe.  Through referencing four published articles, this text explores the incidence of poverty among women and girls due to gender discrimination, sexist ideologies and practices, and oppression on the basis of gender.  Due to the presence of mechanisms that disproportionately generate poverty among females, many girls and women are automatically confined to a life that uniquely strips them of their inherent rights to dictate their future, and are instead forced into a life of perpetual suffering, violence, social exclusion, and ultimately, impoverishment.  Examining this issue from a feminist lens is imperative in understanding the inner complexities of how women and girls in different areas of the world experience disadvantages on the basis of gender, especially from a social, political, cultural, and economic perspective.  This can allow healthcare providers, such as nurses, to be able to examine such issues from a critical thinking lens, and become increasingly politically active and involved in female advocacy efforts and policy reform.  Through nurses becoming increasingly involved in such efforts, dramatic positive change in the lives of women and girls throughout the globe can occur.
妇女和女孩的贫穷仍然是一个普遍的社会正义和健康问题,阻碍了全球妇女的生活潜力和自由。通过参考四篇已发表的文章,本文探讨了由于性别歧视、性别歧视的意识形态和实践以及基于性别的压迫而导致的妇女和女孩贫困的发生率。由于存在导致女性过度贫困的机制,许多女孩和妇女自然而然地被限制在一种生活中,这种生活剥夺了她们决定自己未来的固有权利,而是被迫生活在永远痛苦、暴力、社会排斥和最终贫困的生活中。从女权主义的角度审视这个问题,对于理解世界不同地区的妇女和女孩如何在性别基础上经历不利因素的内在复杂性,特别是从社会、政治、文化和经济的角度来看,是必不可少的。这可以使保健提供者,如护士,能够从批判性思维的角度审视这些问题,并在政治上越来越活跃,参与妇女宣传工作和政策改革。通过护士越来越多地参与这些努力,全球各地妇女和女孩的生活就能发生巨大的积极变化。
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引用次数: 1
Rethinking the social role of nursing through the work of Donzelot and Foucault   通过东泽洛和福柯的工作重新思考护理的社会角色
Pub Date : 2019-06-30 DOI: 10.25071/2291-5796.23
Evy Nazon, A. Peron, Thomas Foth
The history of nursing is often perceived as the history of a profession with charitable and philanthropic objectives of helping others live a healthy life. Many historians have celebrated the major role played by charitable women in nursing. Moving beyond this charitable and dedicated image of nurses, we argue that nursing, through “the social,” became a pivotal component of the governance of the everyday lives of populations. As such, nursing became part of the evolving idea that all areas of life must be managed through a process of normalization that seeks to maximize the life of both the individual and the population. Populations thus became the focus of governmental projects. Jacques Donzelot’s notion of invention of the social and Michel Foucault’s concept of govenmentality make possible a reassessment of the conventional image of nurses, and in particular, that of charitable nurses.
护理的历史通常被认为是一个以慈善和慈善为目标的职业的历史,帮助他人过上健康的生活。许多历史学家都赞扬了慈善女性在护理中发挥的重要作用。超越护士的慈善和奉献形象,我们认为,护理,通过“社会”,成为人口日常生活治理的关键组成部分。因此,护理成为不断发展的理念的一部分,即生活的所有领域都必须通过一个正常化的过程来管理,以最大限度地提高个人和群体的寿命。因此,人口成为政府项目的重点。雅克·东泽洛的社会发明概念和米歇尔·福柯的治理概念使得重新评估护士的传统形象,特别是慈善护士的形象成为可能。
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引用次数: 2
Applying Feminist Poststructuralism as a Framework for Exploring Infant Feeding Interactions in the Neonatal Intensive Care Unit 应用女性主义后结构主义作为探索新生儿重症监护室婴儿喂养互动的框架
Pub Date : 2019-06-30 DOI: 10.25071/2291-5796.12
Jacqueline Elizabeth van Wijlen, M. Aston
Childbearing/rearing families in Canada face a variety of conflicting discourses related to infant feeding, entrenched in a complex web of gendered, social, institutional and political discourses. For parents of preterm and/or critically ill infants, this area remains largely under-explored through a feminist lens. We offer a critical examination of the applicability of feminist poststructuralism (FPS) as a theory to explore infant feeding interactions in the neonatal intensive care unit (NICU). Scholarly literature from diverse perspectives, including nursing, healthcare, gender studies, and social sciences is critiqued and the use of FPS as a guiding framework for nursing research and praxis is discussed. We discuss FPS and the relevance of various discourses to explore the phenomenon of infant feeding interactions in the NICU. Ultimately, we propose that FPS does offer a relevant lens through which to critically examine infant feeding interactions and bring voice to the complex processes embedded in the NICU.
加拿大的生育/抚养家庭面临着与婴儿喂养有关的各种相互冲突的话语,这些话语根深蒂固地存在于性别、社会、制度和政治话语的复杂网络中。对于早产儿和/或危重婴儿的父母来说,从女权主义的角度来看,这一领域仍未得到充分的探索。我们对女性主义后结构主义(FPS)作为一种理论在新生儿重症监护病房(NICU)中探索婴儿喂养互动的适用性进行了批判性检查。从不同的角度,包括护理,医疗保健,性别研究和社会科学的学术文献进行了批评,并使用FPS作为护理研究和实践的指导框架进行了讨论。我们讨论FPS和各种话语的相关性,以探讨新生儿重症监护室婴儿喂养互动现象。最后,我们建议FPS确实提供了一个相关的镜头,通过它可以批判性地检查婴儿喂养相互作用,并为NICU中嵌入的复杂过程提供声音。
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引用次数: 3
The Indispensability of Critique: Reflections on Bearing Witness to Mental Health Discourse 批判的不可或缺:对心理健康话语见证的思考
Pub Date : 2019-06-30 DOI: 10.25071/2291-5796.18
Simon Adam, C. V. Daalen-Smith, Linda Juergensen
Reflecting on two mental health examples from our practice, we demonstrate how in the instances that critique is absent, the results can be catastrophic. Drawing on Foucauldian theory, we propose the idea of critique, known as the vigilant tempering of governance (or the ‘conduct of conduct’). We advance that critique is an indispensable health resource for the practicing mental health nurse and for nursing more broadly, without which nursing risks participating in the reproduction of hegemonic discourses and practices. Critique, in this paper, is theorized as a tool to be included in the nurse’s repertoire, that which can unlock a variety of ontological and epistemological possibilities. We discuss some reasons why nursing critique is constrained and offer questions for further reflection and critical consideration.
从我们的实践中反思两个心理健康的例子,我们证明了在没有批评的情况下,结果可能是灾难性的。根据福柯的理论,我们提出了批判的概念,即治理的警惕调节(或“行为的行为”)。我们提出,批评是一个不可缺少的健康资源,为实践心理健康护士和护理更广泛,没有它的护理风险参与霸权话语和实践的再生产。在本文中,批判被理论化为一种工具,可以包括在护士的曲目中,这可以解开各种本体论和认识论的可能性。我们讨论了护理批评受到限制的一些原因,并提出了进一步反思和批判性考虑的问题。
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引用次数: 1
Gender-Based Expectations and their Effect on Mental Health Amongst Black African Immigrant Young Men Living in Canada 性别期望及其对加拿大非洲黑人青年移民心理健康的影响
Pub Date : 2019-06-30 DOI: 10.25071/2291-5796.16
Omolola Olawo
Black African immigrant men’s mental health is relatively understudied. This article is part of a larger study that explored the perceptions of mental health amongst African immigrant youth living in Canada. Using an interpretive description methodology, underpinned by an intersectional and critical lens, this article addresses racial, societal, and cultural expectations that could have an effect on Black African immigrant men’s mental health. Eight men and women who self-identified as Black African immigrants between the ages of 18 and 25 participated in the overall study, while five participants contributed the data for this article. Masculinity as a determinant of health, the resilience of African men, and the intersections of identity and vulnerability are discussed. It is concluded that the stigma surrounding Black African men speaking out about their mental health warrants a deeper examination in relation to their mental health outcomes. Areas of further inquiry include exploring mental health service utilization amongst Black African immigrant men.
非洲黑人移民男性的心理健康研究相对不足。本文是一项大型研究的一部分,该研究探讨了生活在加拿大的非洲移民青年对心理健康的看法。本文采用一种解释性描述方法,以交叉和批判的视角为基础,阐述了可能对非洲黑人移民男性心理健康产生影响的种族、社会和文化期望。八名年龄在18岁到25岁之间、自称为非洲黑人移民的男女参与了整个研究,其中五名参与者为本文提供了数据。阳刚之气作为健康的决定因素,非洲男子的恢复力,以及身份和脆弱性的交叉点进行了讨论。结论是,围绕非洲黑人男子公开谈论其心理健康的污名值得对其心理健康结果进行更深入的调查。进一步调查的领域包括探讨非洲黑人移民男子对精神卫生服务的利用情况。
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引用次数: 2
HIV PEP and Nursing Scholarship: A Review of Critical Theory and Social Justice HIV PEP与护理奖学金:批判理论与社会正义的回顾
Pub Date : 2019-06-30 DOI: 10.25071/2291-5796.20
P. O’Byrne
Research studies are not often considered a form of social justice. However, I put forward an example herein about how I used a grant to provide nursing care to patients who could not otherwise afford the required medication. Specifically, this was the provision of HIV medications in the form of post-exposure prophylaxis (PEP). In doing this, I attempted to use my position as a nurse researcher to address a social justice issue (i.e., the inaccessibility of PEP for those with lower socioeconomic status) and to concurrently alleviate moral distress among the nurses who provide care to these patients. After presenting this project, I reflect on how this helps us reframe nursing scholarship and critical theory. In short, I argue that we need broader defintions of both, so as to better capture what nurses do and to use our positions for social betterment. 
研究通常不被认为是社会正义的一种形式。然而,我在这里举了一个例子,关于我如何使用一笔赠款为那些负担不起所需药物的病人提供护理。具体来说,这是以暴露后预防(PEP)的形式提供艾滋病毒药物。在这样做的过程中,我试图利用我作为护士研究员的地位来解决社会正义问题(即,那些社会经济地位较低的人无法获得PEP),同时减轻护理这些病人的护士的道德困境。在展示了这个项目之后,我反思了这如何帮助我们重新构建护理学术和批判理论。简而言之,我认为我们需要更广泛的定义,以便更好地了解护士的工作,并利用我们的地位来改善社会。
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引用次数: 3
期刊
Witness: The Canadian Journal of Critical Nursing Discourse
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