Nursing Inquiry最新文献

Kindness is frequently framed as an unassailable virtue, celebrated across social, professional and political domains as a simple and uncomplicated good. It is rarely problematised, and its assumed benefits are seldom interrogated, leaving kindness largely positioned as a self-evident moral imperative. In this paper, we adopt a Foucauldian lens, not to seek an essential definition of kindness, but to consider how it circulates and operates discursively, what effects it produces and what is surrendered in its performance. We position kindness as a discourse that does not merely encourage compassion or generosity but also regulate behaviour, shapes subjectivities and establishes boundaries around what may or may not be said. Through such mechanisms, the imperative to 'be kind' can act to silence resistance, temper critique and foster compliance, functioning as a subtle technology of governance. By problematising kindness in this way, we reveal how a practice so often presented as wholly benevolent can also operate as a powerful disciplinary force. We suggest that alternatives to the disciplinary framing of kindness may be found within First Nations knowledge systems, which offer different ways of understanding generosity and care beyond Western institutional logics. Our purpose is not to argue for the abandonment of kindness, but to highlight that it should not be accepted uncritically; its operations and consequences must be understood in order for it to be engaged ethically and politically.

A person-centred approach in healthcare has garnered increasing global attention and is promoted in research and by the WHO as an approach that holds potential for improving the quality of healthcare, patient safety and nurses' work environment. This, in turn, supports the recruitment and retention of nurses. This institutional ethnography is situated on a Danish University hospital where a person-centred approach is central to the hospitals' visions, goals and strategy in nursing practice. We explore the connections between institutional discourses and nurses' negotiations of meaning and identity and the implications for a person-centred approach. These connections often remain invisible until they are subjected to analysis. The study is based on participant observation, interviews with nurses and nurse managers and scrutiny of the fields' documents. Additionally, we conducted a series of co-creation workshops (WS) with nurses as co-researchers to facilitate critical reflection through joint analysis. The empirical material is analysed by the authors by using mapping and Bakhtin's concept of voice. This study sheds light on the multiple ways in which policy and institutional discourses constitute ruling relations that activate, mediate and coordinate nursing practice as institutional logics infuse nurses' person-centred, holistic voice. Thus, the study provides perspectives on how neoliberal efficiency discourses contribute to a cross-pressure affecting nurses' work environment, shaping their ability to engage in person-centred care and communication.

Through an in-depth examination of how male nurses experience and overcome gender-based challenges in Turkey, where traditional gender norms and patriarchal values influence social perceptions and professional roles, this study aimed to advance larger conversations on workplace equality. In this respect, a qualitative descriptive design was used to conduct semi-structured interviews with 10 male nurses. The findings showed that most participants selected nursing for job security and financial stability over a career in caregiving. Some nurses advanced faster due to their perceived male authority, even though they often face social skepticism, gender-based discrimination, and isolation at work. The conflict between social acceptance and professional advancement is brought on by these dynamics. To eliminate preconceptions and attain gender equality in nursing, this study highlights the need for inclusive policies and cultural change by examining the experiences of male nurses in a conservative setting where women predominate.

The NLN/Jeffries Simulation Theory (JST) occupies an important and debated position in nursing education. It is widely used for its practical value but often criticized for lacking theoretical clarity. Traditional evaluation methods rely on single theoretical perspectives and have not resolved this contradiction, leading to fragmented and incomplete assessments. This study presents a Human-AI collaborative framework for comprehensive meta-theoretical analysis and uses JST as a demonstration case. The framework is based on the concept of crystallization and combines evaluation criteria from Fawcett, Meleis, and Walker and Avant. Artificial intelligence is used to organize and systematically analyze complex and multidimensional theoretical evidence, while the human researcher performs interpretation and synthesis. The findings show that JST's lack of precision is not a weakness but a strength that allows it to function as a boundary object. It serves as a flexible structure that supports collaboration across nursing education, research, and practice. This study provides a practical and transparent model for using Human-Centered Artificial Intelligence in academic research. It shows how technological tools can augment rather than displace the critical, interpretive judgment of nursing scholars.

This study critically examines how home care nursing is constructed as a policy problem in the 2024 Danish Health Reform. Drawing on Bacchi's "What is the Problem Represented to be?" (WPR) framework, we analyze the reform document to uncover the discursive mechanisms through which home care nursing is problematized, framed, and governed. The analysis identifies four dominant problem representations: unequal access to care, fragmented patient trajectories, insufficient municipal competencies, and an overreliance on hospital-based services. These representations legitimize the centralization of healthcare governance and the transfer of specialized nursing tasks from municipalities to regions. In this framing, home care nursing is discursively positioned as "general" and less complex, despite its central role in coordinating care and managing chronic conditions. Silences regarding working conditions, patient experiences, and structural determinants of health further marginalize nursing expertise. The reform's framing produces discursive, subjectification, and lived effects that risk undermining care continuity and professional recognition. We argue that the reform reflects a technocratic logic that privileges specialization and structural reorganization, while neglecting the relational and contextual dimensions of nursing practice. This study contributes to critical nursing inquiry by highlighting the need for inclusive policy processes that recognize the complexity of home care nursing and the value of frontline professional knowledge.

Evaluating nurses' professionalism and the obstacles they face is crucial for enhancing healthcare quality and professional satisfaction. The identified challenges still appear to be similar on a global scale. The present cross-sectional study investigated nurses' challenges in meeting professional standards in tertiary healthcare and explored the link between nurses' values and the underlying reasons for these challenges. Data were collected from 500 nurses at a state university hospital using three tools: "Nurse Introduction Form" for sociodemographic and work-related information, "Professionalism Form" to assess understanding of professionalism criteria and barriers, and "Nurses' Professional Values Scale." Results show a positive relationship between the attainability of professional standards and values. The most significant obstacle hindering the achievement of professional standards is systemic. Nurses lack awareness of professional values and are dissatisfied with their profession, especially due to negative working conditions and low income. Due to a lack of authorization, nurses are often unable to provide services fully in line with professional standards. Additionally, this lack of authorization can lead to deviations from their defined job responsibilities. Nurses have limited autonomy and decision-making power despite prioritizing values like human dignity. Meeting professional standards is linked to strongly holding professional values. The relationships between negative factors and NPVS scores show how these issues shape nurses' perception of professionalism.

This study explores how internet memes serve as digital communication tools in public health discourse, influencing public perceptions by spreading both accurate and misleading health information. Utilizing a dual qualitative approach, Qualitative Content Analysis (QCA) and Reflexive Thematic Analysis (RTA), this study examined 99 vaccine-related memes shared online during the 2019 and 2025 measles outbreaks and the 2020 COVID-19 pandemic. QCA analyzed rhetorical tones (pathos, ethos, and logos) and vaccine stances (pro, anti, and neutral), while RTA identified key themes. Memes were sampled from Google Images using broad vaccine-related search terms (e.g., "vaccine meme," "vaccination meme"), allowing inclusion of memes related to a wide range of vaccine-preventable diseases rather than limiting the dataset to any single condition. While memes predominantly targeted emotional appeals (pathos), emergent themes include increased use of logical appeals (logos), political polarization, and anti-vaccine sentiments. Nurses and other public health communicators must counter misinformation and foster evidence-based dialogue to shape digital health literacy. Rhetorical patterns (e.g., humor, emotional resonance, and appeals to credibility) are communication strategies that transcend national boundaries. These findings, therefore, provide a foundation for understanding how similar dynamics might appear in other linguistic and cultural settings, while highlighting the need for ongoing research.

Imbued with historical, cultural, and social aspects, nurses' visibility and invisibility have often been studied in terms of their work. Based on the sociology of ignorance and the sociology of absences, our aim in this article is to shed light on how organizational processes can actively produce nurses' visibility or invisibility on care units. To this end, we conducted an exploratory qualitative study with 15 nurses in three tertiary care hospitals that are part of a large health and social services center in Quebec, Canada. The data collected through semi-structured interviews, nonparticipatory observations, and analyses of patient records were subjected to thematic analysis. Three themes were identified from the analysis: the context of nurses' visibility, the impact of organizational structure on nurses' visibility and invisibility, and visibility associated with the persistence of the traditional image of the nurse. Hence, these themes help illustrate how organizational processes favor visibility and invisibility, and the instrumentalization of nurses. This is important to highlight these processes and denounce them so that the legitimacy of nurses' epistemic and political positions in healthcare settings is better considered.

This article, [https://doi.org/10.1111/nin.12470, Thank you, Vanessa Van Bewer], was published due to a technical error and has been removed from Wiley Online Library. This notice will be updated shortly.