Pub Date : 2023-04-01DOI: 10.1097/ANS.0000000000000451
Shawn M Kneipp, Mary K Canales, Denise J Drevdahl
Critical social scholarship highlights the power philanthropic foundations wield on the collective agency of groups, yet analyses specific to nursing are absent in the literature. In this second of a 2-part series, we employed critical discourse analysis to examine how control of enunciative privilege in Robert Wood Johnson Foundation's (RWJF) 2010 and 2020-2030 Future of Nursing (FON) initiatives challenge nursing's ability to enact its collective agency, particularly through professional nursing organizations. Findings are discussed within the context of nursing's self-regulatory privileges, history, and agentic obligations that are bestowed on the discipline by the greater public for the public good.
{"title":"Philanthropic Foundations' Discourse and Nursing's Future: Part II: A Critical Discourse Analysis of RWJF Future of Nursing Initiatives.","authors":"Shawn M Kneipp, Mary K Canales, Denise J Drevdahl","doi":"10.1097/ANS.0000000000000451","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000451","url":null,"abstract":"<p><p>Critical social scholarship highlights the power philanthropic foundations wield on the collective agency of groups, yet analyses specific to nursing are absent in the literature. In this second of a 2-part series, we employed critical discourse analysis to examine how control of enunciative privilege in Robert Wood Johnson Foundation's (RWJF) 2010 and 2020-2030 Future of Nursing (FON) initiatives challenge nursing's ability to enact its collective agency, particularly through professional nursing organizations. Findings are discussed within the context of nursing's self-regulatory privileges, history, and agentic obligations that are bestowed on the discipline by the greater public for the public good.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":"46 2","pages":"169-187"},"PeriodicalIF":1.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9553111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01Epub Date: 2023-02-06DOI: 10.1097/ANS.0000000000000487
Marlaine C Smith, Sean M Reed
Touch has been linked empirically to healing outcomes; therefore, developing theories about the dynamics between touch and healing is important for nursing. A practice-based theory is described within a Unitary Science perspective emerging from the findings of a qualitative descriptive study of the experiences of persons with advanced cancer receiving touch (massage and simple touch) during hospice care. Seventeen participants were interviewed. Through content analysis and retroductive constructivist theory development, healing through touch was described as a dynamic process cocreated by healer and healee, characterized by the simultaneous activities of sensing , reflecting , and connecting . Interpretation of findings from a unitary lens led to an overarching theme of touch as sanctuary and explication of theoretical alignment with the concepts of wholeness, awareness, and presence.
{"title":"A Unitary Theory of Healing Through Touch.","authors":"Marlaine C Smith, Sean M Reed","doi":"10.1097/ANS.0000000000000487","DOIUrl":"10.1097/ANS.0000000000000487","url":null,"abstract":"<p><p>Touch has been linked empirically to healing outcomes; therefore, developing theories about the dynamics between touch and healing is important for nursing. A practice-based theory is described within a Unitary Science perspective emerging from the findings of a qualitative descriptive study of the experiences of persons with advanced cancer receiving touch (massage and simple touch) during hospice care. Seventeen participants were interviewed. Through content analysis and retroductive constructivist theory development, healing through touch was described as a dynamic process cocreated by healer and healee, characterized by the simultaneous activities of sensing , reflecting , and connecting . Interpretation of findings from a unitary lens led to an overarching theme of touch as sanctuary and explication of theoretical alignment with the concepts of wholeness, awareness, and presence.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":"46 2","pages":"219-232"},"PeriodicalIF":1.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10159877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9500192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1097/ANS.0000000000000440
Caitlin M Nye, Ellinor Tengelin, Darryl Somayaji
In this article, we explore the core concepts of norm-critical pedagogy developed in Sweden and only recently applied to nursing education praxis. These concepts, norms, power , and othering , are defined and demonstrated with exemplars from recent nursing education research. The theoretical model illustrates the ways in which these elements articulate in relationship to each other in nursing education praxis in ways that are dynamic, interlocking-like the gears of a clock-and resistant to interruption. We discuss the potential of a structurally oriented critical reflexivity-an equal and opposite force to the motion of the gears-to interrupt their motion.
{"title":"Developing a Theory of Norm-Criticism in Nursing Education.","authors":"Caitlin M Nye, Ellinor Tengelin, Darryl Somayaji","doi":"10.1097/ANS.0000000000000440","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000440","url":null,"abstract":"<p><p>In this article, we explore the core concepts of norm-critical pedagogy developed in Sweden and only recently applied to nursing education praxis. These concepts, norms, power , and othering , are defined and demonstrated with exemplars from recent nursing education research. The theoretical model illustrates the ways in which these elements articulate in relationship to each other in nursing education praxis in ways that are dynamic, interlocking-like the gears of a clock-and resistant to interruption. We discuss the potential of a structurally oriented critical reflexivity-an equal and opposite force to the motion of the gears-to interrupt their motion.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":"46 2","pages":"E66-E79"},"PeriodicalIF":1.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9500096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1097/ANS.0000000000000442
Katerina Melino, Joanne Olson, Carla Hilario
Structural competency is a concept that offers a way to understand and respond to health inequities and work toward antiracism in health care. This article undertakes a concept analysis of structural competency using Rodgers' evolutionary method. Based on this analysis, structural competency refers to the ability to recognize and act on structural inequities, skill development, multidisciplinary collaboration, and the reproduction of inequity over time. The meanings and use of this concept differ among disciplines. Multidisciplinary applications of structural competency offer insight into how this concept can foster health equity and antiracism in nursing care, education, research, and health services delivery.
{"title":"A Concept Analysis of Structural Competency.","authors":"Katerina Melino, Joanne Olson, Carla Hilario","doi":"10.1097/ANS.0000000000000442","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000442","url":null,"abstract":"<p><p>Structural competency is a concept that offers a way to understand and respond to health inequities and work toward antiracism in health care. This article undertakes a concept analysis of structural competency using Rodgers' evolutionary method. Based on this analysis, structural competency refers to the ability to recognize and act on structural inequities, skill development, multidisciplinary collaboration, and the reproduction of inequity over time. The meanings and use of this concept differ among disciplines. Multidisciplinary applications of structural competency offer insight into how this concept can foster health equity and antiracism in nursing care, education, research, and health services delivery.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":"46 2","pages":"188-198"},"PeriodicalIF":1.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a2/e5/ains-46-188.PMC10153664.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9854842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1097/ANS.0000000000000470
Holly Wei, Zula Price, Kara Evans, Amanda Haberstroh, Vicki Hines-Martin, Candace C Harrington
This article summarizes the current state of nurses' implicit bias and discusses the phenomenon from Levinas' face of the Other and ethics of belonging, Watson's human caring and unitary caring science, and Chinn's peace and power theory. Nurses' implicit bias is a global issue; the primary sources of nurses' implicit bias include race/ethnicity, sexuality, health conditions, age, mental health status, and substance use disorders. The current research stays at the descriptive level and addresses implicit bias at the individual level. This article invites nurses to go beyond "the face of the Other" and revisit the ethics of belonging and power.
{"title":"The State of the Science of Nurses' Implicit Bias: A Call to Go Beyond the Face of the Other and Revisit the Ethics of Belonging and Power.","authors":"Holly Wei, Zula Price, Kara Evans, Amanda Haberstroh, Vicki Hines-Martin, Candace C Harrington","doi":"10.1097/ANS.0000000000000470","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000470","url":null,"abstract":"<p><p>This article summarizes the current state of nurses' implicit bias and discusses the phenomenon from Levinas' face of the Other and ethics of belonging, Watson's human caring and unitary caring science, and Chinn's peace and power theory. Nurses' implicit bias is a global issue; the primary sources of nurses' implicit bias include race/ethnicity, sexuality, health conditions, age, mental health status, and substance use disorders. The current research stays at the descriptive level and addresses implicit bias at the individual level. This article invites nurses to go beyond \"the face of the Other\" and revisit the ethics of belonging and power.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":"46 2","pages":"121-136"},"PeriodicalIF":1.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9501063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1097/ANS.0000000000000494
{"title":"From the Editor.","authors":"","doi":"10.1097/ANS.0000000000000494","DOIUrl":"10.1097/ANS.0000000000000494","url":null,"abstract":"","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":"46 2","pages":"119-120"},"PeriodicalIF":1.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9398959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1097/ANS.0000000000000502
{"title":"The State of the Science of Nurses' Implicit Bias: A Call to Go Beyond the Face of the Other and Revisit the Ethic of Belonging and Power.","authors":"","doi":"10.1097/ANS.0000000000000502","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000502","url":null,"abstract":"","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":"46 2","pages":"E80"},"PeriodicalIF":1.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9502150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1097/ANS.0000000000000438
Charlotte Handberg, Lene Seibæk, Sally Thorne, Kirsten Beedholm
Striving for normalcy plays an important role in patients' quality of life and illness experience. Normalcy is a powerful and complex idea, and the term can be used intentionally or unintentionally to various effects. We aimed to raise awareness of the complexity of this idea of normalcy and thus promote a more critically reflective understanding among nurses and other health professionals. By raising questions about how we use normalcy in our discourses and the potential impact that our professionally socialized interpretations of what constitutes normal might have on patient experience, we can encourage nurses and other health professionals to develop an intellectual curiosity about how the idea of normalcy works, and to be more critically reflective about how they integrate normalcy language into their practices and patient-centered communications. By unpacking the ideas that normal is always a good thing in the context of patient experience, and that normalizing can neutralize that which is bad in the health care world, we can qualify the language used and the metamessages conveyed for the ultimate benefit of patients.
{"title":"Reflections on the Complexity of Normalcy in Nursing and Health Care.","authors":"Charlotte Handberg, Lene Seibæk, Sally Thorne, Kirsten Beedholm","doi":"10.1097/ANS.0000000000000438","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000438","url":null,"abstract":"<p><p>Striving for normalcy plays an important role in patients' quality of life and illness experience. Normalcy is a powerful and complex idea, and the term can be used intentionally or unintentionally to various effects. We aimed to raise awareness of the complexity of this idea of normalcy and thus promote a more critically reflective understanding among nurses and other health professionals. By raising questions about how we use normalcy in our discourses and the potential impact that our professionally socialized interpretations of what constitutes normal might have on patient experience, we can encourage nurses and other health professionals to develop an intellectual curiosity about how the idea of normalcy works, and to be more critically reflective about how they integrate normalcy language into their practices and patient-centered communications. By unpacking the ideas that normal is always a good thing in the context of patient experience, and that normalizing can neutralize that which is bad in the health care world, we can qualify the language used and the metamessages conveyed for the ultimate benefit of patients.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":"46 2","pages":"210-218"},"PeriodicalIF":1.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9499162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1097/ANS.0000000000000452
Nadeen Sami Alshakhshir, Kathleen Montgomery
This integrative review was conducted to determine the current state of science in understanding the process of awakening the spiritual self/identity among adolescents with cancer. Twenty-six studies were included in the data synthesis. Six major themes were identified: recounting rough spots of the cancer experience, the spiritual self/identity, nurturing the spiritual self/identity, affirming values and beliefs, abiding resilience and transcendence, and portraying the cancer experience. Findings offer increased understanding of the process of awakening the spiritual self/identity among adolescents with cancer that can guide spiritual nursing practice and inform future research including the development of spiritual care interventions.
{"title":"An Integrated Literature Review Revealing the Process of Awakening the Spiritual Self/Identity Among Adolescents With Cancer.","authors":"Nadeen Sami Alshakhshir, Kathleen Montgomery","doi":"10.1097/ANS.0000000000000452","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000452","url":null,"abstract":"<p><p>This integrative review was conducted to determine the current state of science in understanding the process of awakening the spiritual self/identity among adolescents with cancer. Twenty-six studies were included in the data synthesis. Six major themes were identified: recounting rough spots of the cancer experience, the spiritual self/identity, nurturing the spiritual self/identity, affirming values and beliefs, abiding resilience and transcendence, and portraying the cancer experience. Findings offer increased understanding of the process of awakening the spiritual self/identity among adolescents with cancer that can guide spiritual nursing practice and inform future research including the development of spiritual care interventions.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":"46 2","pages":"E44-E65"},"PeriodicalIF":1.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9870550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1097/ANS.0000000000000450
Shawn M Kneipp, Denise J Drevdahl, Mary K Canales
In this article, we examine external agents' effect on nursing's professional evolution and the consequences for the discipline's collective agency, social contract, and self-regulation. Situated within Foucault's theories of power, we review how the power of organizations reaches into the fabric of everyday life and explore how philanthropic foundations have influenced a diverse array of disciplines, including nursing. Through a genealogic lens, we examine nursing history and professionalization and conclude with concerns surrounding nursing's exercise of its collective agency during one of the most significant, discipline-shaping activities of modern times-Robert Wood Johnson Foundation's Future of Nursing initiatives.
{"title":"Philanthropic Foundations' Discourse and Nursing's Future: Part I: History and Agency.","authors":"Shawn M Kneipp, Denise J Drevdahl, Mary K Canales","doi":"10.1097/ANS.0000000000000450","DOIUrl":"https://doi.org/10.1097/ANS.0000000000000450","url":null,"abstract":"<p><p>In this article, we examine external agents' effect on nursing's professional evolution and the consequences for the discipline's collective agency, social contract, and self-regulation. Situated within Foucault's theories of power, we review how the power of organizations reaches into the fabric of everyday life and explore how philanthropic foundations have influenced a diverse array of disciplines, including nursing. Through a genealogic lens, we examine nursing history and professionalization and conclude with concerns surrounding nursing's exercise of its collective agency during one of the most significant, discipline-shaping activities of modern times-Robert Wood Johnson Foundation's Future of Nursing initiatives.</p>","PeriodicalId":50857,"journal":{"name":"Advances in Nursing Science","volume":"46 2","pages":"158-168"},"PeriodicalIF":1.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9499176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}