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Moving beyond the virtue script in nursing : Creating a knowledge-based identity for nurses

In Sioban Nelson & Suzanne Gordon (eds.), The Complexities of Care: Nursing Reconsidered. Cornell University Press (2006)

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  1. Nursing and competencies — a natural fit: the politics of skill /competency formation in nursing.Carol Windsor, Clint Douglas & Theresa Harvey - 2012 - Nursing Inquiry 19 (3):213-222.
    WINDSOR C, DOUGLAS C and HARVEY T. Nursing Inquiry 2012; 19: 213–222 Nursing and competencies — a natural fit: the politics of skill/competency formation in nursingThe last two decades have seen a significant restructuring of work across Australia and other industrialised economies, a critical part of which has been the appearance of competency based education and assessment. The competency movement is about creating a more flexible and mobile labour force to increase productivity and it does so by redefining work as (...)
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  • Games, civil war and mutiny: metaphors of conflict for the nurse–doctor relationship in medical television programmes.Roslyn Weaver - 2013 - Nursing Inquiry 20 (4):280-292.
    Metaphors of medicine are common, such as war, which is evident in much of our language about health‐care where patients and healthcare professionals fight disease, or the game, which is one way to frame the nurse–doctor professional relationship. This study analyses six pilot episodes of American (Grey's Anatomy, Hawthorne, Mercy, Nurse Jackie) and Australian (All Saints, RAN) medical television programmes premiering between 1998 and 2009 to assess one way that our contemporary culture understands and constructs professional relationships between nurses and (...)
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  • Making A Career: Reproducing Gender within a Predominately Female Profession.Latonya J. Trotter - 2017 - Gender and Society 31 (4):503-525.
    In this study, I apply the perspective of gendered organizations to nursing and use ethnographically informed career biographies of nurse practitioners, a subset of highly credentialed nurses, to investigate the reproduction of gender by inclusionary institutional practices. My findings illustrate how nursing’s historically subordinate position as a female profession has led to institutional arrangements and aspirational resources for contemporary careers. Features such as flexible educational institutions and an extended credentials ladder allow women to recast structural constraints into individual possibilities. This (...)
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  • Empathy, caring and compassion: Toward a Freudian critique of nursing work.Michael Traynor - 2023 - Nursing Philosophy 24 (1):e12399.
    The aim of this paper is to summarize key psychoanalytic concepts first developed by Sigmund Freud and apply them to a critical exploration of three terms that are central to nursing's self‐image—empathy, caring, and compassion. Looking to Menzies‐Lyth's work, I suggest that the nurse's strong identification as a carer can be understood as a fantasy of being the one who is cared for; critiques by Freud and others of empathy point to the possibility of it being, in reality, a form (...)
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  • Five pathways into one profession: Fifty years of debate on differentiated nursing practice.Hugo Schalkwijk, Martijn Felder, Pieterbas Lalleman, Manon S. Parry, Lisette Schoonhoven & Iris Wallenburg - forthcoming - Nursing Inquiry:e12631.
    The persistence of multiple educational pathways into the nursing profession continues to occupy scholars internationally. In the Netherlands, various groups within the Dutch healthcare sector have tried to differentiate nursing practice on the basis of educational backgrounds for over 50 years. Proponents argue that such reforms are needed to retain bachelor‐trained nurses, improve quality of care and strengthen nurses' position in the sector. Opponents have actively resisted reforms because they would mainly benefit bachelor‐trained nurses and neglect practical experience and technical (...)
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  • Reframing caring as discursive practice: a critical review of conceptual analyses of caring in nursing.Andrew Sargent - 2012 - Nursing Inquiry 19 (2):134-143.
    SARGENT A. Nursing Inquiry 2012; 19: 134–143 [Epub ahead of print]Reframing caring as discursive practice: a critical review of conceptual analyses of caring in nursingThis study critically examines the way in which the concept of caring is presented in the nursing literature through conceptual analytic approaches. A critical reflection on the potential consequences of representing a concept of caring as vague and ambiguous, yet central to ontology and epistemology in professional nursing is presented drawing on comparisons between the conceptual analyses (...)
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  • The Nurse Project: an analysis for nurses to take back our work.Janet M. Rankin - 2009 - Nursing Inquiry 16 (4):275-286.
    This paper challenges nurses to join together as a collective in order to facilitate ongoing analysis of the issues that arise for nurses and patients when nursing care is harnessed for health care efficiencies. It is a call for nurses to respond with a collective strategy through which we can ‘talk back’ and ‘act back’ to the powerful rationality of current thinking and practices. The paper uses examples from an institutional ethnographic (IE) research project to demonstrate how dominant approaches to (...)
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  • The lost path to emancipatory practice: towards a history of reflective practice in nursing.Sioban Nelson - 2012 - Nursing Philosophy 13 (3):202-213.
    This paper historicizes the taken‐for‐granted acceptance of reflection as a fundamental professional practice in nursing. It draws attention to the broad application of reflective practice, from pedagogy to practice to regulation, and explores the epistemological basis upon which the authority of reflective discourse rests. Previous work has provided a series of critiques of the logic and suitability of reflective practice across all domains of nursing. The goal of this paper is to commence a history of nursing's reflective identity. The paper (...)
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  • Newton's cradle: a metaphor to consider the flexibility, resistance and direction of nursing's future.Margaret McAllister, Wendy Madsen & Colin Holmes - 2014 - Nursing Inquiry 21 (2):130-139.
    Nursing faces an uncertain future as technological developments, structural changes within health systems and rapidly evolving health needs create new and challenging possibilities. This article draws on the results of a qualitative study undertaken with a range of Queensland nurse leaders to explore their perceptions of these changes. The study re‐surfaced, and allows for a re‐examination of, four issues that have long created tension within nursing and which continue to have a negative impact on the profession as a whole. These (...)
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  • ‘Angels in nursing’: images of nursing sisters in a Lutheran context in the nineteenth and twentieth centuries.Susanne Malchau - 2007 - Nursing Inquiry 14 (4):289-298.
    This article examines Catholic nursing orders in Denmark. In 1849, 300 years after the Reformation, freedom of worship was introduced in Lutheran Denmark. In 1856 the first Catholic nursing order in modern times settled in the country. Others followed, and in 1940 the nursing orders owned 17 general hospitals and had a share of 10% of the hospital beds in Denmark. The purpose of this article is to identify images in the public media text of these Catholic nursing orders in (...)
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  • The sustainability of ideals, values and the nursing mandate: evidence from a longitudinal qualitative study.Jill Maben, Sue Latter & Jill Macleod Clark - 2007 - Nursing Inquiry 14 (2):99-113.
    This article reports on research that examines newly qualified UK nurses’ experiences of implementing their ideals and values in contemporary nursing practice. Findings are presented from questionnaire and interview data from a longitudinal interpretive study of nurses’ trajectories over time. On qualification nurses emerged with a coherent and strong set of espoused ideals around delivering high quality, patient‐centred, holistic and evidence‐based care. These were consistent with the current UK nursing mandate and had been transmitted and reinforced throughout their ‘prequalification’ programmes. (...)
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  • “What a nurse suffers”: Care left undone in seventeenth‐century Madrid.Tanya Langtree, Melanie Birks & Narelle Biedermann - 2020 - Nursing Philosophy 21 (1):e12274.
    Care left undone, interchangeably referred to as missed care, unfinished nursing care and task incompletion, is pervasive in contemporary healthcare systems. Care left undone can result in adverse outcomes for the patient, nurse and organization. The rhetoric that surrounds care left undone infers it is a contemporary nursing phenomenon; however, a seventeenth‐century Spanish nursing treatise, Instruccion de Enfermeros (Instructions for Nurses), challenges this assumption. Instruccion de Enfermeros was an instructional guide that was written for members of the Congregation of Bernardino (...)
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  • Disciplining virtue: investigating the discourses of opioid addiction in nursing.Diane Kunyk, Margaret Milner & Alissa Overend - 2016 - Nursing Inquiry 23 (4):315-326.
    Two nurses diagnosed with opioid addiction launched legal action after being found guilty of unprofessional conduct due to addiction‐related behaviors. When covered by the media, their cases sparked both public and legal controversies. We are curious about the broader discursive framings that led to these strong reactions, and analyze the underlying structures of knowledge and power that shape the issue of opioid addiction in the profession of nursing through a critical discourse analysis of popular media, legal blogs and hearing tribunals. (...)
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  • Discourses of anxiety and transference in nursing practice: the subject of knowledge.Alicia M. Evans, David A. Pereira & Judith M. Parker - 2009 - Nursing Inquiry 16 (3):251-260.
    The nurses’ relationship to knowledge has been theorised in a variety of different ways, not the least being in relation to medical dominance. In this study, the authors report on one of the findings of a case study into nurses’ anxiety informed by psychoanalytic theory. They argue that the nurse’s subjection to the knowledge of the other health professional, inclusive of the doctor, can be a transference arising in the context of anxiety for the nurse. Grasped by anxiety, the nurse (...)
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  • A Foucauldian discourse analysis of media reporting on the nurse‐as‐hero during COVID‐19.Maggie Boulton, Anna Garnett & Fiona Webster - forthcoming - Nursing Inquiry.
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  • A role for virtue in unifying the ‘knowledge’ and ‘caring’ discourses in nursing theory.Suzanne Bliss, Dirk Baltzly, Rosalind Bull, Lisa Dalton & Jo Jones - 2017 - Nursing Inquiry 24 (4):e12191.
    A critical examination of contemporary nursing theory suggests that two distinct discourses coexist within this field. On the one hand, proponents of the ‘knowledge discourse’ argue that nurses should drop the ‘virtue script’ and focus on the scientific and technical aspects of their work. On the other hand, proponents of the ‘caring discourse’ promote a view of nursing that embodies humanistic qualities such as compassion, empathy and mutuality. In view of this, we suggest a way to reconcile both discourses despite (...)
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  • Radical nursing and the emergence of technique as healthcare technology.Alan Barnard - 2016 - Nursing Philosophy 17 (1):8-18.
    The integration of technology in care is core business in nursing and this role requires that we must understand and use technology informed by evidence that goes much deeper and broader than actions and behaviours. We need to delve more deeply into its complexity because there is nothing minor or insignificant about technology as a major influence in healthcare outcomes and experiences. Evidence is needed that addresses technology and nursing from perspectives that examine the effects of technology, especially related to (...)
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  • Delegation and supervision of healthcare assistants’ work in the daily management of uncertainty and the unexpected in clinical practice: invisible learning among newly qualified nurses.Helen T. Allan, Carin Magnusson, Karen Evans, Elaine Ball, Sue Westwood, Kathy Curtis, Khim Horton & Martin Johnson - 2016 - Nursing Inquiry 23 (4):377-385.
    The invisibility of nursing work has been discussed in the international literature but not in relation to learning clinical skills. Evans and Guile's (Practice‐based education: Perspectives and strategies, Rotterdam: Sense, 2012) theory of recontextualisation is used to explore the ways in which invisible or unplanned and unrecognised learning takes place as newly qualified nurses learn to delegate to and supervise the work of the healthcare assistant. In the British context, delegation and supervision are thought of as skills which are learnt (...)
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