The concept of social structure is ill defined in the literature despite the perennial problem and ongoing discussion about the relationship between agency and structure. In this paper I will provide an outline of what the term social structure means, but my main focus will be on emphasizing the value of the concept for nursing research and demonstrate how its erasure in some research negatively effects on our understanding of the nurses' role in clinical practice. For example, qualitative research in (...) nursing has largely focused on agency through such theories as phenomenology, hermeneutics, and symbolic interactionism. The result is that social structure may be erased or seen as epiphenomena of agency. My purpose is to provide a theoretical discussion of social structure and how such a discussion can help us to understand how nurses live and experience clinical practice. While not denying the importance of agency, I will argue that the thinned out approach to social structure places limits on our understanding of the constraints nurses experience in their working lives. The result is that nurses' attitudes and clinical failings are individualized, resulting in ever more calls for improved education, when a more thorough examination of structural issues may elucidate more fundamental problems. (shrink)

The French social theorist Pirre Bourdieu is now recognised as a leading intellectual of the late twentieth century, and one whose ides are very much relevant for the twenty-first. This comprehensive account of Bourdieu's life and work locates both in their social and political context, thereby tracing the origins of his ideas and theories. It explains and explores just what Bourdieu argued and why. It also illustarets the social, political and philosophical strands that run through his work. Michael Grenfell's broad (...) scope takes in Bourdieu's response to the Algerian Crisis, his ideas for reform of state education and his views on aesthetics and the mass media. Detailed attention is also paid to Bourdieu's overtly political stance, including his critique of capitalism and his opposition to Western military action in Iraq, Yugoslavia and Afghanistan. This book offers a reading of Bourdieu's work as a coherent and valuable response to those key social and political issues, events and trends that combined to shape comtemporary society. The implications and consequences of his work are laid out and assessed, along with suggestions for where his ideas might be taken from here. This is the clearest and most thorough account of Bourdieu's work available; as such, it will be invaluable to students, researchers and teachers of contemporary theory. (shrink)

This paper will explore the relationship between Mezirow's concept of reflexivity and Bourdieu's theory of habitus in order to develop a more robust framework within which critical reflection can take place. Nurse educators have sought to close the theory practice gap through the use of critical reflection. However, we are not convinced that this has produced the depth and quality of reflection required. Furthermore, the contexts in which critical reflection takes place is often sidelined or erased so that the whole (...) impetus in the literature is to educate nurses in reflection rather than empower nurses to understand the complex circumstances and barriers that obstruct critical reflection. This paper argues that the reason for this position is that nurse education does not always acknowledge the role that personal and cultural values systems have on reflective practices. The literature search was undertaken using CINHAL and MEDLINE. Keywords included: values systems, habitus, and critical reflection. Inclusion criteria were determined by the theoretical approach and included seminal texts, from as far back as 1956, to identify key themes. Although critical reflection is a potentially powerful way of enhancing care it has often failed to do so. It is suggested that this is because nurse educators have frequently used models of reflection without considering the impact that student's personal values systems has on their perceptions of care and subsequently care delivery. The purpose of this paper is to promote deeper levels of reflection and is part of a programme of research aimed at developing a more robust approach to reflection in educational practice. (shrink)