RESUMEN
With increased attentiveness to social justice and the social and economic inequities that shape health, well-being, and health care access, nurse researchers, particularly those positioning their work as emancipatory, negotiate the dialectic of analysis and advocacy. Drawing on postcolonial feminism, we explore this dialectic and associated ramifications for scientific integrity. Staying true to critical foundations shifts the focus from advocacy as "speaking on behalf of" to rigorous reflexive analysis that decenters dominant discourses to open up the possibility for those who have been marginalized to exercise human agency and work alongside researchers toward social justice for all.
Asunto(s)
Colonialismo/historia , Feminismo/historia , Filosofía en Enfermería/historia , Justicia Social/historia , Ética en Enfermería , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Rol de la Enfermera/historia , Investigación Metodológica en Enfermería , Mala Conducta Científica/historiaRESUMEN
There is an emerging discourse of knowledge translation that advocates a shift away from unidirectional research utilization and evidence-based practice models toward more interactive models of knowledge transfer. In this paper, we describe how our participatory approach to knowledge translation developed during an ongoing program of research concerning equitable care for diverse populations. At the core of our approach is a collaborative relationship between researchers and practitioners, which underpins the knowledge translation cycle, and occurs simultaneously with data collection/analysis/synthesis. We discuss lessons learned including: the complexities of translating knowledge within the political landscape of healthcare delivery, the need to negotiate the agendas of researchers and practitioners in a collaborative approach, and the kinds of resources needed to support this process.
Asunto(s)
Medicina Basada en la Evidencia/organización & administración , Modelos de Enfermería , Investigación en Enfermería/organización & administración , Proyectos de Investigación , Investigadores/organización & administración , Actitud del Personal de Salud , Colombia Británica , Difusión de Innovaciones , Humanos , Relaciones InterprofesionalesRESUMEN
Despite widespread appeals to social justice, nursing conceptions of this ideal have been critiqued as incomplete and inconsistent. With the aim of contributing to a critical dialogue on discourses of social justice in nursing, we explore contemporary theories of social justice and their move beyond a distributive paradigm, employing techniques of replication and critique of social justice discourses in nursing. We consider how postcolonial feminist theory can help us understand the relevance of more recent critical interpretations of social justice, particularly in reinterpreting and broadening nursing's individualistic focus on social justice so that due consideration and actions are directed toward the intersecting impact of historically and socially mediated conditions on health and human suffering.
Asunto(s)
Ética en Enfermería , Feminismo , Justicia Social , Humanos , Rol de la Enfermera , Atención de Enfermería/ética , Atención de Enfermería/normasRESUMEN
In response to the increasing social diversity of health-care recipients, nurse scholars have turned their attention to developing theoretical foundations for culturally responsive and spiritually sensitive nursing practice. However, despite the potential overlap between these 2 areas, there has been little exploration of the intersections between culture and spirituality. The authors present the findings of an interpretive descriptive pilot study that examined the contexts of intercultural spiritual caregiving from the perspectives of nurses and chaplains. The findings point to the need for health-care professionals to cultivate an internal space in which to provide spiritual care and to seek spiritual points of connection amidst diverse faith and cultural traditions. The contexts of current practice environments, as well as the social setting of a pluralistic and secular state, shape the dynamics of spiritual caregiving. The findings invite postcolonial, critical analyses of contemporary conceptions of spirituality and spiritual caregiving, and call for a rethinking of the trend towards de-emphasizing creedal religions in the quest for a universal spiritual experience.
Asunto(s)
Diversidad Cultural , Atención de Enfermería , Espiritualidad , Canadá , Proyectos PilotoRESUMEN
Belonging was one of the recurrent themes in an ethnography examining the social context of intergroup health care relations. Certain people, both patients and health care providers, were constructed as belonging in the social fabric of health care, whereas some were left on the margins and constructed as Other. In this article, the theme of belonging is explored through a multilayered analysis of the contexts of intergroup health care encounters. The macropolitics of belonging are situated in the larger societal setting, replete with practices that mark Other. Evidences of such Othering is then traced through organizational contexts, drawing on the exemplars of visiting hour policy, integration of alternative therapies, and provision of language services. Intergroup interactions are then reanalyzed in light of micropolitics at the individual nurse-patient level. The overall picture presented is one of a range of social, political, historical, and economic forces reproduced in everyday intercultural health care encounters.
Asunto(s)
Características Culturales , Investigación sobre Servicios de Salud , Investigación en Enfermería , Femenino , Humanos , Relaciones Interprofesionales , Relaciones Enfermero-Paciente , Política , Encuestas y Cuestionarios , Enfermería TransculturalRESUMEN
The concept of culture has been widely applied as an explanatory concept within health care, often within a framework representing culture as a fixed, reified entity, with cultural groups existing in a binary sense vis-;-vis mainstream culture. However, if our scholarship is to generate knowledge that addresses longstanding patterns of inclusion and exclusion along lines such as race, ethnicity, class, and gender, interpretive frames are needed that account for culture as embedded in fields of power relations; as mediated by social forces such as economics, politics, and historical patterns of oppression and colonization; and as being constantly renegotiated. In this article we trace a series of theoretical explorations, centered on the concept of cultural safety, with corresponding methodological implications, engaged in during preparation for an intensive period of fieldwork to study the hospitalization and help-seeking experiences of diverse ethnocultural populations.