9 found
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  1.  25
    Registered Nurses' Perceptions of Moral Distress and Ethical Climate.Bernadette Pauly, Colleen Varcoe, Janet Storch & Lorelei Newton - 2009 - Nursing Ethics 16 (5):561-573.
    Moral distress is a phenomenon of increasing concern in nursing practice, education and research. Previous research has suggested that moral distress is associated with perceptions of ethical climate, which has implications for nursing practice and patient outcomes. In this study, a randomly selected sample of registered nurses was surveyed using Corley’s Moral Distress Scale and Olson’s Hospital Ethical Climate Survey (HECS). The registered nurses reported moderate levels of moral distress intensity. Moral distress intensity and frequency were found to be inversely (...)
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  2.  2
    Centering Black feminist thought in nursing praxis.Ismalia De Sousa & Colleen Varcoe - 2022 - Nursing Inquiry 29 (1):e12473.
    Femininity and whiteness dominate Western nursing, silencing ontologies and epistemologies that do not align with these dominant norms while perpetuating systemic racism and discrimination in nursing practice, education, research, nursing activism, and sociopolitical structures. We propose Black feminist thought as a praxis to decenter, deconstruct, and unseat these ideologies and systems of power. Drawing from the work of past and present Black feminist scholars, we examine the ontological and epistemological perspectives of Black feminist thought. These include (i) the uniqueness and (...)
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  3.  15
    Drawing on antiracist approaches toward a critical antidiscriminatory pedagogy for nursing.Amélie Blanchet Garneau, Annette J. Browne & Colleen Varcoe - 2018 - Nursing Inquiry 25 (1):e12211.
    Although nursing has a unique contribution to advancing social justice in health care practices and education, and although social justice has been claimed as a core value of nursing, there is little guidance regarding how to enact social justice in nursing practice and education. In this paper, we propose a critical antidiscriminatory pedagogy (CADP) for nursing as a promising path in this direction. We argue that because discrimination is inherent to the production and maintenance of inequities and injustices, adopting a (...)
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  4.  76
    Cultural safety and the challenges of translating critically oriented knowledge in practice.Annette J. Browne, Colleen Varcoe, Victoria Smye, Sheryl Reimer-Kirkham, M. Judith Lynam & Sabrina Wong - 2009 - Nursing Philosophy 10 (3):167-179.
    Cultural safety is a relatively new concept that has emerged in the New Zealand nursing context and is being taken up in various ways in Canadian health care discourses. Our research team has been exploring the relevance of cultural safety in the Canadian context, most recently in relation to a knowledge-translation study conducted with nurses practising in a large tertiary hospital. We were drawn to using cultural safety because we conceptualized it as being compatible with critical theoretical perspectives that foster (...)
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  5.  13
    Beyond and around mandatory reporting in nursing practice: Interrupting a series of deferrals.Rochelle Einboden, Trudy Rudge & Colleen Varcoe - 2019 - Nursing Inquiry 26 (2):e12285.
    Nurses are well positioned to contribute to child protection efforts but are underutilised. This paper describes a critical discursive analysis of nursing responses to child neglect and abuse (CN&A) in British Columbia, Canada. Legal and practice guidelines were analysed alongside nurse interview texts, offering a glimpse into how nurses prevent CN&A in their everyday practice with families. Results show how the primacy of mandatory reporting to child protection authorities coordinates a series of deferrals and how nurses engage with and interrupt (...)
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  6.  41
    Image, measure, figure: a critical discourse analysis of nursing practices that develop children.Rochelle Einboden, Trudy Rudge & Colleen Varcoe - 2013 - Nursing Philosophy 14 (3):212-222.
    Motivated by discourses that link early child development and health, nurses engage in seemingly benign surveillance of children. These practices are based on knowledge claims and technologies of developmental science, which remain anchored in assumptions of the child body as an incomplete form with a universal developmental trajectory and inherent potentiality. This paper engages in a critical discursive analysis, drawing on Donna Haraway's conceptualizations of technoscience and figuration. Using a contemporary developmental screening tool from nursing practice, this analysis traces the (...)
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  7.  57
    Framing the Issues: Moral Distress in Health Care. [REVIEW]Bernadette M. Pauly, Colleen Varcoe & Jan Storch - 2012 - HEC Forum 24 (1):1-11.
    Moral distress in health care has been identified as a growing concern and a focus of research in nursing and health care for almost three decades. Researchers and theorists have argued that moral distress has both short and long-term consequences. Moral distress has implications for satisfaction, recruitment and retention of health care providers and implications for the delivery of safe and competent quality patient care. In over a decade of research on ethical practice, registered nurses and other health care practitioners (...)
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  8.  5
    Extending the methodology of critical discourse analysis using Haraway's figurations: The example of The Monstrous Perpetrator within contemporary responses to child neglect and abuse.Rochelle Einboden, Colleen Varcoe & Trudy Rudge - 2024 - Nursing Inquiry 31 (1):e12617.
    Critical discursive analyses offer possibilities for equity‐oriented research, and are a resource for addressing resistant social problems, such as child neglect and abuse (CN&A). A key challenge for discourse analysts in health disciplines is the tensions between materiality and social constructions, particularly at the site of the body. This paper describes how Donna Haraway's ideas of figuration and technobiopower can augment critical discourse analysis to address this tension. Technobiopower, an intensification of biopower in the context of technoscience, is seen as (...)
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  9.  55
    Moral Distress: Tensions as Springboards for Action. [REVIEW]Colleen Varcoe, Bernadette Pauly, George Webster & Janet Storch - 2012 - HEC Forum 24 (1):51-62.
    In the previous four papers in this series, individual versus structural or contextual factors have informed various understandings of moral distress. In this final paper, we summarize some of the key tensions raised in previous papers and use these tensions as springboards to identify directions for action among practitioners, educators, researchers, policymakers and others. In particular, we recognize the need to more explicitly politicize the concept of moral distress in order to understand how such distress arises from competing values within (...)
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