Professionalism and the evolution of nursing as a discipline: A feminist perspective

University of New Brunswick, Faculty of Nursing, Fredericton, Canada.
Journal of Professional Nursing (Impact Factor: 0.95). 11/1994; 10(6):357-67. DOI: 10.1016/8755-7223(94)90039-6
Source: PubMed


The evolution of nursing knowledge and nursing as a practice discipline has been stunted by the quest for professionalism. Liberal and socialist feminist theory clarifies the hazards inherent in the masculine institution of professionalism for a predominately female discipline. Socialist feminist theoretical perspectives facilitate a vision of nursing that includes altering social structure such that caring is valued.

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    • "In response to this tendency a vast body of work documenting 'the social history of nursing' has emerged. There are now numerous studies often informed by post-colonial or feminist theory which trace nurses or nursing practice in a particular location or time period (Bent, 1993; Flynn, 2011; Harden, 1996; Kirkham & Anderson, 2002; Wuest, 1994). Social histories also focus on a particular area of nursing (e.g. "
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    ABSTRACT: The role of history in developing professional identity in nursing is well known, and the discipline of nursing history research continues to flourish. Yet this work often struggles to find its way into undergraduate university nurse education courses. We put forward a model for “history as reflective practice” in which we suggest that historical studies can be used as a form of evidence to develop critical thinking and clinical reasoning, as well as situate nursing practice within its social and political context. In this model, we draw on historical scholarship related to the profession, practice and person, focusing on work which demonstrates nursing's contribution to broader systems of health care. Drawing on Lewenson and Lynaugh's ‘history by stealth’ approach, curriculum mapping and constructive alignment techniques are used to identify the moments in an existing programme where historical scholarship is relevant to an intended learning outcome. We then use an interdisciplinary team to develop learning activities and assessment tasks drawing on both primary and secondary sources that are then embedded within existing subjects. This model encourages students to consider history as a way of knowing and as a form of evidence within their reflective practice. Furthermore, it creates knowledge that continues to foster and acknowledge nurses’, and nursing's, contribution to the development of human health.
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    ABSTRACT: The purpose of this study was to identify the electronic health record functionalities of acute care hospitals in the state of Kansas with regard to nursing practice. From the perspective of the Chief Nursing Officer, what was the nurses' role in implementation of the electronic health record, what nursing documentation was in the electronic health record, and what factors led to the acceptance of the electronic health record by the nursing staff? It was also concerned with how, as the Chief Nursing Officer, the perception of their social capital might affect the implementation of their electronic health record. A survey was developed for this descriptive study to quantify the components of individual hospital's electronic health record, using the theoretical framework of Technology Acceptance Theory and Social Capital Theory. Chief Nursing Officers who were members of the Kansas Hospital Association were surveyed with a 48.8 % return. The results of the study revealed the Chief Nursing Officers were deeply aware of the importance of the electronic health record for promoting best possible outcomes for patients and for improving the delivery of quality nursing care. Social capital was not significantly correlated with the implementation of the electronic health record (r = -.013, p = .936). The study also revealed that for this population of Chief Nursing Officers, they felt powerful in their profession, felt the use of the electronic health record was important to provide safe, quality care to their patients and were active in their hospital's electronic health record implementation team. The Institute of Medicine challenged healthcare providers to transform the health care system in the United States into one that is fair, equitable, efficient, safe, and provides quality patient care, the results from this study may be a step towards that goal. vi Key words: electronic health record, functionalities, technology acceptance theory, social network theory, social capital, social capital theory.
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    ABSTRACT: This article details some of the key elements related to feminism in American society. It suggests that the meaning and significance of a feminist perspective need to be reexamined for their importance and utility in this dynamic and rapidly changing society. A discussion of the meaning of feminism provides a framework for the article. Issues related to cultural diversity and the need for competent health care delivery for all people are some major themes. The other emphasis is related to research and women. Numerous challenges are outlined. A feminist perspective is recommended as a conceptual model through which health care reform can be enhanced. If feminism were embraced, the health status of people would be improved.
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