Emancipation in decision‐making in women's health care

Journal of Advanced Nursing - Tập 47 Số 4 - Trang 437-445 - 2004
Ruth A. Wittmann‐Price1
1Assistant Professor, Department of Nursing and Health, DeSales University, Center Valley, Pennsylvania, USA

Tóm tắt

Background.  Emancipation as a nursing concept is derived from a long‐standing history of social oppression and is easily addressed by both critical social theory and feminist theory. It is the apparent concept to describe a phenomenon witnessed in nursing when caring for women in the decision‐making process about health care issues. Emancipation has been recognized by expert clinical observation.Aim.  The aim of this paper is to define the concept of emancipation for possible future application to nursing practice for the promotion of humanistic nursing care in women's health, specifically applied to the decision‐making process.Method.  A literature search was carried out using the CINAHL database and the keywords nursing and emancipation, and covering the period 1985–2003. The Rodgers and Knafl (2000) method of concept analysis was then used to derive a conceptual meaning of emancipation that benefits patient care as well as professional nursing development. Emancipation is broken down into antecedents, attributes and consequences. Related concepts are also explored, compared and discussed to synthesize relevant characteristics.Findings.  This concept analysis identifies emancipation in decision‐making as a nursing phenomenon by discussing the antecedent of oppression and exploring the identified attributes: (a) empowerment, (b) personal knowledge, (c) social norms, (d) reflection and (e) flexible environment. The consequence of emancipation is free choice. It is a futuristic concept with strong historical ties in need of exploration and development within the context of women's health care in relation to decision‐making.Conclusions.  The concept model illustrates emancipated decision‐making, with its five attributes in relation to oppression as a non‐linear phenomenon. Areas for further study include the exploration of the contribution of each critical attribute and its relationship to emancipated decision‐making, and the decision‐making process in relation to patient satisfaction and how long the person continues to adhere to the decision. Also the professional nursing role in promotion of emancipated decision‐making is virtually unexplored, but is an important concept in the paradigm of shared decision‐making about health care alternatives.

Từ khóa


Tài liệu tham khảo

10.1111/j.1547-5069.1985.tb01419.x

Aoki Y., 2002, Reflections on empowerment, Nursing Older People, 13, 17, 10.7748/nop.13.10.17.s13

10.1046/j.1365-2648.2002.02134.x

10.1016/S0260-6917(98)80007-5

10.1111/j.1744-6198.2000.tb01171.x

10.1046/j.1365-2702.1998.00146.x

Bevis E., 1989, Toward a Caring Curriculum: A New Pedagogy for Nursing

10.1016/S0883-9417(97)80014-3

10.1002/j.2048-7940.1999.tb02177.x

10.1046/j.1365-2648.1993.18071033.x

10.7748/paed2000.10.12.8.31.c705

10.1177/08943180022107519

10.1054/nedt.2000.0492

Ecenroad D., 2001, Childbirth: a family affair, Advance for Nurses (Greater Philadelphia), 3, 31

10.1016/0738-3991(87)90060-7

10.1111/j.1365-2648.1992.tb01870.x

Freire P., 1970, Pedagogy of The Oppressed

Gore J.M., 1993, The Struggle for Pedagogies: Critical and Feminist Discourses as Regimes of Truth

Habermas J., 1969, Toward a Rational Society: Student Protest, Science, and Politics

10.1016/S0260-6917(96)80090-6

10.1177/001789690106000306

10.1111/j.1365-2648.1992.tb02840.x

10.1046/j.1440-1800.2002.00137.x

10.1177/089801019901700206

10.1046/j.1440-1800.1999.00038.x

Kalischuck R.G., 2002, Thinking creatively: from nursing education to practice, The Journal of Continuing Education in Nursing, 33, 156

10.1097/00012272-199212000-00003

10.12968/bjon.2001.10.11.10435

10.1046/j.1365-2648.2000.01241.x

Lehmann A., 1982, Anorexia nervosa: emancipation by emaciation, The Canadian Nurse, 8231

10.1097/01376517-200104000-00004

Leonard T., 1998, The reticent student: implications for nurse educators, Journal of Nursing Education, 37, 213, 10.3928/0148-4834-19980501-07

10.1002/oti.143

Merriam‐Webster Online(2002)http://www.m‐w.com/cgi‐bin/dictionary lastaccessed26/10/02.

Mill J., 2001, Critical theory: critical Methodology to disciplinary foundations in nursing, Canadian Journal of Nursing Research, 33, 109

O'Brien A.P., 1999, The emancipation of nursing practice: applying anti‐psychiatry to the therapeutic community, Australian and New Zealand Journal of Mental Health Nursing, 10, 3, 10.1046/j.1440-0979.2001.00183.x

10.1177/0272989X9501500105

10.1111/j.1552-6909.2002.tb00083.x

10.1046/j.1365-2648.1995.21061191.x

10.1046/j.1365-2648.1998.00607.x

10.1046/j.1440-1800.1999.00017.x

10.1097/00006199-200109000-00003

10.1111/j.1547-5069.1993.tb00781.x

Polanyi M., 1958, Personal Knowledge: Towards a Post‐critical Philosophy

Rodgers B.L., 2000, Concept Development in Nursing: Foundations, Techniques, and Applications

Romyn D.M., 2000, Emancipatory pedagogy in nursing education: a dialectic analysis, Canadian Journal of Nursing Research, 32, 119

10.1046/j.1369-6513.1998.00003.x

Scarry K.D., 1999, Nursing elective: balancing caregiving in oppressive systems, Journal of Nursing Education, 38, 423, 10.3928/0148-4834-19991201-10

10.7208/chicago/9780226147864.001.0001

10.7208/chicago/9780226820323.001.0001

10.1046/j.1365-2648.1999.01083.x

10.1111/j.1552-6909.2000.tb02761.x

Thông tin
Thông tin xuất bản

Journal of Advanced Nursing

Tập 47 Số 4

437-445

Thông tin tác giả