Nursing is Inquiry in Practice:
Hegemony, Tradition and Historical Links
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Overview
Nursing has historically selected and “borrowed” the best ideas and traditions espoused by other fields and disciplines to inform nursing practice. Biology, psychology, medicine, sociology, medicine, pharmacology, epidemiology, public health, philosophy, anthropology have inadvertently contributed to the science of nursing. More recently, ideas from moral philosophy (ethics and such), social policy, and informatics have also been adopted and incorporated.
Each discipline is focused on asking specific questions and has unique processes and purposes for answering those questions. The maps and views created by the disciplines tend to shape their respective views of knowledge and knowledge development. This can help to define a discipline, but it can also become a means of excluding other viewpoints and interpretations. This happens because the values, beliefs, assumptions, and choices made around topics and concepts shape the reasoning process. Some ideas are selected and used, others are excluded or deemed irrelevant.
The organization of traditional science has developed to have a hegemonic effect on the development of knowledge and other forms of inquiry, and some areas of inquiry have been excluded from public discourse. Hegemonies serve to maintain the status quo by exclusion or suppression of alternative forms of inquiry.
Ends In View
This learning activity is intended to provide learners with the opportunity to:
1. Explore the concept of hegemony as it relates to nursing inquiry.
2. Explore the epistemology of other disciplines to examine how they relate to nursing
knowledge and inquiry.
3. To explore the historical conceptual development of nursing inquiry.
4. Reflect on the fields and disciplines that have shaped their nursing practice and knowledge.
In Preparation
1.READ: Henderson, A. (1994). Power and knowledge in nursing practice:The contribution of Foucault. Journal of Advanced Nursing, 20, p. 935 – 939.
2. READ:Morgan, A., & Drury, V. (2003). Legitimising the subjectivity of human reality through qualitative research method. The Qualitative Report, 8 (1), March.
3.READ: Freidson, E. (1990). Professionalism, caring, and nursing. Paper prepared for The Park Ridge Center, Illinois.
In Practice
1.Participate in discussion on the hegemony exhibited in traditional disciplines and the effect on inquiry.
2. Six types of reasoning and inquiry can be recognized in the various disciplines. These include:
| COMMON REASONING TYPES |
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TYPES |
QUESTIONS |
DISCIPLINES |
| Policy |
What should be done? |
Political Science, Law |
| Value |
Is it good or bad? |
Literature, Philosophy |
| Consequence |
Why did it occur?
What effect will it have? |
History, Economics
Psychology |
| Definition |
What is it? |
Natural Science
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| Understanding |
What does it mean? |
Human Science, Naturalism
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| Change |
Who controls what is happening? |
Critical Social Theory
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a) Where does Nurses' Reasoning fit according to this model?
b) What are the main assumptions of the worldviews underlying the discipline of Nursing?
c). Has this changed over the decades? How?
d). What are the conflicts or challenges inherent in the worldviews or epistemology of Nursing at this time?
e). What forms of inquiry (in table above) are still active in Nursing?
3. Identify an example of knowledge from each of the disciplines that influence your practice.
4. What hegemony influences are discussed in your readings? How have these shaped nursing?
5. a) What is happening in nursing now to reflect a change in hegemony?
b) How does feminism relate to this change?
c) How has higher education (degrees, etc.) influenced this change?
In Reflection
1. Historically, has the reasoning and inquiry used by nurses changed?
2. Notice the hegemony that is still prevalent in nursing as you engage in your Nursing Practice
Experiences. What is the source of this? What can be done?
References
Freidson, E. (1990). Professionalism, caring, and nursing. Paper prepared for The Park Ridge Center, Illinois.
Henderson, A. (1994). Power and knowledge in nursing practice: The contribution of Foucault. Journal of Advanced Nursing, 20, 935 – 939.
Morgan, A., & Drury, V. (2003). Legitimising the subjectivity of human reality through qualitative research method. The Qualitative Report, 8 (1), March.
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Welcome to NRSG 3225!
Powerpoint
Powerpoint as PDF
Nursing through the Lens of Culture: A Multiple Gaze
Hegemony at Wikipedia
Hegemony Modeled
Great Adventures in Nursing
Antonio Gramscii - Hegemony Defined
HEGEMONY MEDIA
Power & Health Care (from Sicko)
Hegemony & Yellow Ribbons
Hegemony, The Celebrity and America
(video)
Teamwork in Healthcare (13 m. video)
Two Views (on Oneness) (video)
D-Day Cartoon
WEB MANUAL
The course Web design manual can be accessed from this page.
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