Despite the prominence of person-centred care (PCC) in nursing, there is no general agreement on the assumptions and the meaning of PCC. We sympathize with the work of others who rethink PCC towards relational, embedded, and temporal selfhood rather than individual personhood. Our perspective addresses criticism of humanist assumptions in PCC using critical posthumanism as a diffraction from dominant values We highlight the problematic realities that might be produced in healthcare, leading to some people being more likely to be disenfranchised from healthcare than others. We point to the colonial, homo-and transphobic, racist, ableist, and ageist consequences of humanist traditions that have influenced the development of PCC. We describe the deep rooted conditions that structurally uphold inequality and undermine nursing practice that PCC reproduces. We advocate for the self-determination of patients and emphasize that we support the fundamental mechanisms of PCC enabling patients' choice; however, without critical introspection, these are limited to a portion of humans. Last, we present limitations of our perspective based on our white*-cisheteropatriarchy** positionality. We point to the fact that any reimagining of models such as PCC should be carefully done by listening, following, and ceding power to people with diversity dimensions*** and the lived experience or expertise that exists from diverse perspectives. We point towards Black, queer feminism, and critical disabilities studies to contextualize our point of critique with humanism and PCC to amplify equity for all people and communities. Theory and philosophy are useful to understand restrictive factors in healthcare delivery and to inform systematic strategies to improve the quality of care so as not to perpetuate the oppression of
Students hold a complex conceptual model of "a good GP" which the label does not convey. We suggest that for evaluations of student experiences it is important to explore in depth what students mean by particular terms or labels.
The scarcity of research into care work shows that it is still unclear “what constitutes the discrete fundamentals of care.” It is this invisibility of care in the time of posthuman convergence in which we find ourselves. In this article we argue that care work (understood in this article through nursing) and posthumanism illuminate human and more-than-human world making. Practical experiences of nursing can help us understand world making with posthuman philosophies and knowledge production, while the critical theories of posthumanism can point us to a humanistic understanding of care work. Posthumanism challenges commonplace assumptions of concepts from which we frame our everyday lives. We show nurse work through a posthuman lens and begin to demonstrate opportunities to make posthumanism perceptible. In approaching nursing from this perspective, we then suggest new possibilities for approaching nurse work and care.
Care does not happen in a vacuum, including nursing care. With this in mind, we-Jess, Jane, Jamie, Brandon, and Eva 1 -partnered with critical posthuman scholars Goda Klumbytė from Kassel University in Germany and Dr. Kay Sidebottom from Stirling University in Scotland for a discussion of care. Goda's research straddles critical algorithm studies, systems design, and feminist theory, drawing together these critical perspectives with applied informatics. Kay focuses on Nursing Inquiry.
With this paper, we walk out some central ideas about posthumanisms and the ways in which nursing is already deeply entangled with them. At the same time, we point to ways in which nursing might benefit from further entanglement with other ideas emerging from posthumanisms. We first offer up a brief history of posthumanisms, following multiple roots to several points of formation. We then turn to key flavors of posthuman thought to differentiate between them and clarify our collective understanding and use of the terms. This includes considerations of the threads of transhumanism, critical posthumanism, feminist new materialism, and the speculative, affirmative ethics that arise from critical posthumanism and feminist new materialism. These ideas are fruitful for nursing, and already in action in many cases, which is the matter we occupy ourselves with in the final third of the paper. We consider the ways nursing is already posthuman—sometimes even critically so—and the speculative worldbuilding of nursing as praxis. We conclude with visions for a critical posthumanist nursing that attends to humans and other/more/nonhumans, situated and material and embodied and connected, in relation.
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