Construction of nursing knowledge in commodified contexts: A discussion paper

Abstract

This original article outlines a theoretical path and posterior critical analysis regarding two relevant matters in modern nursing: patterns of knowing in nursing and commodification contexts in contemporary health systems. The aim of our manuscript is to examine the development of basic and contextual nursing knowledge in commodified contexts. For this purpose, we outline a discussion and reflexive dialogue based on a literature search and our clinical experience. To lay the foundation for an informed discussion, we conducted a literature search and selected relevant articles in English, Spanish, and Portuguese that included contents on patterns of knowing, commodification, and nursing published from 1978 to 2017. Globalization, commodification, and austerity measures seem to have negative effects on nursing. Work conditions are worsening, deteriorating nurse-patient relationships, and limiting reflection on practice. Nurses must develop knowledge to challenge and participate in institutional organization and public health policies. Development of nursing knowledge may be difficult to achieve in commodified environments. Consequently, therapeutic care relationships, healthcare services, and nurses' own health are compromised. However, by obtaining organizational, sociopolitical, and emancipatory knowledge, nurses can use strategies to adapt to or resist commodified contexts while constructing basic knowledge. K E Y W O R D Sglobalization, health policy, nurse-patient relationships, nursing knowledge, nursing practice improve practice and global care, contributing to the common good, and working to achieve a fair and strong society. Thus, through organizational, sociopolitical, and emancipatory knowledge, nurses are enabled to use strategies to adapt to or resist commodified contexts while constructing basic patterns of knowing.

Teaching Strategies for Health Advocacy for Undergraduate Nursing Students: A Scoping Review

“…Nursing knowledge underpins nursing practice. The empirical, ethical, esthetic, personal, and contextual patterns of nursing (Escobar-Castellanos & Sanhueza-Alvarado, 2018) extend nursing beyond the care relationship (sociopolitical, emancipatory, and organizational; Martínez-Rodríguez et al, 2020). In this context, nursing education should be based on critical pedagogical curricula that promote the values of equity and social justice through learning experiences with different social groups and situations of vulnerability (Velloso et al, 2020).…”

Construction of nursing knowledge in commodified contexts: Views and experiences of nurses regarding primary care

“…The quantitative phase, carried out from November 2020 to September 2021, is a descriptive cross‐sectional and observational study. Since there is little scientific literature analyzing the impact of health‐care commodification on health professionals (Martínez‐Rodriguez et al, 2020), we developed a self‐administered questionnaire based on Font Roja's job satisfaction survey (Aranaz, 1988). Font Roja's variables were adapted to the objectives of our research, specific to the context of our health system, and conceptualized according to patterns of knowledge in nursing (see Supporting Information 1, questionnaire ).…”

cuidado de Enfermería en cáncer infantil

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“…En 1995 Jill White propuso un nuevo patrón que buscaba entender el contexto sociopolítico de las personas (enfermera y paciente) y del actuar de Enfermería en tanto profesión práctica. Al respecto, Martínez et al, opinan que: "Los enfermeros deben desarrollar conocimientos para interpelar y participar en la organización institucional y en las políticas públicas de salud" (2), por lo que, a mediano y largo plazo, "[…] al obtener conocimiento organizacional, sociopolítico y emancipador, las enfermeras pueden usar estrategias para adaptarse o resistir contextos mercantilizados mientras construyen conocimientos básicos" (2).…”