Nurses in American History: Nursing and Early Feminism

Ashley, Jo Ann

doi:10.2307/3423382

Cited by 6 publications

(4 citation statements)

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“…60 Ashley's work, which also included studies of early feminism in nursing, power, and structured misogyny in health care, was a critical radical feminist voice in nursing long before feminism entered the discipline's common parlance. [61][62][63] Although Ashley died of cancer just a few short years after the publication of her major work, her feminist critiques ignited the imagination of Peggy Chinn and a band of other radical feminist nurses who would go on to form CASSANDRA Radical Feminist Nurses Network in 1982 as the Equal Rights Amendment sputtered to an end, a few votes shy of ratification. 64 CAS-SANDRA, whose work ended as the 1990s began, remains the only instance of radical organizing specifically by and for nurses.…”

Section: Radicals and Revolutionaries: Locating Nursing's Radical Ima...mentioning

confidence: 99%

“…Ignited by women's liberation, JoAnn Ashley, nurse scholar and author of Hospitals, Paternalism, and the Role of the Nurse , introduced searing critiques of nursing, medicine, and what she called the “hospital family” in the 1970s 60. Ashley's work, which also included studies of early feminism in nursing, power, and structured misogyny in health care, was a critical radical feminist voice in nursing long before feminism entered the discipline's common parlance 61–63. Although Ashley died of cancer just a few short years after the publication of her major work, her feminist critiques ignited the imagination of Peggy Chinn and a band of other radical feminist nurses who would go on to form CASSANDRA Radical Feminist Nurses Network in 1982 as the Equal Rights Amendment sputtered to an end, a few votes shy of ratification 64.…”

Section: Nurses As Change Agentsmentioning

confidence: 99%

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Nursing With the People

Dillard‐Wright

Shields-Haas²

2021

Advances in Nursing Science

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We wish to advance a theory of nursing that intentionally engages in questions of politics and economics, centering equity and justice as a foundation for the provision of nursing care. As health care costs rise and health disparities widen, nurses have a clear imperative to develop alternative health care delivery models unmoored from the conventional employment and profit-driven structures that now disappoint us. This mandate arises from our disciplinary focus that emphasizes social justice as a social and moral good linked to the human services nurses provide. This kind of sociopolitical engagement is not auxiliary to nursing but rather central to our ethos. A health care environment that prioritizes profit over the well-being of people is an anathema to our disciplinary focus which, we believe, should center communities and people. The health care system that has forged nursing in the United States, transforms nursing into a commodity. This reinscribes inequality for those who are unable to access care, contributes to environmental harm through profligate hospital pollution and waste, and exploits nursing staff as workers. Nurses have a history of both upholding oppressive systems that disenfranchise segments of the public, usually poor, often People of Color, and engaging in innovative alternatives to the status quo. We wish to foster revolutionary alternative care delivery models that free us from the neoliberal confines of for-profit health care. Ultimately, we argue, nursing as a discipline and a science cannot neglect our role as whistleblowers and change agents. Nor can we presuppose that our dysfunctional and harmful health care structure in the United States is a foregone conclusion. Health care is constructed, which means it can be reconstructed. If we wish to realize our emancipatory potential as nurses, critically examining our role in upholding oppressive structures is a critical step toward a more robust future of nursing.

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Section: Radicals and Revolutionaries: Locating Nursing's Radical Ima...mentioning

confidence: 99%

Section: Nurses As Change Agentsmentioning

confidence: 99%

Nursing With the People

Dillard‐Wright

Shields-Haas²

2021

Advances in Nursing Science

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“…Although moral distress is a part of the human condition, nurses' experience of being morally distressed has been recognized in nursing empirical literature for at least six decades (Ashley, 1976;Holsclaw, 1965;E. M. Jones, 1962;Maryo & Lasky, 1959;Miller, 1940;Nahm, 1940;Travelbee, 1964).…”

Section: Development Of the Concept In Extant Nursing Literaturementioning

confidence: 99%

“…It is also described as organizational culture and is considered to be a powerful external (or institutional) constraint on resolving moral issues. Issues related to institutional thwarting of nurses' moral actions has been well-documented in the nursing literature (Ashley, 1976;Fenton, 1988;Gaudine & Beaton, 2002;Kramer, 1968Kramer, , 1974Shirey, 2006;. The ethical climate is generally thought to be a part of the workplace environment that is concerned with employees' prevailing perceptions of the way in which difficult situations are resolved (Olson, 1998).…”

Section: Ethical Climatementioning

confidence: 99%

Nurse managers' moral distress in the context of the hospital ethical climate

Porter¹

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Moral distress is a negative emotional and somatic response to external constraints on moral action. The constraints are typically identified as a component of the work environment, called the ethical climate. Moral distress is identified as a primary reason for job attrition by up to one-quarter of registered nurses who leave their jobs. One strategy suggested to staff nurses who experience moral distress is to consult their Nurse Manager (NM). However, the moral distress of NMs who are employed in acute care hospitals is poorly understood. The purpose of this qualitative study was to examine NMs' perceptions of the external constraints on moral agency, specifically the hospital ethical climate, which leads to their experience of moral distress and to analyze how attributes of the ethical climate facilitated or impeded their resolution of moral distress. Semi-structured, audio-recorded telephone interviews were conducted with 17 NMs from across the United States. An interpretive description design using an iterative process between data collection and data analysis was used. Data were analyzed through descriptive coding and thematic analysis. The participants in this study were 15 women and 2 men with a mean age of 46.4 years. The mean length of time in their current positions was slightly less than 5 years. Of the 17 hospitals represented, 6 were affiliated with a university and 4 had a religious affiliation. Fifteen of 17 NMs described situations in which the implicit and explicit values of the hospital were incongruent with their personal moral values and professional ethics. Common themes describing factors contributing to moral distress were administrative policies, negative communication patterns and relationships with physicians, issues related to staff nurses, issues related to patients and families, and multiple competing job obligations. Respondents described strategies to navigate through their moral distress. The strategies included taking a positive perspective, seeking the advice of NM colleagues, reliance on a positive relationship with a supervisor, and Summary of Models of Moral Distress .

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Sex role identity and depression in nurses

Msn

1985

Health Care for Women International

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Nurses in American History: Nursing and Early Feminism

Cited by 6 publications

References 0 publications

Nursing With the People

Nursing With the People

Nurse managers' moral distress in the context of the hospital ethical climate

Sex role identity and depression in nurses

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