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Updated: Feb 26, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Othering in the nursing context: A concept analysis.

Mary Lee A Roberts1, Martin Schiavenato1

  • 1College of Nursing Washington State University Spokane WA USA.

Nursing Open
|July 12, 2017
PubMed
Summary
This summary is machine-generated.

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Othering in nursing marginalizes patients, negatively impacting care and professional relationships. This study provides a conceptual foundation to develop inclusionary strategies and promote equitable patient care.

Area of Science:

  • Nursing
  • Social Sciences
  • Healthcare Disparities

Background:

  • Othering, a social process of subordination, risks suboptimal patient care by creating exclusive relationships.
  • Existing literature highlights the negative impact of othering on patient outcomes and professional interactions.
  • A need exists for knowledge supporting inclusionary practices in nursing to counteract othering.

Purpose of the Study:

  • To conduct a concept analysis of othering in nursing.
  • To delineate the properties and trajectory of othering within the nursing context.
  • To develop a conceptual foundation for inclusionary strategies in nursing.

Main Methods:

  • Utilized Rodgers' Evolutionary Method for concept analysis.
  • Conducted a systematic literature search across CINAHL, PubMed, PsycINFO, and Google (1999-2015).
Keywords:
diversitydominant powerdominant‐subordinate relationshipexclusioninclusionotheringthe other

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  • Analyzed 28 papers using keywords: "othering," "nurse," "other," "exclusion," and "patient."
  • Main Results:

    • Othering in nursing is a sequential process leading to marginalization and exclusion.
    • This process negatively impacts patient care quality and professional relationships.
    • Identified key attributes and definitions of othering within nursing literature.

    Conclusions:

    • Othering poses a significant barrier to equitable patient care in nursing.
    • Disrupting othering requires practical solutions and a shift towards inclusionary practices.
    • A conceptual framework is proposed to guide the development of inclusive nursing strategies.