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From discipline to control in nursing practice: A poststructuralist reflection.

Jonathan R S McIntyre1, Candace Burton1, Dave Holmes2

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|July 28, 2020
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Summary
This summary is machine-generated.

Nursing practice evolves with social and economic factors, shifting from early exceptionalism to modern control dynamics. Nurses must navigate these changes to align practice with core values.

Keywords:
agencyarborescencedisciplinefoucaultpostmodernrhizome

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Area of Science:

  • Nursing Studies
  • Sociology of Health
  • Science and Technology Studies

Background:

  • Historical nursing practices in the US and Europe emphasized moral, spiritual, and clinical exceptionalism.
  • Early nursing education and practice were situated within 'total institutions' like schools and hospitals.
  • Contemporary nursing faces pervasive external forces influencing practice dynamics.

Purpose of the Study:

  • To analyze the evolution of nursing practice through historical and contemporary lenses.
  • To explore the impact of social, cultural, political, and economic interests on nursing.
  • To examine the influence of control dynamics, such as surveillance technology, on modern nursing.

Main Methods:

  • Historical analysis of nursing's development.
  • Application of sociological concepts, including Gilles Deleuze's 'Society of Control'.
  • Examination of contemporary examples like sensor technology in clinical settings.

Main Results:

  • Early nursing was characterized by claims of exceptionalism and structured within total institutions.
  • Contemporary nursing is increasingly influenced by external power dynamics and surveillance.
  • Sensor technology exemplifies the 'rationalization' and monitoring of nursing practice.

Conclusions:

  • Nursing practice is shaped by complex intersecting interests.
  • Modern nursing operates within a 'Society of Control' characterized by surveillance and performance metrics.
  • Nurses must actively engage with these dynamics to preserve and advance the discipline's values.