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Revisiting the Concept of Othering: A Structural Analysis
Jean Daniel Jacob1, Marilou Gagnon, Amélie Perron
1School of Nursing, University of Ottawa, Ottawa, Ontario, Canada (Drs Jacob and Perron); School of Nursing, University of Victoria, Victoria, British Columbia, Canada (Dr Gagnon); and Department of Nursing, University of Wisconsin-Eau Claire, Eau Claire, Wisconsin (Dr Canales).
ANS. Advances in Nursing Science
|March 3, 2021
Summary
This study introduces "structural othering" to explain how historical and social factors shape nurse-patient interactions with vulnerable populations. It moves beyond immediate encounters to analyze broader systemic influences on care.
Area of Science:
- Nursing
- Sociology
- Critical Theory
Background:
- Nurse-patient interactions often involve
- othering
- ,
- othering
- refers to viewing patients as marginal, vulnerable, or
- different
- Existing research focuses on the immediate context and outcomes of othering, such as exclusion and marginalization.
Purpose of the Study:
- To introduce and define
- structural othering
- as a new dimension in understanding nurse-patient relationships.
- To analyze the broader historical, political, cultural, and social factors influencing these relationships.
- To extend the concept of othering beyond immediate interactions.
Main Methods:
- Literature review drawing on feminist studies and critical theory.
- Conceptual analysis of the nurse-patient relationship.
- Integration of historical, political, cultural, and social perspectives.
Main Results:
- Identifies
- structural othering
- as a key concept shaping nurse-patient dynamics.
- Highlights how systemic factors, not just individual interactions, contribute to patient marginalization.
- Demonstrates the influence of broader societal structures on nursing practice.
Conclusions:
- The concept of
- structural othering
- provides a more comprehensive framework for analyzing nurse-patient relationships.
- Understanding structural othering is crucial for addressing health inequities and improving care for vulnerable populations.
- Further research is needed to explore the practical implications of structural othering in diverse healthcare settings.
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