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From Subversion to Hard-Wiring Equity: A Discourse Analysis of Nurses' Equity-Promoting Practices in Emergency
Allie Slemon1, Vicky Bungay, Colleen Varcoe
1Author Affiliations: School of Nursing, University of Victoria, Victoria, British Columbia, Canada (Dr Slemon); School of Nursing, The University of British Columbia, Vancouver, Canada (Drs Bungay and Varcoe); and Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada (Dr Blanchet Garneau).
None:
Nursing has articulated a shared commitment to equity in response to inequities in health and health care; however, understandings of how nurses enact equity are needed to uphold this professional mandate. This Foucauldian discourse analysis examined how nurses' equity-promoting practices are shaped by dominant discourses within the emergency department and illustrated that within this institutional context that constrained equity, nurses engaged in equity-promoting practices through subversion of discursive power. This study illustrates the need for embedding equity discourses within health care systems and ensuring meaningful supports for nurses in enacting equity-promoting practices within the emergency department setting.
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