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Anticipated Stigma in Nursing: A Concept Analysis Informed by Cannabis Use Disclosure
1College of Nursing, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, USA.
Journal of Advanced Nursing
|January 27, 2026
Summary
Anticipated stigma, the fear of discrimination, negatively impacts patient-provider communication, especially concerning cannabis use in nursing. Addressing this stigma is crucial for effective, person-centered care.
Area of Science:
- Nursing
- Public Health
- Psychology
- Sociology
Background:
- Anticipated stigma, the expectation of negative judgment, is under-theorized in healthcare.
- Disclosure of stigmatized behaviors like cannabis use is hindered by this fear.
- This impacts therapeutic communication and patient-centered care in nursing.
Purpose of the Study:
- To clarify the concept of anticipated stigma.
- To examine its relevance to cannabis use disclosure within nursing.
- To apply an evolutionary concept analysis approach.
Main Methods:
- Utilized Rodgers and Knafl's evolutionary concept analysis method.
- Conducted an interdisciplinary literature review (1963-2024) across nursing, public health, psychology, and sociology.
- Synthesized empirical and theoretical sources focusing on stigma, disclosure, and cannabis use.
Main Results:
- Defined anticipated stigma as a future-oriented expectation of devaluation.
- Identified five core attributes, antecedents (identity, norms, structures), and consequences (distress, concealment, reduced engagement).
- Developed a model case illustrating its application in nursing.
Conclusions:
- Anticipated stigma is a dynamic concept hindering therapeutic communication and person-centered care in nursing.
- Conceptual clarity supports stigma-informed approaches in nursing education and practice.
- Essential for addressing cannabis use and other stigmatized health behaviors.
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