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Power, Resistance, and Family Absence During Resuscitation: A Foucauldian Analysis.
Tamara J Young1, Rochelle Einboden1,2,3
1School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
Nursing Inquiry
|May 27, 2026
Summary
Family presence during resuscitation offers benefits but faces resistance in adult care. Power dynamics and medical authority hinder its integration, despite patient-centered care rhetoric.
Area of Science:
- Healthcare Policy
- Medical Sociology
- Nursing Studies
Background:
- Family presence during resuscitation (FPDR) is debated in adult healthcare.
- Existing benefits include aiding grief, reassurance, and closure.
- Resistance to FPDR integration persists in adult patient care settings.
Purpose of the Study:
- To explore power relations influencing resistance to FPDR in adult patients.
- To analyze how discourse shapes truth and knowledge regarding FPDR.
- To move beyond benefit-risk analysis and examine underlying structural factors.
Main Methods:
- Foucauldian critical analysis of power relations.
- Examination of discursive structures surrounding FPDR.
- Analysis of medical and organizational authority.
Main Results:
- Discursive power relations determine admissible knowledge on FPDR.
- Medical and organizational authority maintain dominance despite patient-centered care rhetoric.
- Nursing knowledge is often marginalized within FPDR discussions.
Conclusions:
- Advancing FPDR requires examining and challenging power structures.
- Identifying resistance points and empowering nursing are crucial for change.
- Meaningful change necessitates addressing the marginalization of nursing knowledge.
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