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Clean, Pleasant, Governed: A Critical Discourse Analysis of Bathing Without a Battle
Patricia Morris1, Rose McCloskey1, Janet Durkee-Lloyd2
1Faculty of Nursing and Health Sciences, University of New Brunswick, Fredericton, New Brunswick, Canada.
Nursing Inquiry
|August 2, 2026
Summary
This study critically analyzes the "Bathing Without a Battle" video, finding it frames client refusal as a problem to overcome, not agency. It normalizes persuasion in dementia care, impacting patient autonomy.
Area of Science:
- Gerontology
- Nursing Studies
- Discourse Analysis
Background:
- The "Bathing Without a Battle" video is a key training resource in residential dementia care.
- Its underlying assumptions regarding bathing, refusal, and nursing practices lack critical examination.
Purpose of the Study:
- To critically analyze the discourse of the "Bathing Without a Battle" video.
- To examine how the video constructs resistance to assisted bathing and frames nursing responses.
- To explore the ethical implications for autonomy in dementia care.
Main Methods:
- A three-part Faircloughian critical discourse analysis was employed.
- Analysis focused on social structures, production/dissemination processes, and textual features.
- Genre, discourse, and style were examined to understand how the video influences practice and moral reasoning.
Main Results:
- The video positions itself as a clinical practice guideline, merging instructional conventions with research authority.
- Cleanliness is presented as a non-negotiable goal, with client refusals framed as technical or pathological issues.
- Emphasis on pleasure serves as a device to shape nurses' responsibility for hygienic and affectively acceptable care.
Conclusions:
- The video's framing may undermine client autonomy by normalizing persuasion for predetermined care outcomes.
- Ethical considerations regarding client agency and the definition of 'appropriate' care are raised.
- Further critical discourse analysis is needed for dementia care training resources.
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