Social justice as nursing resistance: a foucauldian discourse analysis within emergency departments

Original research
by
Slemon, Allie et al

Release Date

2024

Geography

Canada

Language of Resource

English

Full Text Available

Yes

Open Access / OK to Reproduce

Yes

Peer Reviewed

Yes

Objective

This research examines how nurses' talk and institutional texts discursively construct social justice within the institutional context of the emergency department, and how such discourses shape the enactment of social justice within nursing practice.

Findings/Key points

This analysis identified one overarching discursive pattern, in which social justice was discursively constructed through a hegemonic distributive paradigm, yet also resisted through nurses' conceptualization and enactment of a systemic social justice paradigm that facilitated their recognition and remediation of inequities. This central discursive pattern is explored through three exemplars of nurses' enactment of social justice as resistance: triage, harm reduction, and care planning. 

Design/methods

Guided by Iris Marion Young's theorizing of distributive and systemic social justice paradigms, this Foucauldian discourse analysis draws on emergency department nurses' talk (N = 25 interviews) and institutional documents (N = 27).

Keywords

About nurses
Barriers and enablers
Chronic disease
Equity
Harm reduction
Hospitals
Illegal drugs
Indigenous
Overdose
Policy/Regulatory
Stigma
Transitions in care/treatment