Ongoing development of nursing science requires attention to the philosophical and theoretical bases upon which the science is built. A feminist theoretical perspective offers a useful lens for understanding the needs of both nurses and their clients. Adolescent and young adult women are an underserved and understudied population for whom nursing care can be especially beneficial. Considering the needs of this population from a philosophical perspective, through a feminist lens, is one effective means of developing nursing science approaches that contribute to and ultimately improve care for adolescent and young adult women.

Nursing is not exempt from the social influences that affect other professions, and may in fact be rendered more susceptible thereto. Gender has potential to be such an influence, as its construction is based upon both social and historical factors. Gender has significant implications for nursing. Given that many aspects of the nursing profession remain largely female-dominated, it is sometimes assumed that otherwise common issues of gender bias are not a consideration. In fact, traditional binary gender roles and norms are often imposed and reinforced within nursing education and science, potentially limiting both diversity and innovation in the profession.

Abstract

Forensic nurses engaged in medicolegal death investigations experience trauma-induced responses in responding to, investigating, and documenting sudden unexpected deaths. The trauma of these repeated experiences often results in diminished performance, job dissatisfaction, and burnout. The principles of trauma-informed care are not new but have not been incorporated into death investigation practices. When coupled with medicolegal death investigation procedures, application of these principles can help to alleviate distress for forensic nurses, colleagues, and decedents of concerned families. This case series illustrates how the principles of trauma-informed care can be implemented to enhance communication, deescalate emotional or threatening situations, and prevent retraumatization in the context of medicolegal death investigations.

Although cultural competence in practice is a common goal within the health care professions, little is known about the consequences of a lack of such competence in health and healing. We propose a novel theoretical framework of cultural distress to describe patient experiences of and reactions to care that does not incorporate attention to cultural needs. Use of the cultural distress model to guide research offers an innovative framework by which researchers may identify potential interventions such that patients never reach a level of cultural distress.

Project Connect training aims to reduce barriers to screening for and intervening with women with histories of intimate partner violence and reproductive coercion. This study sought to assess the effectiveness of trainings, provider facility with Project Connect tools, and areas for improvement in a pilot state. Results indicated that providers found training useful, and those in supervisory roles particularly appreciated the universal tools and skill set given to participants. Providing these tools supports the provision of trauma-informed care. Areas for improvement included increased emphasis on initiating screening, enhancing training for different types of providers, and developing follow-up training.

Current estimates indicate that as few as 2% of health providers may be universally screening patients or clients for intimate partner violence and reproductive coercion. Barriers to screening have been well-described in the literature; however, little attention has been paid to the factors that motivate providers to carry out screenings. This study explored data from a sample of providers who had received specific screening and intervention training to ascertain what factors motivated them to complete screenings in practice. Patient-related, provider-related, and work setting factors were identified. Findings may support improved provider training and, ultimately, screening rates.

Introduction: The purpose of this study was to explore how women of color affiliated with a large public university in the United States evaluated involving authorities in cases of intimate partner violence (IPV) and/or sexual assault (SA) and to discover if structural stressors such as racism or sexism influenced their thinking. Methodology: Surveys on perceived ethnic discrimination, depression, trauma history, stress, social support, resilience, and sleep disturbance were completed by 87 self-identified women of color. All women also participated in one of several focus groups on IPV and SA. Results: Roughly half of participants had experienced SA and about a third experienced IPV. Participants identifying as Latinx/Hispanic or Black/African American reported the greatest experiences of structural stressors and also felt there was not always a potential safety gain with reporting IPV and/or SA. Discussion: The results of this study suggest universities must create more culturally competent environs of safety for women of color.

The image of the hospital is presented to the public as a place of healing. Though the oft-criticized total institutions of the past have been notably dismantled, the totalizing practices therein are now operationalized in the health care system. Through the lens of Erving Goffman, this article offers ways in which health care institutions operationalize totalizing practices, contributing to the mortification of patients and nurses alike in service to the bureaucratic machine. This article examines the ways in which totalizing practices may disrupt the agency of both patients and nurses alike.