Beyond Dualism: Leading Out of Oppression

Fletcher, Karen

doi:10.1111/j.1744-6198.2006.00039.x

Cited by 37 publications

(49 citation statements)

References 40 publications

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“…The majority of the nurses in the East African Region are educated at the diploma level as an entry point into the profession; this level of education renders them less educated than other health care professionals [35,36]. Nursing education mainly focuses on clinical skills and theory related to patient care and management, not on leadership development or policy issues [35,36].…”

Section: Introductionmentioning

confidence: 99%

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Factors that act as facilitators and barriers to nurse leaders’ participation in health policy development

Shariff

2014

BMC Nurs

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BackgroundHealth policies impact on nursing profession and health care. Nurses' involvement in health policy development ensures that health care is safe, of a high quality, accessible and affordable. Numerous factors influence nurse leaders' ability to be politically active in influencing health policy development. These factors can be facilitators or barriers to their participation. There is scant research evidence from Eastern African region that draws attention to this topic. This paper reports part of the larger study. The objectives reported in this paper were those aimed to: build consensus on factors that act as facilitators and barriers to nurse leaders' participation in health policy development in Kenya, Uganda and Tanzania.MethodsA Delphi survey was applied which included: expert panelists, iterative rounds, statistical analysis, and consensus building. The expert panelists were purposively selected and included national nurse leaders in leadership positions in East Africa. Data collection was done, in three iterative rounds, and utilized a questionnaire with open and closed ended questions. 78 expert panelists were invited to participate in the study; the response rate was 47% of these 64.8% participated in the second round and of those 100% participated in the third round. Data analysis was done by examining the data for the most commonly occurring categories for the open ended questions and descriptive statistics for structured questions.ResultsThe findings of the study indicate that both facilitators and barriers exist. The former include: being involved in health policy development, having knowledge and skills, enhancing the image of nursing and enabling structures and processes. The latter include: lack of involvement, negative image of nursing and structures and processes which exclude them.ConclusionThere is a window of opportunity to enhance national nurse leaders' participation in health policy development. Nurse leaders have a key role in mentoring, supporting and developing future nurse policy makers.

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Section: Introductionmentioning

confidence: 99%

“…Nursing education mainly focuses on clinical skills and theory related to patient care and management, not on leadership development or policy issues [35,36]. Access to higher education at the tertiary level is limited and expensive.…”

Section: Introductionmentioning

confidence: 99%

Factors that act as facilitators and barriers to nurse leaders’ participation in health policy development

Shariff

2014

BMC Nurs

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“…Developing positive relationships with a variety of groups (such as with peers, subordinates, and sponsors) can help nurses increase their informal power and ultimately their formal power. [37] Jordanian nurses, especially nurse leaders, should prepare themselves to take on leading roles in the healthcare system, engage in political action, form strong lobbies and organized groups, and strive to change their public and political position, which will help to change the overall position of women in Jordanian society.…”

Section: Discussionmentioning

confidence: 99%

Promoting emancipated decision-making for surgical treatment of early stage breast cancer among Jordanian women

Obeidat

2015

Asia-Pacific Journal of Oncology Nursing

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To use the critical social theory as a framework to analyze the oppression of Jordanian women with early stage breast cancer in the decision-making process for surgical treatment and suggest strategies to emancipate these women to make free choices. This is a discussion paper utilizing the critical social theory as a framework for analysis. The sexist and paternalistic ideology that characterizes Jordanian society in general and the medical establishment in particular as well as the biomedical ideology are some of the responsible ideologies for the fact that many Jordanian women with early stage breast cancer are denied the right to choose a surgical treatment according to their own preferences and values. The financial and political power of Jordanian medical organizations (e.g., Jordan Medical Council), the weakness of nursing administration in the healthcare system, and the hierarchical organization of Jordanian society, where men are first and women are second, support these oppressing ideologies. Knowledge is a strong tool of power. Jordanian nurses could empower women with early stage breast cancer by enhancing their knowledge regarding their health and the options available for surgical treatment. To successfully emancipate patients, education alone may not be enough; there is also a need for health care providers’ support and unconditional acceptance of choice. To achieve the aim of emancipating women with breast cancer from the oppression inherent in the persistence of mastectomy, Jordanian nurses need to recognize that they should first gain greater power and authority in the healthcare system.

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“…While nursing was not initially intended to be oppressive to nurses, within time systematic changes were implemented that very much did that. Into the 21st century, this predominantly female profession continues to be placed in inferior positions to males (i.e., physicians) reproducing gender-based hierarchies within these professions (Duchscher & Myrick, 2008;Fletcher, 2006;Roberts, 1983;Roberts, Demarco, & Griffin, 2009;Witt, 1992). Into the 21st century, this predominantly female profession continues to be placed in inferior positions to males (i.e., physicians) reproducing gender-based hierarchies within these professions (Duchscher & Myrick, 2008;Fletcher, 2006;Roberts, 1983;Roberts, Demarco, & Griffin, 2009;Witt, 1992).…”

Section: Nursing Oppressionmentioning

confidence: 99%

Exploring social‐based discrimination among nursing home certified nursing assistants

et al. 2019

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Certified nursing assistants (CNAs) provide the majority of direct care to nursing home residents in the United States and, therefore, are keys to ensuring optimal health outcomes for this frail older adult population. These diverse direct care workers, however, are often not recognized for their important contributions to older adult care and are subjected to poor working conditions. It is probable that social‐based discrimination lies at the core of poor treatment toward CNAs. This review uses perspectives from critical social theory to explore the phenomenon of social‐based discrimination toward CNAs that may originate from social order, power, and culture. Understanding manifestations of social‐based discrimination in nursing homes is critical to creating solutions for severe disparity problems among perceived lower‐class workers and subsequently improving resident care delivery.

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Beyond Dualism: Leading Out of Oppression

Abstract: Moving beyond dualism creates new possibilities for leading nurses out of oppression.

Cited by 37 publications

References 40 publications

Factors that act as facilitators and barriers to nurse leaders’ participation in health policy development

Factors that act as facilitators and barriers to nurse leaders’ participation in health policy development

Promoting emancipated decision-making for surgical treatment of early stage breast cancer among Jordanian women

Exploring social‐based discrimination among nursing home certified nursing assistants

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