Table Of ContentPhilosophies and Practices
of Emancipatory Nursing
This anthology presents the philosophical and practice perspectives of nurse
scholars whose works center on promoting nursing research, practice, and
education within frameworks of social justice and critical theories. Social
justice nursing is defi ned by the editors as nursing practice that is emancipa-
tory and rests on the principle of praxis, which is practice aimed at attaining
social justice goals and outcomes that improve health experiences and con-
ditions of individuals, their communities, and society. There is a lack in the
nursing discipline of resources that contain praxis approaches and there is
a need for new concepts, models, and theories that could encompass schol-
arship and practice aimed at purposive reformation of nursing, other health
professions, and health care systems. Chapters bridge critical theoretical
frameworks and nursing science in ways that are understandable and useful
for practicing nurses and other health professionals in clinical settings, in
academia, and in research.
In this book, nurses’ ideas and knowledge development efforts are not
limited to problems and solutions emerging from the dominant discourse
or traditions. The authors offer innovative ways to work towards estab-
lishing alternative forms of knowledge, capable of capturing both the roots
and complexity of contemporary problems as distributed across a diver-
sity of people and communities. It fi lls a signifi cant gap in the literature
and makes an exceptional contribution as a collection of new writings from
some of the foremost nursing scholars whose works are informed by critical
frameworks.
Paula N. Kagan is an associate professor at DePaul University, Chicago.
Marlaine C. Smith is Dean and Helen K. Persson Eminent Scholar at the
Christine E. Lynn College of Nursing at Florida Atlantic University.
Peggy L. Chinn is the founding editor of A dvances in Nursing Science, which
since 1978 has been a premier journal publishing cutting-edge scholarship
in nursing.
Routledge Studies in Health and Social Welfare
1 Researching Trust and Health 7 Transnational Social Support
Edited by Julie Brownlie, Alexandra Edited by Adrienne Chambon,
Greene and Alexandra Howson Wolfgang Schröer and Cornelia
Schweppe
2 Health, Illness and Culture
Broken Narratives 8 The Transformation of
Edited by Lars-Christer Hydén and Contemporary Health Care
Jens Brockmeier The Market, the Laboratory, and
the Forum
3 Biopolitics and the ‘Obesity Tiago Moreira
Epidemic’
Governing Bodies
9 Children with Gender Identity
Edited by Jan Wright & Valerie
Disorder
Harwood
A Clinical, Ethical, and Legal
Analysis
4 Globalization and Health
Simona Giordano
Pathways, Evidence and Policy
Edited by Ronald Labonté, Ted
Schrecker, Corinne Packer, Vivien 10 Social Housing in Transition
Runnels Countries
Edited by József Hegedüs, Martin
5 Gender Equity in Health Lux and Nóra Teller
The Shifting Frontiers of Evidence
and Action 11 Philosophies and Practices of
Edited by Gita Sen and Piroska Emancipatory Nursing
Östlin Social Justice as Praxis
Edited by Paula N. Kagan,
6 Perspectives on Care at Home for Marlaine C. Smith, and
Older People Peggy L. Chinn
Edited by Christine Ceci, Kristín
Björnsdóttir and Mary Ellen Purkis
Philosophies and Practices
of Emancipatory Nursing
Social Justice as Praxis
Edited by Paula N. Kagan,
Marlaine C. Smith, and
Peggy L. Chinn
First published 2014
by Routledge
711 Third Avenue, New York, NY 10017
and by Routledge
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Routledge is an imprint of the Taylor & Francis Group, an informa business
© 2014 Taylor & Francis
The right of the editors to be identifi ed as the authors of the editorial
material, and of the authors for their individual chapters, has been
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All rights reserved. No part of this book may be reprinted or reproduced or
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Library of Congress Cataloging-in-Publication Data
Philosophies and practices of emancipatory nursing : social justice as praxis /
edited by Paula N. Kagan, Marlaine C. Smith, Peggy L. Chinn. — 1st Edition.
pages cm. — (Routledge studies in health and social welfare ; 11)
Includes bibliographical references and index.
1. Social service—Research. 2. Nursing—Social aspects. 3. Social
justice. 4. Critical theory. I. Kagan, Paula N., editor of compilation.
II. Smith, Marlaine C. (Marlaine Cappelli), editor of compilation.
III. Chinn, Peggy L., editor of compilation.
RT86.5.P55 2014
362.14—dc23
2014004055
ISBN: 978-0-415-65953-6 (hbk)
ISBN: 978-0-203-06909-7 (ebk)
Typeset in Sabon
by Apex CoVantage, LLC
Contents
Acknowledgments ix
Foreword: Social Justice: Continuing the Dialogue xi
JOAN M. ANDERSON, PHD (SOCIOLOGY), MSN, RN
Introduction 1
PAULA N. KAGAN, PHD, RN MARLAINE C. SMITH, RN, PHD, FAAN; AND
PEGGY L. CHINN, RN, PHD, FAAN, EDITORS
SECTION I
Philosophical and Theoretical Considerations:
Innovative Frameworks for Health
1 Problematizing Social Justice Discourses in Nursing 21
ANNETTE J. BROWNE, PHD, RN AND SHERYL REIMER-KIRKHAM, PHD, RN
2 Towards an “Ethics of Discomfort” in Nursing: Parrhesia
as Fearless Speech 39
AMÉLIE PERRON, RN, PHD, TRUDY RUDGE, RN, BA (HONS.), PHD
AND MARILOU GAGNON, RN, ACRN, PHD
3 Compassion, Biopower, and Nursing 51
JANE M. GEORGES, PHD, RN
4 Social/Moral Justice from a Caring Science Cosmology 64
JEAN WATSON, RN, PHD, AHN-BC, FAAN
5 No Hiding Place: The Search for Impermeable Boundaries 71
BEVERLY MALONE, PHD, RN, FAAN
6 Nursing as Social Justice: A Case for Emancipatory
Disciplinary Theorizing 79
SALLY THORNE, RN, PHD, FAAN, FCAHS
vi Contents
SECTION II
Research Methodologies and Practices:
Critical New Knowledge Development
7 Community-Based Collaborative Action Research:
Giving Birth to Emancipatory Knowing 93
MARGARET DEXHEIMER PHARRIS, PHD, RN, FAAN AND
CAROL PILLSBURY PAVLISH, PHD, RN, FAAN
8 Social Justice Nursing and Children’s Rights: A Realist
and Postmodern Intersectional Feminist Analysis of
Nurses’ Refl ections on Child Risk and Protection within
Domestic Violence 108
NEL GLASS, RN, PHD, FACN AND KIERRYNN DAVIS, RN, PHD
9 The Identity, Research, and Health Dialogic Interview:
Its Signifi cance for Social Justice-Oriented Research 124
DORIS M. BOUTAIN, PHD, RN
10 Critical Research Methodologies and Social Justice Issues:
A Methodological Example Using Photovoice 136
ROBIN A. EVANS-AGNEW, PHD, RN, MARIE-ANNE SANON, PHD, RN,
AND DORIS M. BOUTAIN, PHD, RN
SECTION III
Pedagogy of Praxis: Teaching for Social Justice
11 Social Justice: From Educational Mandate to Transformative
Core Value 153
MARY K. CANALES, PHD, RN, AND DENISE J. DREVDAHL, PHD, RN
12 Anti-Colonial Pedagogy and Praxis: Unraveling Dilemmas
and Dichotomies 175
C. SUSANA CAXAJ, RN, PHD, AND HELENE BERMAN, RN, PHD
13 “And That’s Going to Help Black Women How?”:
Storytelling and Striving to Stay True to the Task of
Liberation in the Academy 188
JOANNE BANKS, RN, PHD
Contents vii
14 Social Justice in Nursing Pedagogy: A Postcolonial
Approach to American Indian Health 205
SELINA A. MOHAMMED, PHD, MPH, RN
15 Human Violence Interventions: Critical Discourse
Analysis Praxis 218
DEBBY A. PHILLIPS, PHD, PMHCNS
16 Teaching, Research, and Service Synthesized as
Postcolonial Feminist Praxis 231
LUCY MKANDAWIRE-VALHMU, RN, PHD, PATRICIA E. STEVENS, PHD,
RN, FAAN, AND PENINNAH M. KAKO, PHD, RN, FNP-BC, APNP
SECTION IV
Critical Practice Approaches and Methodologies
17 Cultivating Relational Consciousness in Social
Justice Practice 241
GWENETH HARTRICK DOANE, RN, PHD
18 Facilitating Humanization: Liberating the Profession of
Nursing from Institutional Confi nement on Behalf of
Social Justice 251
DANNY WILLIS, DNS, RN, PMHCNS, DONNA J. PERRY, PHD, RN,
TERRI LACOURSIERE-ZUCCHERO, PHD, RN, FNP-BC, AND
PAMELA GRACE, PHD, RN, FAAN
19 Promoting Social Justice and Equity by Practicing
Nursing to Address Structural Inequities and Structural
Violence 266
COLLEEN VARCOE, RN, PHD, ANNETTE J. BROWNE, PHD, RN, AND
LAURIE M. CENDER, RN, MSN
20 Military Sexual Trauma and Nursing Practice
in the Veterans Administration 285
URSULA A. KELLY, PHD, RN, ANP-BC, PMHNP-BC
21 Through a Socio-political Lens: The Relationship
of Practice, Education, Research, and Policy to
Social Justice 298
JILL WHITE, AM, RN, RM, MED, PHD
viii Contents
22 A Passion in Nursing for Justice: Toward Global
Health Equity 309
AFAF I. MELEIS, PHD, DRPS (HON), FAAN, AND CAROLINE
G. GLICKMAN, MIM
Afterword 323
PAULA N. KAGAN, PHD, RN
Contributors 327
Index 339
Acknowledgments
I offer many thanks to DePaul University for support of my scholarship in
various forms including grants and paid leave. I am deeply appreciative of
my colleagues, friends, and family for their encouragement and support. For
their criticality, imagination, and determination I am grateful to and in awe
of the authors of these chapters and the authors of chapters for which the
limitations of the publication prevented their inclusion. Most importantly, I
am indebted to my partners and co-editors, Marlaine and Peggy, two incred-
ibly wonderful and visionary scholars whose continued friendship and col-
laboration during this journey of praxis has meant the world to me.
Paula N. Kagan
I am grateful to the authors who contributed to this volume. I learned so
much from you! Editing this book with Paula and Peggy has been the quint-
essential experience of collegiality, and I am so grateful for their passion and
patience. I acknowledge the many scholars in the fi elds of caring, unitary,
and critical/post-structural perspectives who have infl uenced my thinking
about social justice, participative, and emancipatory approaches to research
and practice, and the uniqueness of nursing’s contribution to the world.
This book was in process at the time of the birth of my fi rst grandchild, Iyla.
Her arrival calls me to our purpose: the audacious hope of creating a more
humane, peaceful, and just world for all our children.
Marlaine C. Smith
Working with Paula and Marlaine has been one of the most gratifying expe-
riences of my professional career. Thank you, Paula, for your awesome
leadership in this project starting with your determination to engage a pub-
lisher for this work, your sharp intellect that has been invaluable to the
editing process, and your intractable yet gentle capacity to keep us all on
track. Thank you, Marlaine, for your inspiring ability to “walk the talk,”
your gentle way of speaking truth to power, and your insights that always
point to the core of nursing. You are both dear and cherished friends and
