School of Nursing, College of Health Professions and Sciences, University of Wisconsin Milwaukee, Milwaukee, Wisconsin, USA.
School of Nursing, College of Health Sciences, DePaul University, Chicago, Illinois, USA.
Nurs Philos. 2024 Oct;25(4):e12506. doi: 10.1111/nup.12506.
Nursing's efforts at organizing in the United States have encompassed various approaches to creating change at a systemic and political level, namely shared governance, professional associations, and nurse unions. The United States is currently experiencing the effects of an authoritarian sociopolitical agenda that has taken aim at our profession's ethic of providing equitable care for all people through legislation that bans gender-affirming care and abortions. Nursing is simultaneously experiencing a crisis of burnout and moral distress, as we navigate the everyday functions of a for-profit healthcare system under the Capitalocene. As we situate ourselves within these policies and practices of late-stage capitalism and an increasingly authoritarian nation-state, we are compelled to think deeply about how nursing is currently organizing ourselves. Our paper will explore the evolution of various forms of organizing through the lens of intersectionality, which offers a framework for considering the ways that power operates, creating a matrix of sociostructural processes that fuel injustice. Intersectionality also compels us to examine whether our organizing has resisted, or perpetuated, a matrix of oppression. We will conclude by offering examples of radical imagining for a future of nursing resistance, where our collective organizing has a greater impact and responsibility for dismantling the status quo to achieve justice and liberation.
美国护理界的组织工作包括各种旨在在系统和政治层面上实现变革的方法,即共同治理、专业协会和护士工会。美国目前正在经历一个威权主义的社会政治议程的影响,该议程通过立法针对我们职业为所有人提供公平护理的伦理道德,该立法禁止性别肯定护理和堕胎。护理界同时也面临着职业倦怠和道德困境的危机,因为我们在资本时代的营利性医疗保健系统下应对日常功能。当我们置身于晚期资本主义和日益威权的民族国家的这些政策和实践中时,我们不得不深入思考护理目前如何组织自己。我们的论文将通过交叉性的视角探讨各种形式的组织的演变,这为我们考虑权力运作的方式提供了一个框架,形成了一个助长不公正的社会结构过程的矩阵。交叉性也迫使我们审视我们的组织是否抵制或延续了压迫的矩阵。我们将通过提供未来护理抵抗的激进想象的例子来结束,在这种情况下,我们的集体组织对打破现状、实现正义和解放具有更大的影响力和责任。