Salzmann-Erikson Martin
Department of Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, Sweden.
Int J Nurs Sci. 2024 Oct 10;11(5):586-594. doi: 10.1016/j.ijnss.2024.10.002. eCollection 2024 Nov.
Autoethnography combines personal experiences with cultural analysis, emerging as a response to the limitations of traditional ethnography. This review aimed to explore, describe, and delineate the utilization of autoethnography by nurses published in peer-reviewed journals.
A scoping review was conducted according to the Arksey and O'Malley framework. On October 12, 2023, autoethnographic studies in nursing were identified through searches of CINAHL, PubMed, PsycINFO, and Scopus. Peer-reviewed articles published in English language were retrieved. We applied no date restriction. Data were extracted on nursing, epiphany, results, style of writing, implications for nursing, and ethical considerations.
Twenty-six articles met the inclusion criteria. Mental health nursing, covered by nine articles, elucidated experiences of stigma, ethical dilemmas, and professional identity. Nursing education, represented by seven articles, highlighted identity struggles, systemic biases, and evolving pedagogies. Palliative care, addressed by three articles, provided insights into communication challenges and emotional complexities in end-of-life care. The remaining articles explored rehabilitation, cultural competence, and chronic pain management. A conceptual framework integrating ontological, epistemological, ethical, and practical dimensions was developed, emphasizing the interplay between personal and professional roles.
This review underscores autoethnography's value in uncovering the cultural and ethical dimensions of nursing. This framework advocates for a reflective, culturally attuned approach to healthcare, fostering transformative changes in nursing. Further research should explore underrepresented nursing specialties to harness autoethnography's potential fully.
自我民族志将个人经历与文化分析相结合，作为对传统民族志局限性的一种回应而出现。本综述旨在探讨、描述和阐述同行评审期刊上发表的护士对自我民族志的运用。
根据阿克西和奥马利框架进行了一项范围综述。2023年10月12日，通过检索CINAHL、PubMed、PsycINFO和Scopus确定了护理领域的自我民族志研究。检索了以英文发表的同行评审文章。我们没有设置日期限制。提取了有关护理、顿悟、结果、写作风格、对护理的启示以及伦理考量的数据。
26篇文章符合纳入标准。9篇文章涉及的心理健康护理阐明了耻辱感、伦理困境和职业认同的经历。7篇文章代表的护理教育突出了身份认同挣扎、系统性偏见和不断演变的教学方法。3篇文章涉及的姑息治疗提供了临终护理中沟通挑战和情感复杂性的见解。其余文章探讨了康复、文化能力和慢性疼痛管理。开发了一个整合本体论、认识论、伦理和实践维度的概念框架，强调个人和职业角色之间的相互作用。
本综述强调了自我民族志在揭示护理文化和伦理维度方面的价值。这个框架提倡采用一种反思性的、文化协调的医疗保健方法，促进护理领域的变革性变化。进一步的研究应探索代表性不足的护理专业，以充分发挥自我民族志的潜力。
