The sexual health consultation as a moral occasion.

Abstract:

:Sexually transmitted infections (STIs) are socially constructed as more 'dirty' than other gynaecological conditions. This article analyses women's accounts of interactions with clinicians, subsequent to a diagnosis of genital herpes simplex virus or human papilloma virus. Women conceptualised consultations as a 'moral event,' different from other consultations. This moral component is highlighted drawing on Foucault's notion of 'the confessional.' Additionally, Douglas' anthropological construction of 'dirt' is used to consider why these consultations are 'confessional' experiences. Email interviews were conducted with 26 women diagnosed with a viral STI and 12 sexual health clinicians. Data were analysed thematically using a feminist, poststructuralist approach. Findings indicated that discourses of morality shape sexual health consultations. Five themes were identified in relation to the moral 'work' in clinical consultations about a viral STI diagnosis: the particular 'dirtiness' of viral STIs, clinicians as moral agents, the 'non-judgmental' clinician, women juggling truth-telling and risk and clinicians prescribing moral work. Clinicians support and educate women more effectively if they recognise subjective, moral aspects of sexual health consultations rather than assuming that effective clinical teaching is rational, scientific and non-judgmental.

journal_name

Nurs Inq

journal_title

Nursing inquiry

authors

Cook C

doi

10.1111/nin.12018

subject

Has Abstract

pub_date

2014-03-01 00:00:00

pages

11-9

issue

1

eissn

1320-7881

issn

1440-1800

journal_volume

21

pub_type

杂志文章
  • In search of the changeable: An analysis of visual representations of nursing in Norwegian and Danish professional nursing journals, 1965-2016.

    abstract::In this study, we demonstrate how perceptions of nursing are constructed in close connection with the development of the Nordic welfare states. Drawing on Gillian Rose's framework for analysing the social and political implications of visual materials, we analysed selected visual representations of nursing published i...

    journal_title:Nursing inquiry

    pub_type: 杂志文章

    doi:10.1111/nin.12340

    authors: Ravn IM,Beedholm K,Frederiksen K,Kvangarsnes M,Foss IC,Knutsen IR

    更新日期:2020-07-01 00:00:00

  • The power of routine and special observations: producing civility in a public acute psychiatric unit.

    abstract::This study directly addresses controlling aspects of psychiatric nursing practice, which are currently marginalized in practice and research. We first consider the discursive tensions surrounding the mandated goal of social control in public acute psychiatric units, particularly referring to those units located within...

    journal_title:Nursing inquiry

    pub_type: 杂志文章

    doi:10.1111/j.1440-1800.2008.00406.x

    authors: Hamilton B,Manias E

    更新日期:2008-09-01 00:00:00

  • Hermeneutic research in nursing: developing a Gadamerian-based research method.

    abstract::This paper takes the stance that although there are many different approaches to phenomenological and hermeneutic research, some of these have become blurred due to multiple interpretations of translated materials. Working from original texts by the German philosophers, this paper reconsiders the relevance of phenomen...

    journal_title:Nursing inquiry

    pub_type: 杂志文章,评审

    doi:10.1046/j.1440-1800.2003.00163.x

    authors: Fleming V,Gaidys U,Robb Y

    更新日期:2003-06-01 00:00:00

  • The influence of democratic racism in nursing inquiry.

    abstract::Neoliberal ideology and exclusionary policies based on racialized identities characterize the current contexts in North America and Western Europe. Nursing knowledge cannot be abstracted from social, political and historical contexts; the task of examining the influence of race and racial ideologies on disciplinary kn...

    journal_title:Nursing inquiry

    pub_type: 杂志文章

    doi:10.1111/nin.12213

    authors: Hilario CT,Browne AJ,McFadden A

    更新日期:2018-01-01 00:00:00

  • Is it possible to feel at home in a patient room in an intensive care unit? Reflections on environmental aspects in technology-dense environments.

    abstract::This paper focuses on the patient's perspective and the philosophical underpinnings that support what might be considered optimal for the future design of the intensive care unit (ICU) patient room. It also addresses the question of whether the aspects that support at-homeness are applicable to ICU patient rooms. The ...

    journal_title:Nursing inquiry

    pub_type: 杂志文章

    doi:10.1111/nin.12301

    authors: Andersson M,Fridh I,Lindahl B

    更新日期:2019-10-01 00:00:00

  • Cultivating the power of partnerships in feminist participatory action research in women's health.

    abstract::Feminist participatory action research integrates feminist theories and participatory action research methods, often with the explicit intention of building community-academic partnerships to create new forms of knowledge to inform women's health. Despite the current pro-partnership agenda in health research and polic...

    journal_title:Nursing inquiry

    pub_type: 杂志文章,评审

    doi:10.1111/j.1440-1800.2010.00506.x

    authors: Ponic P,Reid C,Frisby W

    更新日期:2010-12-01 00:00:00

  • What makes patients perceive their health care worker as an epistemic authority?

    abstract::Health care workers' (HCW) perceived epistemic authority (EA) may have an effect on patient decision-making and compliance. The present study investigated the hypotheses that higher EA is attributed to staff perceived to be experts; to physicians rather than nurses; to HCWs who recommend taking a test more than to the...

    journal_title:Nursing inquiry

    pub_type: 杂志文章

    doi:10.1111/j.1440-1800.2011.00562.x

    authors: Barnoy S,Ofra L,Bar-Tal Y

    更新日期:2012-06-01 00:00:00

  • Social barriers to Type 2 diabetes self-management: the role of capital.

    abstract::Approaches to self-management traditionally focus upon individual capacity to make behavioural change. In this paper, we use Bourdieu's concepts of habitus and capital to demonstrate the impact of structural inequalities upon chronic illness self-management through exploring findings from 28 semi-structured interviews...

    journal_title:Nursing inquiry

    pub_type: 杂志文章

    doi:10.1111/nin.12073

    authors: Henderson J,Wilson C,Roberts L,Munt R,Crotty M

    更新日期:2014-12-01 00:00:00

  • Phenomenology as a paradigm of movement.

    abstract::Phenomenology is a well-founded qualitative methodology that is frequently used by nurse researchers and considered of value when addressing research questions in nursing practice and nurse education. However, at present, nurse researchers using phenomenology tend to divide phenomenological methodology into the descri...

    journal_title:Nursing inquiry

    pub_type: 杂志文章,评审

    doi:10.1111/j.1440-1800.2006.00325.x

    authors: Rapport F,Wainwright P

    更新日期:2006-09-01 00:00:00

  • Nurses' experiences of busyness in their daily work.

    abstract::The purpose of this study is to explore and illuminate the phenomenon of busyness as experienced by nurses. The daily work of nursing practice is often characterized by a hectic pace in the execution of tasks. Previous research shows that busyness can potentially lead to a reduction in the quality of nursing. Little h...

    journal_title:Nursing inquiry

    pub_type: 杂志文章

    doi:10.1111/nin.12350

    authors: Govasli L,Solvoll BA

    更新日期:2020-07-01 00:00:00

  • Heideggerian phenomenology: an approach to understanding family caring for an older relative.

    abstract::Recent research has found that family caregivers do not discuss their caregiving in terms of tasks but instead describe their care as shaped by concerns, commitments and goals. The purpose of this paper is to challenge the ways in which nurses approach the family caregiving process and to explore possibilities for evo...

    journal_title:Nursing inquiry

    pub_type: 杂志文章,评审

    doi:10.1111/j.1440-1800.1997.tb00138.x

    authors: Kellett UM

    更新日期:1997-03-01 00:00:00

  • Cultural frameworks of nursing practice: exposing an exclusionary healthcare culture.

    abstract::Drawing on a feminist praxis study in which nurses were asked to explore their experiences in caring for people of culturally and linguistically diverse backgrounds, cultural frameworks bounded by interconnected markers of race, ethnicity and gender were constructed to analyse the nurses' narrative accounts. The aims ...

    journal_title:Nursing inquiry

    pub_type: 杂志文章

    doi:10.1046/j.1440-1800.2003.00192.x

    authors: Blackford J

    更新日期:2003-12-01 00:00:00

  • Life and the laundromat: reflections on dirty linen and everyday private life.

    abstract::This is a paper in which I reflect on, and draw issues from, an unplanned ethnographic experience in a London laundromat. The concept of 'everyday life' has a kind of simple, even benign, quality. However, there are many events in everyday life that are complex and complicating. Everyday life can be mundane--boring ev...

    journal_title:Nursing inquiry

    pub_type: 杂志文章

    doi:10.1111/j.1440-1800.1997.tb00097.x

    authors: Lawler J

    更新日期:1997-09-01 00:00:00

  • Nursing research and the philosophy of hermeneutics.

    abstract::This paper explores some of the implications of hermeneutic philosophy for nursing research. Using illustrative material from recent research into the quality of life of older people in nursing homes, the paper shows that hermeneutics provides a perspective from which to examine the literature, and which guides both t...

    journal_title:Nursing inquiry

    pub_type: 杂志文章,评审

    doi:10.1111/j.1440-1800.1996.tb00008.x

    authors: Draper P

    更新日期:1996-03-01 00:00:00

  • Reflection as empowerment?

    abstract::Reflective practice, as an ideal model, is generally espoused as a developmental process to empower practitioners to achieve and sustain effective practice. Yet when reflective practice is accommodated into the real world of everyday practice can this ideal itself be realised? Or will reflective practice be accommodat...

    journal_title:Nursing inquiry

    pub_type: 杂志文章,评审

    doi:10.1046/j.1440-1800.1999.00038.x

    authors: Johns C

    更新日期:1999-12-01 00:00:00

  • Textually mediated discourses in Canadian news stories: Situating nurses' salaries as the problem.

    abstract::The aim of this article is to elucidate how nurses are positioned in Canadian news stories regarding their salaries. While the image of nursing in mass media has been widely studied, few studies explore how nurses are constructed in news stories. Drawing on ideas from institutional ethnography together with discourse ...

    journal_title:Nursing inquiry

    pub_type: 杂志文章

    doi:10.1111/nin.12233

    authors: Urban AM

    更新日期:2018-07-01 00:00:00

  • Breastfeeding policies and the production of motherhood: a historical-cultural approach.

    abstract::This paper revisits some of the aspects that allow us to situate historically the process that has been called the 'politicization of women's breasts'. It is part of a broader research project being undertaken in Rio Grande do Sul, Brazil, which is studying information from the educational material used in the Nationa...

    journal_title:Nursing inquiry

    pub_type: 历史文章,杂志文章

    doi:10.1046/j.1440-1800.2003.00154.x

    authors: Meyer DE,de Oliveira DL

    更新日期:2003-03-01 00:00:00

  • The oil crisis, risk and evidence-based practice.

    abstract::Evidence-based practice has risen to prominence over the last 20 years. Different professions have taken it up in different ways and for different purposes. It has been seen as holding both threats and advantages to professionalising endeavours and professional identity. It has engendered controversy but some criticis...

    journal_title:Nursing inquiry

    pub_type: 杂志文章,评审

    doi:10.1046/j.1440-1800.2002.00153.x

    authors: Traynor M

    更新日期:2002-09-01 00:00:00

  • In their own words: nurses' discourses of cleanliness from the Rehoboth Mission.

    abstract::For nurses of the nineteenth and early twentieth centuries, cleanliness was often seen as a virtue next to godliness. For missionary nurses, this analogy took on multiple meanings. This study focuses on discourses of cleanliness at one site of missionary nursing in the early twentieth century: the Rehoboth Mission and...

    journal_title:Nursing inquiry

    pub_type: 历史文章,杂志文章

    doi:10.1111/j.1440-1800.2008.00432.x

    authors: Lagerwey MD

    更新日期:2009-06-01 00:00:00

  • Perceived threat in compliance and adherence research.

    abstract::Within the broader agenda of adherence research, health beliefs have been identified as being significant predictors of adherence. Specifically, perceived threat as a health belief has received considerable attention in compliance and adherence research from multiple perspectives in multiple patient populations. The p...

    journal_title:Nursing inquiry

    pub_type: 杂志文章

    doi:10.1111/j.1440-1800.2005.00269.x

    authors: Carpenter R

    更新日期:2005-09-01 00:00:00

  • Parity: (im) possible? Interplay of knowledge forms in patient education.

    abstract::A central purpose is to examine the kind of knowledge that patient experience represents; its origin, properties and tenability. We will use the term insider knowledge to designate the knowledge, beliefs and viewpoints constructed by patients about their own illnesses and predicaments more generally. It is our content...

    journal_title:Nursing inquiry

    pub_type: 杂志文章

    doi:10.1111/j.1440-1800.2011.00517.x

    authors: Strøm A,Kvernbekk T,Fagermoen MS

    更新日期:2011-06-01 00:00:00

  • Prenatal screening and women's perception of infant disability: a Sophie's Choice for every mother.

    abstract::Prenatal screening can significantly benefit parents and the community. However, it has created a dilemma for women as it requires them to quickly decide whether to continue a pregnancy or terminate it should the test indicate a foetal abnormality. This can be psychologically traumatic for women torn between their con...

    journal_title:Nursing inquiry

    pub_type: 杂志文章,评审

    doi:10.1046/j.1440-1800.1998.520071.x

    authors: Chandler M,Smith A

    更新日期:1998-06-01 00:00:00

  • Demoralization and remoralization: a review of these constructs in the healthcare literature.

    abstract::Demoralization and remoralization: a review of these constructs in the healthcare literature Development of the constructs of demoralization and remoralization began in the psychiatric literature in the 1970s when a psychiatrist in the USA observed a pattern of characteristics in people referred to him for depression,...

    journal_title:Nursing inquiry

    pub_type: 杂志文章,评审

    doi:10.1111/j.1440-1800.2010.00501.x

    authors: Connor MJ,Walton JA

    更新日期:2011-03-01 00:00:00

  • The meaning of being a middle-aged close relative of a person who has suffered a stroke, 1 month after discharge from a rehabilitation clinic.

    abstract::The sudden and unexpected impact of stroke may have a stressful affect on close relatives. To illuminate the essential meaning in the lived experience of a middle-aged close relative of a person who has suffered a stroke, narrative interviews were conducted with 10 close relatives of people who had suffered their firs...

    journal_title:Nursing inquiry

    pub_type: 杂志文章

    doi:10.1111/j.1440-1800.2007.00373.x

    authors: Bäckström B,Sundin K

    更新日期:2007-09-01 00:00:00

  • A normative analysis of nursing knowledge.

    abstract::This study addresses the question of normative analysis of the value-based aspects of nursing. In our perspective, values in science may be distinguished into (i) epistemic when related to the goals of truth and objectivity and (ii) non-epistemic when related to social, cultural or political aspects. Furthermore, valu...

    journal_title:Nursing inquiry

    pub_type: 杂志文章

    doi:10.1111/nin.12108

    authors: Zanotti R,Chiffi D

    更新日期:2016-03-01 00:00:00

  • Breeding new forms of life: a critical reflection on extreme variances of bareback sex.

    abstract::Many men who have sex with men (MSM) express feeling marginalized by discourses within public health and sexual health nursing that determine bareback sex is deviant and unsafe. Their resistance to risk-based discourses can be seen within radical sex practices such as deliberately becoming-infected with HIV (bug-chasi...

    journal_title:Nursing inquiry

    pub_type: 杂志文章

    doi:10.1111/nin.12139

    authors: Hammond C,Holmes D,Mercier M

    更新日期:2016-09-01 00:00:00

  • Intervention to enhance empowerment in breast cancer self-help groups.

    abstract::As arduous psychological reactions and loss of control almost inevitably represent a challenge for women diagnosed and treated for breast cancer, a participatory intervention study was initiated that aimed to enhance empowerment in breast cancer self-help groups. Women newly diagnosed with breast cancer were invited t...

    journal_title:Nursing inquiry

    pub_type: 杂志文章

    doi:10.1111/j.1440-1800.2009.00465.x

    authors: Stang I,Mittelmark MB

    更新日期:2010-03-01 00:00:00

  • Gender and professional identity in psychiatric nursing practice in Alberta, Canada, 1930-75.

    abstract::This paper examines gender-specific transformations of nursing practice in institutional mental health-care in Alberta, Canada, based on archival records on two psychiatric hospitals, Alberta Hospital Ponoka and Alberta Hospital Edmonton, and on oral histories with psychiatric mental health nurses in Alberta. The pape...

    journal_title:Nursing inquiry

    pub_type: 历史文章,杂志文章

    doi:10.1111/j.1440-1800.2005.00287.x

    authors: Boschma G,Yonge O,Mychajlunow L

    更新日期:2005-12-01 00:00:00

  • Morbidly obese patients and lifestyle change: constructing ethical selves.

    abstract::Morbidly obese patients and lifestyle change: constructing ethical selves In contemporary societies, bodily size is an important part of individuals' self-representation. As the number of persons clinically diagnosed as morbidly obese increases, programmes are developed to make people reduce weight by changing their l...

    journal_title:Nursing inquiry

    pub_type: 杂志文章

    doi:10.1111/j.1440-1800.2011.00538.x

    authors: Knutsen IR,Terragni L,Foss C

    更新日期:2011-12-01 00:00:00

  • Using puppetry to elicit children's talk for research.

    abstract::Although puppets have been employed by various disciplines in clinical and community (e.g. homes and schools) environments, little has been written about their use as a communication tool in research. In this article, a critical review of the literature is undertaken integrating the use of puppets in a qualitative res...

    journal_title:Nursing inquiry

    pub_type: 杂志文章,评审

    doi:10.1111/j.1440-1800.2008.00395.x

    authors: Epstein I,Stevens B,McKeever P,Baruchel S,Jones H

    更新日期:2008-03-01 00:00:00