Discourses and practices in institutionalised nursing in South Africa : challenges for care

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dc.contributor.authorJoyner, Kateen_ZA
dc.contributor.authorShefer, Tamaraen_ZA
dc.contributor.authorSmit, Estianen_ZA
dc.date.accessioned2017-03-02T08:25:48Z
dc.date.available2017-03-02T08:25:48Z
dc.date.issued2014-10
dc.descriptionCITATION: Joyner, K., Shefer, T. & Smit, E. Discourses and practices in institutionalised nursing in South Africa : challenges for care. South African Review of Sociology, 45(3):34-52, doi:10.1080/21528586.2014.945948.
dc.descriptionThe original publication is available at http://www.tandfonline.com
dc.description.abstractENGLISH SUMMARY : South African nursing remains a largely feminised and devalued profession, further undermined by the popular construction of nurses as indifferent and the healthcare systems as hindered by multiple challenges. Over the last 20 years of democracy, multiple efforts have been made at the level of policy, practice and knowledge production to address the challenges of the primary healthcare sector where nurses are such central role players. There are clearly resource challenges in South Africa which may undermine caring practices; however, this article also foregrounds the dominant discourses that shape international and local nursing, and which arguably mitigate against care that is democratic, socially responsive and sensitive to the diverse care needs of communities and individuals. Drawing on Tronto's political ethics of care and on Foucauldian frameworks, the paper analyses the processes currently shaping the experience of nurses and practices of care. Key themes are the hierarchical, regulatory framework of surveillance in nursing, the dominance of biomedical discourse and the mechanistic framework that fragments nursing practice. These aspects not only disempower nurses and deny them recognition but, together with institutional disregard for the need for self-care, also reproduce a system that is inherently unable to provide humane healthcare.en_ZA
dc.description.versionPost print
dc.format.extent17 pages
dc.identifier.citationJoyner, K., Shefer, T. & Smit, E. Discourses and practices in institutionalised nursing in South Africa : challenges for care. South African Review of Sociology, 45(3):34-52, doi:10.1080/21528586.2014.945948.
dc.identifier.issn2072-1978 (online)
dc.identifier.issn2152-8586 (print)
dc.identifier.otherdoi:10.1080/21528586.2014.945948
dc.identifier.urihttp://hdl.handle.net/10019.1/100656
dc.language.isoen_ZAen_ZA
dc.publisherTaylor & Francis
dc.rights.holderTaylor & Francis
dc.subjectNursing -- Sociological aspectsen_ZA
dc.subjectMedical care -- Moral and ethical aspectsen_ZA
dc.subjectEvidence-based nursingen_ZA
dc.subjectMedical audit -- Psychological aspectsen_ZA
dc.titleDiscourses and practices in institutionalised nursing in South Africa : challenges for careen_ZA
dc.typeArticleen_ZA
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