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Dahlborg, E., Boman, Å., Eriksson, H. & Tengelin, E. (2023). Encircling discourses: A guide to critical discourse analysis in caring science. Scandinavian Journal of Caring Sciences
Open this publication in new window or tab >>Encircling discourses: A guide to critical discourse analysis in caring science
2023 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Epub ahead of print
Abstract [en]

Aim

The aim of this article was to introduce Fairclough's critical discourse analysis (CDA) in caring and nursing science, to provide a guide on how to perform such an analysis, and to describe the wider context of discourse epistemology.

Design

The article is designed as a methodological paper, including (a) epistemological roots of discourse analysis, (b) an overview of discourse analytical research within caring and nursing science which points out an increased trend, and (c) a guide to conducting a CDA.

Analysis

It is important that discourse analysis is available and accessible to nursing and caring researchers. Through the process of encircling discourses, valuable insight is given into fields that otherwise would be lost or would not be available.

Conclusion

Our summary stance is that discourse analysis as it is presented in this article is strongly advisable for use in nursing and caring sciences.

Keywords
caring science, critical discourse analysis nursing, discourse analysis, research methods, social construction
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-20612 (URN)10.1111/scs.13194 (DOI)001025442100001 ()37421160 (PubMedID)2-s2.0-85164575364 (Scopus ID)
Note

CC BY 4.0

Available from: 2023-08-21 Created: 2023-08-21 Last updated: 2024-01-11Bibliographically approved
Vestgarden, L. A., Dahlborg, E., Strunck, J. & Aasen, E. M. (2023). Nurses' discursive construction of older adult immigrant patients in hospitals. BMC Health Services Research, 23(1), Article ID 586.
Open this publication in new window or tab >>Nurses' discursive construction of older adult immigrant patients in hospitals
2023 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 23, no 1, article id 586Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The immigrant population across Europe is ageing rapidly. Nurses will likely encounter an increasing number of patients who are older adult immigrants. Moreover, access to and equal provision of healthcare is a key issue for several European countries. The relationship between nurses and patients is asymmetrical with unequal power relations; however, the way nurses construct the patient through language and discourse can help maintain or change the balance of power. Unequal power relations can affect access and be a hindrance to equal healthcare delivery. Hence, the aim of this study is to explore how older adult immigrants are discursively constructed as patients by nurses.

METHODS: An exploratory qualitative design was used. Data were collected through in-depth interviews with a purposive sample of eight nurses from two hospitals. The nurses' narratives were analysed using critical discourse analysis (CDA) as described by Fairclough.

RESULTS: The analysis identified an overarching, stable, and dominant discursive practice; 'The discourse of the other', with three interdiscursive practices: (1) 'The discourse on the immigrant patient versus an ideal patient'; (2) 'The expert discourse'; and (3) 'The discourse of adaption'. Older immigrant adults were constructed as 'othered' patients, they were different, alienated, and 'they' were not like 'us'.

CONCLUSION: The way nurses construct older adult immigrants as patients can be an obstacle to equitable health care. The discursive practice indicates a social practice in which paternalism overrides the patient's autonomy and generalization is more prevalent than a person-centred approach. Furthermore, the discursive practice points to a social practice wherein the nurses' norms form the basis for normal; normality is presumed and desirable. Older adult immigrants do not conform to these norms; hence, they are constructed as 'othered', have limited agency, and may be considered rather powerless as patients. However, there are some examples of negotiated power relations where more power is transferred to the patient. The discourse of adaptation refers to a social practice in which nurses challenge their own existing norms to best adapt a caring relationship to the patient's wishes.

Keywords
Critical discourse analysis, Nurse-patient relations, Nurses, Older adult immigrants, Patient constructions, Qualitative research
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-20138 (URN)10.1186/s12913-023-09590-6 (DOI)001002985400003 ()37286985 (PubMedID)2-s2.0-85161256131 (Scopus ID)
Note

CC BY 4.0

Available from: 2023-06-27 Created: 2023-06-27 Last updated: 2024-01-12Bibliographically approved
Sundberg, F., Dahlborg, E. & Lindahl, B. (2023). Spatial isolation and health during the Covid-19 pandemic: A critical discourse analysis. Health and Place, 83, Article ID 103080.
Open this publication in new window or tab >>Spatial isolation and health during the Covid-19 pandemic: A critical discourse analysis
2023 (English)In: Health and Place, ISSN 1353-8292, E-ISSN 1873-2054, Vol. 83, article id 103080Article in journal (Refereed) Published
Abstract [en]

Introduction

In late 2019, the virus SARS-CoV-2, often called COVID-19, was detected in Wuhan, China. The World Health Organization (WHO, 2020) declared the spread of the virus a pandemic in March 2020 (Azoulay et al., 2020; Strålin et al., 2020; The Public Health Agency of Sweden, 2020; WHO, 2020), leading to the initiation of national lockdowns and strict restrictions in most countries.

By May 2022, more than 515 million confirmed cases of COVID-19, including more than six million deaths, had been reported to the WHO (2022). Much research from an epidemiological and medical perspective has been published. Reports in social media, television, radio news, and the daily press, have described the global situation. However, there is a lack of knowledge of how the media described people's everyday lives during this period. What ideologies regarding social identities, people's relations, actions, and economy, in ordinary life, are constructed in the media discourse? Fairclough (2015) defined the term “ideology” as a set of beliefs and attitudes, while hegemony is defined as the social struggle for power and dominance waged for certain ideologies to be influenced. According to Fairclough there is an ideological hegemony when connections among cultural ideas, norms, talk and material practice can be seen.

Keywords
COVID-19, Humans, Pandemics
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-20703 (URN)10.1016/j.healthplace.2023.103080 (DOI)001059478900001 ()37517382 (PubMedID)2-s2.0-85166232367 (Scopus ID)
Note

CC BY

This work was supported by funding from the Nordic College of Caring Science (NCCS https://www.nccs.nu/).

Available from: 2023-11-01 Created: 2023-11-01 Last updated: 2024-01-12Bibliographically approved
Castillo, I. A., Tengelin, E., Arveklev Höglund, S. & Dahlborg, E. (2023). When nursing education becomes political: Norm-critical perspectives in a campus-based clinical learning environment. Nursing Inquiry
Open this publication in new window or tab >>When nursing education becomes political: Norm-critical perspectives in a campus-based clinical learning environment
2023 (English)In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800Article in journal (Refereed) Epub ahead of print
Abstract [en]

Nursing education is in the process of incorporating critical thinking, social justice, and health inequality perspectives into educational structures, aspiring to help nursing students develop into professional nurses prepared to provide equal care. Norm criticism is a pedagogical philosophy that promotes social justice. This qualitative case study aimed to gain an understanding of and elaborate on an educational development initiative in which norm criticism was incorporated into the composition of a new campus‐based clinical learning environment for nursing education. By analyzing documents and interviews with the help of reflexive thematic analysis three themes were generated: “Intention to educate beyondnursing education,” “Educating in alliance with society,” and “The educative ambiguity of the Clinical Learning Centre. ”The case study indicates that the incorporation of norm criticism into a campus‐based clinical learning environment may encourage nursing students to evolve social skills for nursing practice that support health equality within healthcare. By collaborating with society, nursing education can considerably improve its educational frameworks in alignment with societal demands. However, the inclusion of norm criticism in a setting such as a campus‐based clinical learning environment entails a clash with established institutionalized norms and being perceived as too proximate to politics.

Keywords
campus‐based clinical learning environment, health inequalities, norm criticism, norms, nursing education, politics, social skills
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-20679 (URN)10.1111/nin.12597 (DOI)001051743700001 ()37608629 (PubMedID)2-s2.0-85168579132 (Scopus ID)
Note

CC BY 4.0

Available from: 2023-09-06 Created: 2023-09-06 Last updated: 2024-01-12Bibliographically approved
Dahlborg, E. (2022). Att vårda i en normmedveten miljö. In: Dahlborg, E. & Tengelin, E. (Ed.), Jämlik vård: normmedvetna perspektiv (pp. 261-286). Lund: Studentlitteratur
Open this publication in new window or tab >>Att vårda i en normmedveten miljö
2022 (Swedish)In: Jämlik vård: normmedvetna perspektiv / [ed] Dahlborg, E. & Tengelin, E., Lund: Studentlitteratur , 2022, p. 261-286Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur, 2022
Keywords
normer, hälsa, vård, normmedvetenhet
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-19110 (URN)9789144151069 (ISBN)
Available from: 2022-09-07 Created: 2022-09-07 Last updated: 2022-09-07Bibliographically approved
Dahlborg, E., Lau, M. & Tengelin, E. (2022). En introduktion till normer och jämlik vård. In: Dahlborg, E. & Tengelin, E. (Ed.), Jämlik vård: normmedvetna perspektiv (pp. 23-49). Lund: Studentlitteratur
Open this publication in new window or tab >>En introduktion till normer och jämlik vård
2022 (Swedish)In: Jämlik vård: normmedvetna perspektiv / [ed] Dahlborg, E. & Tengelin, E., Lund: Studentlitteratur , 2022, p. 23-49Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur, 2022
Keywords
Normer, hälsa, vård
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-19104 (URN)9789144151069 (ISBN)
Available from: 2022-09-07 Created: 2022-09-07 Last updated: 2022-09-19Bibliographically approved
Lau, M. & Dahlborg, E. (2022). Etnicitet, vithetsnormer och rasifiering (2ed.). In: Dahlborg, E. & Tengelin, E. (Ed.), Jämlik vård: normmedvetna perspektiv (pp. 101-132). Lund: Studentlitteratur
Open this publication in new window or tab >>Etnicitet, vithetsnormer och rasifiering
2022 (Swedish)In: Jämlik vård: normmedvetna perspektiv / [ed] Dahlborg, E. & Tengelin, E., Lund: Studentlitteratur , 2022, 2, p. 101-132Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur, 2022 Edition: 2
Keywords
Etnicitet, normer, rasism
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-19106 (URN)9789144151069 (ISBN)
Available from: 2022-09-07 Created: 2022-09-07 Last updated: 2022-09-19Bibliographically approved
Dahlborg, E. & Tengelin, E. (Eds.). (2022). Jämlik vård: normmedvetna perspektiv (2ed.). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Jämlik vård: normmedvetna perspektiv
2022 (Swedish)Collection (editor) (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2022. p. 316 Edition: 2
Keywords
Hälso- och sjukvård, Jämlikhet, Normer
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-19070 (URN)9789144151069 (ISBN)
Available from: 2022-08-22 Created: 2022-08-22 Last updated: 2022-09-19Bibliographically approved
Dahlborg, E. (2022). Learning in the Third Room-A Way to Develop Praxis by Embracing Differences Between Theoretical and Practical Knowledge. Advances in Nursing Science, 45(2), E48-E55
Open this publication in new window or tab >>Learning in the Third Room-A Way to Develop Praxis by Embracing Differences Between Theoretical and Practical Knowledge
2022 (English)In: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 45, no 2, p. E48-E55Article in journal (Refereed) Published
Abstract [en]

Contradictions between theory and practice are well known in nursing. To this end, this article discusses a learning strategy that might facilitate the capture of the dialectic between theory and practice, equally valid components of a nurse's competence, giving the 2 forms of knowledge equal relevance. Using a virtual platform (ie, the "third room") decreases the power order between different forms of knowledge. Nurses, students, and teachers all contribute to a seminar using nonhierarchical structures and concepts to capture the knowledge that enables to learn the praxis of nursing.

Keywords
discourses, nursing education, philosophy, power order, virtual seminar, work integrated learning
National Category
Pedagogy Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-18065 (URN)10.1097/ANS.0000000000000414 (DOI)35020609 (PubMedID)
Available from: 2022-03-10 Created: 2022-03-10 Last updated: 2023-03-09Bibliographically approved
Aasen, E. M., Dahl, B. M., Ottesen, A. M., Strunck, J., Eriksson, H., Dahlborg, E., . . . Tengelin, E. (2022). Scandinavian Online Cancer Information as Expressions of Governmentality. Advances in Nursing Science, Publish Ahead of Print, 1-13
Open this publication in new window or tab >>Scandinavian Online Cancer Information as Expressions of Governmentality
Show others...
2022 (English)In: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. Publish Ahead of Print, p. 1-13Article in journal (Refereed) Epub ahead of print
Abstract [en]

We compared online distributed information provided to patients with cancer in Scandinavian countries through the lens of governmentality. A secondary comparative qualitative analysis was conducted. Discourses in online patient information showed differences in governmentality techniques across the countries: Norway used a paternalist approach, Denmark an educative approach, and Sweden an individualistic approach and expected the patients to make the “right” decisions. Online information for patients with cancer in Denmark and Norway showed high professional and health care system involvement, whereas in Sweden, there was high patient involvement. There was almost no use of the person-centered approach among the online discourses

Place, publisher, year, edition, pages
Wolters Kluwer, 2022
Keywords
biopolitics, cancer, discourse, governmentality, nursing, online information, patient, person-centeredness, involvement, Scandinavia
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-19090 (URN)10.1097/ans.0000000000000436 (DOI)
Available from: 2022-08-31 Created: 2022-08-31 Last updated: 2022-08-31Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-3702-8202

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