TY - JOUR
T1 - An exploration of ruling relations and how they organize and regulate nursing education in the high-fidelity patient simulation laboratory
AU - Limoges, Jacqueline
PY - 2010/3
Y1 - 2010/3
N2 - Recently, schools of nursing have adopted the use of high-fidelity human patient simulators in laboratory settings to teach nursing. Although numerous articles document the benefits of teaching undergraduate nursing students in this way, little attention has been paid to the discourses and texts organizing this approach. This institutional ethnography uses the critical feminist sociology of Dorothy E. Smith to examine the literature and interviews with Practical and Bachelor of Science in Nursing students, and their faculty about this experience. The research shows how discourses rationalize and sustain certain processes at the expense of others. For example, ruling discourses such as biomedicine, efficiency, and the relational ontology are activated to construct the simulation lab as part of nursing and nursing education. The analysis also highlights the intended and unintended effects of these discourses on nursing education and discusses how emphasizing nursing knowledges can make the simulation lab a positive place for learning.
AB - Recently, schools of nursing have adopted the use of high-fidelity human patient simulators in laboratory settings to teach nursing. Although numerous articles document the benefits of teaching undergraduate nursing students in this way, little attention has been paid to the discourses and texts organizing this approach. This institutional ethnography uses the critical feminist sociology of Dorothy E. Smith to examine the literature and interviews with Practical and Bachelor of Science in Nursing students, and their faculty about this experience. The research shows how discourses rationalize and sustain certain processes at the expense of others. For example, ruling discourses such as biomedicine, efficiency, and the relational ontology are activated to construct the simulation lab as part of nursing and nursing education. The analysis also highlights the intended and unintended effects of these discourses on nursing education and discusses how emphasizing nursing knowledges can make the simulation lab a positive place for learning.
KW - Feminist research
KW - High-fidelity patient-simulated learning
KW - Institutional ethnography
KW - Nursing education
UR - http://www.scopus.com/inward/record.url?scp=77949341266&partnerID=8YFLogxK
U2 - 10.1111/j.1440-1800.2009.00484.x
DO - 10.1111/j.1440-1800.2009.00484.x
M3 - Journal Article
C2 - 20137031
AN - SCOPUS:77949341266
SN - 1320-7881
VL - 17
SP - 58
EP - 64
JO - Nursing Inquiry
JF - Nursing Inquiry
IS - 1
ER -