An exploration of ruling relations and how they organize and regulate nursing education in the high-fidelity patient simulation laboratory

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15 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)58-64
Number of pages7
JournalNursing Inquiry
Volume17
Issue number1
DOIs
Publication statusPublished - Mar. 2010

Keywords

  • Feminist research
  • High-fidelity patient-simulated learning
  • Institutional ethnography
  • Nursing education

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