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Uvic Thesis Template The Matrices of (Un)Intelligibility: Postmodern and Post-Structural Influences in Nursing— A Descriptive Comparison of American and Selected Non-American Literature from the Late 1980s to 2015 by Olga Petrovskaya BScN, York University, 2006 MD, Omsk State Medical Academy, 1997 Diploma (Nursing), Omsk Medical College #3, 1991 A Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of DOCTOR OF PHILOSOPHY in the School of Nursing Olga Petrovskaya, 2016 University of Victoria All rights reserved. This dissertation may not be reproduced in whole or in part, by photocopy or other means, without the permission of the author. ii Supervisory Committee The Matrices of (Un)Intelligibility: Postmodern and Post-Structural Influences in Nursing— A Descriptive Comparison of American and Selected Non-American Literature from the Late 1980s to 2015 by Olga Petrovskaya BScN, York University, 2006 MD, Omsk State Medical Academy, 1997 Diploma (Nursing), Omsk Medical College #3, 1991 Supervisory Committee Dr. Mary Ellen Purkis, (School of Nursing) Supervisor Dr. Anne Bruce, (School of Nursing) Departmental Member Dr. Stephen Ross, (Department of English) Outside Member iii Abstract Supervisory Committee Dr. Mary Ellen Purkis, School of Nursing Supervisor Dr. Anne Bruce, School of Nursing Departmental Member Dr. Stephen Ross, Department of English Outside Member In the late 1980s, references to postmodernism, post-structuralism, and Michel Foucault started to appear in nursing journals. Since that time, hundreds of journal articles and dozens of books in the discipline of nursing have cited these continental-philosophical ideas—in substantial or minor ways—in nurses’ analyses of topics in nursing practice, education, and research. Key postmodern and post-structural notions including power/knowledge, discourse, the clinical gaze, disciplinary power, de-centering of the human subject as the originator of “meaning,” and the challenge to grand narratives and binary thinking—all found their place on the pages of journals such as the Journal of Advanced Nursing, Nursing Inquiry, and Nursing Philosophy and in a predominantly American journal Advances in Nursing Science among a few other periodicals. In my dissertation, I assemble this voluminous body of publications into a “field of study.” Taking a comparative approach to this field, I argue that we can understand postmodern/post-structural scholarship in nursing as characterized by a marked difference between its non-American (in this case, Australian and New Zealand, British and Irish, and Canadian) and American domains. While each domain is heterogeneous, peculiar features distinguish American postmodern/post-structural nursing literature from its non-American counterparts. iv I build on a recent systematic critique of so-called American “unique nursing science” and (meta)theory by Mark Risjord (2010), who surfaced the unacknowledged legacy of the logical positivist philosophy of science on contemporary American nursing conceptions of science and theory. These influences, according to Risjord, have had profound and lasting intellectual impact on nursing theoretical work manifesting in the notions of “unique science,” a caution toward “borrowed theory,” a hierarchical model of theory, the language of metaparadigms, incommensurable paradigms, and so on. These ideas and related practices of theorizing have culminated in what I call the American disciplinary nursing matrices that shape the visibility and intelligibility of alternative practices of theorizing in the discipline of nursing. I show the ways in which these matrices are consequential for how postmodern and post-structural philosophical ideas are understood, discussed, and deployed (or not) in American nursing literature; indeed, I argue that these continental ideas, vital for nurses’ ability to critically reflect on the discipline and the profession—are unintelligible as a form of nursing knowledge within the American nursing theoretical matrices. v Table of Contents Supervisory Committee………………………………………………………………………... ii Abstract………………………………………………………………………………………...iii Table of Contents……………………………………………………………………………….v List of Tables…………………………………………………………………………………..vii List of Figures……………………………………………………………………………… viii Acknowledgements…………………………………………………………………………... ix Dedication……………………………………………………………………………………...xi “Nursing Knowledge”…..……………………………………………………………………..xii Chapter 1: Early 21st Century Canadian Nursing at a Theoretical Crossroads: Between American Nursing Theory and British-Australian Continentally-Informed Theorizing………1 Chapter 2: Establishing the Field of Study: Postmodern, Post-Structural, and Foucauldian Nursing Scholarship..................................................................................................................36 Chapter 3: American Nursing Science and Discipline-Specific Theory: In the Grips of Logical Positivism……………………………………………………………………………………...77 Chapter 4: Postmodern and Post-Structural Theory in American Nursing Scholarship: The Limits of Intelligibility. Part 1: S. Gortner, L. Dzurec, P. Reed, J. Watson, and Nursing Science Quarterly……………………………………………………………………………………..102 Chapter 5: Postmodern and Post-Structural Theory in American Nursing Scholarship: The Limits of Intelligibility. Part 2: Advances in Nursing Science, “Nursing Knowledge” Textbooks, and the Enclave Group…………………………………………………………..134 Chapter 6: Sharpening the Contrast Between Non-American and American Postmodern/Post- Structural Nursing Literature. Part 1: The Focus on Nurse–Patient Relationships and the Holistic Nurse………………………………………………………………………………...163 Chapter 7: Sharpening the Contrast Between Non-American and American Postmodern/Post- Structural Nursing Literature. Part 2: The Focus on Methodological Forays in our Discipline……………………………………………………………………………………..187 vi Chapter 8: Conclusion. Significance of this Research. What’s on the Map for Postmodern and Post-Structural Nursing Theorizing?…………………………………………………………217 References……………………………………………………………………………………246 A General Comment about Appendixes……………………………………………………...282 Appendix A: Bibliometric Analysis of Postmodern and Post-Structural Nursing Articles Indexed in the Web of Science………………………………………………………………..283 Appendix B: Table 4…………………………………………………………………………303 Appendix C: Table 5…………………………………………………………………………308 Appendix D: Table 6…………………………………………………………………………310 Appendix E: Selected Earliest Non-American Nursing Articles Citing M. Foucault in the Cumulative Index of Nursing and Allied Health Literature (CINAHL)……………………..312 Appendix F: Table 7………………………………………………………………………….313 Appendix G: Table 8…………………………………………………………………………314 Appendix H: Table 9…………………………………………………………………………323 Appendix I: Table 10…………………………………………………………………………339 vii List of Tables Table 1: WoS Search History…………………………………………………………………...283 Table 2: Country Addresses of Authors in JAN, NI, ANS, and NP……………………………..284 Table 3: Top Twenty-Five Papers Based on Citation Network Analysis……………………....293 Table 4: Frequency of Publications that Use the Term Post-Structuralism in Anglophone Nursing Journals in the Cumulative Index of Nursing and Allied Health Literature (CINAHL), January 1987–July 2015…………………………………………………………………………………303 Table 5: Publisher Information for Nursing Journals in the Cumulative Index of Nursing and Allied Health Literature (CINAHL) that Use the Term Post-Structuralism in Their Publications, January 1989–July 2015………………………………………………………………………..308 Table 6: Frequency of Subject Headings for Articles that Use the Term Post-Structuralism in Four Relevant Nursing Journals in the Cumulative Index of Nursing and Allied Health Literature (CINAHL), January 1989–July 2015…………………………………………………………...310 Table 7: Frequency of Articles that Refer to Michel Foucault in Eight Anglophone Nursing Journals in the Cumulative Index of Nursing and Allied Health Literature (CINAHL), January 1987–December 2015…………………………………………………………………………..313 Table 8: Articles by American Nurses (and Non-American Nurses in American Journals) Referring to Postmodernism, Post-Structuralism, or M. Foucault……………………………...314 Table 9: References to Postmodernism, Post-Structuralism, and M. Foucault in American Nursing Textbooks……………………………………………………………………………...323 Table 10: Textbooks and Book Chapters by Non-American Authors (Nurses and Social Scientists Writing in Nursing) Citing M. Foucault……………………………………………..339 viii List of Figures Figure 1.1 Article Count by Year, up to September 2016……………………………………...287 Figure 1.2. Top Twenty-Five Journals by Article Count……………………………………….288 Figure 1.3.1 Top Twenty-Five Keywords by the Number of Articles where the Keyword Occurs…………………………………………………………………………………………..289 Figure 1.3.2 Twenty-Five Most Cited Keywords………………………………………………290 Figure 1.4.1 Twenty-Five Most Productive Authors…………………………………………...291 Figure 1.4.2 Twenty-Five Most Cited Authors…………………………………………………292 Figure 2.1 Article Count for JAN, NI, ANS, and NP by Year, up to September 2016………….298 Figure 2.2 Comparison of Keywords in Top Three Non-American Journals, Collectively, and in American ANS…………………………………………………………………...............299 ix Acknowledgments A project that lasts one-fifth (!) of one’s life lived so far—that’s what my doctoral journey at the University of Victoria amounts to—has to be made not only endurable but enjoyable. Life’s rollercoaster is always in motion: gained and lost pounds, lost and gained confidence, new grey hair, old and new relationships waiting to be sorted out, weird dreams waiting to be
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