{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T11:52:18Z","timestamp":1772625138446,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2004,9,2]],"date-time":"2004-09-02T00:00:00Z","timestamp":1094083200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2004,10]]},"abstract":"<jats:p><jats:bold>Background.\u2002<\/jats:bold>Nurses\u2019 inter\u2010 and intra\u2010disciplinary relationships are frequently interpreted as oppressed group behaviours, contributing to their relatively dis\u2010empowered status. In the context of restructuring in health care, this study examined the views of hospital staff nurses about their relationships with nursing colleagues and other health care professionals and their ideas for change.<\/jats:p><jats:p><jats:bold>Aim.\u2002<\/jats:bold>The aim of this paper is to report a study to add the views of staff nurses to the discourse on restructuring and to make visible the processes that contribute to their marginalization.<\/jats:p><jats:p><jats:bold>Design.\u2002<\/jats:bold>The study was descriptive and exploratory. Staff nurses from various hospitals in a large Canadian city were selected by theoretical sampling.<\/jats:p><jats:p><jats:bold>Method.\u2002<\/jats:bold>Twenty volunteer staff nurses were interviewed between 1998 and 1999, using broad, open\u2010ended questions and prompts to explore nurses\u2019 various relationships in the health care system. This approach allowed for multiple responses and expansions of ideas, without losing focus. The interviews were audio\u2010taped and later transcribed. Thematic analysis was carried out.<\/jats:p><jats:p><jats:bold>Findings.\u2002<\/jats:bold>Many participants were aware of inter\u2010disciplinary hierarchies, particularly between nurses and physicians. Many also showed insights into their own intra\u2010disciplinary hierarchies and mutual non\u2010supportiveness. Both types of relationships were found to be inextricably linked, sustaining nurses\u2019 oppression through dis\u2010empowering discourses. Nurses expressed many ideas about how to promote mutually supportive relationships.<\/jats:p><jats:p><jats:bold>Conclusion.\u2002<\/jats:bold>Change for the better needs to come from within the nursing profession. To develop effective strategies, bedside nurses have to be included in decision\u2010making processes affecting them and their practice, about which they are the experts. Mutual respect, awareness\u2010raising through education, development of caring nursing communities, mentorship and non\u2010hierarchical leadership are key to stopping dis\u2010empowering discourses and practices amongst nurses.<\/jats:p>","DOI":"10.1111\/j.1365-2648.2004.03167.x","type":"journal-article","created":{"date-parts":[[2004,9,2]],"date-time":"2004-09-02T20:11:04Z","timestamp":1094155864000},"page":"43-50","source":"Crossref","is-referenced-by-count":79,"title":["Changing nurses\u2019 dis\u2010empowering relationship patterns"],"prefix":"10.1111","volume":"48","author":[{"given":"Isolde","family":"Daiski","sequence":"first","affiliation":[]}],"member":"311","published-online":{"date-parts":[[2004,9,2]]},"reference":[{"key":"e_1_2_22_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1547-5069.1992.tb00735.x"},{"key":"e_1_2_22_3_1","volume-title":"Hospitals, Paternalism and The Role of the Nurse","author":"Ashley J.","year":"1976"},{"key":"e_1_2_22_4_1","author":"Ashley J.","year":"1997","journal-title":"Jo Ann Ashley: Selected Readings"},{"key":"e_1_2_22_5_1","volume-title":"From Silence to Voice: What Nurses Know and Must Communicate to the Public","author":"Buresh B.G.","year":"2000"},{"key":"e_1_2_22_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/08943180022107320"},{"key":"e_1_2_22_7_1","volume-title":"Gender and the Professional Predicament in Nursing","author":"Davies C.","year":"1995"},{"key":"e_1_2_22_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000446-200303000-00046"},{"key":"e_1_2_22_9_1","volume-title":"Doing qualitative research: circles within circles","author":"Ely M.","year":"1991"},{"issue":"5","key":"e_1_2_22_10_1","first-page":"18","article-title":"Handmaidens no more","volume":"96","author":"Fletcher M.","year":"2000","journal-title":"The Canadian Nurse"},{"key":"e_1_2_22_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/175045890001000104"},{"issue":"4","key":"e_1_2_22_12_1","first-page":"12","article-title":"White water: a personal experience with downsizing","volume":"12","author":"Hurlock\u2010Chorostecki C.","year":"2000","journal-title":"Registered Nurse Journal"},{"key":"e_1_2_22_13_1","doi-asserted-by":"publisher","DOI":"10.2307\/3470127"},{"key":"e_1_2_22_14_1","volume-title":"The Changing Image of the Nurse","author":"Kalisch B.","year":"1987"},{"key":"e_1_2_22_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-6198.2000.tb00994.x"},{"key":"e_1_2_22_16_1","first-page":"21","volume-title":"Healthcare Financial Management Report","author":"Maraldo P. 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