{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T01:54:32Z","timestamp":1769824472480,"version":"3.49.0"},"reference-count":60,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Inquiry"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    A person\u2010centred approach in healthcare has garnered increasing global attention and is promoted in research and by the WHO as an approach that holds potential for improving the quality of healthcare, patient safety and nurses' work environment. This, in turn, supports the recruitment and retention of nurses. This institutional ethnography is situated on a Danish University hospital where a person\u2010centred approach is central to the hospitals' visions, goals and strategy in nursing practice. We explore the connections between institutional discourses and nurses' negotiations of meaning and identity and the implications for a person\u2010centred approach. These connections often remain invisible until they are subjected to analysis. The study is based on participant observation, interviews with nurses and nurse managers and scrutiny of the fields' documents. Additionally, we conducted a series of co\u2010creation workshops (WS) with nurses as co\u2010researchers to facilitate critical reflection through joint analysis. The empirical material is analysed by the authors by using mapping and Bakhtin's concept of voice. This study sheds light on the multiple ways in which policy and institutional discourses constitute\n                    <jats:italic>ruling relations<\/jats:italic>\n                    that activate, mediate and coordinate nursing practice as institutional logics infuse nurses' person\u2010centred, holistic voice. Thus, the study provides perspectives on how neoliberal efficiency discourses contribute to a cross\u2010pressure affecting nurses' work environment, shaping their ability to engage in person\u2010centred care and communication.\n                  <\/jats:p>","DOI":"10.1111\/nin.70067","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T21:11:55Z","timestamp":1763500315000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["If a Bed Is Just a Bed, What Does That Make the Nurse? Nurses' Negotiations of Identity in a Contested Discursive Terrain\u2014An Institutional Ethnography"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8148-3451","authenticated-orcid":false,"given":"Lisbeth Lauge","family":"Andersen","sequence":"first","affiliation":[{"name":"Department of Nursing Education University College Lillebaelt Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0529-8980","authenticated-orcid":false,"given":"Lene Lauge","family":"Berring","sequence":"additional","affiliation":[{"name":"Psychiatric Research Unit, Region Zealand Slagelse Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3456-6569","authenticated-orcid":false,"given":"Bibi","family":"H\u00f8lge\u2010Hazelton","sequence":"additional","affiliation":[{"name":"Zealand University Hospital &amp; University of Southern Denmark Roskilde Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7493-9430","authenticated-orcid":false,"given":"Louise","family":"Phillips","sequence":"additional","affiliation":[{"name":"Dialogic Communication Research Group, Department of Communication &amp; Arts Roskilde University Roskilde Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,18]]},"reference":[{"key":"e_1_2_18_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2015.06.018"},{"key":"e_1_2_18_3_1","volume-title":"The European Code of Conduct for Research Integrity","author":"ALLEA","year":"2023"},{"key":"e_1_2_18_4_1","doi-asserted-by":"publisher","DOI":"10.4081\/qrmh.2023.11496"},{"issue":"1","key":"e_1_2_18_5_1","first-page":"44","article-title":"At g\u00f8re det umulige muligt [Making the Impossible Possible]","volume":"2023","author":"Andr\u00e9s E. 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