{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T18:51:44Z","timestamp":1792349504737,"version":"4.4.0"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T00:00:00Z","timestamp":1792281600000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"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 Philosophy"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Nursing philosophy has drawn on Friedrich Nietzsche before, but almost always to theorise the nurse's professional identity or the profession's political position: his \u00dcbermensch as a figure of self\u2010overcoming against managerial instrumentalisation, his genealogy of morals as a lens that unmasks caring itself as a resentful inversion of medicine's authority, his transvaluation of values as a resource against neoliberal capture. Each reading stops at the threshold of the ward's politics. This paper turns instead to the ontological relation between the nurse and a body that cannot be cured, bringing two resources together for the first time in this literature: Franz Kafka's dramatisation of illness as bureaucratic and bodily absurdity, and Nietzsche's philosophy of affirmation and self\u2010overcoming, traced back to its origin in the Dionysian dissolution of individuation first set out in The Birth of Tragedy. Both writers, moreover, tested their thought against their own bodies. Kafka died of laryngeal tuberculosis, unable to speak, communicating in written notes, kept alive at the end by a companion and a medical\u2010student friend who administered his morphine. Nietzsche spent his last decade in a collapse that his philosophy of the sovereign, value\u2010creating individual has no vocabulary to describe\u2014a collapse whose delusional letters, read alongside his early aesthetics, look less like an interruption of his thought than an involuntary literalisation of it\u2014nursed first by his mother and then by a sister who rewrote his intellectual legacy while he could no longer answer for himself. Reading these two deaths together, the paper argues that nursing ontology should rest neither on the presumption that suffering can always be made to mean something, nor on a philosophy of self\u2010sufficient power that cannot survive contact with real dependency, but on a tragic\u2010relational stance that affirms life inside, rather than despite, the vulnerability it cannot resolve.<\/jats:p>","DOI":"10.1111\/nup.70132","type":"journal-article","created":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T18:35:58Z","timestamp":1792348558000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["In Nietzsche's Sickroom: Kafka, the Will to Power, and a Tragic Ontology of Nursing"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3969-9751","authenticated-orcid":false,"given":"Gharbi","family":"Lassad","sequence":"first","affiliation":[{"name":"Mongi Slim Hospital Marsa Tunisia"},{"name":"University Medicine Tunis Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,18]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1466-769x.2000.00021.x"},{"issue":"1","key":"e_1_2_11_3_1","first-page":"9","article-title":"The Neurological Illness of Friedrich Nietzsche","volume":"108","author":"Hemelsoet D.","year":"2008","journal-title":"Acta Neurologica Belgica"},{"key":"e_1_2_11_4_1","volume-title":"The Metamorphosis (S. Corngold, Trans.)","author":"Kafka F.","year":"1996"},{"key":"e_1_2_11_5_1","volume-title":"The Castle (M. Harman, Trans.)","author":"Kafka F.","year":"1998"},{"key":"e_1_2_11_6_1","volume-title":"The Trial (B. Mitchell, Trans.)","author":"Kafka F.","year":"1998"},{"key":"e_1_2_11_7_1","volume-title":"The Complete Stories","author":"Kafka F.","year":"1971"},{"key":"e_1_2_11_8_1","volume-title":"Nietzsche: Philosopher, Psychologist, Antichrist","author":"Kaufmann W.","year":"1974"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/nup.12501"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/nup.12025"},{"key":"e_1_2_11_11_1","volume-title":"Beyond Good and Evil: Prelude to a Philosophy of the Future (W. Kaufmann, Trans.)","author":"Nietzsche F.","year":"1966"},{"key":"e_1_2_11_12_1","volume-title":"The Birth of Tragedy and the Case of Wagner (W. Kaufmann, Trans.)","author":"Nietzsche F.","year":"1967"},{"key":"e_1_2_11_13_1","volume-title":"Thus Spoke Zarathustra (W. Kaufmann, Trans.)","author":"Nietzsche F.","year":"1969"},{"key":"e_1_2_11_14_1","volume-title":"The Gay Science (W. Kaufmann, Trans.)","author":"Nietzsche F.","year":"1974"},{"key":"e_1_2_11_15_1","volume-title":"On the Genealogy of Morals and Ecce Homo","author":"Nietzsche F.","year":"1967"},{"key":"e_1_2_11_16_1","volume-title":"The Will to Power","author":"Nietzsche F.","year":"1968"},{"issue":"2","key":"e_1_2_11_17_1","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1046\/j.1365-2648.1998.00637.x","article-title":"Fruits Without Labour: The Implications of Friedrich Nietzsche's Ideas for the Caring Professions","volume":"28","author":"Nolan P. W.","year":"1998","journal-title":"Journal of Advanced Nursing"},{"issue":"3","key":"e_1_2_11_18_1","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1227\/01.NEU.0000290911.40223.9B","article-title":"The Madness of Dionysus: A Neurosurgical Perspective on Friedrich Nietzsche","volume":"61","author":"Owen C. 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Frisch, Trans.)","author":"Stach R.","year":"2013"},{"key":"e_1_2_11_23_1","doi-asserted-by":"crossref","DOI":"10.5876\/9780870819797","volume-title":"Nursing: The Philosophy and Science of Caring (Rev. ed.)","author":"Watson J.","year":"2008"}],"container-title":["Nursing Philosophy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nup.70132","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nup.70132","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nup.70132","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T18:36:02Z","timestamp":1792348562000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nup.70132"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":22,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/nup.70132"],"URL":"https:\/\/doi.org\/10.1111\/nup.70132","archive":["Portico"],"relation":{},"ISSN":["1466-7681","1466-769X"],"issn-type":[{"value":"1466-7681","type":"print"},{"value":"1466-769X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2026-08-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70132"}}