{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T12:09:33Z","timestamp":1789992573418,"version":"4.0.1"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"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":["Public Health Nursing"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine how Chinese community nurses experience and navigate the dual imperatives of population\u2010focused public health services and individualised clinical care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Narrative inquiry using participant\u2010generated drawings and interviews, interpreted through Swanson's theory of caring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sample<\/jats:title>\n                    <jats:p>Fourteen female registered nurses from five community health centres in Shenzhen, China, recruited via a WeChat\u2010based pool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Narrative analysis of transcripts and drawings, examining plot, agency, affective stance, and metaphor\/symbol. Coding proceeded before Swanson's caring processes were introduced as an interpretive lens.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three navigational practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>emerged<\/jats:title>\n                    <jats:p>relational triage (prioritising the proximate patient), systemic compliance (prioritising metrics and protocols), and fragmented agency (paralysis and withdrawal when both imperatives collide). These form a typology of (im)balancing caring, revealing a fracture between relational depth (\u2018being with\u2019, \u2018knowing\u2019) and procedural completion (\u2018doing for\u2019) reoriented towards system metrics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>(Im)balancing caring is constitutive labour generated by systemic architecture, not individual adaptation. The study's theoretical contribution is to show how \u2018doing for\u2019 is co\u2010opted from patient\u2010centred to system\u2010centred ends. Sustaining community nursing requires recognising this skilled negotiation, supporting reflective forums, and integrating relational indicators into performance systems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/phn.70188","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T11:22:02Z","timestamp":1789989722000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u2018Being With\u2019 or \u2018Doing for\u2019: Fractured Caring in Chinese Community Nursing"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7801-0319","authenticated-orcid":false,"given":"Bo","family":"Li","sequence":"first","affiliation":[{"name":"Department of Applied Social Sciences The Hong Kong Polytechnic University  Kowloon Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Public Health Nursing: Scope and Standards of Practice","author":"American Nurses Association","year":"2013"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.16547"},{"key":"e_1_2_12_4_1","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1093\/oxfordhb\/9780190847388.013.19","volume-title":"The Oxford Handbook of Qualitative Research","author":"Bochner A. 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Commission.2020.Notice of the National Health Commission on comprehensively promoting the construction work of community hospitals.https:\/\/www.gov.cn\/zhengce\/zhengceku\/2020\u201007\/13\/content_5526447.htm."},{"key":"e_1_2_12_19_1","unstructured":"National Health Commission.2005.China Nursing Development Plan Outline (2005\u20132010).https:\/\/www.nhc.gov.cn\/wjw\/gfxwj\/200508\/fa2d6c5f813540d196a11dbdcaf0b2ff.shtml."},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1468794116679873"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1108\/QRJ\u201007\u20102023\u20100113"},{"key":"e_1_2_12_22_1","volume-title":"Narrative Methods for the Human Sciences","author":"Riessman C. K.","year":"2007"},{"key":"e_1_2_12_23_1","first-page":"695","volume-title":"Handbook of Interview Research: Context and Method","author":"Riessman C. 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