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Nursing students making sense and meaning of norm-criticism in a campus-based clinical learning environment: A narrative analysis
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.ORCID iD: 0000-0002-2358-5086
2026 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 167, article id 107229Article in journal (Refereed) Published
Abstract [en]

Background: Nursing education institutions have sought to incorporate health equity and social justice into curricula. However, nursing students report limited opportunities to engage with these perspectives during their studies. In a campus-based clinical learning environment, efforts have been made to support students in the advancement of health equity and social justice by integrating a norm-critical approach. Aim: This study aimed to explore how nursing students made sense of norm-criticism in a campus-based clinical learning environment. Design: The design of the study was qualitative, informed by narrative inquiry and a Goffmanian theoretical framework. Setting: The study was carried out in a campus-based clinical learning environment for nursing education in a mid-sized university college. Participants: The participants of the study consist of 14 undergraduate nursing students. Methods: This study adopted a narrative methodology where the data was analyzed both structurally and thematically. Results: This study demonstrates that students made sense of norm-criticism by framing it in three distinct phases. First, students encounter norm-criticism through norm-critical photographs, then they engage in critical reflection on norm-criticism, both in collaboration with peers and through personal reflection on their own positionality, and lastly, they find meaning in norm-criticism as a tool to change unequal nursing practices and provide person-centered nursing care. Conclusion: This study highlights that, by mechanisms of impression management and reframing, nursing students regard and use norm-criticism as a reflective tool that empowers them to change healthcare structures and supports them in understanding how to provide person-centered care.

Place, publisher, year, edition, pages
2026. Vol. 167, article id 107229
Keywords [en]
Aesthetic learning; Critical reflection; Erving Goffman; Health equity; Norm-criticism; Nursing education; Nursing students; Sense-making
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-57986DOI: 10.1016/j.nedt.2026.107229ISI: 001805343100001Scopus ID: 2-s2.0-105041968646OAI: oai:DiVA.org:miun-57986DiVA, id: diva2:2081382
Available from: 2026-06-29 Created: 2026-06-29 Last updated: 2026-08-11Bibliographically approved

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Tengelin, Ellinor

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Castillo, Ivan AndrésTengelin, EllinorDahlborg, ElisabethArveklev, Susanna H.
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