http://www.oa.uottawa.ca/journals/aporia/index.jsp Open Access Journal en Creative Commons Attribution License jeanette.hatherill@uottawa.ca (Jeanette Hatherill) http://www.oa.uottawa.ca/journals/aporia/abstract_pages/2017_01/Kilty_et_al.jsp?lang=en http://www.oa.uottawa.ca/journals/aporia/abstract_pages/2017_01/Kilty_et_al.jsp?lang=en >This article highlights the ethically uncertain and emotionally charged climate that governs the criminalization of HIV nondisclosure in Canada. Focusing on AIDS Service Organizations (ASO), we suggest that interlocutors perform critical work that helps people living with HIV/AIDS make sense of their rights and responsibilities. Semi-structured interviews with 62 ASO staff across Canada revealed this shifting landscape of HIV advocacy in the age of criminalizing HIV nondisclosure. Drawing on a critical bioethics approach that is informed by considering the role of emotion in decision-making, this article critiques the liberal model of the rational actor that is central to traditional discussions of bioethics and law. Our findings suggest that ASO workers have varying degrees of knowledge about the intricacies of legal duties of disclosure, which affect how they balance their own emotions and thoughts about nondisclosure with their professional duties to provide support and counselling. Ultimately, we argue that critical bioethics in the context of criminalization commands us to appreciate the inherently affective nature of the environment in which bioethical decisions are made. 13 Feb 2017 17:00:00 -0500 JENNIFER M. KILTY, MICHAEL ORSINI & PÉTER BALOGH http://www.oa.uottawa.ca/journals/aporia/abstract_pages/2017_01/Labelle_et_al.jsp?lang=en http://www.oa.uottawa.ca/journals/aporia/abstract_pages/2017_01/Labelle_et_al.jsp?lang=en Fortement influencée par la théorie poststructuraliste et ayant elle-même exercée une indéniable influence sur la théorie féministe, la théorie postcoloniale suscite de plus en plus d’intérêt au sein de la discipline infirmière. Sa base descriptive et normative, le lien intime que cette théorie entretient avec la pratique, ainsi que les possibilités qu’elle offre de donner une voix aux personnes en situation de vulnérabilité, ne sont d’ailleurs pas étranger à l’attention qui lui est accordée en recherche infirmière. Dans cet article, nous explorerons les fondements de la théorie postcoloniale en nous appuyant sur les travaux de théoriciens des sciences sociales et des sciences infirmières. Nous discuterons de sa pertinence pour la discipline et de ses applications, notamment par le biais d’une analyse critique du concept de sécurité culturelle. Nous proposerons également une application du concept dans un contexte de maternité chez les femmes immigrantes. 13 Feb 2017 17:00:00 -0500 MARIE-PIER LABELLE & PATRICK MARTIN http://www.oa.uottawa.ca/journals/aporia/abstract_pages/2016_07/Rioux-Dubois_Perron.jsp?lang=en http://www.oa.uottawa.ca/journals/aporia/abstract_pages/2016_07/Rioux-Dubois_Perron.jsp?lang=en Nurse Practitioners (NPs) are clinically effective and safe. They positively influence patient outcomes, and they increase access to care while decreasing health care costs. Despite these significant benefits, NPs can seldom practice to their full scope and often experience interprofessional tensions. The supposed lack of clarity around NPs’ role is often cited as a barrier to seamless integration, despite clear legal and professional delineation. We suggest other factors are at play within the Canadian health care system that explain why, after almost four decades, NPs’ full involvement as equal health care partners and their job satisfaction remain modest at best. New, critical frameworks are needed to uncover the various contingencies that mediate their integration process. This paper explores how Actor-Network Theory (ANT) can provide such a framework to analyze contemporary issues in advanced nursing practice. ANT’s main concepts are explored along with their applicability to an examination of NPs’ integration in the Canadian health care system. 01 Sep 2016 17:30:00 -0500 ANNIE RIOUX-DUBOIS & AMÉLIE PERRON http://www.oa.uottawa.ca/journals/aporia/abstract_pages/2016_07/Santos_Zanchetta_et_al.jsp?lang=en http://www.oa.uottawa.ca/journals/aporia/abstract_pages/2016_07/Santos_Zanchetta_et_al?lang=en This paper presents a conceptual framework and model that merges Anishinaabe and non-Anishinaabe perspectives regarding balance promotion for health. Inspired by Freire’s concept of liberating education and Antonovsky’s concept of salutogenesis, the conceptual framework and the model incorporate the Anishinaabe view of health as rooted in cultural, spiritual and philosophical values that focus on balance to attain and maintain health at the individual and community level. Hypothetical examples of health issues are presented with accompanying questions designed to launch an emancipating dialogue with Anishinaabe clients, which may also be suitable for other Aboriginal clients. The model and questions target three major areas of balance promotion for health: overcoming stereotypes, restoring a sense of belonging, and developing resilience and adaptive behaviours. To counteract the harms provoked by stereotypes and marginalization, the type of dialogue suggested by the model builds on Anishinaabe strengths to develop and mobilize community assets and to achieve a meaningful and coherent health perspective. 01 Sep 2016 17:30:00 -0500 MARGARETH SANTOS ZANCHETTA, MELISSA STEVENSON, VERA NENADOVIC, MICHEL PERREAULT, CARMEN JAMES HENRY & NEWTON LEONG http://www.oa.uottawa.ca/journals/aporia/abstract_pages/2016_01/Racine.jsp?lang=en http://www.oa.uottawa.ca/journals/aporia/abstract_pages/2016_01/Racine.jsp?lang=en The exponential proliferation of e-learning programs has considerably changed the landscape of contemporary nursing education. Nursing programs are delivered through classroom, blended, fully computerized or distributive models. The aim of this paper is to provide a critical theoretical analysis of potential pitfalls of the utilization of remote robots in nursing education. Against the backdrop of the nature of nursing knowledge, the usefulness of robots in nursing education is appraised. Robots enable students living in remote geographical areas to learn in their communities. The lack of evidence to support the efficiency of remote presence robots in nursing education, in general, and in clinical nursing education, in particular, raises some questions. Robots may run the risk of dehumanizing nursing education and impoverishing the acquisition of critical thinking skills. A critical examination of the advantages and disadvantages of remote robots should inform nurse administrators and educators before making decisions to rely on this cyber-based technology to support the delivery of nursing programs in remote areas. 23 Feb 2016 16:30:00 -0500 LOUISE RACINE http://www.oa.uottawa.ca/journals/aporia/abstract_pages/2016_01/Gagnon_Holmes.jsp?lang=en http://www.oa.uottawa.ca/journals/aporia/abstract_pages/2016_01/Gagnon_Holmes.jsp?lang=en Despite the availability of new antiretroviral drugs and the simplification of treatment options, side effects continue to affect people living with HIV. In this paper, we present the findings of a grounded theory study designed to gain a critical understanding of the experience of side effects. Three main categories emerged from the data: the side effects, the experience, and the connections. The first category suggests that we need to change how we think about side effects in order to take into account the context in which they are experienced as well as the types and nature of side effects. The second category puts forward the idea that the experience of side effects is composed of three interrelated processes: becoming with, living with, and dealing with. Finally, the third category points to new connections that are formed with people, things and systems in the presence of side effects. 23 Feb 2016 16:30:00 -0500 MARILOU GAGNON & DAVE HOLMES