Evidence map›Paper›PMID 41407652›Full record

ArticleNursing philosophy : an international journal for healthcare professionals2026

Staying With the Trouble in Nursing 12.5 Hours at a Time.

Jamie Brian Smith

Abstract read
In one paragraph

Article in Nursing philosophy : an international journal for healthcare professionals, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Staying With the Trouble in Nursing 12.5 Hours at a Time.Nursing philosophy : an international journal for healthcare professionals · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Jamie Brian SmithGender in Medicine, Charité - Universitätsmedizin, Berlin, Germany.ORCID https://orcid.org/0000-0003-0097-6102

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This paper proposes a reconceptualisation of clinical care as a site from which philosophy is produced, rather than a domain to which it is applied. Centreing on a speculative vignette drawn from emergency nursing, I introduce the concept of the event of nursing to name those moments where relational, material, and institutional forces exceed protocol and call for situated, embodied ethical judgement. Through this lens, nursing practice is not the application of philosophical ethics, but an already-theorising practice; one that enacts, improvises, and sustains a posthuman ethics in real time. Drawing on Spinoza, Barad, Haraway, Braidotti, and Deleuze and Guattari, I argue that nursing's entangled thinking-feeling-doing constitutes a form of knowledge irreducible to either abstraction or procedure. I frame response-ability as the immanent composition of powers (conatus), read diffractively, tracing how care is produced through the navigation of competing temporalities, machinic infrastructures, and affective pressures. With the risks of epistemic violence of algorithmic governance and linear reasoning, I offer three speculative propositions: 'assemblage notes,' 'situated adequacy metrics,' and 'posthuman night rounds.' These gestures aim not to reform systems but to make legible the improvisational labour that sustains care amid constraint. The event of nursing, I suggest, offers philosophy a model of ethics grounded in affective intelligence, situated multiplicity, and infrastructural friction, a way of staying with the trouble, 12 h at a time.

Indexed as

Philosophy, NursingHumansdiffractive readingevent of nursingnew materialismnursing ethicsnursing philosophyposthuman nursingresponse‐ability

Identifiers

PMID41407652
PMCPMC12711605

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.