Evidence map›Paper›PMID 42542958›Full record

ArticleNursing inquiry2026

Clean, Pleasant, Governed: A Critical Discourse Analysis of Bathing Without a Battle.

Patricia Morris, Rose McCloskey, Janet Durkee-Lloyd, Karla O'Regan

Abstract read
In one paragraph

Article in Nursing inquiry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Patricia MorrisFaculty of Nursing and Health Sciences, University of New Brunswick, Fredericton, New Brunswick, Canada.ORCID https://orcid.org/0000-0001-8400-9659
Rose McCloskeyFaculty of Nursing and Health Sciences, University of New Brunswick, Fredericton, New Brunswick, Canada.ORCID https://orcid.org/0000-0002-3269-732X
Janet Durkee-LloydDepartment of Gerontology, St. Thomas University, Fredericton, New Brunswick, Canada.ORCID https://orcid.org/0000-0003-0078-6595
Karla O'ReganDepartment of Criminology, St. Thomas University, Fredericton, New Brunswick, Canada.ORCID https://orcid.org/0000-0003-1214-7766

Funding

Social Sciences and Humanities Research Council (SSHRC) Vanier CGS Award
6 · The paper itself

Abstract

Bathing Without a Battle is a widely circulated video training resource in residential dementia care, but the assumptions it advances about bathing, refusal, and appropriate nursing practice have received limited critical attention. This paper analyzes how the text constructs resistance to assisted bathing and how it frames legitimate nursing responses to that resistance. A three-part Faircloughian critical discourse analysis is used, attending to social structures, processes of production and dissemination, and the textual features through which meaning is enacted. The bulk of the analysis focuses on genre, discourse, and style to examine how the video governs practice and moral reasoning. Findings indicate that the program positioned itself as an early form of clinical practice guideline by linking instructional conventions with the authority of academic research. It also illuminates the lexical choices used to portray cleanliness as a non-negotiable objective, while clients' refusals are positioned as problems (of technique, discomfort, or pathology) to overcome rather than expressions of agency. Finally, the paper demonstrates how the video's emphasis on pleasure operates as a stylistic and moral device that shapes nurses as responsible for producing care that is both hygienic and affectively acceptable. The paper concludes by considering the ethical implications of this framing for autonomy in dementia care and the normalization of persuasion when care outcomes are predetermined. Trial Registration: Clinical trial registration is not applicable, as this study did not involve a clinical trial.

Indexed as

BathsDementiaHumansassisted bathingautonomycapacitydementia caregovernancenursing educationresistance to care

Identifiers

PMID42542958
PMCPMC13429042

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.