Nursing has articulated a shared commitment to equity in response to inequities in health and health care; however, understandings of how nurses enact equity are needed to uphold this professional mandate. This Foucauldian discourse analysis examined how nurses' equity-promoting practices are shaped by dominant discourses within the emergency department and illustrated that within this institutional context that constrained equity, nurses engaged in equity-promoting practices through subversion of discursive power. This study illustrates the need for embedding equity discourses within health care systems and ensuring meaningful supports for nurses in enacting equity-promoting practices within the emergency department setting.

中文翻译：

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从颠覆到硬连线公平：急诊科护士促进公平实践的话语分析。

护理界明确表达了对公平的共同承诺，以应对健康和医疗保健方面的不平等；然而，为了维护这一专业使命，需要了解护士如何实现公平。这种福柯式话语分析研究了急诊科内的主导话语如何塑造护士的公平促进实践，并说明在这种限制公平的制度背景下，护士通过颠覆话语权来从事促进公平的实践。这项研究说明了将公平话语纳入医疗保健系统的必要性，并确保为护士在急诊科环境中制定促进公平的做法提供有意义的支持。