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February 8, 2026Nursing Inquiry2 citations

The Weight of Words: Discursive Burdening and Ideological Shaping of Work Through the 2025 International Council of Nurses' Definition of “Nurse”

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JCJerome V. Cleofas

Key Points

  • This paper examines how the ICN's 2025 definition of 'nurse' can influence nursing practices and work dynamics.
  • Analyzed the ICN definition using critical discourse analysis (CDA) tools.
  • Mapped the definition to relevant scholarly, policy, and gray literature.
  • Identified three dimensions of discursive burdening as a framework for understanding changes in nursing work.
  • Introduced the concept of discursive burdening with dimensions like deontological dumping and scope expansion.
  • Discussed how the ICN definition may intensify certain labor aspects in nursing.
  • Outlined potential buffers to mitigate negative effects related to the ICN definition.

Abstract

ABSTRACT This critical discussion paper examines how the International Council of Nurses' (ICN) 2025 definition of “nurse” may shape nursing work by functioning as a discursive artifact and proposes the mid‐range concept of discursive burdening to help explain the potential downstream effects on nurses' labor. Grounded in Fairclough's critical discourse analysis (CDA) and the social ecology of nursing, this study analyzes the ICN definition alongside its explanatory report and selectively mapped it to scholarly, policy, and gray sources to illustrate how professional definitions can travel into practice. Using CDA tools, linguistic features of the text were linked to discourse and wider social practices. From the CDA of the ICN definition, the concept of discursive burdening emerges with three interrelated dimensions: (1) deontological dumping, (2) amorphous scope expansion, and (3) intensifying emancipatory labor. Mapped onto nursing's social ecology, these dynamics plausibly cascade through overlapping regulatory, bureaucratic, occupational, gender, and multi‐professional systems. The ICN report also names buffers that can diffuse these effects when made co‐present with the public definition, which includes legal conditionality, regulator mediation, contextualization, resource support, clarifying and sharing roles, and education/leadership investment.

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Cite This Study

Jerome V. Cleofas (2026) studied this question.

synapsesocial.com/papers/698828530fc35cd7a8847b16https://doi.org/10.1111/nin.70086
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