This article explores how immigrant nurses navigate voice and legitimacy in healthcare, indicating a need for institutional change.
Immigrant nurses may walk into the cardiac room with the same credentials as everyone else, yet discover that their authority is questioned when their voice does. This article begins with a cardiac alert in which a patient's "Where are you from?" cuts through the alarms, and follows that question to ask how institutional legitimacy is translated-or stalled-at the level of vowels, cadence, and bedside speech. Working with Goffman's theatre of everyday life, Carper's aesthetic way of knowing, Cavarero's philosophy of the voice, and Bourdieu's account of linguistic authority, I trace how "professional seriousness" is taught, rehearsed, and auditioned through sound rather than policy. Empirical studies of accent bias in healthcare share the stage with immigrant nurses who slow their speech, straighten their posture, and trim their idioms to match an unspoken standard of "neutral" American English. The paper then turns to Camp, through Sontag, Babuscio, Meyer, and Muñoz, to read professional seriousness as a role, a costume, a script that some can slip into unnoticed while others must over-rehearse. From this vantage point, immigrant nurses become both actors and directors of their clinical presence, inhabiting required forms of seriousness while quietly bending them. The final act considers the ethical cost of this continuous performance and argues that the real scene change must occur at the institutional level, where listening practices and ideals of seriousness can be rewritten to recognize authority in more than one voice.
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Clarisza Runtung (2026) studied this question.
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