The Posthumanist Philosophical Approach in Reconfiguring Nursing Metaparadigms: A Narrative Review

Document Type : Review Article

Authors

1 Professor of Nursing, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

2 PhD Student in Nursing, Nursing and Midwifery Student Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

10.22038/nnj.2026.93828.1534

Abstract

Background and Aims: Nursing is traditionally grounded in humanism; however, emerging technologies have blurred the boundaries between human and machine. Posthumanism offers a framework transcending classical limitations. This study aims to elucidate the philosophical components of posthumanism and reconfigure nursing metaparadigms to align with contemporary realities.
Materials and Methods: In this narrative review, a literature search was conducted in PubMed, Scopus, Web of Science, and Google Scholar (2020-2025). From 110 identified sources, 17 articles were selected. Data were synthesized using Braun & Clarke’s six-stage thematic analysis (familiarization, coding, searching for themes, reviewing, defining themes, and reporting).
Results: Posthumanism leads to a re-reading of nursing metaparadigms, defining the nurse and patient as a "relational assemblage" intertwined with technology. In this perspective, the environment shifts from a passive background to an active agent, and health is redefined as the outcome of bio-technological interactions. Furthermore, ethics transitions from an individualistic approach toward accountability for the entire network of life, encompassing both human and non-human entities.
Conclusion: Posthumanism provides a platform for a pluralistic and justice-oriented understanding of nursing in the technological era. Integrating these concepts can contribute to the development of nursing knowledge in facing the complexities of the modern age

Keywords


[1]        Adam S, Juergensen L, Mallette C. Harnessing the power to bridge different worlds: An introduction to posthumanism as a philosophical perspective for the discipline. Nursing Philosophy. 2021;22(3):e12362.
[2]        Hodge LA, Olson JK. Critical posthumanism: A double‐edged sword for advancing nursing knowledge in planetary health. Nursing Inquiry. 2024;31(4):e12677.
[3]        Hopkins‐Walsh J, Dillard‐Wright J, Brown BB. Nursing for the Chthulucene: Abolition, affirmation, antifascism. Nursing Philosophy. 2023;24(1):e12405.
[4]        Laurin AC, Martin P. Thinking through critical posthumanism: Nursing as political and affirmative becoming. Nursing inquiry. 2024;31(1):e12606.
[5]        Zhao J. Nursing in a posthuman era: Towards a technology-integrated ecosystem of care. International Journal of Nursing Sciences. 2023;10(3):398-402.
[6]        Smith JB, Willis EM, Hopkins‐Walsh J. What does person‐centred care mean, if you weren't considered a person anyway: An engagement with person‐centred care and Black, queer, feminist, and posthuman approaches. Nursing Philosophy. 2022;23(3):e12401.
[7]        Petrovskaya O. Farewell to humanism? Considerations for nursing philosophy and research in posthuman times. Nursing Philosophy. 2023;24(3):e12448.
[8]        Erikson H, Salzmann-Erikson M. Future challenges of robotics and artificial intelligence in nursing: what can we learn from monsters in popular culture? The Permanente Journal. 2016;20(3):15-243.
[9]        Bolter JD. Posthumanism. The international encyclopedia of communication theory and philosophy. 2016:1-8.
[10]      Smith JB, Willis E. Interpreting posthumanism with nurse work. Journal of Posthuman Studies. 2020;4(1):59-75.
[11]      Ferrando F. Posthumanism, Transhumanism, Antihumanism, Metahumanism, and New Materialisms: Differences and Relations. 2014. p. 168-72.
[12]      Petrovskaya O. Reflections on an interactive posthumanist panel: A model for future nursing philosophy conference engagement? Nursing Philosophy. 2023;24(3).
[13]      Hayles NK. How We Became Posthuman: Virtual Bodies in Cybernetics, Literature, and Informatics: University of Chicago Press; 2024.
[14]      Wolfe C. What Is Posthumanism?: University of Minnesota Press; 2013.
[15]      Braidotti R. The Posthuman: Polity Press; 2013.
[16]      Ahmadi SM, Khalkhali A, Kazempour E. The Biological Revolution with Cyborgs: The Integration of Artificial Intelligence and the Human Body. Science Cultivation. 2024;15(1):60-6.
[17]      Dillard-Wright J, Walsh JH, Brown BB. We have never been nurses: Nursing in the anthropocene, undoing the capitalocene. Advances in Nursing Science. 2020;43(2):132-46.
[18]      Braidotti R. Posthuman ethics for AI. Journal of Bioethical Inquiry. 2025:1-5.
[19]      Dillard‐Wright J, Smith JB, Hopkins‐Walsh J, Willis E, Brown BB, Tedjasukmana EC. Notes on [post] human nursing: What It might be, What it is Not. Nursing Inquiry. 2024;31(1):e12562.
[20]      Fawcett J. The metaparadigm of nursing: Present status and future refinements. Image: the journal of nursing scholarship. 1984;16(3):84-7.
[21]      Watson J. The philosophy and science of caring: University Press of Colorado; 1985.
[22]      Nightingale F. Notes on nursing: What it is, and what it is not: Lippincott Williams & Wilkins; 1992.
[23]      Rogers ME. An introduction to the theoretical basis of nursing. AJN The American Journal of Nursing. 1971;71(10):2026-7.
[24]      Tanioka R, Betriana F, Locsin RC. Treatise on the influence of theism, transhumanism, and posthumanism on nursing and rehabilitation healthcare practice. Nursing Philosophy. 2021;22(3):e12350.