Seeing Beyond the Stigma: Social Inclusion and Exclusion in Nursing Care
In every nurse’s career, there are people whose stories challenge us to look beyond the surface, to see the complex intersections of health, identity, and circumstance. Consider Alex and Sharna, a couple who have navigated many years of living in relationship with opioids, including stretches of reduced use and times when they were not using at all. Their histories hold layers of trauma, loss, resilience, and care, as well as repeated efforts to adapt, survive, and move toward safety and stability. Yet, for many clinicians, the ways their lives show up in care, the missed appointments, periods of renewed use, or struggles with mental health, can still trigger frustration before compassion. Stigma is not just an attitude; it is a social process that shapes care. Link and Phelan (2001) describe stigma as a relationship between labeling, stereotyping, separation, status loss, and discrimination , all operating within unequal power dynamics. In th...