Original articlesConstraints, Normative Ideal, and Actions to Foster Change in the Practice of Nursing A Qualitative StudyMartin, Patrick PhD; Bouchard, Louise PhDAuthor Information Quebec Heart and Lung Institute, Laval University, Quebec, Canada (Dr Martin); and University of Montreal, Quebec, Canada (Dr Bouchard). Correspondence: Patrick Martin, PhD, Faculté des sciences infirmières, Université Laval, Pavillon Ferdinand-Vandry, 1050, avenue de la Médecine, Université Laval, Quebec, G1V 0A6, Canada ([email protected]). The authors thank the Quebec Ministry of Education and Higher Education, the Social Sciences and Humanities Research Council of Canada, and the Canadian Nurses Foundation for their financial support. The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Advances in Nursing Science: October/December 2020 - Volume 43 - Issue 4 - p 306-321 doi: 10.1097/ANS.0000000000000322 Buy Metrics Abstract The purpose of this study was to explore the lived experiences of politically engaged hospital staff nurses, the way in which they would like to practice, as well as the ideas and actions they have undertaken to foster change in their nursing practice. A qualitative design was used to collect data from a purposive sample of 39 nurses. Results indicate a deprofessionalization of nursing and a drift toward authoritarianism. There are, nonetheless, nurses who employ acts of resistance with the aim of establishing new power relations. It appears that those actions must focus on the radical renewal of democracy in hospitals. © 2020 Wolters Kluwer Health, Inc. All rights reserved.