Discourse of race and racism in nursing: An integrative review of literature

Iheduru-Anderson, Kechinyere; Shingles, Rene Revis; Akanegbu, Christiana

doi:10.1111/phn.12828

Cited by 49 publications

(67 citation statements)

References 56 publications

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“…Systemic barriers stem from government health policy such as not providing, or limiting access to the public health system. For those who work in the health system underlying racism and unconscious bias are significant issues that lead to reduced access; health inequity (Johnstone & Kanitsaki, 2009) and long term physical and psychosocial health issues for this population (Iheduru‐Anderson et al, 2021).…”

Section: Access To Health Services and Health Inequitymentioning

confidence: 99%

Racism, healthcare access and health equity for people seeking asylum

2021

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People seeking asylum are at risk of receiving poorer quality healthcare due, in part, to racist and discriminatory attitudes, behaviours and policies in the health system. Despite fleeing war and conflict; exposure to torture and traumatic events and living with uncertainty; people seeking asylum are at high‐risk of experiencing long‐term poor physical and mental health outcomes in their host country. This article aims to raise awareness and bring attention to some common issues people seeking asylum face when seeking healthcare in high‐income countries where the health system is dominated by a Western biomedical view of health. Clinical case scenarios are used to highlight instances of racist healthcare policies and practices that create and maintain ongoing health disparities; limited access to culturally and linguistically appropriate health services, and lack of trauma‐informed approaches to care. Nurses and midwives can play an important role in countering racism in healthcare settings; by identifying and calling out discriminatory practice and modelling tolerance, respect and empathy in daily practice. We present recommendations for individuals, organisations and governments that can inform changes to policies and practices that will reduce racism and improve health equity for people seeking asylum.

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Section: Access To Health Services and Health Inequitymentioning

confidence: 99%

Racism, healthcare access and health equity for people seeking asylum

2021

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“…Although academic institutions have begun emphasizing the importance of equity and inclusion, recruiting, retaining, and engaging BIPOC scholars, their representation in nursing is inadequate. Despite the documented alienation and academic pressures experienced by Black scholars ( Ackerman-Barger & Hummel, 2015 ; Bell et al., 2021 ; Hall et al., 2012 ; Iheduru-Anderson et al., 2020 ; Puzan, 2003 ; Tilki et al., 2007 ; Villarruel & Broome, 2020 ), limited resources exist to expand the capacity of this group to cope with the blatant disparities and injustices that occur within and outside of the workplace. Based on 2016 data from the American Association of Colleges of Nursing, only 16% of nursing faculty were from diverse backgrounds ( American Association of Colleges of Nursing, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

“…Predominantly white institution (PWI) is the term used to describe academic institutions, which white students account for 50% or greater enrollment ( Brown & Dancy II, n.d. 2010. Schools of nursing serve as examples of large academic settings that are predominately white systems that further perpetuate the effects of institutional racism ( Ackerman-Barger & Hummel, 2015 ; Hall et al., 2012 ; Iheduru-Anderson et al., 2020 ; Puzan, 2003 ; Tilki et al., 2007 ; Villarruel & Broome, 2020 ). Many institutions have failed to implement systems to protect BIPOC mental and social well-being while occupying predominantly white spaces ( Zambrana, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Building bridges and capacity for Black, Indigenous, and scholars of color in the era of COVID-19 and Black Lives Matter

2021

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Background There is a critical need to increase diversity in the nursing workforce to better address racial health disparities. Purpose To provide academic institutions with practical recommendations to foster a collaborative environment and essential resources for and in support of Black, Indigenous, and People of Color (BIPOC) scholars. Methods We examine the experiences of three Black nurse scholars, at a research-intensive university in an urban area during the COVID-19 pandemic and civil unrest in the United States. Findings Findings suggest barriers exist, which negatively impact workplace climate, collaboration and mentoring for BIPOC nursing scholars. Guided by a Black feminist perspective and utilizing existing literature, we recommend strategies to enhance workplace climate, to develop culturally aware collaboration, and to center mentoring as the foundation for BIPOC nurse scholar success. Discussion This article acknowledges that a crucial step in addressing health disparities is successful support of and collaboration with BIPOC nurse scholars.

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“…There are many ways that power is exercised in interviews from the choice of setting to ways of interacting, which shape how the event is interpreted (Vähäsantanen & Saarinen, 2013). Further, as Iheduru-Anderson et al (2021) point out, the "real work" is seen as the writing up of the interview rather than the product itself. Podcasts thus have the potential to decolonize the process of collecting, analyzing, and disseminating knowledge challenging the top-down approach to expert-driven epistemologies.…”

Section: Beyond the Coloniality Of The Social Work Profession: Toward Epistemic Decolonization Through Podcasts As Public Scholarshipmentioning

confidence: 99%

Reimagining Social Work Ancestry: Toward Epistemic Decolonization

Clarke

2021

Affilia

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Contextualizing disciplinary histories through the personal stories of forerunners creates compelling narratives of the craft of evolving professions. By looking to our intellectual and practitioner ancestors, we participate in a dialogue with a history that shapes our contemporary professional identities and aspirations for the future. Grounded in a decolonizing approach to social work, this article examines how the discipline shapes its professional identity and ways of knowing by centering the role of canonical founders in the social work curriculum. The global social work origin story in the curriculum often centers on Anglo-American ancestors that illustrate the development of the disciplinary boundaries of the international profession. One method of decolonizing social work epistemology at the intersection of ancestors and professional lineage could be to look to public history as a pedagogical tool in the curriculum. The article concludes by examining the use of podcasts as having the potential to decolonize the process of collecting, analyzing, and disseminating local knowledge of ancestors thus challenging the top-down approach to expert-driven epistemologies.

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Discourse of race and racism in nursing: An integrative review of literature

Cited by 49 publications

References 56 publications

Racism, healthcare access and health equity for people seeking asylum

Racism, healthcare access and health equity for people seeking asylum

Building bridges and capacity for Black, Indigenous, and scholars of color in the era of COVID-19 and Black Lives Matter

Reimagining Social Work Ancestry: Toward Epistemic Decolonization

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