Understanding equality and diversity in nursing practice

Stenhouse, Rosie

doi:10.7748/ns.2020.e11562

Cited by 12 publications

(5 citation statements)

References 14 publications

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“…Whilst having a voice can take the form of direct discussion, surveys such as those being analysed here can be understood as a means of enabling staff to have a voice within the organisation. The notion of voice within organisations is nevertheless complex as it is bound up in the complexity of organisational hierarchies and power structures which permeate organisations from the wider social structures of society placing members of social groups in relation to one another [ 28 ]. Thus, not everyone has equal access to use their voice or be heard.…”

Section: Discussionmentioning

confidence: 99%

‘Fix the issues at the coalface and mental wellbeing will be improved’: a framework analysis of frontline NHS staff experiences and use of health and wellbeing resources in a Scottish health board area during the COVID-19 pandemic

Clarissa

Quinn

Stenhouse

2021

BMC Health Serv Res

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Background Frontline healthcare staff working in pandemics have been reported to experience mental health issues during the early and post-peak stages. To alleviate these problems, healthcare organisations have been providing support for their staff, including organisational, cognitive behavioural and physical and mental relaxation interventions. This paper reports the findings of a study commissioned by a Scottish NHS health board area during the initial outbreak of COVID-19. The study aimed to understand the experience of NHS staff relating to the provision of wellbeing interventions between March and August 2020. Methods Data were gathered from free-text comments of eight surveys completed by a wide range of staff across sites within one NHS health board in Scotland. We conducted a framework analysis of the data. Results Our findings show that despite the provision of relaxational and cognitive behavioural interventions to support staff wellbeing during the early months of the COVID-19 pandemic, there were barriers to access, including heavy workload, understaffing, inconvenient locations and the stigma of being judged. Organisational factors were the most frequently reported support need amongst frontline staff across sites. Conclusions While relaxational and cognitive behavioural interventions were well received by staff, barriers to accessing them still existed. Staff support in the context of organisational factors, such as engagement with managers was deemed as the most important for staff wellbeing. Managers play a key role in everyday organisational processes and therefore are in the right position to meet increasing frontline staff demands due to the pandemic and removing barriers to accessing wellbeing support. Healthcare managers should be aware of organisational factors that might increase job demands and protect organisational resources that can promote wellbeing for frontline staff.

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Section: Discussionmentioning

confidence: 99%

‘Fix the issues at the coalface and mental wellbeing will be improved’: a framework analysis of frontline NHS staff experiences and use of health and wellbeing resources in a Scottish health board area during the COVID-19 pandemic

Clarissa

Quinn

Stenhouse

2021

BMC Health Serv Res

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“…4). Colonisation is the backdrop for this wider context that has resulted in historic and current marginalisation and discrimination against tāngata whenua (Hobbs et al, 2019;Stenhouse, 2021). Failure to honour te Tiriti through equal partnership has deeply impacted otherwise wellfunctioning whānau, iwi and hapū social and wellbeing systems (Came et al, 2018).…”

Section: Te Tiriti O Waitangimentioning

confidence: 99%

“…Of these, three offered a strong critique of the "white" nature of the term diversity, in which they stated their understandings were embedded. It is suggested that exploration of white privilege, relational space and intersectionality would deepen critique of practitioner engagement with diversity and Māori (Boulton & Cvitanovic, 2021;Hobbs et al, 2019;Stenhouse, 2021).…”

Section: Education and The Fundamentals Of Social Workmentioning

confidence: 99%

Defining, teaching, and practising diversity: Another hegemonic discourse?

Beaumont¹,

Kelly

Smith

2021

ANZSWJ

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INTRODUCTION: Respect for diversity is a primary principle of the social work profession; however, the term diversity has been critiqued as meaningless and is often linked with cultural competence. Gaps in terminology, education, and knowledge about how to practise diversity have been identified in health and social practice literature, while attempts to teach diversity have uncertain results. The research question guiding this master’s study was “What are the factors that inform Aotearoa social workers’ practice when engaging with diversity?”METHODOLOGY: Qualitative, semi-structured interviews were conducted with a purposive sample of four practising social workers to explore what informed their diversity practice. An inductive thematic analysis of the interview data was undertaken. Numerous themes and sub-themes were identified and grouped into seven thematic categories.FINDINGS: For research participants, the term diversity exists only in the discursive; and it “gets in the way” of practice. While acknowledging the importance of education and practice with Te Tiriti, participants could not seem to connect this knowledge with diversity and associated practices. The authors suggest that the definition of diversity for the purposes of social work education and competency frameworks requires a more critical approach: its associations with power, and its tendency to describe and classify otherwise complex, fluid, contextual identities. Aotearoa New Zealand social work education must also engage in critical analysis of monocultural, hegemonic discourse and power relationships through te Tiriti frameworks to prepare all students for practice with diversity in a bicultural context.

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“…This research specifically focuses on ethnicity as ethnic disparities have been shown to exist in the management of those with chronic pain (Ezenwa & Fleming, 2012; Kennel et al., 2019; Morales & Yong, 2021). Treating people as individuals, avoiding making assumptions, recognising diversity and individual decision‐making and respecting, and upholding peoples' dignity are not only key values of equality and diversity (Stenhouse, 2021), but also important in supporting self‐management of their chronic pain.…”

Section: Introductionmentioning

confidence: 99%

Access to chronic pain services for adults from Minority Ethnic groups in the United Kingdom: A scoping review protocol

Leach

Ndosi

Ambler

et al. 2022

Musculoskeletal Care

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Background Chronic pain services in the United Kingdom are required to provide services which meet the diverse needs of patients, but little is known about the access and use of these services by Minority Ethnic groups. This protocol describes a scoping review that aims to assess whether adults who access secondary and tertiary chronic pain services are representative of the UK population. Methods A scoping review will be conducted, comprising comprehensive searches of the literature using EMBASE, MEDLINE and CINAHL databases, and grey literature for records that address the study aims. Studies that meet the eligibility criteria will report on: (i) access to chronic pain services in secondary and/or tertiary care in the United Kingdom, (ii) by adults and, (iii) state the ethnicity of the involved participants within the demographics. Both qualitative and quantitative methodologies will be included to draw broad conclusions of what the cumulative evidence says on this topic. Publication dates are limited to between 2004 and 2021 as demographic data from studies published during this period best represent the UK population recorded in the 2011 UK census. The screening and selection process will be conducted by four reviewers and data will be extracted by one reviewer. A descriptive synthesis of the extracted data will be performed. Discussion This scoping review will be among the first to explore whether the current adult population of those with chronic pain who are accessing chronic pain services in secondary and/or tertiary care across the United Kingdom are representative of the UK Minority Ethnic population.

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Understanding equality and diversity in nursing practice

Cited by 12 publications

References 14 publications

‘Fix the issues at the coalface and mental wellbeing will be improved’: a framework analysis of frontline NHS staff experiences and use of health and wellbeing resources in a Scottish health board area during the COVID-19 pandemic

‘Fix the issues at the coalface and mental wellbeing will be improved’: a framework analysis of frontline NHS staff experiences and use of health and wellbeing resources in a Scottish health board area during the COVID-19 pandemic

Defining, teaching, and practising diversity: Another hegemonic discourse?

Access to chronic pain services for adults from Minority Ethnic groups in the United Kingdom: A scoping review protocol

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