Emotional reactions to concepts of racism and white privilege in non-Aboriginal professionals working in remote Aboriginal communities.

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Rural and remote health Pub Date : 2024-03-01 Epub Date: 2024-03-08 DOI:10.22605/RRH7749
Caitlin Prince
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Abstract

Introduction: This research, conducted by a non-Aboriginal, White researcher, examines how health professionals working in remote Aboriginal communities engage with antiracism as instructed by national standards, whether strong emotions are elicited while reflecting on these concepts, and how these reactions impact on antiracist professional practice.

Methods: Eleven non-Indigenous allied health professionals were interviewed in a semi-structured format. Interviews were transcribed, thematically analysed and compared to existing literature.

Results and discussion: Every participant identified overwhelming emotions that they linked to reflecting on racism, White privilege and colonisation. Professionals reported grappling with denial, anger, guilt, shame, fear, anxiety and perfectionism, loss of belonging, disgust and care. They reported that these emotions caused overwhelm, exhaustion, tensions with colleagues and managers, and disengagement from antiracism efforts, and contributed to staff turmoil and turnover.

Conclusion: Previously, these emotional reactions and their impact on antiracism have only been described in the context of universities and by antiracist activists. This research identifies for the first time that these reactions also occur in health services in Aboriginal communities. Wider research is needed to better understand how these reactions impact on health service delivery to Aboriginal communities, and to evaluate ways of supporting staff to constructively navigate these reactions and develop antiracist, decolonised professional practice.

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在偏远土著社区工作的非土著专业人员对种族主义和白人特权概念的情绪反应。
导言:本研究由一名非原住民、白人研究人员进行,探讨了在偏远原住民社区工作的医疗专业人员如何按照国家标准参与反种族主义活动,在反思这些概念时是否会引起强烈的情绪反应,以及这些反应对反种族主义专业实践有何影响:以半结构化的形式对 11 名非土著专职医疗人员进行了访谈。对访谈内容进行了誊写和主题分析,并与现有文献进行了比较:每位参与者都指出了他们在反思种族主义、白人特权和殖民化时所产生的难以承受的情绪。专业人员报告说,他们在否认、愤怒、内疚、羞愧、恐惧、焦虑和完美主义、失去归属感、厌恶和关心等情绪中挣扎。他们报告说,这些情绪造成了不堪重负、精疲力竭、与同事和管理人员关系紧张、脱离反种族主义工作,并导致了员工的动荡和流失:以前,这些情绪反应及其对反种族主义的影响仅在大学和反种族主义活动家中有所描述。这项研究首次发现,这些反应也发生在原住民社区的医疗服务机构中。需要进行更广泛的研究,以更好地了解这些反应如何影响为原住民社区提供的医疗服务,并评估支持员工建设性地驾驭这些反应和发展反种族主义、非殖民化专业实践的方法。
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来源期刊
Rural and remote health
Rural and remote health Rural Health-
CiteScore
2.00
自引率
9.50%
发文量
145
审稿时长
8 weeks
期刊介绍: Rural and Remote Health is a not-for-profit, online-only, peer-reviewed academic publication. It aims to further rural and remote health education, research and practice. The primary purpose of the Journal is to publish and so provide an international knowledge-base of peer-reviewed material from rural health practitioners (medical, nursing and allied health professionals and health workers), educators, researchers and policy makers.
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