Decolonizing nursing for health equity: A scoping review

IF 4.1 2区 医学 Q1 NURSING Nursing Outlook Pub Date : 2024-07-20 DOI:10.1016/j.outlook.2024.102230
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Abstract

Background

The recent push to “decolonize nursing” has become a critical movement to address institutional racism, but the term has circulated through nursing circles enough to risk becoming a buzzword.

Purpose

This article clarifies “decolonizing nursing” by addressing the following questions: (a) How has “decolonizing nursing” been discussed in nursing research? (b) What specific projects have been implemented to decolonize nursing? (c) How has decolonizing nursing been related to health equity?

Methods

We conducted a scoping review and searched CINAHL, PubMed, and PsycINFO databases. A total of N = 56 records were included.

Discussion

“Decolonization” has referred to a range of ideas related to resisting Western ideals, legitimizing Indigenous knowledge, and repatriating land and territory especially to Indigenous and dispossessed communities. Few empirical studies have examined the relationship between decolonization or colonialism and specific health outcomes.

Conclusion

Decolonization differs from other social justice initiatives. To clarify what decolonizing nursing means, researchers can engage with historical, interdisciplinary, and community-based participatory research. In turn, nursing research will understand colonialism’s historical context, provide evidence that supports policies that protect Indigenous territory, and design clinical interventions that promote health equity for dispossessed populations.

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护理非殖民化促进健康公平:范围界定审查
背景最近推动的 "护理非殖民化 "已成为解决制度性种族主义的关键运动,但该术语在护理界的流传已足以冒成为流行语的风险。目的本文通过解决以下问题澄清 "护理非殖民化":(a) 护理研究中如何讨论 "护理非殖民化"?(b) 为实现护理非殖民化实施了哪些具体项目?(c) 非殖民化护理与健康公平的关系如何?方法我们进行了范围界定审查,并检索了 CINAHL、PubMed 和 PsycINFO 数据库。讨论 "非殖民化 "指的是一系列与抵制西方理想、使土著知识合法化以及归还土地和领土(尤其是归还给土著和被剥夺财产的社区)相关的观点。很少有实证研究探讨非殖民化或殖民主义与特定健康结果之间的关系。为了明确护理非殖民化的含义,研究人员可以参与历史、跨学科和基于社区的参与式研究。反过来,护理研究将了解殖民主义的历史背景,提供证据支持保护土著领地的政策,并设计临床干预措施,促进被剥夺权利的人群的健康公平。
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来源期刊
Nursing Outlook
Nursing Outlook 医学-护理
CiteScore
6.20
自引率
7.00%
发文量
109
审稿时长
25 days
期刊介绍: Nursing Outlook, a bimonthly journal, provides innovative ideas for nursing leaders through peer-reviewed articles and timely reports. Each issue examines current issues and trends in nursing practice, education, and research, offering progressive solutions to the challenges facing the profession. Nursing Outlook is the official journal of the American Academy of Nursing and the Council for the Advancement of Nursing Science and supports their mission to serve the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The journal is included in MEDLINE, CINAHL and the Journal Citation Reports published by Clarivate Analytics.
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