教育护理专业人员的反种族主义框架。

IF 4.1 2区 医学 Q1 NURSING Nursing Outlook Pub Date : 2024-08-03 DOI:10.1016/j.outlook.2024.102242
Sandra Davis PhD, DPM, ACNP-BC, FAANP , Judith Martin-Holland PhD, MPA, RN, FNP, FAAN , Mekbib L. Gemeda MA , Dennis A. Mitchell DDS, MPH
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引用次数: 0

摘要

背景:护理教育需要一个概念、方法和理论框架,将课程中的种族主义作为健康不平等的根源。目的:为护理和健康专业的教育者提供一个全面统一的框架,从根本上构思和提供课程,将种族主义的影响定位为健康不平等的根源:方法:以种族批判理论为基础,对种族主义进行历史分析,并对科学种族主义、白人和白人至上的意识形态进行批判,这些意识形态使种族化个人和社区长期遭受有害和致命的结果:该框架将学习、非学习、再学习和反思性实践概念化,将其作为变革护理教育和促进健康公平所需的基本过程:讨论:该方法论适用于:1)摒弃有害的白人至上意识形态;2)认识到种族主义根植于美国生活的方方面面,而种族不平等则是医疗保健系统的固有问题;3)重新认识反叙述和建立结构性能力的重要性;4)参与反思性实践,以挑战针对种族化人群及其社区的赤字范式:反种族主义框架为课程提供了基本原则、指导步骤和理论依据,承认种族主义在实现健康公平方面的关键作用。
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An antiracism framework for educating nursing professionals

Background

A conceptual, methodological, and theoretical framework is needed in Nursing Education to center racism, in the curriculum, as a root cause of health inequity.

Purpose

To provide Nursing and health professions’ educators with a comprehensive unifying framework to fundamentally conceptualize and deliver a curriculum which positions racism’s impact as a root cause of health inequities.

Methods

Critical race theory is the underpinning for a historical analysis of racism and a critique of scientific racism, whiteness, and white supremacy ideologies that perpetuate harmful and lethal outcomes for racialized individuals and communities.

Results

This framework conceptualizes learning, unlearning, relearning, and reflective practice as the fundamental process needed to transformative nursing education and advance health equity.

Discussion

Methodological application is given for 1) unlearning harmful white supremacy ideology 2) learning that racism as it is embedded in every sector of American life and racial inequities are inherent in the health care system 3) relearning the importance of counternarratives and building structural competency and 4) engaging in reflective practice to challenge deficit paradigms assigned to racialized people and their communities.

Conclusion

The Antiracism Framework provides foundational principles, guiding steps, and rationale for curricula that acknowledges the critical role of racism as a barrier to achieving health equity.

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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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