Julian Grant1, Pauline B Guerin1,2. 1. College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia. 2. Department of Psychology, Pennsylvania State University, Brandywine Campus, Media, Pennsylvania.
Abstract
AIMS: The aim of this study was to explore child and family health nurses' (CaFHNs) understanding of racism. BACKGROUND: Despite a growing literature examining racism in health care, few studies have explored health professionals' understanding of racism and how they manage it in practice. DESIGN: A qualitative descriptive design was employed. METHODS: Five focus group discussions were held from January-June 2013 with 31 maternal, CaFHNs working across metropolitan South Australia. Data were analysed using thematic analysis with discourse analytic techniques. FINDINGS: Focus group discussions identified three major themes: the relationship between racism and children's health care; perception of racist health system structures that have an impact on choice and relationship building; and the need for professionals to manage the tensions arising in everyday healthcare practice. CONCLUSIONS: Limited understandings of individual, structural, and ideological racism and racist practice were found. These were underpinned by discourses of multiculturalism and individualism within a framework of democratic racism. There is urgent need for nursing practice and pedagogy to centralize race and racialization to address inequities in health care.
AIMS: The aim of this study was to explore child and family health nurses' (CaFHNs) understanding of racism. BACKGROUND: Despite a growing literature examining racism in health care, few studies have explored health professionals' understanding of racism and how they manage it in practice. DESIGN: A qualitative descriptive design was employed. METHODS: Five focus group discussions were held from January-June 2013 with 31 maternal, CaFHNs working across metropolitan South Australia. Data were analysed using thematic analysis with discourse analytic techniques. FINDINGS: Focus group discussions identified three major themes: the relationship between racism and children's health care; perception of racist health system structures that have an impact on choice and relationship building; and the need for professionals to manage the tensions arising in everyday healthcare practice. CONCLUSIONS: Limited understandings of individual, structural, and ideological racism and racist practice were found. These were underpinned by discourses of multiculturalism and individualism within a framework of democratic racism. There is urgent need for nursing practice and pedagogy to centralize race and racialization to address inequities in health care.
Authors: Keera Laccos-Barrett; Angela Elisabeth Brown; Roianne West; Katherine Lorraine Baldock Journal: Int J Environ Res Public Health Date: 2022-06-23 Impact factor: 4.614