目的:综合国际文献,以确定维持护理种族主义的机制,并了解有助于设计和实施反种族主义行为的因素,以告知新西兰奥特罗阿的护理。
方法:进行了综合文献综述,整合土著Kaupapa毛利人的方法,以确保文化和哲学的镜头。
方法:发表的同行评审文献,2011年1月至2023年7月之间的采购。在1296篇文章中,16个符合纳入标准,4个通过引文链接确定。总的来说,包括20篇文章。约翰霍普金斯研究证据工具被应用,提取的发现,并利用土著Kaupapa毛利人原则完成了主题分析。
方法:数据库,包括CINAHL,Scopus,PubMed和澳大利亚/新西兰参考中心,在2023年7月进行了搜索。
结果:确定了两个关键主题:(1)殖民地对变化的积极抵抗;(2)转型,有远见的,积极的护理。
结论:护士处于有利地位,可以面对在健康和教育系统中维持种族主义的结构,但通常是维持现状的参与者。反种族主义行为可以成为护士重新想象的一种机制,重新定义和转变护理,领导力,和护理教育开始消除种族主义。
■这项综合审查遵循了2020年系统审查和荟萃分析首选报告(PRISMA)方法。
■没有患者或公众捐款。
种族主义在护理和医疗保健系统中仍然普遍存在。有必要实施反种族主义的实践和抵制的政策,解构,在验证土著价值观的同时拆除权力和种族主义,信仰和实践。这对于提供公平的医疗保健至关重要。
结论:这篇综合综述介绍了土著和种族统计护士和学者的生活现实和知识,与护理盟友一起告知反种族主义的实践。这些证据表明,现在是时候步行挑战种族主义的殖民系统和过程了。
OBJECTIVE: To synthesise international literature to identify mechanisms that maintain racism in nursing and understand the factors that contribute to designing and implementing anti-racist praxis to inform nursing in Aotearoa New Zealand.
METHODS: An integrative literature
review was undertaken, integrating
Indigenous Kaupapa Māori methodologies to ensure a cultural and philosophical lens.
METHODS: Peer-reviewed literature published, between January 2011 and July 2023 were sourced. Of 1296 articles, 16 met the inclusion criteria and 4 were identified via citation chaining. In total, 20 articles were included. The Johns Hopkins Research Evidence Tool was applied, findings extracted, and thematic analysis completed utilising
Indigenous Kaupapa Māori principles.
METHODS: Databases, including CINAHL, Scopus, PubMed and Aus/NZ Reference Centre, were searched in July 2023.
RESULTS: Two key themes were identified: (1) colonial active resistance to change; and (2) transformational, visionary, and proactive nursing.
CONCLUSIONS: Nurses are well-positioned to confront the structures that maintain racism in health and education systems but are often actors in maintaining status quo. Anti-racist praxis can be a mechanism for nurses to reimagine, redefine and transform nursing care, leadership, and nursing education to begin to eradicate racism.
UNASSIGNED: This integrative
review adhered to the 2020 Preferred Reporting for Systematic Reviews and Meta-Analyses (PRISMA) method.
UNASSIGNED: No patient or public contribution.
UNASSIGNED: Racism remains prevalent in nursing and the healthcare system. It is necessary to implement anti-racist praxis and policies that resist, deconstruct, and dismantle power and racism while validating
Indigenous values, beliefs and practices. This is vital to deliver equitable health care.
CONCLUSIONS: This integrative
review presents lived realities and knowledge of
Indigenous and racially minoritised nurses and scholars, alongside nursing allies to inform anti-racist praxis. This evidence signifies that it is time to walk the walk to challenge the colonising systems and processes that hold racism in place.