Jackson Jennifer, McGibbon Elizabeth, Waldron Ingrid
Intensive Care Unit, The Ottawa Hospital, ON, Ontario.
St. Francis Xavier University, Antigonish, NS.
Can J Cardiovasc Nurs. 2013 Autumn;23(4):12-8.
The social determinants of health (SDH) are recognized as a prominent influence on health outcomes across the lifespan. Racism is identified as a key SDH. In this article, the authors describe the concept of racism as an SDH, its impact in discriminatory actions and inactions, and the implications for cardiovascular nurses. Although research in Canada on the links among racism, stress, and cardiovascular disease is limited, there is growing evidence about the stress of racism and its long-term impact on cardiovascular health. The authors discuss how cardiovascular nursing could be enhanced through an understanding of racism-related stress, and race-based differences in cardiovascular care. The authors conclude with strategies for action to address this nursing concern.
健康的社会决定因素(SDH)被认为是对人一生健康结果的一个突出影响因素。种族主义被确定为一个关键的健康社会决定因素。在本文中,作者描述了种族主义作为一个健康社会决定因素的概念、其在歧视行为和不作为中的影响,以及对心血管护士的影响。尽管加拿大关于种族主义、压力和心血管疾病之间联系的研究有限,但关于种族主义压力及其对心血管健康的长期影响的证据越来越多。作者讨论了如何通过理解与种族主义相关的压力以及心血管护理中基于种族的差异来加强心血管护理。作者最后提出了解决这一护理问题的行动策略。