Hilario Carla T, Browne Annette J, McFadden Alysha
School of Nursing, University of British Columbia, Vancouver, BC, Canada.
Vancouver Coastal Health, Vancouver, BC, Canada.
Nurs Inq. 2018 Jan;25(1). doi: 10.1111/nin.12213. Epub 2017 Jul 13.
Neoliberal ideology and exclusionary policies based on racialized identities characterize the current contexts in North America and Western Europe. Nursing knowledge cannot be abstracted from social, political and historical contexts; the task of examining the influence of race and racial ideologies on disciplinary knowledge and inquiry therefore remains an important task. Contemporary analyses of the role and responsibility of the discipline in addressing race-based health and social inequities as a focus of nursing inquiry remain underdeveloped. In this article, we examine nursing's engagement with ideas about race and racism and explore the ways in which nursing knowledge and inquiry have been influenced by race-based ideological discourses. Drawing on Henry and Tator's framework of democratic racism, we consider how strategic discursive responses-the discourses of individualism, multiculturalism, colour-blindness, political correctness and denial-have been deployed within nursing knowledge and inquiry to reinforce the belief in an essentially fair and just society while avoiding the need to acknowledge the persistence of racist discourses and ideologies. Greater theoretical, conceptual and methodological clarity regarding race, racialization and related concepts in nursing inquiry is needed to address health and social inequities.
新自由主义意识形态以及基于种族化身份的排他性政策是北美和西欧当前环境的特征。护理知识无法脱离社会、政治和历史背景；因此，审视种族和种族意识形态对学科知识及探究的影响仍是一项重要任务。将学科在解决基于种族的健康和社会不平等方面的作用与责任作为护理探究的重点，当代对此的分析仍不充分。在本文中，我们审视了护理领域对种族和种族主义观念的参与，并探讨了基于种族的意识形态话语对护理知识和探究产生影响的方式。借鉴亨利和塔托的民主种族主义框架，我们思考了策略性话语回应——个人主义、多元文化主义、色盲主义、政治正确性和否认等话语——是如何在护理知识和探究中被运用，以强化对一个本质上公平公正的社会的信念，同时避免承认种族主义话语和意识形态的持续存在。为解决健康和社会不平等问题，护理探究中需要在种族、种族化及相关概念方面有更清晰的理论、概念和方法。
