School of Nursing, University of Auckland, Auckland, New Zealand.
J Clin Nurs. 2023 Jun;32(11-12):2466-2480. doi: 10.1111/jocn.16347. Epub 2022 May 17.
This review aimed to synthesise international research about how intersectionality has been used to explore issues within the nursing profession. The objectives were to determine which intersecting variables have been explored, how intersectionality has been operationalised, and the implications for nursing leadership.
Barriers to health system leadership created at the intersection of gender, race, ethnicity, professional cadre and other socially constructed categories exist in the health workforce. Consequently, an intersectionality paradigm has been recommended to explore power, privilege and oppression issues in the nursing profession.
An integrative systematic review method was selected for its ability to include diverse methodologies. The review complies with the PRISMA guidelines for reporting systematic reviews.
The search terms nurs* nurses nursing AND Intersectionality intersectional intersectionalism, intersect were used in December 2021 to search the Cumulative Index to Nursing and Allied Health Literature (CINAHL Plus) PsycINFO, PubMed, Ovid, ProQuest and the first ten pages of Google Scholar from 2011 to 2021. Directed content analysis was applied to the data.
Access to education, absence of expectations as a career and patriarchal structures support male nurses into positions of leadership in healthcare systems. Intra-group differences highlight the paradox of homogenous categories for ethnicity and gender. Being a member of an ethnic minority group hinders career progression regardless of gender. The aftereffects of colonisation exist within the nursing space.
This review is the first to synthesise research using intersectionality to explore the impact of socially constructed identities on nursing leadership. There is a dearth of evidence specific to this topic, ignoring the diversity within this professional group. Future research should include intersectionality to discover how social categories empower or impede a nurse's career progression to leadership roles.
An intersectionality paradigm can encourage nurses to attend to issues of power, privilege and oppression in the profession and their practice.
本综述旨在综合国际研究，探讨交叉性如何用于探索护理专业内的问题。目的是确定已经探索了哪些交叉变量，交叉性是如何运作的，以及对护理领导的影响。
在性别、种族、民族、专业干部和其他社会构建类别交叉处存在卫生系统领导的障碍，这在卫生工作者中存在。因此，有人建议采用交叉性范式来探索护理专业中的权力、特权和压迫问题。
综合系统评价方法因其能够纳入多种方法而被选中。该综述符合报告系统评价的 PRISMA 指南。
2021 年 12 月，使用“nurs* nurses nursing AND Intersectionality intersectional intersectionalism, intersect”这组检索词，在 CINAHL Plus、PsycINFO、PubMed、Ovid、ProQuest 和 Google Scholar 的前 10 页中搜索了 2011 年至 2021 年期间的文献。对数据进行了定向内容分析。
获得教育机会、没有将职业视为职业期望以及父权制结构支持男护士在医疗保健系统中担任领导职务。群体内差异突显了种族和性别同质类别中的矛盾。作为少数民族群体的一员，无论性别如何，都会阻碍职业发展。殖民化的后果仍然存在于护理领域。
这是首次综合使用交叉性来探讨社会构建身份对护理领导的影响的研究。关于这个主题的证据很少，忽略了这个专业群体的多样性。未来的研究应该包括交叉性，以发现社会类别如何赋予或阻碍护士向领导角色的职业发展。
交叉性范式可以鼓励护士关注专业和实践中的权力、特权和压迫问题。
