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运用博恩家庭治疗方法解决非裔美国人的系统性种族主义和焦虑代际传递问题:一篇论述性论文。

Addressing systemic racism and intergenerational transmission of anxiety using Bowenian family therapy with African American populations: A Discursive paper.

机构信息

Columbia University School of Nursing, New York, New York, USA.

Johns Hopkins University School of Nursing, Baltimore, Maryland, USA.

出版信息

J Adv Nurs. 2023 May;79(5):1714-1723. doi: 10.1111/jan.15610. Epub 2023 Feb 24.

Abstract

AIM

To examine the intergenerational impact of systemic racism on mental health, depicting the evolution and patterns of anxiety symptoms and the application of the Bowenian family therapy to understand the interrelatedness and long-standing impact of intergenerational trauma in African American families. This article highlights interventions that increase awareness of and promotes physical and mental health for African American populations.

DESIGN

Discursive Paper.

METHOD

Searching literature published between 2012 and 2022 in PubMed, SCOPUS, EBSCO Host and Google Scholar, we explored factors associated with systemic racism and generational anxiety.

DISCUSSION

Evidence-based literature supports the application of the Bowenian family therapy theoretical framework to understand the intergenerational impact of systemic racism and to address the transmission of anxiety symptoms in African American  populations.

CONCLUSION

Culturally appropriate interventions are needed to decrease anxiety symptoms in an attempt to heal intergenerational trauma and to improve family dynamics in African American populations.

IMPACT TO NURSING PRACTICE

Nurses play an integral role in providing holistic quality patient-centred care for African American populations who have experienced racial trauma. It is critical for nurses to implement culturally responsive and racially informed care with patients that focuses on self-awareness, health promotion, prevention and healing in efforts to address racial trauma. Application of Bowenian family therapy can aid in the reduction of both intergenerational transmission of racial trauma and generational anxiety.

NO PATIENT OR PUBLIC CONTRIBUTION

There was no patient or public involvement in the design or drafting of this discursive paper. The authors reviewed the literature to develop a discussion.

摘要

目的

探讨系统性种族主义对心理健康的代际影响,描绘焦虑症状的演变和模式,以及应用 Bowenian 家庭治疗来理解非裔美国家庭中代际创伤的相互关联性和长期影响。本文强调了增加非裔美国人对系统性种族主义和代际焦虑的认识并促进其身心健康的干预措施。

设计

论述性论文。

方法

在 PubMed、SCOPUS、EBSCO Host 和 Google Scholar 中检索 2012 年至 2022 年期间发表的文献,探讨与系统性种族主义和代际焦虑相关的因素。

讨论

基于证据的文献支持应用 Bowenian 家庭治疗理论框架来理解系统性种族主义的代际影响,并解决非裔美国人中焦虑症状的传递。

结论

需要采取文化上适当的干预措施来减少焦虑症状,试图治愈代际创伤,并改善非裔美国家庭的动态。

对护理实践的影响

护士在为经历过种族创伤的非裔美国人提供整体、以患者为中心的优质护理方面发挥着不可或缺的作用。护士必须与患者一起实施文化响应和种族知情的护理,重点是自我意识、健康促进、预防和治疗,以解决种族创伤。应用 Bowenian 家庭治疗可以帮助减少种族创伤的代际传递和代际焦虑。

患者或公众参与

在设计或起草这篇论述性论文时,没有患者或公众参与。作者回顾文献以进行讨论。

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