Sherman Athena D F, Febres-Cordero Sarah, Johnson Kalisha Bonds, Clark Kristen D, Klepper Meredith, Duroseau Brenice, Lin Yufen, Zhang Wenhui, Coleman Mercy, Prakash Diane, Daniel Gaea A, Chand Arzina Tabassum, Kalu Ugo, Tarter Robin, Allgood Sarah, Cohen Sydney, Kelly Ursula, Balthazar Monique
Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road Office: 310, Atlanta, GA 30322, USA.
Department of Nursing, University of New Hampshire, Durham, NH, USA.
Int J Nurs Stud Adv. 2023 Dec;5. doi: 10.1016/j.ijnsa.2023.100155. Epub 2023 Sep 30.
An intersectional approach to health research provides an analytical foundation to explain the multidimensionality of health status, resource accessibility, privilege, oppression, and current and historical context. The use of intersectionality in health research has known limitations. Its use in health-related fields too often focuses on outcomes, such as health disparities, rather than processes, such as power structures and social determinants.
This scoping review serves to examine how intersectionality has been implemented by nurses in the peer-reviewed literature. We offer insight into how it may be incorporated to inform future nursing research and healthcare provision.
DESIGN & METHODS: Systematic searches of PubMed ( = 257), SCOPUS ( = 807), EMBASE ( = 396), CINAHL ( = 224), and Health Source: Nursing and Academics ( = 491), published since the seminal publication on intersectionality (1989 - 2023), identified 131 research articles that met inclusion and exclusion criteria. Data extraction and synthesis were used to describe the breadth and depth of the literature specific to the application of intersectionality in nursing research.
The included studies used intersectionality to examine the intersections of numerous identities, such as race, gender, and immigration status. However, most studies were descriptive/observational in nature, underreported their methods, and conducted deficit-based research instead of strength-based inquiries. Of note, the vast majority of included articles were published within the last five years.
Future researchers using intersectionality as a framework can improve their approach by reporting clear definitions and operationalization of intersectionality. Observational science dominated the included studies; future research should focus on intervention development and evaluation using an intersectional lens. Lastly, caution should be placed on research that focuses solely on deficits among marginalized communities, which places scientists at risk of perpetuating stereotypes or enhancing already-existing stigmas.
健康研究中的交叉性方法为解释健康状况、资源可及性、特权、压迫以及当前和历史背景的多维度性提供了分析基础。交叉性在健康研究中的应用存在已知的局限性。它在健康相关领域的使用往往侧重于结果，如健康差距，而非过程，如权力结构和社会决定因素。
本范围综述旨在研究护士在同行评审文献中如何应用交叉性。我们深入探讨如何将其纳入以指导未来的护理研究和医疗保健服务。
自关于交叉性的开创性出版物发表以来（1989 - 2023年），对PubMed（n = 257）、SCOPUS（n = 807）、EMBASE（n = 396）、CINAHL（n = 224）和Health Source: Nursing and Academics（n = 491）进行系统检索，确定了131篇符合纳入和排除标准的研究文章。数据提取和综合用于描述交叉性在护理研究应用中特定文献的广度和深度。
纳入的研究使用交叉性来研究多种身份的交叉点，如种族、性别和移民身份。然而，大多数研究本质上是描述性/观察性的，方法报告不足，并且进行的是基于缺陷的研究而非基于优势的探究。值得注意的是，绝大多数纳入文章是在过去五年内发表的。
未来将交叉性作为框架的研究人员可以通过报告交叉性的明确定义和操作化来改进他们的方法。观察性科学在纳入研究中占主导地位；未来的研究应聚焦于使用交叉性视角进行干预开发和评估。最后，对于仅关注边缘化社区缺陷的研究应谨慎，因为这使科学家有延续刻板印象或强化现有污名的风险。
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