School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
Loyer DaSilva Research Chair in Community & Public Health Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
Nurs Philos. 2024 Jan;25(1):e12471. doi: 10.1111/nup.12471. Epub 2023 Nov 28.
In this study, we discuss the colonial project as an eliminatory structure of indigenous ways of knowing and doing that is built into Canadian social and health institutions. We elaborate on the role nursing plays in maintaining systemic racism, marginalization and discrimination of Indigenous Peoples. Based on historical practices and present-day circumstances, we argue that changing language in research and school curriculums turns decolonization into what Tuck and Yang call a 'metaphor'. Rather, we propose decolonization as a political project where nurses acknowledge their involvement in colonial harms and disrupt the assumptions that continue to shape how nurses interact with Indigenous people, including knowledge systems that perpetuate colonial interests and privilege. Decolonization requires nurses to understand the colonial practices that led to dispossession of land, erasure of knowledge, culture and identity, while upholding indigenous ways of knowing and doing in health, healing and living. As a political manifesto that liberates indigenous life from oppressive structures of colonialism and capitalism, The Red Deal is presented as a visionary platform for decolonization. The aim of this study is to articulate three dimensions of caretaking within The Red Deal as a framework to decolonize nursing knowledge development and practice. Based on the philosophical dimension embedded in The Red Deal that revoke norms and knowledge assumptions of capitalism that destroy indigenous ways of knowing and doing, we underscore an approach toward decolonizing nursing. Our approach rejects the apolitical nature of nursing as well as the unilateral western scientific knowledge approach to knowledge development and recognition. A critical emancipatory approach that addresses the socio-political and historical context of health care, recognizes dispossession of land and adopts a 'multilogical' vision of knowledge that gives space for representation and voice is needed for true decolonization of nursing.
在这项研究中，我们讨论了殖民项目，将其视为一种消除土著认知和实践方式的结构，这些方式被构建到加拿大的社会和卫生机构中。我们详细阐述了护理在维持系统性种族主义、边缘化和歧视土著人民方面所扮演的角色。基于历史实践和当今情况，我们认为，在研究和学校课程中改变语言将非殖民化变成了塔克和杨所谓的“隐喻”。相反，我们提出非殖民化是一个政治项目，护士承认自己参与了殖民伤害，并打破了那些继续塑造护士与土著人民互动的假设，包括那些延续殖民利益和特权的知识体系。非殖民化要求护士理解导致土地被剥夺、知识、文化和身份被抹去的殖民实践，同时维护土著的健康、疗愈和生活方式。《红约》作为一种将土著生活从殖民主义和资本主义的压迫结构中解放出来的政治宣言，被提出作为非殖民化的一个有远见的平台。本研究的目的是阐明《红约》中护理关怀的三个维度，作为非殖民化护理知识发展和实践的框架。基于《红约》中所嵌入的哲学维度，即撤销破坏土著认知和实践方式的资本主义规范和知识假设，我们强调了一种非殖民化护理的方法。我们的方法拒绝了护理的非政治性，以及对知识发展和认可的单方面西方科学知识方法。需要一种批判的解放方法，解决医疗保健的社会政治和历史背景，承认土地被剥夺，并采用“多逻辑”的知识视野，为真正的护理非殖民化提供代表和声音的空间。
