National League for Nursing/Walden University School of Nursing Institute for Social Determinants of Health and Social Change, Washington, DC.
UC Global Health Institute, University of California San Francisco, San Francisco, CA.
Nurs Outlook. 2024 Sep-Oct;72(5):102242. doi: 10.1016/j.outlook.2024.102242. Epub 2024 Aug 3.
A conceptual, methodological, and theoretical framework is needed in Nursing Education to center racism, in the curriculum, as a root cause of health inequity.
To provide Nursing and health professions' educators with a comprehensive unifying framework to fundamentally conceptualize and deliver a curriculum which positions racism's impact as a root cause of health inequities.
Critical race theory is the underpinning for a historical analysis of racism and a critique of scientific racism, whiteness, and white supremacy ideologies that perpetuate harmful and lethal outcomes for racialized individuals and communities.
This framework conceptualizes learning, unlearning, relearning, and reflective practice as the fundamental process needed to transformative nursing education and advance health equity.
Methodological application is given for 1) unlearning harmful white supremacy ideology 2) learning that racism as it is embedded in every sector of American life and racial inequities are inherent in the health care system 3) relearning the importance of counternarratives and building structural competency and 4) engaging in reflective practice to challenge deficit paradigms assigned to racialized people and their communities.
The Antiracism Framework provides foundational principles, guiding steps, and rationale for curricula that acknowledges the critical role of racism as a barrier to achieving health equity.
护理教育需要一个概念、方法和理论框架,将课程中的种族主义作为健康不平等的根本原因。
为护理和卫生专业教育者提供一个全面统一的框架,从根本上构思和提供一门课程,将种族主义的影响定位为健康不平等的根本原因。
批判种族理论是对种族主义历史的分析和对科学种族主义、白人至上主义意识形态的批判的基础,这些意识形态使种族化个人和社区遭受有害和致命的后果。
这个框架将学习、去学习、再学习和反思性实践概念化为变革护理教育和推进健康公平所需的基本过程。
方法的应用包括:1)去学习有害的白人至上主义意识形态;2)认识到种族主义嵌入美国生活的每个领域,种族不平等是医疗保健系统固有的;3)重新学习反叙事的重要性和建立结构能力;4)进行反思性实践,挑战对种族化人群及其社区的缺陷模式的偏见。
反种族主义框架为承认种族主义作为实现健康公平的障碍的课程提供了基本原则、指导步骤和基本原理。