Jefferies Keisha, Martin-Misener Ruth, Murphy Gail Tomblin, Gahagan Jacqueline, Bernard Wanda Thomas
School of Nursing, Faculty of Health, Dalhousie University, Nova Scotia, Canada.
Research, Innovation and Discovery, Nova Scotia Health, Nova Scotia, Canada.
Can J Nurs Res. 2025 Mar;57(1):69-81. doi: 10.1177/08445621241313421. Epub 2025 Jan 28.
BackgroundAncestral Black Nova Scotian (ABNS) nurses are a culturally distinct group yet, little is known about their experiences. Available literature suggests that ABNS nurses are underrepresented in nursing and that they encounter discrimination throughout the health system. Understanding the experiences of ABNS nurses facilitates addressing antiBlack racism in nursing and healthcare.PurposeThis study sought to critically examine the leadership experiences of ABNS nurses in healthcare.MethodsThis qualitative study was guided by Black feminist theory and involved one-on-one semi-structured telephone interviews with eighteen ABNS nurses. Critical Discourse Analysis was applied in the reading of interview transcripts to examine words used by participants in relation to nursing and healthcare. The findings are presented in two conceptual themes.ResultsBlack Tax in Nursing captures the added physical, mental, and spiritual strain experienced by ABNS nurses navigating nursing and healthcare. Black Tax encompassed everyday microaggressions and systemic processes, including intra-profession tensions. Integrating into nursing was made increasingly difficult by a reinforcing network of gatekeepers, policies, and structural design. Nova Scotia Healthcare as an Archaic Institution depicts an antiquated "broken" paternalistic system that did not empower patients nor promote health. Additionally, nursing education was accused of reinforcing negative stereotypes, competency gaps, and mistrust with patients.ConclusionsInstitution of Care show how ABNS nurses challenge institutional standards and norms in their approach to nursing. ABNS nurses navigate nursing and the health system by maintaining a community-oriented approach to health. Addressing anti-Black racism in nursing and healthcare requires attention to multi-level processes within institutions.
背景
祖籍新斯科舍省的黑人护士（ABNS）是一个具有文化独特性的群体，但人们对他们的经历知之甚少。现有文献表明，ABNS护士在护理行业中的代表性不足，并且他们在整个医疗系统中都遭遇歧视。了解ABNS护士的经历有助于解决护理和医疗保健领域的反黑人种族主义问题。
目的
本研究旨在批判性地审视ABNS护士在医疗保健领域的领导经历。
方法
这项定性研究以黑人女性主义理论为指导，对18名ABNS护士进行了一对一的半结构化电话访谈。在阅读访谈记录时应用了批判性话语分析，以研究参与者在护理和医疗保健方面使用的词汇。研究结果呈现为两个概念主题。
结果
护理中的“黑人负担”体现了ABNS护士在从事护理和医疗保健工作时所经历的额外身体、心理和精神压力。“黑人负担”包括日常的微侵犯行为和系统性过程，包括行业内部的紧张关系。把关人、政策和结构设计形成的强化网络使得融入护理工作变得越来越困难。将新斯科舍省医疗保健描述为一个陈旧的机构，描绘了一个过时的、“破碎”的家长式系统，该系统既没有赋予患者权力，也没有促进健康。此外，护理教育被指责强化了负面刻板印象、能力差距以及与患者之间的不信任。
结论
护理机构展示了ABNS护士在护理方法上如何挑战机构标准和规范。ABNS护士通过保持以社区为导向的健康方法来应对护理和医疗系统。解决护理和医疗保健领域的反黑人种族主义问题需要关注机构内部的多层次过程。
