MacDonnell Judith A, Dastjerdi Mahdieh, Bokore Nimo, Tharao Wangari
School of Nursing, York University, 3rd Floor HNES Building, 4700 Keele Street, Toronto, ON M3J 1P3, Canada.
School of Social Work, Carleton University, 1125 Colonel by Dr., Dunton Tower, #618, Ottawa, ON K1S 5B6, Canada.
Int J Environ Res Public Health. 2025 Aug 7;22(8):1229. doi: 10.3390/ijerph22081229.
The global Black Lives Matter movement and COVID-19 pandemic drew attention to the urgency of addressing entrenched structural dynamics such as racialization, gender, and colonization shaping health inequities for diverse racialized people. Canadian community-based research with racialized immigrant women recognized the need to enhance service provider capacity using a strengths-based activism approach to support client health and wellbeing. In this study, we aimed to understand the impacts of this mental health promotion practice on service providers and strategies to support them. Through purposeful convenience sampling, three focus groups were completed with 19 service providers working in settlement and mental health services in Toronto, Canada. Participants represented varied ethnicities and work experiences; most self-identified as female and racialized, with experiences living as immigrant women in Canada. Postcolonial feminist and critical mental health promotion analysis illuminated organizational and structural dynamics contributing to burnout and vicarious trauma that necessitate a focus on trauma- and violence-informed care. Transformative narratives reflected service provider resilience and activism, which aligned with and challenged mainstream biomedical approaches to mental health promotion. Implications include employing a postcolonial feminist lens to identify meaningful and comprehensive anti-oppression strategies that take colonialism, racialization, gender, and ableism and their intersections into account to decolonize nursing practices. Promoting health equity for diverse racialized women necessitates focused attention and multilevel anti-oppression strategies aligned with critical mental health promotion practices.
全球“黑人的命也是命”运动和新冠疫情让人们意识到，解决种族化、性别和殖民化等根深蒂固的结构性动态问题刻不容缓，这些问题塑造了不同种族化人群的健康不平等状况。加拿大针对种族化移民女性开展的社区研究认识到，需要采用基于优势的行动主义方法来提高服务提供者的能力，以支持客户的健康和福祉。在本研究中，我们旨在了解这种心理健康促进实践对服务提供者的影响以及支持他们的策略。通过目的便利抽样，我们与19名在加拿大多伦多从事定居和心理健康服务的服务提供者完成了三个焦点小组。参与者代表了不同的种族和工作经历；大多数人自我认同为女性且属于种族化群体，有作为移民女性在加拿大生活的经历。后殖民女性主义和批判性心理健康促进分析揭示了导致职业倦怠和替代性创伤的组织和结构动态，这需要关注创伤知情和暴力知情护理。变革性叙事反映了服务提供者的复原力和行动主义，这与主流生物医学心理健康促进方法一致且对其构成挑战。其启示包括采用后殖民女性主义视角来确定有意义且全面的反压迫策略，这些策略要考虑到殖民主义、种族化、性别和能力主义及其交叉影响，以使护理实践非殖民化。促进不同种族化女性的健康公平需要重点关注并采取与批判性心理健康促进实践相一致的多层次反压迫策略。
