Intersectionality in nursing research: A scoping review.

Autor: Sherman ADF; Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road Office: 310, Atlanta, GA 30322, USA., Febres-Cordero S; Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road Office: 310, Atlanta, GA 30322, USA., Johnson KB; Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road Office: 310, Atlanta, GA 30322, USA., Clark KD; Department of Nursing, University of New Hampshire, Durham, NH, USA., Klepper M; Johns Hopkins School of Nursing, Baltimore, MD, USA., Duroseau B; Johns Hopkins School of Nursing, Baltimore, MD, USA., Lin Y; Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road Office: 310, Atlanta, GA 30322, USA., Zhang W; Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road Office: 310, Atlanta, GA 30322, USA., Coleman M; Ross and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, USA., Prakash D; Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road Office: 310, Atlanta, GA 30322, USA., Daniel GA; Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road Office: 310, Atlanta, GA 30322, USA., Chand AT; Ross and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, USA., Kalu U; Ross and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, USA., Tarter R; Oregon Health and Science University, Portland, OR, USA., Allgood S; Johns Hopkins School of Nursing, Baltimore, MD, USA., Cohen S; Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road Office: 310, Atlanta, GA 30322, USA., Kelly U; Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road Office: 310, Atlanta, GA 30322, USA.; Atlanta VA Health Care System, Atlanta, Georgia, USA., Balthazar M; Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road Office: 310, Atlanta, GA 30322, USA.; Ross and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, USA.
Jazyk: angličtina
Zdroj: International journal of nursing studies advances [Int J Nurs Stud Adv] 2023 Dec; Vol. 5. Date of Electronic Publication: 2023 Sep 30.
DOI: 10.1016/j.ijnsa.2023.100155
Abstrakt: Background: 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.
Objective: 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 ( n = 257), SCOPUS ( n = 807), EMBASE ( n = 396), CINAHL ( n = 224), and Health Source: Nursing and Academics ( n = 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.
Results: 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.
Conclusions: 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.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Databáze: MEDLINE