Nurses' experiences of racism in mental health settings through patient and family interactions: A systematic review.

Autor:	Wijayaratnam, Anuson, Kozlowska, Olga, Krayem, Amani, Kaur, Satinder, Ayres, Helen, Smith, Rebecca, Paterson, Jane, Moghabghab, Rola, Henshall, Cathy
Předmět:	PREVENTION of racism NURSING education PREVENTION of violence in the workplace NURSE-patient relationships PATIENTS' families NURSES FORENSIC nursing MENTAL health services MEDICAL personnel DIVERSITY & inclusion policies CINAHL database WORK environment NURSING EVALUATION of medical care RACISM PSYCHIATRIC nurses SYSTEMATIC reviews MEDLINE COMMUNICATION NURSES' attitudes PSYCHOLOGY information storage & retrieval systems MEDICAL incident reports
Zdroj:	International Journal of Mental Health Nursing; Aug2024, Vol. 33 Issue 4, p834-858, 25p
Abstrakt:	Nursing staff engage readily with patients and associates in mental health/forensic inpatient settings. These settings are known to have instances of workplace violence directed towards staff and such violence includes racism. Racism is a form of workplace violence that must be better understood and supported within this complex setting. Completing a systematic review to coalesce preexisting research and suggested interventions can be beneficial to supporting nurses. Systematic review following PRISMA guidelines. CINAHL, PsycInfo, Medline, British Nursing Database and Web of Science databases were searched. Reviewers screened the papers for inclusion (29 articles out of 7146 were selected for inclusion) and completed the quality appraisal using the Mixed Methods Appraisal Tool. Subsequently, data extraction was completed, and findings were summarised through narrative synthesis. The way racism was conceptualised impacted how data was collected, reported and interpreted; racism was silenced or exposed depending on how studies were undertaken. If exposed, evidence indicates racism is a problem but is not always acknowledged or acted upon. Some evidence determined racism led to negative work‐related outcomes. The literature provided limited examples of interventions. These included changing education/orientation for staff, openly discussing racist events and better planning for patients among colleagues and management. Increasing diversity within the workforce requires more research exploring and addressing issues related to racism towards nurses. Narratives of racism being normalised and embedded in mental health/forensic settings need to be challenged. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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