A Schema of Toxic Stress Informed by Racism, Transgenerational Stress, and Disadvantage
Autor: | Faye A. Gary, Linda Lewandowski, Gwendolyn Childs, Freida H. Outlaw, Julia A. Snethen, Felesia R. Bowen, Janiece E. DeSocio, Cindy Smith Greenberg, Pamela J. Burke, Elizabeth Sloand |
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Rok vydání: | 2021 |
Předmět: |
genetic structures
media_common.quotation_subject people.profession COVID-19 Racism Vulnerable Populations Developmental psychology Pediatric Nursing Schema (psychology) Pediatrics Perinatology and Child Health Stress (linguistics) Pandemic Pediatric Nurse Practitioner Humans Social determinants of health people Psychology Child Pandemics Disadvantage Health policy Stress Psychological media_common |
Zdroj: | Journal of pediatric health care : official publication of National Association of Pediatric Nurse AssociatesPractitioners. 36(2) |
ISSN: | 1532-656X |
Popis: | Introduction The Toxic Stress Schema (TSS) is an ecological framework with a social justice lens for identifying and alleviating stress and strengthening social determinants of health for children and families of color impacted by the COVID-19 pandemic and the cumulative effects of racism and generational, systemic inequities. Method Relevant literature is reviewed, and examples were provided to illustrate the differential impacts of the “stress superstorm” of 2020 had on children of color based on their family's position on the advantage–disadvantage continuum. Results The utility of the TSS framework as a model for advanced nursing practice is demonstrated, and recommendations are formulated for the pediatric nurse practitioner's role in health policy. Discussion The COVID-19 pandemic elucidated the historical inequities experienced by children and families of color. The TSS framework provides a model for recognizing, organizing, and implementing |
Databáze: | OpenAIRE |
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