Using vignettes about racism from health practice in Aotearoa to generate anti-racism interventions

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dc.citation.issue6
dc.citation.volume30
dc.contributor.authorKidd J
dc.contributor.authorCame H
dc.contributor.authorMcCreanor T
dc.coverage.spatialEngland
dc.date.accessioned2023-08-23T21:27:11Z
dc.date.accessioned2023-09-04T01:41:50Z
dc.date.available2022-03-18
dc.date.available2023-08-23T21:27:11Z
dc.date.available2023-09-04T01:41:50Z
dc.date.issued2022-11
dc.date.updated2023-08-23T04:17:21Z
dc.description(c) The Author/sen_US
dc.description.abstractRacism is a key modifiable determinant of health that contributes to health inequities in Aotearoa and elsewhere. Experiences of racism occur within the health sector for workers, patients and their whānau (extended family) every day. This paper uses stories of racism from nurses – reworked into vignettes – to examine the dynamics of racism to generate possible micro, meso and macro anti-racism interventions. A critical qualitative design was utilised, informed by kaupapa Māori approaches. The five vignettes in this paper were sourced from a pair of caucused focus groups with nine senior Māori (Indigenous peoples of Aotearoa) and Tauiwi (non-Māori) nurses held in Auckland Aotearoa in 2019. The vignettes were lightly edited and then critically analysed by both authors to identify sites of racism and generate ideas for anti-racism interventions. The vignettes illustrate five key themes in relation to racism. These include (i) mono-cultural practice, (ii) everyday micro-aggressions; (iii) complexity and the costs of racism, (iv) Pākehā (white settler) privilege and (v) employment discrimination. From analysing these themes, a range of evidence-based micro, meso and macro-level anti-racism interventions were derived. These ranged from engaging in reflective practice, education initiatives, monitoring, through to collective advocacy. Vignettes are a novel way to reveal sites of racism to create teachable moments and spark reflective practice and more active engagement in anti-racism interventions. When systematically analysed vignettes can be utilised to inform and refine anti-racist interventions. Being able to identify racism is essential to being able to effectively counter racism.
dc.format.extente4020-e4027
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/35302269
dc.identifier.citationKidd J, Came H, McCreanor T. (2022). Using vignettes about racism from health practice in Aotearoa to generate anti-racism interventions.. Health Soc Care Community. 30. 6. (pp. e4020-e4027).
dc.identifier.doi10.1111/hsc.13795
dc.identifier.eissn1365-2524
dc.identifier.elements-typejournal-article
dc.identifier.harvestedMassey_Dark
dc.identifier.issn0966-0410
dc.identifier.urihttp://hdl.handle.net/10179/20023
dc.languageeng
dc.publisherJohn Wiley & Sons Ltd on behalf of Health and Social Care in the Community
dc.relation.isPartOfHealth Soc Care Community
dc.rightsCC BY-NC 4.0en_US
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/en_US
dc.subjectNew Zealand
dc.subjectVignette
dc.subjectadvocacy
dc.subjectanti-racism
dc.subjectfocus groups
dc.subjecthealth practice
dc.subjectracism
dc.subjectreflective practice
dc.subjectHumans
dc.subjectAntiracism
dc.subjectRacism
dc.subjectNative Hawaiian or Other Pacific Islander
dc.subjectEthnicity
dc.subjectFocus Groups
dc.subjectNew Zealand
dc.titleUsing vignettes about racism from health practice in Aotearoa to generate anti-racism interventions
dc.typeJournal article
pubs.elements-id452370
pubs.organisational-groupOther
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