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

Journal: International journal of mental health nursing

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Affiliated Institutions:  Centre for Addiction and Mental Health, Toronto, Ontario, Canada. Oxford Brookes University, Oxford, UK. Oxford Health NHS Foundation Trust, Oxford, UK.

Abstract summary 

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.

Authors & Co-authors:  Wijayaratnam Kozlowska Krayem Kaur Ayres Smith Paterson Moghabghab Henshall

Study Outcome 

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Statistics
Citations :  Alessi, E. J. & Kahn, S. (2022). Toward a trauma‐informed qualitative research approach: guidelines for ensuring the safety and promoting the resilience of research participants. Qualitative Research in Psychology, 20(1), 121–154. Available from: https://doi.org/10.1080/14780887.2022.2107967
Authors :  9
Identifiers
Doi : 10.1111/inm.13317
SSN : 1447-0349
Study Population
Male,Female
Mesh Terms
Other Terms
forensic nursing;inpatient;mental health nursing;racism;workplace violence
Study Design
Study Approach
Mixed Methods
Country of Study
Mali
Publication Country
Australia