Strategies to Address Anti-Black Racism in Nursing Methodological Considerations

Article type
Authors
Buchanan S1, Howitt L1, Nelson L2, Salami B3, Burt A1, Rey M1, Grinspun D1
1Registered Nurses Association of Ontario, Toronto, Ontario, Canada
2Yale University , New Haven, Connecticut, USA; St. Michael's Hospital, Toronto, Ontario, Canada
3University of Calgary, Calgary, Alberta, Canada
Abstract
"Background
There is an urgent call to deal with the anti-Black racism experienced by Black nurses and nursing students. A Canadian nursing association is using its expertise to co-create a trailblazing best practice guideline (BPG) aimed at addressing anti-Black racism in nursing. This BPG also centres on improving patient outcomes by fostering safe and inclusive workplaces where nurses can provide the best care.
Objectives
As a precursor to conducting systematic reviews and developing recommendations, a scoping review was conducted to explore the breadth of literature focused on strategies and outcomes to address anti-Black racism in nursing. This presentation will discuss the results of the scoping review and describe methodological considerations for the development of a novel health equity BPG.
Methods
The scoping review was conducted following Arksey and O’Malley’s methodology to explore strategies to address anti-Black racism in healthcare, and strategies to address racism in healthcare more broadly as it was anticipated there would be limited evidence in nursing. Four databases were searched for papers published in the last five years. After charting the data, the characteristics of the included articles were narratively summarized.
Results
A total of 3006 records were screened and 174 articles were included. Of these, only 5 specifically focused on strategies to address anti-Black racism in nursing and 35 focused on strategies to address racism in nursing. The majority of articles focused on non-nursing disciplines such as medicine and social work. The articles that looked at strategies to address racism and anti-Black racism in nursing primarily focused on educational strategies, instituting organizational policies, mentorship, and advocacy. Few articles evaluated the strategies, with some articles discussing values and preferences in regards to these strategies.
Conclusions
This review revealed that there is a paucity of literature focused on strategies to address anti-Black racism in nursing. Despite the limited number of studies evaluating strategies, the use of qualitative evidence that captures the values and preferences of practitioners can inform evidence-based guidance. This BPG will use GRADE methodology, embed theoretical frameworks, and incorporate the lived experiences of Black nurses and nursing students to work toward ending anti-Black racism in nursing. "