Abstract:
Aim: To synthesise international literature to identify mechanisms that maintain racism in nursing and understand the factors that contribute to designing and implementing anti-racist praxis to inform nursing in Aotearoa New Zealand.
Design: An integrative literature review was undertaken, integrating Indigenous
Kaupapa Māori methodologies to ensure a cultural and philosophical lens.
Methods: Peer-reviewed literature published, between January 2011 and July 2023
were sourced. Of 1296 articles, 16 met the inclusion criteria and 4 were identified
via citation chaining. In total, 20 articles were included. The Johns Hopkins Research
Evidence Tool was applied, findings extracted, and thematic analysis completed utilising Indigenous Kaupapa Māori principles.
Data Sources: Databases, including CINAHL, Scopus, PubMed and Aus/NZ Reference
Centre, were searched in July 2023.
Results: Two key themes were identified: (1) colonial active resistance to change; and
(2) transformational, visionary, and proactive nursing.
Conclusion: Nurses are well-positioned to confront the structures that maintain racism in health and education systems but are often actors in maintaining status quo.
Anti-racist praxis can be a mechanism for nurses to reimagine, redefine and transform
nursing care, leadership, and nursing education to begin to eradicate racism.
Reporting Method: This integrative review adhered to the 2020 Preferred Reporting
for Systematic Reviews and Meta-Analyses (PRISMA) method.
Patient or Public Contribution: No patient or public contribution.
Implications for the Profession: Racism remains prevalent in nursing and the healthcare system. It is necessary to implement anti-racist praxis and policies that resist, deconstruct, and dismantle power and racism while validating Indigenous values, beliefs
and practices. This is vital to deliver equitable health care.
