Using Vignettes About Racism From Health Practice in Aotearoa to Generate Anti-racism Interventions

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aut.relation.endpage8
aut.relation.journalHealth and Social Care in the Communityen_NZ
aut.relation.startpage1
aut.researcherCame-Friar, Heather
dc.contributor.authorKidd, Jen_NZ
dc.contributor.authorCame, Hen_NZ
dc.contributor.authorMcCreanor, Ten_NZ
dc.date.accessioned2022-04-07T03:57:00Z
dc.date.available2022-04-07T03:57:00Z
dc.date.copyright2022-03-19en_NZ
dc.date.issued2022-03-19en_NZ
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.identifier.citationHealth & Social Care in the Community, 00, 1–8. https://doi. org/10.1111/hsc.13795
dc.identifier.doi10.1111/hsc.13795en_NZ
dc.identifier.issn0966-0410en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/15050
dc.publisherWileyen_NZ
dc.relation.urihttps://onlinelibrary.wiley.com/doi/10.1111/hsc.13795
dc.rights© 2022 The Authors. Health and Social Care in the Community published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectAdvocacy; Anti-racism; Focus groups; Health practice; New Zealand; Racism; Reflective practice; Vignette
dc.titleUsing Vignettes About Racism From Health Practice in Aotearoa to Generate Anti-racism Interventionsen_NZ
dc.typeJournal Article
pubs.elements-id451693
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Faculty of Health & Environmental Science
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Public Health & Interdisciplinary Studies
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Public Health & Interdisciplinary Studies/Public Health Department
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HY Public Health & Psychosocial Studies 2018 PBRF
pubs.organisational-data/AUT/zAcademic Progression
pubs.organisational-data/AUT/zAcademic Progression/Professor
pubs.organisational-data/AUT/zAcademic Progression/Professor/AP - Prof - Health and Environmental Sciences
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