Deconstructing Racialized Experiences in Healthcare: What a Missed Opportunity for Healing Looks Like and Healthcare Resources for Children and Their Families
Some patients and families of color, including Asian Americans, face significant adverse stressors due to living within a White-dominant society. Xenophobia and racism can impact health. Research evidence points to early exposure to adverse childhood experiences such as racial discrimination as bein...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2021-03-01
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| Series: | Asian/Pacific Island Nursing Journal |
| Subjects: | |
| Online Access: | https://kahualike.manoa.hawaii.edu/apin/vol5/iss4/5/ |
| _version_ | 1811329016802574336 |
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| author | Connie K. Y. Nguyen-Truong Shameem Rakha Deborah U. Eti Lisa Angelesco |
| author_facet | Connie K. Y. Nguyen-Truong Shameem Rakha Deborah U. Eti Lisa Angelesco |
| author_sort | Connie K. Y. Nguyen-Truong |
| collection | DOAJ |
| description | Some patients and families of color, including Asian Americans, face significant adverse stressors due to living within a White-dominant society. Xenophobia and racism can impact health. Research evidence points to early exposure to adverse childhood experiences such as racial discrimination as being detrimental and having significant short-term and long-term impact on physical and mental health. The purpose of this commentary article is to illuminate the need of patients and their families who may seek health care providers (HCPs) to express their concerns and fears when issues of xenophobia and racism arise. Patients and families need space in a healthcare setting to feel heard and understood. Anti-Asian xenophobia and racism among medically underserved Asian Americans persists and has been heightened during the COVID-19 pandemic. We describe tenets of Critical Race Theory and AsianCrit, and use this lens to understand an example actual scenario, a counter-story, of a Vietnamese mother, and her Vietnamese-Chinese American family’s experience with xenophobia and racism at a community recreation center and the subsequent communication of this experience with a HCP. We describe the impacts of these experiences of seeking healing including discontinuity of a HCP-patient-family relationship. It takes bravery for patients and families to tell their story of xenophobia and racism to a HCP. There are Asian Americans who are afraid to seek healthcare because of anti-Asian xenophobia and concerns about White fragility. Following, we highlight research evidence on implicit bias, also known as unconscious bias, as context about its persistent and widespread existence among healthcare professionals in general and the need to address this in healthcare. Implicit bias can influence care provided to a patient-family and the interactions between a HCP-patient-family. We include additional resources such as those from the National
Association of Pediatric Nurse Practitioners, American Psychological Association Office on Children Youth and Families, the Office of Ethnic Minority Affairs, the Office on Socioeconomic Status, and American Academy of Pediatrics to consider in support of equity in healthcare practice of children and their families. |
| first_indexed | 2024-04-13T15:36:20Z |
| format | Article |
| id | doaj.art-29f33849141a42a180aec7aa19a5eade |
| institution | Directory Open Access Journal |
| issn | 2373-6658 |
| language | English |
| last_indexed | 2024-04-13T15:36:20Z |
| publishDate | 2021-03-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | Asian/Pacific Island Nursing Journal |
| spelling | doaj.art-29f33849141a42a180aec7aa19a5eade2022-12-22T02:41:15ZengJMIR PublicationsAsian/Pacific Island Nursing Journal2373-66582021-03-015422723510.31372/20200504.1109Deconstructing Racialized Experiences in Healthcare: What a Missed Opportunity for Healing Looks Like and Healthcare Resources for Children and Their FamiliesConnie K. Y. Nguyen-Truong0https://orcid.org/0000-0002-3933-5532Shameem Rakha1https://orcid.org/0000-0001-8653-3374Deborah U. Eti2Lisa Angelesco3Washington State University College of Nursing in VancouverWashington State University College of Education in VancouverWashington State University College of Nursing in SpokaneWashington State University College of Nursing in VancouverSome patients and families of color, including Asian Americans, face significant adverse stressors due to living within a White-dominant society. Xenophobia and racism can impact health. Research evidence points to early exposure to adverse childhood experiences such as racial discrimination as being detrimental and having significant short-term and long-term impact on physical and mental health. The purpose of this commentary article is to illuminate the need of patients and their families who may seek health care providers (HCPs) to express their concerns and fears when issues of xenophobia and racism arise. Patients and families need space in a healthcare setting to feel heard and understood. Anti-Asian xenophobia and racism among medically underserved Asian Americans persists and has been heightened during the COVID-19 pandemic. We describe tenets of Critical Race Theory and AsianCrit, and use this lens to understand an example actual scenario, a counter-story, of a Vietnamese mother, and her Vietnamese-Chinese American family’s experience with xenophobia and racism at a community recreation center and the subsequent communication of this experience with a HCP. We describe the impacts of these experiences of seeking healing including discontinuity of a HCP-patient-family relationship. It takes bravery for patients and families to tell their story of xenophobia and racism to a HCP. There are Asian Americans who are afraid to seek healthcare because of anti-Asian xenophobia and concerns about White fragility. Following, we highlight research evidence on implicit bias, also known as unconscious bias, as context about its persistent and widespread existence among healthcare professionals in general and the need to address this in healthcare. Implicit bias can influence care provided to a patient-family and the interactions between a HCP-patient-family. We include additional resources such as those from the National Association of Pediatric Nurse Practitioners, American Psychological Association Office on Children Youth and Families, the Office of Ethnic Minority Affairs, the Office on Socioeconomic Status, and American Academy of Pediatrics to consider in support of equity in healthcare practice of children and their families.https://kahualike.manoa.hawaii.edu/apin/vol5/iss4/5/adverse childhood experiencescritical race theoryasiancritfamilieshealthcare practiceimplicit biasxenophobiaracismvietnamesevietnamese-chinesewhite fragilityequity |
| spellingShingle | Connie K. Y. Nguyen-Truong Shameem Rakha Deborah U. Eti Lisa Angelesco Deconstructing Racialized Experiences in Healthcare: What a Missed Opportunity for Healing Looks Like and Healthcare Resources for Children and Their Families Asian/Pacific Island Nursing Journal adverse childhood experiences critical race theory asiancrit families healthcare practice implicit bias xenophobia racism vietnamese vietnamese-chinese white fragility equity |
| title | Deconstructing Racialized Experiences in Healthcare: What a Missed Opportunity for Healing Looks Like and Healthcare Resources for Children and Their Families |
| title_full | Deconstructing Racialized Experiences in Healthcare: What a Missed Opportunity for Healing Looks Like and Healthcare Resources for Children and Their Families |
| title_fullStr | Deconstructing Racialized Experiences in Healthcare: What a Missed Opportunity for Healing Looks Like and Healthcare Resources for Children and Their Families |
| title_full_unstemmed | Deconstructing Racialized Experiences in Healthcare: What a Missed Opportunity for Healing Looks Like and Healthcare Resources for Children and Their Families |
| title_short | Deconstructing Racialized Experiences in Healthcare: What a Missed Opportunity for Healing Looks Like and Healthcare Resources for Children and Their Families |
| title_sort | deconstructing racialized experiences in healthcare what a missed opportunity for healing looks like and healthcare resources for children and their families |
| topic | adverse childhood experiences critical race theory asiancrit families healthcare practice implicit bias xenophobia racism vietnamese vietnamese-chinese white fragility equity |
| url | https://kahualike.manoa.hawaii.edu/apin/vol5/iss4/5/ |
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