Intersectionality in nursing research: A scoping review

Background: An intersectional approach to health research provides an analytical foundation to explain the multidimensionality of health status, resource accessibility, privilege, oppression, and current and historical context. The use of intersectionality in health research has known limitations. I...

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Main Authors: Athena D. F. Sherman, Sarah Febres-Cordero, Kalisha Bonds Johnson, Kristen D. Clark, Meredith Klepper, Brenice Duroseau, Yufen Lin, Wenhui Zhang, Mercy Coleman, Diane Prakash, Gaea A. Daniel, Arzina Tabassum Chand, Ugo Kalu, Robin Tarter, Sarah Allgood, Sydney Cohen, Ursula Kelly, Monique Balthazar
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:International Journal of Nursing Studies Advances
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666142X23000395
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author Athena D. F. Sherman
Sarah Febres-Cordero
Kalisha Bonds Johnson
Kristen D. Clark
Meredith Klepper
Brenice Duroseau
Yufen Lin
Wenhui Zhang
Mercy Coleman
Diane Prakash
Gaea A. Daniel
Arzina Tabassum Chand
Ugo Kalu
Robin Tarter
Sarah Allgood
Sydney Cohen
Ursula Kelly
Monique Balthazar
author_facet Athena D. F. Sherman
Sarah Febres-Cordero
Kalisha Bonds Johnson
Kristen D. Clark
Meredith Klepper
Brenice Duroseau
Yufen Lin
Wenhui Zhang
Mercy Coleman
Diane Prakash
Gaea A. Daniel
Arzina Tabassum Chand
Ugo Kalu
Robin Tarter
Sarah Allgood
Sydney Cohen
Ursula Kelly
Monique Balthazar
author_sort Athena D. F. Sherman
collection DOAJ
description Background: An intersectional approach to health research provides an analytical foundation to explain the multidimensionality of health status, resource accessibility, privilege, oppression, and current and historical context. The use of intersectionality in health research has known limitations. Its use in health-related fields too often focuses on outcomes, such as health disparities, rather than processes, such as power structures and social determinants. Objective: This scoping review serves to examine how intersectionality has been implemented by nurses in the peer-reviewed literature. We offer insight into how it may be incorporated to inform future nursing research and healthcare provision. Design & Methods: Systematic searches of PubMed (n = 257), SCOPUS (n = 807), EMBASE (n = 396), CINAHL (n = 224), and Health Source: Nursing and Academics (n = 491), published since the seminal publication on intersectionality (1989 - 2023), identified 131 research articles that met inclusion and exclusion criteria. Data extraction and synthesis were used to describe the breadth and depth of the literature specific to the application of intersectionality in nursing research. Results: The included studies used intersectionality to examine the intersections of numerous identities, such as race, gender, and immigration status. However, most studies were descriptive/observational in nature, underreported their methods, and conducted deficit-based research instead of strength-based inquiries. Of note, the vast majority of included articles were published within the last five years. Conclusions: Future researchers using intersectionality as a framework can improve their approach by reporting clear definitions and operationalization of intersectionality. Observational science dominated the included studies; future research should focus on intervention development and evaluation using an intersectional lens. Lastly, caution should be placed on research that focuses solely on deficits among marginalized communities, which places scientists at risk of perpetuating stereotypes or enhancing already-existing stigmas. Tweetable abstract: Scoping review revealed nursing scientists have applied intersectionality in research globally, pointing to its growing role in the advancement of health equity. @emorynursing @athenashermanrn @sfcphdrn
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spelling doaj.art-6576771a925842f0aaf9cd4f9bfaa89f2023-12-07T05:30:32ZengElsevierInternational Journal of Nursing Studies Advances2666-142X2023-12-015100155Intersectionality in nursing research: A scoping reviewAthena D. F. Sherman0Sarah Febres-Cordero1Kalisha Bonds Johnson2Kristen D. Clark3Meredith Klepper4Brenice Duroseau5Yufen Lin6Wenhui Zhang7Mercy Coleman8Diane Prakash9Gaea A. Daniel10Arzina Tabassum Chand11Ugo Kalu12Robin Tarter13Sarah Allgood14Sydney Cohen15Ursula Kelly16Monique Balthazar17Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road Office: 310, Atlanta, GA 30322, USA; Corresponding author.Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road Office: 310, Atlanta, GA 30322, USANell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road Office: 310, Atlanta, GA 30322, USADepartment of Nursing, University of New Hampshire, Durham, NH, USAJohns Hopkins School of Nursing, Baltimore, MD, USAJohns Hopkins School of Nursing, Baltimore, MD, USANell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road Office: 310, Atlanta, GA 30322, USANell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road Office: 310, Atlanta, GA 30322, USARoss and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, USANell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road Office: 310, Atlanta, GA 30322, USANell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road Office: 310, Atlanta, GA 30322, USARoss and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, USARoss and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, USAOregon Health and Science University, Portland, OR, USAJohns Hopkins School of Nursing, Baltimore, MD, USANell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road Office: 310, Atlanta, GA 30322, USANell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road Office: 310, Atlanta, GA 30322, USA; Atlanta VA Health Care System, Atlanta, Georgia, USANell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road Office: 310, Atlanta, GA 30322, USA; Ross and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, USABackground: An intersectional approach to health research provides an analytical foundation to explain the multidimensionality of health status, resource accessibility, privilege, oppression, and current and historical context. The use of intersectionality in health research has known limitations. Its use in health-related fields too often focuses on outcomes, such as health disparities, rather than processes, such as power structures and social determinants. Objective: This scoping review serves to examine how intersectionality has been implemented by nurses in the peer-reviewed literature. We offer insight into how it may be incorporated to inform future nursing research and healthcare provision. Design & Methods: Systematic searches of PubMed (n = 257), SCOPUS (n = 807), EMBASE (n = 396), CINAHL (n = 224), and Health Source: Nursing and Academics (n = 491), published since the seminal publication on intersectionality (1989 - 2023), identified 131 research articles that met inclusion and exclusion criteria. Data extraction and synthesis were used to describe the breadth and depth of the literature specific to the application of intersectionality in nursing research. Results: The included studies used intersectionality to examine the intersections of numerous identities, such as race, gender, and immigration status. However, most studies were descriptive/observational in nature, underreported their methods, and conducted deficit-based research instead of strength-based inquiries. Of note, the vast majority of included articles were published within the last five years. Conclusions: Future researchers using intersectionality as a framework can improve their approach by reporting clear definitions and operationalization of intersectionality. Observational science dominated the included studies; future research should focus on intervention development and evaluation using an intersectional lens. Lastly, caution should be placed on research that focuses solely on deficits among marginalized communities, which places scientists at risk of perpetuating stereotypes or enhancing already-existing stigmas. Tweetable abstract: Scoping review revealed nursing scientists have applied intersectionality in research globally, pointing to its growing role in the advancement of health equity. @emorynursing @athenashermanrn @sfcphdrnhttp://www.sciencedirect.com/science/article/pii/S2666142X23000395Black feminist theoryIntersectionalityOppressionSocial justiceHealth equity
spellingShingle Athena D. F. Sherman
Sarah Febres-Cordero
Kalisha Bonds Johnson
Kristen D. Clark
Meredith Klepper
Brenice Duroseau
Yufen Lin
Wenhui Zhang
Mercy Coleman
Diane Prakash
Gaea A. Daniel
Arzina Tabassum Chand
Ugo Kalu
Robin Tarter
Sarah Allgood
Sydney Cohen
Ursula Kelly
Monique Balthazar
Intersectionality in nursing research: A scoping review
International Journal of Nursing Studies Advances
Black feminist theory
Intersectionality
Oppression
Social justice
Health equity
title Intersectionality in nursing research: A scoping review
title_full Intersectionality in nursing research: A scoping review
title_fullStr Intersectionality in nursing research: A scoping review
title_full_unstemmed Intersectionality in nursing research: A scoping review
title_short Intersectionality in nursing research: A scoping review
title_sort intersectionality in nursing research a scoping review
topic Black feminist theory
Intersectionality
Oppression
Social justice
Health equity
url http://www.sciencedirect.com/science/article/pii/S2666142X23000395
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