Antiracism in the Field of Neonatology: A Foundation and Concrete Approaches

Diana Montoya-Williams1, Yarden S Fraiman2, Michelle-Marie Peña1

  • 1Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA.

Neoreviews
|December 31, 2021
PubMed

Insights

Racism negatively impacts infant health outcomes, leading to health inequities for marginalized neonates. This article guides neonatal clinicians on antiracism strategies to promote health equity for all newborns.

Area of Science:

  • Neonatal medicine
  • Health equity research
  • Social determinants of health

Background:

  • Historically marginalized communities face unequal healthcare access and outcomes.
  • Race and ethnicity are critical factors in understanding health disparities.
  • Racism, at multiple levels, significantly impacts newborn health in the NICU.

Purpose of the Study:

  • To educate neonatal clinicians on race, racism, and antiracism in medicine.
  • To provide actionable strategies for promoting antiracism and health equity in neonatology.

Main Methods:

  • Literature review on race, racism, and health equity in neonatology.
  • Analysis of how different forms of racism affect neonatal health outcomes.
  • Development of practical recommendations for healthcare professionals.

Main Results:

  • Understanding race and racism is crucial for addressing health inequities.
  • The NICU is a key setting for implementing antiracist interventions.
  • Clinicians can actively contribute to health equity through specific actions.

Conclusions:

  • Antiracism efforts in neonatology are essential for improving health outcomes.
  • Addressing structural and interpersonal racism can reduce health disparities.
  • Neonatal clinicians play a vital role in achieving health equity for all infants.

Related Concept Videos

The Nativist Approach01:21

The Nativist Approach

The nativist approach to infant cognitive development proposes that infants are born with inherent knowledge structures that allow them to interpret the world almost immediately. This perspective contrasts with earlier developmental theories, such as those proposed by Jean Piaget, which emphasized a more gradual acquisition of cognitive abilities through interaction with the environment. One key concept in this approach is object permanence — the understanding that objects continue to...
184
Stereotypes, Prejudice, and Discrimination02:55

Stereotypes, Prejudice, and Discrimination

Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
92.2K
Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
1.3K
Theoretical Foundations of Nursing Practice01:30

Theoretical Foundations of Nursing Practice

Theories play an essential role in organizing patient care. Theories refer to a proposed or followed belief, policy, or procedure that is the basis for action. Nursing theories are knowledge-based concepts that guide nurses' actions, influence nursing education and practice, and allow nurses to care for their patients.
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
14.4K
Ethical Dilemmas I01:17

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
1.1K