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Intersectionality and nursing leadership: An integrative review
Cathleen Aspinall1, Stephen Jacobs1, Rosemary Frey1
1School of Nursing, University of Auckland, Auckland, New Zealand.
Intersectionality research reveals that socially constructed identities impact nursing leadership. Addressing these social categories is crucial for equitable career progression in nursing.
Area of Science:
- Nursing Research
- Sociology of Health
- Health Professions Education
Background:
- Socially constructed categories like gender, race, and ethnicity create barriers to leadership within the health workforce.
- An intersectionality paradigm is recommended to address power, privilege, and oppression in the nursing profession.
Purpose of the Study:
- To synthesize international research on the application of intersectionality in exploring nursing profession issues.
- To identify intersecting variables, operationalization of intersectionality, and implications for nursing leadership.
Main Methods:
- An integrative systematic review was conducted, adhering to PRISMA guidelines.
- Searches were performed in major databases (CINAHL, PsycINFO, PubMed, etc.) from 2011-2021 using terms related to nursing and intersectionality.
- Directed content analysis was applied to the selected literature.
Main Results:
- Patriarchal structures and educational access favor male nurses in leadership roles.
- Ethnic minority status impedes career progression irrespective of gender, reflecting post-colonial effects.
- Homogenous categories for ethnicity and gender obscure intra-group differences.
Conclusions:
- This review highlights a gap in research on intersectionality's impact on nursing leadership and professional diversity.
- Future research should incorporate intersectionality to understand how social categories influence career advancement.
- An intersectionality framework can enhance nurses' awareness of power dynamics and oppression in their practice.
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