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Advancing Equity-Oriented Nursing Research: Reflections on Integrating Intersectionality with Constructivist Grounded

Shahin Kassam1, Lenora Marcellus2

  • 1University of British Columbia Okanagan, Kelowna, Canada.

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Summary

This study enhances constructivist grounded theory (CGT) using intersectionality to address health inequities. It offers practical insights for equity-driven research and strengthens qualitative methodologies for health equity.

Keywords:
constructivismgrounded theoryhealth equityintersectionalitynursingsocial justice

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Area of Science:

  • Nursing Research
  • Qualitative Methodologies
  • Social Justice in Health

Background:

  • Nursing's social justice mandate requires enhanced theoretical frameworks.
  • Existing constructivist grounded theory (CGT) needs development to address intersecting inequities.
  • Intersectionality offers a critical lens to analyze power, context, and positionality in research.

Purpose of the Study:

  • To integrate intersectionality into constructivist grounded theory (CGT).
  • To develop methods for sustained intersectional thinking in qualitative research.
  • To promote health equity through improved research methodologies.

Main Methods:

  • Integrating intersectionality as a critical social theory and analytical tool.
  • Expanding core CGT methods: memoing, theoretical sampling, and constant comparison.
  • Applying intersectionality-informed CGT to a study of public health nurses and refugee-mothering women.

Main Results:

  • Memoing enhanced to document assumptions, emotions, and structural forces.
  • Theoretical sampling deliberately focused on heterogeneity.
  • Constant comparison refined to analyze systems of oppression (racism, sexism, classism).

Conclusions:

  • Intersectionality strengthens CGT for equity-driven research.
  • The approach provides a practical blueprint for qualitative health equity research.
  • Future work can integrate ecofeminism, queer theory, Indigenous gender frameworks, and transfeminism.