Pressure injuries and skin tone diversity in undergraduate nurse education: Qualitative perspectives from a mixed methods study
Open Access
- 10 July 2021
- journal article
- research article
- Published by Wiley in Journal of Advanced Nursing
- Vol. 77 (11), 4511-4524
- https://doi.org/10.1111/jan.14965
Abstract
Aims To, firstly, explore student and academic nurse perceptions of classroom content about the assessment and identification of pressure injuries across skin tone diversity and, secondly, to describe the impact of classroom content on student nurse understanding of pressure injury in people with dark skin tones. Design Qualitative case study employing focus groups and semi-structured interviews. Methods Five higher education institutions in the United Kingdom were purposively chosen. At each of the five-case sites, one focus group with student nurses and one semi-structured interview with a nurse academic were conducted between May 2018 and April 2019. The participants’ narratives were transcribed verbatim and analysed via thematic analysis. Results Classroom learning was predominately framed through a white lens with white normativity being strongly reinforced through teaching and learning activities. This reinforcement of white normativity was evidenced through two main themes: (i) dominance of whiteness in the teaching and learning of pressure injuries in undergraduate nurse education and (ii) the impact and implications for student nurses of whiteness as the norm in pressure injury teaching. Conclusion Nurses responsible for the design and delivery of teaching and learning experiences for nursing students need to ensure meaningful teaching and learning experiences. This learning should assist future nurses to interrogate their complicity in a system of white dominance. Impact Nurse education delivered today influences and shapes nurses of the future. Nurses are the cornerstone of healthcare and play a significant role in the delivery of equitable healthcare. Nurse academics have a duty of care to inform and highlight health inequities in nursing and ultimately to enhance equity in care.Keywords
Funding Information
- Oxford Brookes University
This publication has 22 references indexed in Scilit:
- Confronting bias in health careNursing Inquiry, 2018
- Living with multiple losses: Insights from patients living with pressure injuryCollegian, 2017
- Pressure injuries in people with darker skin tones: A literature reviewJournal of Clinical Nursing, 2017
- Thematic AnalysisInternational Journal of Qualitative Methods, 2017
- The influence of democratic racism in nursing inquiryNursing Inquiry, 2017
- Drawing on antiracist approaches toward a critical antidiscriminatory pedagogy for nursingNursing Inquiry, 2017
- Teaching White privilege to White students can mean saying good-bye to positive student evaluations.American Psychologist, 2009
- Covert Racism in the USA and GloballySociology Compass, 2007
- Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groupsInternational Journal for Quality in Health Care, 2007
- Using thematic analysis in psychologyQualitative Research in Psychology, 2006