Decolonizing nursing education and research to address racial disparities in maternal health

PurposeIn this paper, we discuss the need to move beyond theoretical explorations of social determinants of health (SDoH) to addressing systemic racism and its effect on Black maternal health outcomes. We also address the importance of connecting nursing research, education and practice and offer suggestions on how to transform the teaching, research and clinical practice specific to Black maternal health. Knowledge DevelopmentA critical analysis of current Black maternal health teaching and research practices in nursing informed by the authors' experience in Black/African diasporic maternal health and reproductive justice. DiscussionThere is a need for nursing to be more intentional in addressing the effects of systemic racism on Black maternal health outcomes. In particular, there is still a substantial focus on race rather than racism as a risk factor. The focus on racial and cultural differences rather than systems of oppression continues to pathologize racialized groups while failing to address the impact of systemic racism on the health outcomes of Black women. ConclusionUsing a social determinant of health framework to examine maternal health disparities is useful; however, focusing on SDoH without challenging systems of oppression producing these disparities does not produce substantial changes. We suggest adding frameworks grounded in intersectionality, reproductive and racial justice and moving beyond biological assumptions about race that pathologize Black women. We also recommend a deliberate commitment to reshaping nursing research and education to centre anti-racist and anti-colonial practices that value community knowledge and practices. No Patient or Public ContributionThe discussion in this paper is based on the author's expertise.

Automated summary

This paper discusses the importance of addressing systemic racism and its impact on Black maternal health outcomes beyond theoretical explorations of social determinants of health (SDoH). It emphasizes the need for nursing to be more intentional in addressing the effects of systemic racism, moving beyond race as a risk factor and focusing on systemic oppression. The paper suggests adding frameworks grounded in intersectionality, reproductive and racial justice, and reshaping nursing research and education to center anti-racist and anti-colonial practices.