4.1 Article

A Concept Analysis of Structural Competency

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ADVANCES IN NURSING SCIENCE
卷 46, 期 2, 页码 188-198

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LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/ANS.0000000000000442

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health equity; social justice; structural competency; structural inequities

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Structural competency is a concept that helps address health inequities and promote anti-racism in healthcare. This article conducts a concept analysis using Rodgers' evolutionary method, finding that structural competency involves recognizing and addressing structural inequities, developing skills, collaborating across disciplines, and challenging the reproduction of inequities over time. The multidisciplinary applications of structural competency demonstrate its potential for promoting health equity and anti-racism in nursing care, education, research, and healthcare delivery.
Structural competency is a concept that offers a way to understand and respond to health inequities and work toward antiracism in health care. This article undertakes a concept analysis of structural competency using Rodgers' evolutionary method. Based on this analysis, structural competency refers to the ability to recognize and act on structural inequities, skill development, multidisciplinary collaboration, and the reproduction of inequity over time. The meanings and use of this concept differ among disciplines. Multidisciplinary applications of structural competency offer insight into how this concept can foster health equity and antiracism in nursing care, education, research, and health services delivery.

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