RACE IS NOT PATHOLOGICAL BUT RACISM IS

Objectives: To provide a brief history of the race variable, to discuss the misuse of race as a biological rather than a social construction and its implications for the practice of nursing and to suggest racism as a primary determinant of health among people of African descent. Method: Critical reflection on the concept of race and racism. Results: Racism has not changed over the years, but its unit of measurement: race has evolved. Conclusion: It is important to explore the history of the race to understand that African descent has little to do with the physical and mental health profile of black people. The inconsistencies in the classification of people of the same species across countries do not remove the social implications of racism, because the notion of inequality is implicit in racial groups. Thus, disparities in social determinants of health tend to continue and worsen for people of African descent.Descriptors: Race. Racism. Nursing. Health

RASTREAMENTO DA HIPERSENSIBILIDADE METÁLICA PELOS PROFISSIONAIS E ESTUDANTES DE SAÚDE NA PRÁTICA CLÍNICO-CIRÚRGICA

Objetivo: investigar o rastreamento da hipersensibilidade metálica realizada pelos profissionais e estudantes de saúde durante a prática clínico-cirúrgico. Método: estudo exploratório-descritivo realizado com 228 profissionais e estudantes da área da saúde, por meio de questionário eletrônico semiestruturado, aplicado durante abril e maio de 2021, analisado por meio da estatística descritiva e da frequência de palavras. Resultados: 11,0% dos participantes realizaram a investigação sobre a hipersensibilidade metálica. 67,1% declararam que muito provavelmente poderiam incluir essa temática durante a triagem em seus atendimentos. Falta de conhecimento sobre alergia a metais e causas multifatoriais durante a prática clínico-cirúrgica foram citadas como barreiras para a implementação do rastreamento da hipersensibilidade metálica. Conclusão: pouco se evidencia o rastreamento da hipersensibilidade metálica em pacientes durante a prática clínico-cirúrgica dos profissionais e estudantes de saúde. Descritores: Metais. Hipersensibilidade. Alergia. Reação Alérgica. Evento Adverso

Black (in)Visibility : Black Nurses in Canada who Paved the Way

In recognition of Black History month, the Consortium for Nursing History Inquiry at the UBC-V School of Nursing hosted an online nursing history panel on February 25, 2021, called: “Black (in)Visibility: Black Nurses in Canada who Paved the Way.” It recognizes the significant historical contributions of Black nurses to health care in British Columbia and Canada. The recording captures introductory comments, followed by the opening keynote address of renowned historian Dr. Karen Flynn, Associate Professor in the Departments of Gender and Women’s Studies and African-American Studies Program at the University of Illinois, Urbana-Champaign. She highlights key arguments from her book "Moving Beyond Borders: A History of Black Canadian and Caribbean Women in the Diaspora." In her analysis, she puts into context the complex, racialized experiences these nurses' lived through in their careers, as well as the systematic racism shaping the health care system of which they were part. In a second presentation, Ismalia De Sousa, a doctoral student at UBC-V School of Nursing, presents initial findings of her project on the history of Black nurses and midwives in BC in the late 19th and early 20th century; she offers new perspectives on Black nurses’ visibility in BC communities, the context of their work and the way they negotiated their identities and caring work as women, midwives and nurses. A concluding commentary was offered by Dr. Dzifa Dordunoo, an Assistant Professor of Nursing at the University of Victoria, emphasizing the importance of history as a way to understand and make visible ongoing systemic racism in nursing and health care. In closing, Dr. Lydia Wytenbroek and Ismalia De Sousa thanked the panel for their contributions.Applied Science, Faculty ofNon UBCNursing, School ofUnreviewedFacultyGraduat

Cervical cancer screening behaviours and challenges: a sub-Saharan Africa perspective

Cervical cancer may be fatal to women if not identified and treated early. The importance of organised cervical screening has been felt in many developed countries. However, the majority of women in developing countries may be under-screened or may have never been screened because many developing countries have not developed a national cervical cancer prevention program accessible to all women due to reasons such as competing funding priorities, low prioritization of cervical cancer and cultural practices across Africa. It is important that these factors are adequately addressed to improve access to regular cervical screening services and ultimately help curb the incidence and impact of cervical cancer on women in sub-Saharan Africa

The Impact of Practice Environment and Resilience on Burnout among Clinical Nurses in a Tertiary Hospital Setting

The purpose of this study was to examine practice environment, resilience, and burnout and to identify the impacts of practice environment and resilience on burnout among clinical nurses working at a tertiary hospital. A cross-sectional secondary data analysis was conducted using a convenience sample of 199 nurses. The nurses completed survey questionnaires regarding practice environment, resilience, and burnout. The majority of the nurses were below the age of 30, single, and worked in medical-surgical wards. Approximately, 92% of the nurses reported moderate to high burnout, with a mean practice environment score of 2.54 ± 0.34 and resilience score of 22.01 ± 5.69. Practice environment and resilience were higher in the low level of burnout than in the moderate to high level of burnout. After controlling for demographic and occupational characteristics, resilience and nursing foundations for quality of care were significant predictors of burnout (OR = 0.71, p = 0.001; OR = 0.01, p = 0.036, respectively), explaining 65.7% of the variance. In a mixed practice environment, increased resilience and nursing foundations for quality of care lowered nurses’ burnout. Our findings suggest that interventions focused on enhancing individual resilience and practice environment and building better nursing foundations for quality of care should be developed and provided to alleviate burnout in clinical nurses working at tertiary hospitals. Nursing and hospital administrators should consider the importance of practice environment and resilience in nurses in developing interventions to decrease burnout

Patient Journey Map: Metal Hypersensitivity

In this study, we highlight patients’ experiences with metal hypersensitivity (MH) after receiving implantable medical devices (IMDs). We aim to identify gaps in clinical care and improve outcomes for individuals who have or may be sensitive to metals. Secondary data analysis from a previous interpretative phenomenological qualitative study was utilized. Using patient journey maps, we explored the experiences of 8 individuals from outpatient settings who received IMD and have first-hand experience with MH. We documented their journey from MH symptom recognition to diagnosis and subsequent IMD management. The results reveal that the time frames from device implantation to the treatment of MH varied from 17 to 228 months. The longest phase on the patient journey maps was the symptom recognition phase, which refers to the time between symptom emergence and MH diagnosis. Participants also required extensive healthcare utilization following their initial surgery. These findings emphasize that MH should be considered in differential diagnoses for patients with IMD. Early screening and detection of MH can enhance patient safety, alleviate distress, and reduce unnecessary healthcare utilization