冲突中的护理教育：交叉性如何影响获得教育机会？
Nursing education in conflict: How intersectionality impacts access to educational opportunities?
摘要(中文译文)
护理作为医疗保健的支柱，必须在日益复杂的条件下培养日益多元化的劳动力队伍。教育机会受到性别、国际背景、社会经济地位和层级结构等交叉性因素的影响，然而系统性分析仍然有限。本研究采用基于PRISMA的范围综述方法，检索了PubMed、Ebsco CINAHL、PeDocs、CareLit、Livivo和Google Scholar等数据库。共筛选70项研究，对其中8篇文章进行深入分析以获取概念性见解。交叉性障碍显著阻碍了护理领域获得教育和资格提升机会的途径，对边缘化群体造成了不成比例的影响。层级结构、欧洲中心主义课程以及适配不足的数字策略加剧了这些差距，并使歧视性做法得以延续，对护理人员和患者均产生负面影响。传统的缺陷导向方法侧重于边缘化群体中被认为存在的适应问题，而非医疗保健系统内部的结构性障碍。在护理教育中尽早融入交叉性视角对于培养伦理意识、挑战权力失衡以及赋能专业人员消除歧视性做法至关重要。针对种族主义、性别动态和社会经济不平等的全面课程改革可以促进包容性、提高专业留任率并改善患者照护结局。将交叉性框架系统性纳入护理教育对于减少系统性不平等和推动医疗保健系统的长期结构性变革至关重要。
Abstract
Nursing, as a pillar of healthcare, must train a diversifying workforce under increasingly complex conditions. Access to education is affected by intersectional factors including gender, international biographie, socio-economic status, and hierarchical structures, yet systematic analyses remain limited. A PRISMA-based scoping review was conducted using PubMed, Ebsco CINAHL, PeDocs, CareLit, Livivo, and Google Scholar. Seventy studies were screened, with eight articles thoroughly analyzed for conceptual insights. Intersectional barriers substantially hinder access to educational and qualification opportunities in nursing, disproportionately affecting marginalized groups. Hierarchical structures, Eurocentric curricula, and inadequately adapted digital strategies exacerbate these disparities and perpetuate discriminatory practices that negatively impact both carers and patients. Traditional deficit-oriented approaches focus on perceived adaptation issues among marginalized groups rather than on the structural barriers within the healthcare system. Early integration of intersectional perspectives in nursing education is essential for fostering ethical awareness, challenging power imbalances, and empowering professionals to dismantle discriminatory practices. Comprehensive curricular reforms that address racism, gender dynamics, and socio-economic inequities can promote inclusivity, improve professional retention, and enhance patient care outcomes. Systematically integrating intersectional frameworks into nursing education is crucial for reducing systemic inequities and catalyzing long-term structural change in the healthcare system.
如何引用
AMA
Laura Hinsche, Martina Hasseler, Tim Tischendorf, Tom Schaal. Nursing education in conflict: How intersectionality impacts access to educational opportunities?. Frontiers in medicine. 2026; doi:10.3389/fmed.2026.1804741.
APA
Laura Hinsche, Martina Hasseler, Tim Tischendorf, Tom Schaal (2026). Nursing education in conflict: How intersectionality impacts access to educational opportunities?. Frontiers in medicine. https://doi.org/10.3389/fmed.2026.1804741
GB/T 7714
Laura Hinsche, Martina Hasseler, Tim Tischendorf, Tom Schaal. Nursing education in conflict: How intersectionality impacts access to educational opportunities?[J]. Frontiers in medicine, 2026 doi:10.3389/fmed.2026.1804741.
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