Use of Intersectionality Theory and Interpretive Descriptive Qualitative Method to Address Inequalities in Marginalized Communities
DOI:
https://doi.org/10.47540/ijqr.v4i1.1254Keywords:
Interpretative Qualitative Methodology, Intersectionality, Marginalized Communities, Nursing ResearchAbstract
To understand the application of Intersectionality theory in conducting qualitative interpretative research on exploring inequalities and discriminatory healthcare practices towards marginalized communities. Method: Narrative Review. Data Sources: Systematic Literature search. Findings: Qualitative research on exploring discriminatory healthcare practices towards marginalized communities requires a research methodology that is practice-oriented and flexible in using theoretical knowledge. The theory of intersectionality exposes how socially constructed identities are intertwined with discriminatory healthcare practices toward marginalized communities. On the other hand, Interpretative Description (ID) is a clinical-based qualitative methodology that aims to identify gaps in healthcare and nursing practices and create evidence-based interventions to address such gaps. Using intersectionality with ID methodology allows researchers to identify discriminatory healthcare practices towards racialized communities and create resources to provide equalized care to marginalized communities. Conclusion: The theory of Intersectionality provides theoretical scaffolding to understand the impact of power, race, and social identities on marginalized populations. Using ID with intersectionality theory will be a novel approach to conducting research on marginalized communities and identifying ways to address the inequalities in nursing and healthcare practices.
References
Abrams, J. A., Tabaac, A., Jung, S., & Else-Quest, N. M. (2020). Considerations for employing intersectionality in qualitative health research. Social Science & Medicine, 258, 113–138.
Baker, K., Adams, J., & Steel, A. (2022). Experiences, perceptions and expectations of health services amongst marginalized populations in urban Australia: A meta-ethnographic review of the literature. Health Expectations, 25(5), 2166-2187.
Bell, B. (2021). White dominance in nursing education: A target for anti-racist efforts. Nursing Inquiry, 28(1),
Beavis, A. S. W., Hojjati, A., Kassam, A., Choudhury, D., Fraser, M., Nixon, S. A., & Masching, R. (2015). What all students in healthcare training programs should learn to increase health equity: Perspectives on postcolonialism and the health of Aboriginal Peoples in Canada. BMC Medical Education, 15(1).
Brewer, K. M., Harwood, M. L., McCann, C. M., Crengle, S. M., & Worrall, L. E. (2014). The use of interpretive description within Kaupapa Māori research. Qualitative health research, 24(9), 1287–1297.
Burgess, H., Jongbloed, K., Vorobyova, A., Grieve, S., Lyndon, S., Wessenling, T., Salters, K., Hogg, R. S., Parashar, S., & Pearce, M. E. (2021). The “sticky notes” method: Adapting Interpretive Description methodology for team-based qualitative analysis in community-based participatory research. Qualitative Health Research, 31(7), 1335–1344.
Canadian Nurses Association. 2017. Code of ethics. https://www.cna-aiic.ca/en/nursing/regulated-nursing-in-canada/nursing-ethics
Chiu, P., Schick-Makaroff, K., Cummings, G. G., & Thorne, S. (2022). Theory utilization in applied qualitative nursing research. Journal of Advanced Nursing, 78(12), 4034-4041–4041.
Collins, P. H., Calcaterra, R. M., Frega, R., & Maddalena, G. (2011). Piecing together a genealogical puzzle: Intersectionality and American pragmatism. European Journal of Pragmatism & American Philosophy, 3(2), 88–112.
Crenshaw, K. (1989). Demarginalizing the intersection of race and sex (1989). Feminist legal theory, 57–80.
Guba, E. G., & Lincoln, Y. S. (2000). Competing paradigms in qualitative research In N. K. Denzin & Y. S. Lincoln (Eds.), Handbook of qualitative research (2nd ed., pp. 163–188). Sage.
Hankivsky, O., Grace, D., Hunting, G., Giesbrecht, M., Fridkin, A., Rudrum,S., Ferlatte, O., & Clark, N. (2014). An intersectionality-based policy analysis framework: Critical reflections on a methodology for advancing equity. International Journal for Equity in Health, 13(1), 1–6.
Hunt, M. R. (2009). Strengths and challenges in the use of interpretive description: Reflections arising from a study of the moral experience of health professionals in humanitarian work. Qualitative Health Research, 19(9), 1284–1292.
Hyde, A. (2020). Understanding the experience of choice: An interpretive description exploring the experiences of family caregivers (Unpublished doctoral dissertation). University of Alberta.
International Council of Nurses (2021).The ICN code of ethics for nurses. https://www.icn.ch/sites/default/files/2023-06/ICN_Code-of-Ethics_EN_Web.pdf
Jackson, K. M., Pukys, S., Castro, A., Hermosura, L., Mendez, J., Vohra-Gupta, S., Padilla, Y., & Morales, G. (2018). Using the transformative paradigm to conduct a mixed methods needs assessment of a marginalized community: Methodological lessons and implications. Evaluation and program planning, 66, 111–119.
Jackson, A. Y., & Mazzei, L. A. (2013). Plugging One Text into Another: Thinking with Theory in Qualitative Research. Qualitative Inquiry, 19(4), 261-271–271.
Lapum, J., Bailey, A., St-Amant, O., Mistry, S., Garmaise-Yee, J., & Hughes, M. (2022). Equity, diversity, and inclusion in open educational resources: An interpretive description of students’ perspectives. Nurse Education Today, 116.
Meleis, A. I. (2018). Theoretical nursing: Development and progress (6th ed.). Wolters Kluwer.
Mitchell, U. A., Nishida, A., Fletcher, F. E., & Molina, Y. (2021). The Long Arm of Oppression: How Structural Stigma Against Marginalized Communities Perpetuates Within-Group Health Disparities. Health education & behavior: the official publication of the Society for Public Health Education, 48(3), 342–351.
Nguyen, T. N. M., Whitehead, L., Dermody, G., & Saunders, R. (2022). The use of theory in qualitative research: Challenges, development of a framework and exemplar. Journal of Advanced Nursing, 78(1), e21–e28.
Ocean, M., Montgomery, R., Jamison, Z., Hicks, K., & Thorne, S. (2022). Exploring the Expansive Properties of Interpretive Description: An Invitation to Anti-oppressive Researchers. International Journal of Qualitative Methods, 21.
Pope, C., & Mays, N. (2020). The role of theory in qualitative research. In C. Pope & N. Mays (Eds.), Qualitative research in health care (4th ed.,pp. 15–25). John Wiley & Sons Ltd.
Siira, E., Linden, K., Wallström, S., & Björkman, I. (2023). Intersectionality in nursing research: A systematic review. Nursing open, 10(12), 7509–7527.
Thorne, S. E. (2016). Interpretive description: Qualitative research for applied practice (2nd ed.). Routledge.
Thorne, S., Kirkham, S. R., & MacDonald-Emes, J. (1997). Interpretive description: A noncategorical qualitative alternative for developing nursing knowledge. Research in Nursing & Health, 20(2), 169–177.
Turan, J. M., Elafros, M. A., Logie, C. H., Banik, S., Turan, B., Crockett, K. B., ... & Murray, S. M. (2019). Challenges and opportunities in examining and addressing intersectional stigma and health. BMC medicine, 17, 1-15.
Van Herk, K. A., Smith, D., & Andrew, C. (2011). Examining our privilegesand oppressions: Incorporating an intersectionality paradigm into nursing. Nursing Inquiry, 18(1), 29–39.
Williams, V., Boylan, A.-M., & Nunan, D. (2020). Critical appraisal of qualitative research: necessity, partialities, and the issue of bias. BMJ Evidence-Based Medicine, 25(1), 9–11.
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