Highlights
- •Symptom scientists can conduct antiracist research in order to disrupt racism.
- •Racial disparities have been identified in some areas of symptom science.
- •When racial disparities are found, researchers should probe for multilevel causes.
- •Racism and discrimination are not consistently investigated as determinants.
- •Policy recommendations are key to dismantle institutional and systemic racism.
Abstract
Nurse scientists recognize the experience of racism as a driving force behind health.
However, symptom science, a pillar of nursing, has rarely considered contributions
of racism. Our objective is to describe findings within symptom science research related
to racial disparities and/or experiences of racism and to promote antiracist symptom
science within nursing research. In this manuscript, we use an antiracist lens to
review a predominant symptom science theory and literature in three areas of symptom
science research—oncology, mental health, and perinatal health. Finally, we make recommendations
for increasing antiracist research in symptom science by altering (a) research questions,
(b) recruitment methods, (c) study design, (d) data analysis, and (e) dissemination
of findings. Traditionally, symptom science focuses on individual level factors rather
than broader contexts driving symptom experience and management. We urge symptom science
researchers to embrace antiracism by designing research with the specific intent of
dismantling racism at multiple levels.
Keywords
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Article info
Publication history
Published online: November 15, 2022
Accepted:
July 31,
2022
Received in revised form:
July 29,
2022
Received:
April 6,
2022
Footnotes
Conflict of interest statement: The authors have no affiliations with or involvement in any organization or entity with any financial or non-financial interest in the subject matter or materials discussed in this manuscript
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© 2022 Elsevier Inc. All rights reserved.
