Abstract

In our current attempts to address health inequities and injustices, it is crucial to critically examine the evidence base from which we are working. The categories of “race,” “ethnicity,” and “culture” have been persistently under-examined in healthcare literature. This paper will elucidate the ways in which these concepts were put to work in nursing texts between 1970 and 1985. Earlier reviews found that terms relating to race and ethnicity frequently go undefined, while euphemisms are used to avoid naming racism. This review responds to the urgent and ongoing imperative to illuminate the mechanisms by which racism operates in nursing and healthcare more broadly, utilizing methods congruent with critical discourse-historical analysis to identify three operational categories for concepts of racialized social difference during this time period. The wide lens provided by temporal distance, with the benefit of historical perspective, can help attune us to the function of concepts in the present.

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