Evidence map›Paper›PMID 39520203›Full record

ArticleJournal of advanced nursing2024

An Analysis of the Diversity of Skin Colour Representation in Paediatric Nursing Practitioner Textbooks.

Annabelle Huntsman, Adriene Pavek, Nathan Shen, Justin Lyon, Jonathan Palmer, Zachary Ney, Jennifer L Hamilton

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Annabelle HuntsmanSpencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0002-8468-8978
Adriene PavekSpencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, Utah, USA.
Nathan ShenCentral Michigan University College of Medicine, Mount Pleasant, Michigan, USA.
Justin LyonSpencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, Utah, USA.
Jonathan PalmerSpencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, Utah, USA.
Zachary NeySpencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, Utah, USA.
Jennifer L HamiltonCollege of Nursing, University of Utah, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0002-5881-2269

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsOur study aims to analyse 8 commonly used textbooks to determine how diverse skin tones are represented in paediatric nursing practitioner education.

designLiterature reviewed from 2016 to 2024 demonstrated that the lack of darkly pigmented skin colour representation in health science education leads to diminished patient outcomes for these populations. Our study sought to study representation teaching images and eight commonly referenced nursing textbooks were chosen for this study, given their use in paediatric nurse practitioner education. Of the eight textbooks selected, five were analysed based on inclusion criteria.

methodsTwo investigators trained in skin prototyping coded each textbook for skin colour representation and coded during 2023-2024. Coders used the widely accepted prototyping scale, the Fitzpatrick Scale (range I-VI, with I being the lightest colour skin and VI the darkest). Teaching photographs were defined as all photos used to provide insight into a disease or diagnostic technique that included human skin. Two individual coders coded and documented data, ensuring each coder was blinded to the overall results.

resultsOur analysis of 5 textbooks revealed that 2112 images met the criteria as teaching images. Of the 2112 teaching images, 593.5 included images of type IV-VI skin (darkly pigmented skin), resulting in a 28% representation of dark skin tone images. Additionally, 2 of the 82 total illustrations included patients with dark skin tones, indicating a representation of 2.5%. However, chapters addressing conditions of child abuse/neglect (55.95%) and stigmatised social issues (infectious disease, 54.88%) displayed a disproportionate representation of patients from these demographics.

conclusionsOur results highlight the importance of enhancing equitable representation in educational resources for nursing practitioners. IMPLICATIONS FOR THE PROFESSION/ PATIENT CARE: There is room to collaborate with other health science institutions to establish clear guidelines for future improvement in expanding teaching images to include diversity representation in education. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

Indexed as

dark skin tonediversityinclusive educationnurse practitionernurse practitioner educationPaediatric nurse practitionerskin of colour

Identifiers

PMID39520203
PMCPMC12080065

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