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Racial microaggression in the nursing workplace: operationalisation of whiteness 护理工作场所的种族微侵犯：白人的操作化
Clinics in Integrated Care Pub Date : 2026-04-01 Epub Date: 2026-04-16 DOI: 10.1016/j.intcar.2026.100308
Shobha Nepali, Rochelle Einboden, Trudy Rudge
{"title":"Racial microaggression in the nursing workplace: operationalisation of whiteness","authors":"Shobha Nepali,&nbsp;Rochelle Einboden,&nbsp;Trudy Rudge","doi":"10.1016/j.intcar.2026.100308","DOIUrl":"10.1016/j.intcar.2026.100308","url":null,"abstract":"<div><div>Australian healthcare workforce consists of a large proportion of immigrant, racially and ethnically minoritised nurses. Such diversity provides context to study the complex social relations of work among these nurses amidst social inequities. Social relations of work are the amalgamation of nursing as work shaped by social exchanges, organisational culture, and power relations. This article explores how whiteness affects social relations within a nursing workplace. Ethnographic fieldwork, participant observations and semi-structured interviews were used to collect data in a Neonatal Intensive Care Unit. Analysis was supported conceptually by intersectionality. The findings demonstrate microaggressions, whereby immigrant, racially and ethnically minoritised nurses experienced a lack of support at work, a situation of double jeopardy from both unaddressed racism and unfair performance management. Senior nurses engaged in microaggressions in their communications and unequal distribution of resources and opportunities. These practices rendered the workplace clinically and culturally unsafe but disturbances in social relations of work among nurses also point to implications for patient care. Introducing cultural safety holds promise to mitigate the impact of whiteness, offering options for how diversity in nurses can be supported through equitable opportunities for learning and development, recognition of skills and identities, and promotion of constructive communication within the workplace.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"35 ","pages":"Article 100308"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147703787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What is Inclusion Health? Definitions, history, opportunities and challenges 什么是包容健康？定义、历史、机遇和挑战
Clinics in Integrated Care Pub Date : 2026-02-01 Epub Date: 2026-02-27 DOI: 10.1016/j.intcar.2026.100298
Serena Luchenski, Andrew Hayward, Sarah Johnsen, Clíona Ní Cheallaigh, Rory Dinwoodie, Binta Sultan
{"title":"What is Inclusion Health? Definitions, history, opportunities and challenges","authors":"Serena Luchenski,&nbsp;Andrew Hayward,&nbsp;Sarah Johnsen,&nbsp;Clíona Ní Cheallaigh,&nbsp;Rory Dinwoodie,&nbsp;Binta Sultan","doi":"10.1016/j.intcar.2026.100298","DOIUrl":"10.1016/j.intcar.2026.100298","url":null,"abstract":"<div><div>Inclusion Health is an approach to prevent and address extreme health inequities resulting from severe disadvantage and deep social exclusion. It is inherently transdisciplinary, requiring contributions from experts with wide-ranging professional and lived experiences alike. This article examines key concepts and definitions which are core to the field of Inclusion Health and describes the origins and history of Inclusion Health as a concept. It has a particular focus on the UK context where the term originated but also explores concepts and approaches related to Inclusion Health internationally. It concludes with a summary of the challenges and opportunities in understanding and operationalising the Inclusion Health approach.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"34 ","pages":"Article 100298"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147425661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
When training reinforces inequity: the case for inclusion health education 当培训加剧不平等：包容性健康教育的案例
Clinics in Integrated Care Pub Date : 2026-02-01 Epub Date: 2026-02-24 DOI: 10.1016/j.intcar.2026.100297
Gemma Ashwell
{"title":"When training reinforces inequity: the case for inclusion health education","authors":"Gemma Ashwell","doi":"10.1016/j.intcar.2026.100297","DOIUrl":"10.1016/j.intcar.2026.100297","url":null,"abstract":"<div><div>Extreme health inequities affect inclusion health groups, including people experiencing homelessness, substance use problems, Gypsy, Roma and Traveller communities, vulnerable migrants, sex workers, individuals in contact with the justice system, and survivors of modern slavery. Despite growing recognition of inclusion health over the past decade, health professions education has not kept pace. Evidence shows that inclusion health is rarely embedded in undergraduate curricula, leaving students unprepared to work effectively with these socially excluded groups. More concerning, some studies suggest that negative attitudes toward these groups may increase during training. This chapter examines these challenges across the continuum of education - from undergraduate programs to continuing professional development - drawing on recent research and educational theory. It explores practical steps to integrate inclusion health meaningfully into teaching and assessment, equipping health professionals with the knowledge, skills, and attitudes needed to deliver equitable care and challenge systemic exclusion.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"34 ","pages":"Article 100297"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147426475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lifestyle medicine: bridging behavioural science and clinical care 生活方式医学：连接行为科学和临床护理
Clinics in Integrated Care Pub Date : 2025-12-01 Epub Date: 2025-12-12 DOI: 10.1016/j.intcar.2025.100288
Bogdan Chiva Giurca, Matthew Lau, Ellen Fallows
{"title":"Lifestyle medicine: bridging behavioural science and clinical care","authors":"Bogdan Chiva Giurca,&nbsp;Matthew Lau,&nbsp;Ellen Fallows","doi":"10.1016/j.intcar.2025.100288","DOIUrl":"10.1016/j.intcar.2025.100288","url":null,"abstract":"<div><div>Lifestyle medicine (LM) is an emerging clinical discipline that integrates behavioural science, preventive medicine, and systems-based care to address the root causes of non-communicable diseases (NCDs). It applies evidence-based lifestyle interventions (encompassing nutrition, physical activity, sleep, stress management, avoidance of harmful substances, and social connection) to prevent, manage, and in some cases, reverse chronic disease. Grounded in person-centred care and informed by an expanding body of research, lifestyle medicine complements traditional medical practice by embedding prevention and behaviour change support into routine clinical workflows. This article explores the six core pillars of lifestyle medicine, the scientific evidence underpinning its effectiveness, and the opportunities and challenges involved in its integration into primary and secondary care. By bridging behavioural science and clinical practice, lifestyle medicine represents a sustainable, compassionate model for improving health outcomes and strengthening healthcare systems for the future.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"33 ","pages":"Article 100288"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145748197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The role of educators and supervisors in promoting learning with, for and from patients in advanced practice development 在高级实践发展中，教育者和监督者在促进与患者学习、为患者学习和从患者学习中的作用
Clinics in Integrated Care Pub Date : 2025-12-01 Epub Date: 2025-12-04 DOI: 10.1016/j.intcar.2025.100289
Deborah Harding, Scott Ballard-Ridley
{"title":"The role of educators and supervisors in promoting learning with, for and from patients in advanced practice development","authors":"Deborah Harding,&nbsp;Scott Ballard-Ridley","doi":"10.1016/j.intcar.2025.100289","DOIUrl":"10.1016/j.intcar.2025.100289","url":null,"abstract":"<div><div>Advanced practice roles are becoming increasingly visible across health and care systems. Typically, these roles are held by experienced, registered professionals who have undertaken additional post-qualifying education to develop clinical, leadership, research and education capabilities, often referred to as the four pillars of advanced practice. This paper explores how the development of advanced practice education capabilities can and should promote approaches to learning with, for and from patients. For decades, there have been calls to embed patient-centred education into health professions' training. This paper suggests that learning about patient-centredness is not confined to traditional classroom-based teaching but can be integrated into practice-based aspects of advanced practice development, where workplace supervisors have the potential to be powerful role models. The paper is written from the perspectives of a university educator and a patient, who draw on their own experiences of teaching together in a United Kingdom university master's level advanced practice programme. They set out the case for incorporating teaching with a focus on learning with, for and from patients in health professions' education and propose that this learning is enriched when educators codesign and deliver healthcare education with people who have lived experience of health conditions and of navigating health services.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"33 ","pages":"Article 100289"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Banter, bonding or bullying? Supporting LGBTQ+ colleagues in healthcare 玩笑、亲密还是欺凌？支持医疗保健领域的LGBTQ+同事
Clinics in Integrated Care Pub Date : 2025-10-01 Epub Date: 2025-10-06 DOI: 10.1016/j.intcar.2025.100279
Lisa Cordery-Bruce
{"title":"Banter, bonding or bullying? Supporting LGBTQ+ colleagues in healthcare","authors":"Lisa Cordery-Bruce","doi":"10.1016/j.intcar.2025.100279","DOIUrl":"10.1016/j.intcar.2025.100279","url":null,"abstract":"<div><div>This article explores the historical and contemporary experiences of LGBTQ+ professionals in healthcare, focusing on discrimination, inclusion initiatives, and the structural and cultural changes needed to create equitable environments. Drawing on recent studies, surveys, and reports from the UK and US, it highlights the systemic barriers LGBTQ+ health professionals face, the persona struggles from workplace bullying and the vital role of staff networks, inclusive policies, and allyship. Evidence suggests that visibility, support, and strong leadership commitment can mitigate workplace inequalities, improve staff wellbeing and performance, and enhance patient care outcomes.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"32 ","pages":"Article 100279"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145227726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advanced practice in child and adolescent mental health services 儿童和青少年心理健康服务的高级实践
Clinics in Integrated Care Pub Date : 2025-10-01 Epub Date: 2025-10-06 DOI: 10.1016/j.intcar.2025.100280
Anne-Johanna MacGregor, Elaine Armstrong, Chelsea Bertie, Shona Oliphant
{"title":"Advanced practice in child and adolescent mental health services","authors":"Anne-Johanna MacGregor,&nbsp;Elaine Armstrong,&nbsp;Chelsea Bertie,&nbsp;Shona Oliphant","doi":"10.1016/j.intcar.2025.100280","DOIUrl":"10.1016/j.intcar.2025.100280","url":null,"abstract":"<div><div>Advanced practice is an area which is evolving in the field of mental health, with varying roles, responsibilities and education. This article will focus on advanced practice in Child and Adolescent Mental Health Services (CAMHS), exploring scope of practice in Scotland which may vary from national and international practice in the same field. Child and adolescent services provide specialist assessment and treatment for children and young people aged 6–18. This article explores the integration of the role within the existing multidisciplinary team. A case study and practice-based examples are utilised to provide in-depth examination of the advanced practice role and how this offers a different perspective in clinical practice. Barriers and facilitators to future advanced practice role development in CAMHS are also considered as this diverse area of practice continues to develop.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"32 ","pages":"Article 100280"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145227679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The importance of clinical reasoning in differential diagnosis for non-medical prescribers, nurses and pharmacists 临床推理在非医疗处方者、护士和药剂师鉴别诊断中的重要性
Clinics in Integrated Care Pub Date : 2025-08-01 Epub Date: 2025-07-22 DOI: 10.1016/j.intcar.2025.100271
Paul Rutter
{"title":"The importance of clinical reasoning in differential diagnosis for non-medical prescribers, nurses and pharmacists","authors":"Paul Rutter","doi":"10.1016/j.intcar.2025.100271","DOIUrl":"10.1016/j.intcar.2025.100271","url":null,"abstract":"<div><div>The National Health Service (NHS) is under severe pressure to delivery high quality patient care. Increased demand, coupled with shortages in workforce, have led to health care policies seeking to empower patients and fully utilise the skill sets of all healthcare professionals, and in particular those professions allied to medicine. This has led to an expansion in roles and responsibilities to complement and augment that of doctors. To ensure allied healthcare professionals are able to perform such duties there is a need to ensure they possess the right knowledge and skills. This is most evident around autonomous practice and making clinical decisions, which have historically not been taught. The need to make wise decisions based on sound reasoning is critical. This article looks at how ‘novice’ practitioners can develop such skills.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"31 ","pages":"Article 100271"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144679491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The importance of integrated care when dealing with oncological emergencies 在处理肿瘤紧急情况时综合护理的重要性
Clinics in Integrated Care Pub Date : 2025-06-01 Epub Date: 2025-04-29 DOI: 10.1016/j.intcar.2025.100256
Ernie Marshall, Ollie Minton, Anthony Cunliffe, Radha Selvaratnam
{"title":"The importance of integrated care when dealing with oncological emergencies","authors":"Ernie Marshall,&nbsp;Ollie Minton,&nbsp;Anthony Cunliffe,&nbsp;Radha Selvaratnam","doi":"10.1016/j.intcar.2025.100256","DOIUrl":"10.1016/j.intcar.2025.100256","url":null,"abstract":"<div><div>Cancer incidence in the UK continues to rise particularly in older and multi-morbid populations. In the UK 36% of new cancer diagnoses are made in those over 75 years of age.</div><div>Despite advancements in treatments, many patients are living longer with advanced incurable cancer, often requiring urgent and emergency care. The disconnect between centralized specialist oncology services and local care needs exacerbates this issue, leading to frequent emergency department (ED) visits and hospital admissions. Cancer patients are less well represented in Same Day Emergency Care (SDEC) and have a short hospital stay, hinting at a missed opportunity admission avoidance and early supported discharge.</div><div>Many cancer patients may benefit from an urgent community response as an alternative to ED attendance but this requires collaborative working across traditional health care boundaries and involving the wider multi professional health care team in primary, community, secondary and specialist services.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"30 ","pages":"Article 100256"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143882421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How to collaborate, and use networks and feedback 如何合作，利用网络和反馈
Clinics in Integrated Care Pub Date : 2025-04-01 Epub Date: 2025-03-22 DOI: 10.1016/j.intcar.2025.100248
Sir Graham Thornicroft, Norman Sartorius
{"title":"How to collaborate, and use networks and feedback","authors":"Sir Graham Thornicroft,&nbsp;Norman Sartorius","doi":"10.1016/j.intcar.2025.100248","DOIUrl":"10.1016/j.intcar.2025.100248","url":null,"abstract":"<div><div>Effective collaboration, networking, and feedback are crucial skills for students and professionals. This paper explores into these three aspects, providing insights and practical tips. Collaboration requires a clear and common purpose and complementary skills, necessitating clear roles, trust, and conflict management strategies. Networking is viewed as a long-term career investment, emphasizing mutual respect and regular engagement with contacts. Feedback is essential for refining leadership skills, and this paper offers suggestions on actively seeking, receiving, and utilizing feedback to improve performance. The paper also discusses various types of feedback, including peer-directed, upward, downward, and 360-degree feedback, highlighting their importance in professional development.</div><div>Abstract and keywords supported by GenAI.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"29 ","pages":"Article 100248"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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