The COVID-19 pandemic has an amplified impact on vulnerable populations. Also, aspects related to health inequalities are insufficiently taught in higher education. This study aims to promote reflection in nursing students on the impact of the COVID-19 pandemic on vulnerable populations affected by health inequities.
Methodology:
A photovoice method was used. Undergraduate nursing students (Spain and United Kingdom) took and explained photographs using SHOWED models.
Results:
108 students participated. Two-domain summary themes were created: The COVID-19 pandemic has impacted ethnic minorities and socioeconomically vulnerable groups, and Proposals to respond to the negative impact on ethnic minorities and socioeconomically vulnerable groups.
Discussion:
The students identified negative health scenarios by linking COVID-19 with aspects of work, salary, and housing of these two specific populations. Holistic actions were also proposed to protect their health. As future health professionals, they must recognize these communities and work to eliminate inequalities.
AbmaT.BanksS.CookT.DiasS.MadsenW.SpringettJ.WrightM. T. (2019). Participatory research for health and social well-being. Springer. https://doi.org/10.1007/978-3-319-93191-3
2.
Alemany-ArrebolaI.Plaza del PinoF. J.Sánchez-OjedaM. A. (2021). Prejudiced attitudes of nursing students in Southern Spain toward migrant patients. Journal of Transcultural Nursing, 32(4), 434–442. https://doi.org/10.1177/1043659620976803
3.
Amengual-MorenoM.Calafat-CaulesM.CarotA.Rosa CorreiaA. R.Río-BergéC.Rovira PlujàJ.Valenzuela PascualC.y Ventura-GabarróC. (2020). Social determinants of COVID-19 incidence in Barcelona: a preliminary ecological study using public data. Rev Esp Salud Publica, 94, e202009101.
4.
Andina-DíazE. (2020). Using Photovoice to stimulate critical thinking: An exploratory study with Nursing students. Revista Latino-Americana de Enfermagem, 28, Article e3314. https://doi.org/10.1590/1518-8345.3625.3314
5.
BailinA.BurtonS.RegoS.AlpertJ.PimentelS. (2021). Integrating advocacy for marginalized children and families into evidence-based care during COVID-19: Clinical vignettes. Cognitive and Behavioral Practice, 28(4), 701–715. https://doi.org/10.1016/j.cbpra.2021.04.004
6.
BambraC.RiordanR.FordJ.MatthewsF. (2020). The COVID-19 pandemic and health inequalities. Journal of Epidemiology and Community Health, 74(11), 964–968. https://doi.org/10.1136/jech-2020-214401
7.
BoweM.WakefieldJ. R. H.KelleziB.StevensonC.McNamaraN.JonesB. A.SumichA.HeymN. (2021). The mental health benefits of community helping during crisis: Coordinated helping, community identification and sense of unity during the COVID-19 pandemic. Journal of Community & Applied Social Psychology, 32(3), 521–535. https://doi.org/10.1002/casp.2520
8.
BurströmB.TaoW. (2020). Social determinants of health and inequalities in COVID-19. European Journal of Public Health, 30(4), 617–618. https://doi.org/10.1093/eurpub/ckaa095
CuellarN. G. (2021). Justice is equality . . . but equality of what? (Aristotle). Journal of Transcultural Nursing, 32(2), 93–93. https://doi.org/10.1177/1043659620984291
11.
DemirtasB.PolatG.Özalp AteşF. S.Ka’opuaL. S. (2021). Poverty and health inequalities: Perceptions of social work students and nursing students. International Nursing Review, 69(1), 96–105. https://doi.org/10.1111/inr.12714
di NapoliI.GuidiE.ArcidiaconoC.EspositoC.MartaE.NovaraC.ProcenteseF.GuazziniA.AgueliB.Gonzáles LeoneF.MeringoloP.MarzanaD. (2021). Italian community psychology in the COVID-19 pandemic: Shared feelings and thoughts in the storytelling of university students. Frontiers in Psychology, 12, Article 571257. https://doi.org/10.3389/fpsyg.2021.571257
14.
DomaradzkiJ.WalkowiakD. (2021). Medical students’ voluntary service during the COVID-19 pandemic in Poland. Frontiers in Public Health, 9, Article 618608. https://doi.org/10.3389/fpubh.2021.618608
DugravotA.FayosseA.DumurgierJ.BouillonK.RayanaT. B.SchnitzlerA.KivimakiM.SabiaS.Singh-ManouxA. (2020). Social inequalities in multimorbidity, frailty, disability, and transitions to mortality: A 24-year follow-up of the Whitehall II cohort study. The Lancet Public Health, 5(1), e42–e50. https://doi.org/10.1016/s2468-2667(19)30226-9
GalvanT.LillS.GarciniL. M. (2021). Another brick in the wall: Healthcare access difficulties and their implications for undocumented Latino/a immigrants. Journal of Immigrant and Minority Health, 23(5), 885–894. https://doi.org/10.1007/s10903-021-01187-7
19.
GashawT.HagosB.SisayM. (2021). Expected impacts of COVID-19: Considering resource-limited countries and vulnerable population. Frontiers in Public Health, 9, Article 614789. https://doi.org/10.3389/fpubh.2021.614789
20.
HabibzadehH.JasemiM.HosseinzadeganF. (2021). Social justice in health system; a neglected component of academic nursing education: A qualitative study. BMC Nursing, 20, Article 16. https://doi.org/10.1186/s12912-021-00534-1
21.
HessR. F.RuhlC. M.BrunsdonS. G. (2021). “I hate the word ‘Liver’”: A photovoice study of Burmese and Bhutanese adolescent health care brokers in Northeast Ohio. Journal of Transcultural Nursing, 32(5), 518–529. https://doi.org/10.1177/1043659620967437
22.
IgweP. A.OchinanwataC.OchinanwataN.AdeyeyeJ. O.IkporI. M.NwakpuS. E.EgboO. P.OnyishiI. E.VincentO.NwekpaK. C.NwakpuK. O.AdeoyeA. A.OdikaP. O.FakahH.OgunnaikeO. O.UmemeziaE. I. (2020). Solidarity and social behaviour: How did this help communities to manage COVID-19 pandemic?International Journal of Sociology and Social Policy, 40(9/10), 1183–1200. https://doi.org/10.1108/ijssp-07-2020-0276
23.
International Council of Nurses. (2021). Nurses: A voice to lead: A vision for future healthcare.
24.
MusokeD.Ekirapa-KirachoE.NdejjoR.GeorgeA. (2015). Using photovoice to examine community level barriers affecting maternal health in rural Wakiso district, Uganda. Reproductive Health Matters, 23(45), 136–147. https://doi.org/10.1016/j.rhm.2015.06.011
25.
RiegelF.MartiniJ. G.BresolinP.MohallemA. G. C.NesA. A. G. (2021). Developing critical thinking in nursing education: a challenge in times of pandemic COVID-19. Escola Anna Nery, 25(spe), e20200476. https://doi.org/10.1590/2177-9465-ean-2020-0476
26.
RitchieJ.SpencerL. (1994). Qualitative data analysis for applied policy research. In BrymanA.BurgessR. G. (Eds.), Analysing qualitative data (pp. 173–194). Routledge.
27.
Solano-RuizM.Andina-DíazE.Noreña-PeñaA.Siles-GonzálezJ. (2021). Photovoice and dramatisation in the classroom with nursing students: An exploratory study to raise awareness of the cultural and social dimensions of violence against women. Nurse Education Today, 103, 104974. https://doi.org/10.1016/j.nedt.2021.104974
28.
SuC.-W.DaiK.UllahS.AndlibZ. (2021). COVID-19 pandemic and unemployment dynamics in European economies. Economic Research-Ekonomska Istraživanja, 35, 1752–1764. https://doi.org/10.1080/1331677X.2021.1912627
WallersteinN.BernsteinE. (1988). Empowerment education: Freire’s ideas adapted to health education. Health Education Quarterly, 15(4), 379–394. https://doi.org/10.1177/109019818801500402
31.
WangC.BurrisM. A. (1994). Empowerment through Photo Novella: Portraits of participation. Health Education & Behavior, 21(2), 171–186. https://doi.org/10.1177/109019819402100204
32.
WangC.BurrisM. A. (1997). Photovoice: Concept, methodology, and use for participatory needs assessment. Health Education & Behavior, 24(3), 369–387. https://doi.org/10.1177/109019819702400309
33.
WatchmanK.MattheysK.DoyleA.BousteadL.RinconesO. (2020). Revisiting photovoice: Perceptions of dementia among researchers with intellectual disability. Qualitative Health Research, 30(7), 1019–1032.
34.
Webb HooperM.NápolesA. M.Pérez-StableE. J. (2020). COVID-19 and racial/ethnic disparities. JAMA, 323(24), 2466–2467. https://doi.org/10.1001/jama.2020.8598
ZapataG. P.Prieto RosasV. (2020). Structural and contingent inequalities: The impact of COVID-19 on migrant and refugee populations in South America. Bulletin of Latin American Research, 39(S1), 16–22. https://doi.org/10.1111/blar.13181
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