'Aint We Women?' A Narrative Review of Intensive and Acute Care Experiences of Black Women Through an Intersectional Lens.

This is a narrative review, not a trial, so it cannot show that any intervention improves outcomes. Only 10 studies met inclusion criteria, and all came from the United States, so findings may not apply to other high-income countries. The review included acute care because critical care evidence on Black women was sparse, which limits transferability to ICU settings. Narrative review selection is less systematic and may introduce subjectivity. One included article was a letter to the editor rather than a peer-reviewed primary study. The included studies used different terms for race and gender, and some did not allow disaggregation of Black women's data. The included studies are observational or qualitative, so they describe patterns rather than prove causes.

Do not read the 40% mortality figure as evidence that any single treatment or nursing practice caused or can prevent it. It comes from an observational cohort of mechanically ventilated adults with pneumonia or sepsis, and this narrative review did not test interventions.