RNQualitativeRevista da Escola de Enfermagem da U S P2022

The race/color question in the care process in a psychosocial care center for children and adolescents.

Bruna de Paula Candido, Sônia Barros, Luciane Régio and 2 others

PMID 35323836

WHAT IT FOUND

Only 9 of 220 child mental health records noted racism, all at school, and none documented service coping actions.

Some staff used black dolls, famous figures and cultural visits to support identity.

Key findings

01Only 9 of the 220 records noted racism, and all 9 cases occurred at school.

02The service did not record any coping actions for the racism cases it had documented.

03Staff described using black dolls, black public figures and cultural visits to support representation.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Only one child psychosocial care center was studied, so it may not show how other services work. Only 6 of the 22 technicians responsible for black children or adolescents were interviewed, so staff views may be incomplete. The study relied on medical records, and the authors noted weak documentation, so recorded racism may be incomplete. No children or families were interviewed, so the findings come from records and staff reports.

The easy way to misread this

Do not read the staff-reported use of black dolls and cultural visits as evidence that these actions improve mental health or reduce racism. This qualitative study describes care practices and documentation gaps, not tested interventions.

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