A Schema of Toxic Stress Informed by Racism, Transgenerational Stress, and Disadvantage
The Toxic Stress Schema (TSS) is an ecological framework with a social justice lens for identifying and alleviating stress and strengthening social determinants of health for children and families of color impacted by the COVID-19 pandemic and the cumulative effects of racism and generational, syste...
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| Veröffentlicht in: | Journal of pediatric health care 2022-03, Vol.36 (2), p.79-89 |
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| container_end_page | 89 |
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| container_issue | 2 |
| container_start_page | 79 |
| container_title | Journal of pediatric health care |
| container_volume | 36 |
| creator | Bowen, Felesia R. Lewandowski, Linda A. Snethen, Julia A. Childs, Gwendolyn Outlaw, Freida H. Greenberg, Cindy Smith Burke, Pamela J. Sloand, Elizabeth Gary, Faye DeSocio, Janiece |
| description | The Toxic Stress Schema (TSS) is an ecological framework with a social justice lens for identifying and alleviating stress and strengthening social determinants of health for children and families of color impacted by the COVID-19 pandemic and the cumulative effects of racism and generational, systemic inequities.
Relevant literature is reviewed, and examples were provided to illustrate the differential impacts of the “stress superstorm” of 2020 had on children of color based on their family's position on the advantage–disadvantage continuum.
The utility of the TSS framework as a model for advanced nursing practice is demonstrated, and recommendations are formulated for the pediatric nurse practitioner's role in health policy.
The COVID-19 pandemic elucidated the historical inequities experienced by children and families of color. The TSS framework provides a model for recognizing, organizing, and implementing |
| doi_str_mv | 10.1016/j.pedhc.2021.08.005 |
| format | Article |
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Relevant literature is reviewed, and examples were provided to illustrate the differential impacts of the “stress superstorm” of 2020 had on children of color based on their family's position on the advantage–disadvantage continuum.
The utility of the TSS framework as a model for advanced nursing practice is demonstrated, and recommendations are formulated for the pediatric nurse practitioner's role in health policy.
The COVID-19 pandemic elucidated the historical inequities experienced by children and families of color. The TSS framework provides a model for recognizing, organizing, and implementing</description><identifier>ISSN: 0891-5245</identifier><identifier>EISSN: 1532-656X</identifier><identifier>DOI: 10.1016/j.pedhc.2021.08.005</identifier><identifier>PMID: 34627667</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>adverse childhood experiences ; Child ; COVID-19 - epidemiology ; COVID-19 - psychology ; Humans ; Pandemics ; Pediatric Nursing ; racism ; Racism - psychology ; Stress, Psychological - ethnology ; Toxic stress ; Vulnerable Populations - psychology</subject><ispartof>Journal of pediatric health care, 2022-03, Vol.36 (2), p.79-89</ispartof><rights>2021 National Association of Pediatric Nurse Practitioners</rights><rights>Copyright © 2021 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-1a41c5b0f81b084c912c3e2db8606ee3b9e2872bf0cdbcea815905a92e009d3a3</citedby><cites>FETCH-LOGICAL-c359t-1a41c5b0f81b084c912c3e2db8606ee3b9e2872bf0cdbcea815905a92e009d3a3</cites><orcidid>0000-0001-6669-3805 ; 0000-0002-4277-2549 ; 0000-0003-1445-3572 ; 0000-0002-1628-4285 ; 0000-0002-1328-4239</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.pedhc.2021.08.005$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34627667$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bowen, Felesia R.</creatorcontrib><creatorcontrib>Lewandowski, Linda A.</creatorcontrib><creatorcontrib>Snethen, Julia A.</creatorcontrib><creatorcontrib>Childs, Gwendolyn</creatorcontrib><creatorcontrib>Outlaw, Freida H.</creatorcontrib><creatorcontrib>Greenberg, Cindy Smith</creatorcontrib><creatorcontrib>Burke, Pamela J.</creatorcontrib><creatorcontrib>Sloand, Elizabeth</creatorcontrib><creatorcontrib>Gary, Faye</creatorcontrib><creatorcontrib>DeSocio, Janiece</creatorcontrib><title>A Schema of Toxic Stress Informed by Racism, Transgenerational Stress, and Disadvantage</title><title>Journal of pediatric health care</title><addtitle>J Pediatr Health Care</addtitle><description>The Toxic Stress Schema (TSS) is an ecological framework with a social justice lens for identifying and alleviating stress and strengthening social determinants of health for children and families of color impacted by the COVID-19 pandemic and the cumulative effects of racism and generational, systemic inequities.
Relevant literature is reviewed, and examples were provided to illustrate the differential impacts of the “stress superstorm” of 2020 had on children of color based on their family's position on the advantage–disadvantage continuum.
The utility of the TSS framework as a model for advanced nursing practice is demonstrated, and recommendations are formulated for the pediatric nurse practitioner's role in health policy.
The COVID-19 pandemic elucidated the historical inequities experienced by children and families of color. The TSS framework provides a model for recognizing, organizing, and implementing</description><subject>adverse childhood experiences</subject><subject>Child</subject><subject>COVID-19 - epidemiology</subject><subject>COVID-19 - psychology</subject><subject>Humans</subject><subject>Pandemics</subject><subject>Pediatric Nursing</subject><subject>racism</subject><subject>Racism - psychology</subject><subject>Stress, Psychological - ethnology</subject><subject>Toxic stress</subject><subject>Vulnerable Populations - psychology</subject><issn>0891-5245</issn><issn>1532-656X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLxDAUhYMoOj5-gSBZurD1Jm0yycKF-AZB0BHdhTS51QzTdkw6ov_e6owuXd3Nd87hfoTsM8gZMHk8zefoX13OgbMcVA4g1siIiYJnUsjndTICpVkmeCm2yHZKUwCQY15ukq2ilHws5XhEnk7pg3vFxtKuppPuIzj60EdMid60dRcb9LT6pPfWhdQc0Um0bXrBFqPtQ9fa2Qo-orb19Dwk699t29sX3CUbtZ0l3FvdHfJ4eTE5u85u765uzk5vM1cI3WfMlsyJCmrFKlCl04y7ArmvlASJWFQauRrzqgbnK4dWMaFBWM0RQPvCFjvkcNk7j93bAlNvmpAczma2xW6RDBcKdFlKzQe0WKIudilFrM08hsbGT8PAfBs1U_Nj1HwbNaDMYHRIHawGFtVg4y_zq3AATpYADm--B4wmuYCtQx8iut74Lvw78AWzyYfq</recordid><startdate>202203</startdate><enddate>202203</enddate><creator>Bowen, Felesia R.</creator><creator>Lewandowski, Linda A.</creator><creator>Snethen, Julia A.</creator><creator>Childs, Gwendolyn</creator><creator>Outlaw, Freida H.</creator><creator>Greenberg, Cindy Smith</creator><creator>Burke, Pamela J.</creator><creator>Sloand, Elizabeth</creator><creator>Gary, Faye</creator><creator>DeSocio, Janiece</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6669-3805</orcidid><orcidid>https://orcid.org/0000-0002-4277-2549</orcidid><orcidid>https://orcid.org/0000-0003-1445-3572</orcidid><orcidid>https://orcid.org/0000-0002-1628-4285</orcidid><orcidid>https://orcid.org/0000-0002-1328-4239</orcidid></search><sort><creationdate>202203</creationdate><title>A Schema of Toxic Stress Informed by Racism, Transgenerational Stress, and Disadvantage</title><author>Bowen, Felesia R. ; Lewandowski, Linda A. ; Snethen, Julia A. ; Childs, Gwendolyn ; Outlaw, Freida H. ; Greenberg, Cindy Smith ; Burke, Pamela J. ; Sloand, Elizabeth ; Gary, Faye ; DeSocio, Janiece</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-1a41c5b0f81b084c912c3e2db8606ee3b9e2872bf0cdbcea815905a92e009d3a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>adverse childhood experiences</topic><topic>Child</topic><topic>COVID-19 - epidemiology</topic><topic>COVID-19 - psychology</topic><topic>Humans</topic><topic>Pandemics</topic><topic>Pediatric Nursing</topic><topic>racism</topic><topic>Racism - psychology</topic><topic>Stress, Psychological - ethnology</topic><topic>Toxic stress</topic><topic>Vulnerable Populations - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bowen, Felesia R.</creatorcontrib><creatorcontrib>Lewandowski, Linda A.</creatorcontrib><creatorcontrib>Snethen, Julia A.</creatorcontrib><creatorcontrib>Childs, Gwendolyn</creatorcontrib><creatorcontrib>Outlaw, Freida H.</creatorcontrib><creatorcontrib>Greenberg, Cindy Smith</creatorcontrib><creatorcontrib>Burke, Pamela J.</creatorcontrib><creatorcontrib>Sloand, Elizabeth</creatorcontrib><creatorcontrib>Gary, Faye</creatorcontrib><creatorcontrib>DeSocio, Janiece</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric health care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bowen, Felesia R.</au><au>Lewandowski, Linda A.</au><au>Snethen, Julia A.</au><au>Childs, Gwendolyn</au><au>Outlaw, Freida H.</au><au>Greenberg, Cindy Smith</au><au>Burke, Pamela J.</au><au>Sloand, Elizabeth</au><au>Gary, Faye</au><au>DeSocio, Janiece</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Schema of Toxic Stress Informed by Racism, Transgenerational Stress, and Disadvantage</atitle><jtitle>Journal of pediatric health care</jtitle><addtitle>J Pediatr Health Care</addtitle><date>2022-03</date><risdate>2022</risdate><volume>36</volume><issue>2</issue><spage>79</spage><epage>89</epage><pages>79-89</pages><issn>0891-5245</issn><eissn>1532-656X</eissn><abstract>The Toxic Stress Schema (TSS) is an ecological framework with a social justice lens for identifying and alleviating stress and strengthening social determinants of health for children and families of color impacted by the COVID-19 pandemic and the cumulative effects of racism and generational, systemic inequities.
Relevant literature is reviewed, and examples were provided to illustrate the differential impacts of the “stress superstorm” of 2020 had on children of color based on their family's position on the advantage–disadvantage continuum.
The utility of the TSS framework as a model for advanced nursing practice is demonstrated, and recommendations are formulated for the pediatric nurse practitioner's role in health policy.
The COVID-19 pandemic elucidated the historical inequities experienced by children and families of color. The TSS framework provides a model for recognizing, organizing, and implementing</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>34627667</pmid><doi>10.1016/j.pedhc.2021.08.005</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-6669-3805</orcidid><orcidid>https://orcid.org/0000-0002-4277-2549</orcidid><orcidid>https://orcid.org/0000-0003-1445-3572</orcidid><orcidid>https://orcid.org/0000-0002-1628-4285</orcidid><orcidid>https://orcid.org/0000-0002-1328-4239</orcidid></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | adverse childhood experiences Child COVID-19 - epidemiology COVID-19 - psychology Humans Pandemics Pediatric Nursing racism Racism - psychology Stress, Psychological - ethnology Toxic stress Vulnerable Populations - psychology |
| title | A Schema of Toxic Stress Informed by Racism, Transgenerational Stress, and Disadvantage |
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