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Lilian Magalhães, PhD, OT, is Adjunct Professor, Department of Occupational Therapy, Federal University of São Carlos, São Paulo, Brazil.
Importance: Globally, the occupational therapy profession has neglected to address the anti-Black racism in its therapeutic services. Although discussions on ethnic/racial issues have grown in the field in recent years, few studies have investigated the theoretical and methodological frameworks that inform the practices of occupational therapy practitioners who work with Black populations.
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Central Michigan University, Mount Pleasant, USA.
Black women remain markedly underrepresented in academic nursing-particularly in tenure-track and leadership roles-and their contributions are often overshadowed by persistent inequities in advancement, recognition, and compensation, compounded by the emotional and cultural labor required to navigate predominantly White institutions. Guided by Critical Race Theory and intersectionality, this narrative inquiry explored how 32 Black women faculty and academic leaders experience systemic underrepresentation and construct professional identity. Data were subjected to reflexive thematic analysis, yielding six interlocking themes: the burdens of representation; navigating undervaluation in academia; confronting stereotypes, exclusion, and racialized labor; institutional isolation and structural neglect; emotional exhaustion and the cost of survival; and identity negotiation and resilience as survival work.
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