Decolonisation of Health Sciences curricula as a vehicle for transformation in Higher Education: A scoping review
Abstract
Inclusive curriculum transformation is crucial in Higher Education (HE). Decolonisation is considered a necessary intervention that offers opportunities to reimagine curricula, broaden access, and foster inclusivity. However, the full potential of decolonisation remains untapped due to contradictory perceptions and the absence of substantive decolonial theory. This scoping review explored how the decolonisation of Health Sciences curricula can be used as a vehicle for transformation in HE. A systematic search of online academic databases was conducted and included 31 relevant articles. Deductive and inductive coding was used to analyse the data, through which 14 decolonial actions were identified and presented as an action framework. By identifying and organising the main concepts used in the literature and proposing an action framework to decolonise curricula within the field of Health Sciences, this study contributes to the ongoing discourse of how decolonisation can be used to bring about transformation in HE.
Contribution: Findings contribute to the development of decolonial theory and highlight the benefits of decolonising Health Sciences curricula. This scoping review sets the stage for further research to build on this action framework, develop practical guidelines to guide curriculum change and evaluate and measure decolonisation efforts.
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Ajaps, S. O., and R. Lejano. 2021. Decolonising Education for Environmental Conservation: A Participatory Action Research. (28316647), 223. https://nwulib.nwu.ac.za/login?url=https://www.proquest.com/dissertations-theses/decolonising-education–environmental-conservation/docview/2541889222/se-2?accountid=12865
Aldawood, D., and A. Gómez. 2018. Decolonizing Human Rights Education. (10809253), 237. https://nwulib.nwu.ac.za/login?url=https://www.proquest.com/dissertations-theses/decolonizing-human-rights-education/docview/2050214688/se-2?accountid=12865
Andrews, G., M. Prozesky, and I. Fouche. 2020. The Multiliteracies Learning Environment as Decolonial Nexus: Designing for Decolonial Teaching in a Literacies Course at a South African University. Scrutiny2-issues in English Studies in Southern Africa, 25(1), 64‒85. https://doi.org/10.1080/18125441.2020.1800806
Arksey, H. and L. O'Malley. 2005. Scoping studies: towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19-32. https://doi.org/10.1080/1364557032000119616
Barkaskas, P. and D. Gladwin. 2021. Pedagogical Talking Circles: Decolonizing Education through Relational Indigenous Frameworks. Journal of teaching and learning, 15(1), 20-38. https://doi.org/10.22329/jtl.v15i1.6519
Behari-Leak, K. C., R. 2021. Drawing a line in the sand: social mapping of responses to calls to 'decolonise the university'. Journal of Decolonising Disciplines, 3, 1-24. https://doi.org/https://doi.org/10.35293/jdd.v3i1.26
Behari–Leak, K. N., S, G. Mokou and H. Binkowski. 2020. Exploring disruptions of the coloniality of knowledge, power and being to enable agency as disciplinary activists for curriculum change. Journal of Decolonising Disciplines, 2(2), 1-31. https://doi.org/https://doi.org/10.35293/jdd.v2i2.25
Bhandal, T. 2018. Ethical globalization? Decolonizing theoretical perspectives for internationalization in Canadian medical education. Can Med Educ J, 9(2), e33–e45. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044296/pdf/CMEJ-9-e033.pdf
Cassim, F. 2020. Decolonising Design Education through Playful Learning in a Tertiary Communication Design Programme in South Africa. International journal of Art and Design Education, 39(3), 523–535. https://doi.org/10.1111/jade.12294
Castell, E., J. Bullen, D. Garvey, and N. Jones. 2018. Critical Reflexivity in Indigenous and Cross–cultural Psychology: A Decolonial Approach to Curriculum? Am J Community Psychol, 62(3–4), 261–271. https://doi.org/10.1002/ajcp.12291
Chandanabhumma, P. P. and S. Narasimhan. 2020. Towards health equity and social justice: an applied framework of decolonization in health promotion. Health Promot Int, 35(4), 831–840. https://doi.org/10.1093/heapro/daz053
Cordeiro-Rodrigues, L. 2017. The decolonial turn revisited. education as change, 21(3). https://doi.org/10.17159/1947-9417/2017/2870
Diab, M., G. Veronese, Y. Abu Jamei, and A. Kagee. 2020. The interplay of paradigms: Decolonizing a psychology curriculum in the context of the siege of Gaza. Nordic psychology, 72(3), 183–198. https://doi.org/10.1080/19012276.2019.1675087
Eichbaum, Q. G., L.V. Adams, J. Evert, M-J. Ho, I. A. Semali and S. C. van Schalkwyk. 2021. Decolonizing Global Health Education: Rethinking Institutional Partnerships and Approaches. Academic medicine : journal of the Association of American Medical Colleges, 96(3), 329–335. https://doi.org/10.1097/ACM.0000000000003473
Finn, G. M., A. Danquah, and J. Matthan. 2022. Colonization, cadavers, and color: Considering decolonization of anatomy curricula. Anat Rec (Hoboken), 305(4), 938–951. https://doi.org/10.1002/ar.24855
Galvaan, R., L. Peters, L.A. Richards, M. Francke, and M. Krenzer. 2022. Pedagogies within occupational therapy curriculum: centering a decolonial praxis in community development practice. Cadernos brasileiros de terapia ocupacional-brazilian Journal of occupational therapy, 30. https://doi.org/10.1590/2526-8910.ctoAO24023133
Goodman, R. D., J. M. Williams, R. C.–Y Chung, R, R. M. Talleyrand, R, A. M. Douglass, H.G. McMahon,, F. Bemak, R.D. Goodman, and P.C. Gorski. 2015. Decolonizing traditional pedagogies and practices in counseling and psychology education: A move towards social justice and action. Decolonizing 'multicultural' counseling through Social Justice., 147‒164. https://doi.org/10.1007/978-1-4939-1283-4_11
Hansen, A., P. Engel-Hills, C. Jacobs, J. Blitz, R. Cooke, L. Hess-April, K. Leisegang, N. Naidoo, M. Volschenk, and S. van Schalkwyk. 2023. Understandings and practices: Towards socially responsive curricula for the health professions. Advances in Health Sciences Education. https://doi.org/10.1007/s10459-023-10207-0
Harvey, A., and G. Russell–Mundine. 2019. Decolonising the curriculum: using graduate qualities to embed Indigenous knowledges at the academic cultural interface. Teaching in higher education, 24(6), 789-808. https://doi.org/10.1080/13562517.2018.1508131
Hoadley, U., and J. Galant. 2019. What Counts and Who Belongs? Current Debates in Decolonising the Curriculum. In J. Jansen (Ed.), Decolonisation in Universities: The Politics of Knowledge (pp. 101–114). Wits University Press. https://www.cambridge.org/core/books/decolonisation-in-universities/on-the-politics-of-decolonisation-knowledge-authority-and-the-settled-curriculum/4A165FE51DAC0E90686A4F534EB8F844
Iloanya, J. 2017. Democratisation of Teaching and Learning: a tool for the implementation of the Tuning Approach in Higher Education? Tuning journal for higher education, 4(2), 257-276. https://doi.org/10.18543/tjhe-4(2)–2017pp257–276
Jansen, J. D. 2019. Introduction and Overview: Making Sense of Decolonisation in Universities. In J. Jansen (Ed.), Decolonisation in Universities: The Politics of Knowledge (pp. 1–12). Wits University Press. https://doi.org/DOI: undefined
Joosub, N. 2021. Becoming african psychologists: decolonisation within a postgraduate psychology module at the university of johannesburg. South African Journal of Higher Education, 35(1), 192‒208. https://doi.org/10.20853/35-1-4003
Koch, R., J. Pool, and Y. Heymans.2024. The Nature of Decolonisation in Health Sciences Curricula: a Scoping Review. South African Journal of Higher Education, 38(4).
Laing, A. F. 2021. Decolonising pedagogies in undergraduate geography: student perspectives on a Decolonial Movements module. Journal of geography in higher educatioN, 45(1), 1–19. https://doi.org/10.1080/03098265.2020.1815180
Lawrence, D. S., and L.A. Hirsch. 2020. Decolonising global health: transnational research partnerships under the spotlight. International health, 12(6), 518-523. https://doi.org/10.1093/inthealth/ihaa073
Le Grange, L. 2019. The Curriculum Case for Decolonisation. In J. Jansen (Ed.), Decolonisation in Universities: The Politics of Knowledge (pp. 29-47). Wits University Press. https://www.cambridge.org/core/books/decolonisation-in-universities/on-the-politics-of-decolonisation-knowledge-authority-and-the-settled-curriculum/4A165FE51DAC0E90686A4F534EB8F844
Le Grange, L., P. Du Preez, L. Ramrathan, and S. Blignaut. 2020. Decolonising the university curriculum or decolonial- washing? A multiple case study. Journal of Education, 80, 25‒48. https://doi.org/10.17159/2520-9868/i80a02
Lokugamage, A. U., T. Ahillan and S.D.C. Pathberiya. 2020. Decolonising ideas of healing in medical education. Journal of medical ethics, 46(4), 265–272. https://doi.org/10.1136/medethics-2019-105866
Mashiyi, N. F., L. Meda, and A. Swart. 2020. Lecturer conceptions of and approaches to decolonisation of curricula in higher education. South African Journal of Higher Education, 34(2), 146–163. https://doi.org/10.20853/34-2-3667
Mbaki, Y., E. Todorova, and P. Hagan. 2021. Diversifying the medical curriculum as part of the wider decolonising effort: A proposed framework and self–assessment resource toolbox. Clin Teach, 18(5), 459‒466. https://doi.org/10.1111/tct.13408
Mheta, G., B. N. Lungu, and T. Govender. 2018. Decolonisation of the curriculum: A case study of the Durban University of Technology in South Africa. South african Journal of Education, 38(4). https://doi.org/10.15700/saje.v38n4a1635
Munn, Z., M. D. J. Peters, C. Stern, C. Tufanaru, A. McArthur, and E. Aromataris. 2018. Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC medical research methodology, 18(1), 143–143. https://doi.org/10.1186/s12874-018-0611-x
Narasimhan, S. and P. P. Chandanabhumma. 2021. A Scoping Review of Decolonization in Indigenous-Focused Health Education and Behavior Research. Health Education and Behavior, 48(3), 306–319. https://doi.org/10.1177/10901981211010095
Narasimhan, S. and P. P. Chandanabhumma. 2021. A Scoping Review of Decolonization in Indigenous-Focused Health Education and Behavior Research. Health Educ Behav, 48(3), 306–319. https://doi.org/10.1177/10901981211010095
Nazar, M., K Kendall, L. Day and H. Nazar. 2015. Decolonising medical curricula through diversity education: lessons from students. Med Teach, 37(4), 385–393. https://doi.org/10.3109/0142159x.2014.947938
Neden, J. 2021. Decolonizing digital learning design in social work education. A critical analysis of protocol practice for cultural safety and cultural capability. Social Work Education. https://doi.org/10.1080/02615479.2021.1998426
Nibafu, E. Q. F., M. Du Plessis, and F. Abrahams. 2021. Contextual relevance and decolonisation of South African Industrial Psychology training: An exploratory case study. Journal of psychology in Africa, 31(2), 203‒208. https://doi.org/10.1080/14330237.2021.1903155
Osman, R. and F. Maringe. 2019. Transformation in Higher Education in South Africa Toward the Decolonization of South African Universities. In: Oxford University Press.
Peters, M., C. Godfrey, P. McInerney, Z. Munn, A. Tricco, A. and H. Khalil. 2020. Chapter 11: Scoping reviews. In E. Aromataris and Z. Munn (Eds.), JBI Manual for Evidence Synthesis (pp. 407–452). https://synthesismanual.jbi.global. https://doi.org/10.46658/JBIMES-20-12
Pham, M. T., A. Rajić, J. D. Greig, J. M. Sargeant, A. Papadopoulos, and S.A. McEwen. 2014. A scoping review of scoping reviews: advancing the approach and enhancing the consistency. Res Synth Methods, 5(4), 371–385. https://doi.org/10.1002/jrsm.1123
Pimblott, K. 2020. Decolonising the University: The Origins and Meaning of a Movement [Article]. Political Quarterly, 91(1), 210–216. https://doi.org/10.1111/1467-923X.12784
Pollock, D., A. C. Tricco, M. D. J. Peters, M., P. A. McInerney, H. Khalil, C. M. Godfrey, L. A. Alexander, L. A and Z. Munn. 2021. Methodological quality, guidance, and tools in scoping reviews: a scoping review protocol. JBI Evidence Synthesis. https://doi.org/10.11124/jbies-20-00570
Quinn, L.and J-A.Vorster. 2019. Why the focus on "curriculum"? Why now. In L. Quinn (Ed.), Re-imagining curriculum : spaces for disruption (First edition. ed., pp. 1–22). SUN Press. .
Reyes, V., S. Clancy, H. Koge, K. Richardson, and P. Taylor. 2021. Decolonising globalised curriculum landscapes: The identity and agency of academics. London Review of Education, 19(1). https://doi.org/10.14324/LRE.19.1.26
Rodney, R. 2016. Decolonization in health professions education: reflections on teaching through a transgressive pedagogy. Can Med Educ J, 7(3), e10-e18. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5342882/pdf/cmej-07-10.pdf
Sathorar, H.and S. Blignaut. 2021. A Critical Approach to Curriculum Implementation: Reflecting on Lecturer Preparedness to be Transformative Intellectuals. Interchange, 52(3), 415–431. https://doi.org/10.1007/s10780-021-09437-1
Sathorar, H.and D. Geduld. 2018. Towards decolonising teacher education: Reimagining the relationship between theory and praxis. South african journal of education, 38(4). https://doi.org/10.15700/saje.v38n4a1714
Sathorar, H. and D. Geduld. 2019. Reflecting on lecturer dispositions to decolonise teacher education. Journal of Education(76), 108–127. https://doi.org/10.17159/2520-9868/i76a06
Shay, S. 2016. Decolonising the curriculum: it's time for a strategy. The Conversation. (Accessed June 2016) https://theconversation.com/decolonising-the-curriculum-its-time-for-a-strategy-60598
Swidrovich, J. 2020. Decolonizing and Indigenizing pharmacy education in Canada. Curr Pharm Teach Learn, 12(2), 237-243. https://doi.org/10.1016/j.cptl.2019.11.018
Timmis, S., E, Mgqwashu, K. Naidoo, P. Muhuro, S. Trahar, L. Lucas, G. Wisker and T. De Wet. 2019. Encounters with coloniality: students' experiences of transitions from rural contexts into higher education in South Africa. https://doi.org/10.14426/cristal.v7iSI.195
van der Westhuizen, M., T. Greuel and J. W. Beukes. 2017. Are we hearing the voices? Africanisation as part of community development. HTS Teologiese studies-Theological studies, 73(3). https://doi.org/10.4102/hts.v73i3.4512
Witthuhn, J. and C. S. le Roux 2017. Factors that enable and constrain the internationalisation and Africanisation of Master of Public Health programmes in South African higher-education institutions. African Journal of Health ProfessionsE Education, 9(4), 208‒211. https://doi.org/10.7196/AJHPE.2017.v9i4.839
Wong, S. H. M., F. Gishen, and A. U. Lokugamage.. 2021. 'Decolonising the Medical Curriculum': Humanising medicine through epistemic pluralism, cultural safety and critical consciousness. London Review of Education, 19(1). https://doi.org/10.14324/LRE.19.1.16
Zappas, M., B. Walton-Moss, C. Sanchez, J.A. Hildebrand and T. Kirkland. 2021. The Decolonization of Nursing Education. JNP-Journal for Nurse Practitioners, 17(2), 225–229. https://doi.org/10.1016/j.nurpra.2020.11.006
Zidani, S. 2021. Whose pedagogy is it anyway? Decolonizing the syllabus through a critical embrace of difference. Media Culture & Society, 43(5), 970–978. https://doi.org/10.1177/0163443720980922
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