School of Rehabilitation and Medical Sciences, The Herbert H. and Grace A. Dow College of Health Professions, Central Michigan University, Mount Pleasant, MI, USA.
Georgetown University School of Nursing, Washington, DC, USA.
Nurs Inq. 2024 Jul;31(3):e12639. doi: 10.1111/nin.12639. Epub 2024 Apr 3.
Racism in nursing is multifaceted, ranging from internalized racism and interpersonal racism to institutional and systemic (or structural) elements that perpetuate inequities in the nursing profession. Employing the socio-ecological model, this study dissects the underlying challenges across various levels and proposes targeted mitigation strategies to foster an inclusive and equitable environment for nursing education. It advances clear, context-specific mitigation strategies to cultivate inclusivity and equity within nursing education. Effectively addressing racism within this context necessitates a tailored, multistakeholder approach, impacting nursing students, faculty, administration, professional organizations, and licensing and accrediting bodies. This all-encompassing strategy recognizes that the interplay of interpersonal dynamics, community culture, institutional policies, and broader societal structures intricately shapes individual experiences. Nurses, nurse leaders, educators, organizations, and policymakers can work together to create a more equitable and inclusive nursing profession by targeting each of these levels. This transformational process can yield positive outcomes across various environments where nurses learn, work, and serve people and enable the demographic composition of nurses to better match the populations served.
护理领域的种族主义是多方面的,包括内化的种族主义、人际间的种族主义,以及导致护理行业不公平现象持续存在的机构和系统性(或结构性)因素。本研究采用社会生态学模式,剖析了各个层面的潜在挑战,并提出了有针对性的缓解策略,以促进护理教育的包容性和平等环境。它提出了明确的、特定背景下的缓解策略,以培养护理教育中的包容性和平等性。在这种背景下有效地解决种族主义问题需要采取量身定制的、多利益相关者的方法,影响护理学生、教师、管理人员、专业组织以及许可和认证机构。这种全面的策略认识到,人际动态、社区文化、机构政策和更广泛的社会结构之间的相互作用,错综复杂地影响着个人的体验。护士、护士领导者、教育工作者、组织和政策制定者可以通过针对这些层面共同努力,创造一个更加公平和包容的护理职业。这个变革性的过程可以在护士学习、工作和为人们服务的各种环境中产生积极的结果,并使护士的人口构成更好地与服务人群相匹配。