Dhari Shivinder, Slemon Allie, Handlovsky Ingrid
School of Nursing, Camosun College, Victoria, British Columbia, Canada.
School of Nursing, University of Victoria, Victoria, British Columbia, Canada.
J Adv Nurs. 2025 Jul;81(7):4320-4329. doi: 10.1111/jan.16772. Epub 2025 Jan 21.
This research aimed to explore nursing students' experiences and perspectives on discrimination within nursing programs across classroom and clinical contexts, as well as structural discrimination through institutional policies and processes.
Convergent mixed methods.
Survey and individual interviews to capture students' experiences and perspectives on discrimination within nursing programs.
Quantitative findings suggest that the majority of nursing students (79.2%) self-reported experiencing discrimination during their nursing program. These experiences stem from racism, homophobia, transphobia, and mental health stigma. While most of these experiences were reported in clinical contexts from nurses, patients, and clinical educators, students also reported experiencing discrimination in classroom and program contexts through nurse educators, peers, and policies. Qualitative findings provided nuanced insights into these discriminatory experiences across contexts and sources. Additionally, findings suggest that the majority of the students perceive stigma and discrimination to be a significant issue within nursing education and recommend priorities for addressing this issue.
Despite nursing professions' central commitment to addressing discrimination and promoting social justice, stigma and discrimination faced by nursing students within nursing programs remain a significant concern.
Preventing discrimination and promoting social justice within nursing is a central responsibility of the nursing profession. Student-identified priorities suggest an upstream approach that involves education for nurse educators and staff to redress ongoing discrimination experienced by nursing students.
This research contributes to the growing empirical evidence that nursing students experience discrimination within nursing programs across clinical, classroom, and program contexts and highlights student-identified priorities for addressing discrimination.
No patient or public contribution.
本研究旨在探讨护理专业学生在护理课程中课堂及临床环境下遭遇歧视的经历和观点,以及通过机构政策和流程存在的结构性歧视。
收敛性混合方法。
通过调查和个人访谈来了解学生在护理课程中遭遇歧视的经历和观点。
定量研究结果表明,大多数护理专业学生(79.2%)自我报告在护理课程期间遭受过歧视。这些经历源于种族主义、恐同、恐跨以及心理健康污名化。虽然这些经历大多发生在临床环境中,来自护士、患者和临床教育工作者,但学生们也报告在课堂和课程环境中,通过护士教育工作者、同学和政策遭受过歧视。定性研究结果对这些不同背景和来源的歧视经历提供了细致入微的见解。此外,研究结果表明,大多数学生认为污名化和歧视是护理教育中的一个重大问题,并提出了解决该问题的优先事项。
尽管护理行业核心致力于消除歧视和促进社会正义,但护理专业学生在护理课程中面临的污名化和歧视仍然是一个重大问题。
在护理领域预防歧视和促进社会正义是护理行业的核心责任。学生提出的优先事项表明应采取一种上游方法,即对护士教育工作者和工作人员进行培训,以纠正护理专业学生持续遭受的歧视。
本研究为越来越多的实证证据做出了贡献,即护理专业学生在临床、课堂和课程环境中的护理课程中经历歧视,并突出了学生提出的解决歧视问题的优先事项。
无患者或公众参与。