June 2, 2022
The National Commission to Address Racism in Nursing has issued a new foundational report that explores the impact of systemic racism on the nursing workforce and delivery of nursing care. The report closely examines the effects that racism has on nursing education, policy, research, and practice.
“These reports explore how racism shows up in our profession. We invite you to read each document with an open mind and heart, and with the empathy and thirst for knowledge that define excellence in nursing. How might this information influence you and your nursing practice? How might it be fuel for improving our profession, and the health, educational, and social systems in which we engage and work?”
OADN was invited to be an inaugural member of the Commission in January of 2021, and OADN members were asked to provide comments on the report’s initial draft in early 2022. OADN CEO Donna Meyer, MSN, RN, ANEF, FAADN, FAAN served as a commissioner for the report’s education workgroup, with Teaching and Learning in Nursing Editor-in-Chief Anna Valdez, Ph.D., RN, PHN, CEN, CNE, CFRN, FAEN, FAADN and OADN Board of Directors Member Jayson T. Valerio, DNP, RN serving as subject matter experts for the report’s education section.
This report centers the experiences of nurses of color in U.S. history and how structural and systemic racism have hindered access to educational and professional opportunities as well as institutional power. The report also reviews some of the ways in which these nurses resisted, challenged, and achieved within the structures of racism.
Additionally, the report explains and critiques the central place that whiteness has occupied in histories of American nursing. More contextualized historical studies about the experiences of nurses of color and studies that explore the complicity of the nursing profession in perpetuating racism are needed.
What does racism look like in the 21st Century? This essay examines power, privilege, and prejudice in nursing today. By looking at our history, we can understand the current inequities and discriminatory practices that hinder the progress of nurses of color.
Racism in nursing education has been prevalent since its beginning with roots in white supremacy. Today both students and faculty of color experience negative environments and limited opportunities.
Creating equitable and inclusive learning environments will lead to increased access and opportunities for students, faculty, and staff. This will eliminate many barriers and gaps that prevent success.
Due to the systemic nature of policies, they are a significant means by which racism within nursing is perpetuated.
A commitment must be made to eliminate racism in existing policy. Additionally, new policies that address past harms and advance the nursing profession are needed.
The impact of racism in the nurse’s work environment has significant implications on staff retention and physical and psychological safety. By viewing racism as a preventable harm, it is possible to see how it can be confronted through changes to structures, beliefs, policies, and practices.
This report also explores the ethical obligations to develop a culture where all staff and patients are treated fairly. Included are suggestions for how health care organizations can create an inclusive and civil culture.
Nursing research is overwhelmingly conducted by white nurse researchers. Research done with minoritized communities leaves impressions of exploitation and mistrust. Minority nurse researchers are key to address health disparities and inequities.
Current structures for research funding from healthcare institutions and governmental agencies are inequitable and must change. Bold funding decisions can level the field and lead to positive disruption.