Progress on Racism in Healthcare: A Historical Nursing Perspective

In the ever-evolving landscape of healthcare, one critical issue that continues to demand attention is the presence of racism within the profession. Addressing racism in healthcare, particularly from the lens of nursing, is paramount to ensure equitable care for all patients and a supportive culture for healthcare professionals.

The history of nursing continues to be a critical element to implementing forward-thinking strategies that combat untruths that have played a hidden role in the nursing experience of nurses of color.

Understanding Racism in Healthcare

Racism within healthcare settings manifests in various forms, from implicit biases affecting patient care to systemic barriers hindering the career progression of minority nurses, unfortunately affecting their families. The impact of racism is profound, leading to disparities in health outcomes and perpetuating inequalities in the provision of nursing, medicine and public health.

The Role of Nursing in Combatting Racism

As frontline healthcare providers, nurses play a pivotal role in addressing racism within the healthcare system. With their unique position at the intersection of patient care and advocacy, nurses have the power to influence change and drive progress towards a more inclusive and equitable working environment. According to a 2023 survey by Kaiser Family Foundations on racism, discrimination and health disparities, the documentation of racism and its' effects are ongoing.

The role of nursing continues to be at the forefront of closing the gaps of inequities. Most importantly, nursing science through clinical and research practices and protocol, is critical to creating cultural competence in healthcare.

However, throughout history, nursing organizations have violated and ignored the human and civil rights of nurses of color. As the profession continues to move forward, attempting to transform a white, female dominated profession into a race equity culture will require a commitment of cultural knowledge, analysis of racism and accountability. Furthermore, nursing organizations play a significant role in the progress of the profession as a collective.

Initiatives for Change

Progress on racism in nursing necessitates comprehensive initiatives at various levels. From educational programs that raise awareness about unconscious biases to policy changes that promote diversity and inclusion, there are numerous avenues through which nursing organizations can actively combat racism within their structural bodies.

The American Nursing Association has taken a strong lead on the progress of the profession on racism. On June 11, 2022, the ANA Membership Assembly, the governing and official voting body of ANA, took historic action to begin a journey of racial reckoning by unanimously voting ‘yes’ to adopt the ANA Racial Reckoning Statement. This statement along with a roll out of strategies and policies on race equity has been a sign of great progress and will require us to examine all levels on which racism operates (personal, interpersonal, institutional, and structural); recognizing the role of nursing in enduring inequities, and commit ourselves to change. I am hopeful.

Creating a Culture of Inclusivity

Fostering a culture of inclusivity within healthcare settings is essential to combat racism effectively. By promoting diversity in nursing teams, providing cultural competency training, and establishing support systems for minority healthcare workers, organizations can create an environment where all individuals feel valued and respected.

Also, the inclusive building of a learning foundation where health equity teams can be curated, cultivated and cross-trained will set the tone for collaborative, authentic dismantling of racism.

Challenges and Opportunities

While progress on racism in nursing is underway, challenges persist. Overcoming deep-rooted biases and dismantling systemic barriers require sustained effort and commitment from all stakeholders. However, each challenge presents an opportunity for growth and transformation, empowering nursing leaders to drive meaningful change within their organizations.

Racism is headline news. It is an opportunity for leadership reflection, honesty and truth. More than ever, where consistent and perpetual acts of racism have led to demonstrations all over the world, it is now time for nursing leaders to march towards making cultural competence a key component of organizational and operational processes.

The Path Forward

As the nursing profession continues to evolve, the journey towards eliminating racism is ongoing. By acknowledging the past, advocating for change in the present, and shaping a more inclusive future, nurses can lead the charge towards a healthcare system that prioritizes equity, diversity, and respect for all.

In conclusion, progress on racism in healthcare is a complex and multifaceted journey that requires the collective effort of healthcare professionals, organizations, and policymakers. By fostering a culture of inclusivity, implementing targeted initiatives, and embracing cultural competence, nurses can drive meaningful change and set a precedent for a more equitable future in healthcare.

Remember, the fight against racism requires persistence, perseverance, and a shared commitment to creating a healthcare system that values and respects every individual, regardless of their background or identity. Together, we can pave the way for a future where healthcare is truly inclusive and equitable for all.

Stay tuned for our upcoming film series on Racism in Nursing: The African American Nursing Experience. A three-part short film series to begin October 2024.

Let's continue to work together towards a brighter, more inclusive future in healthcare.

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