Racism in clinical nursing practice: a qualitative study

Abstract Background Racism in healthcare has led to disparate health outcomes amongst people of color. The construct of racism may be misunderstood, and research is lacking about the actions nurses can in the clinical setting take to reduce racism. The purpose of the study was to determine behaviors...

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Main Authors: Nichole Crenshaw, LaToya Lewis, Cynthia L. Foronda
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-024-02521-8
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author Nichole Crenshaw
LaToya Lewis
Cynthia L. Foronda
author_facet Nichole Crenshaw
LaToya Lewis
Cynthia L. Foronda
author_sort Nichole Crenshaw
collection DOAJ
description Abstract Background Racism in healthcare has led to disparate health outcomes amongst people of color. The construct of racism may be misunderstood, and research is lacking about the actions nurses can in the clinical setting take to reduce racism. The purpose of the study was to determine behaviors demonstrative of racism in nursing care and behaviors that are demonstrative of culturally humble nursing care to develop an awareness of racial bias in nursing to inform future educational practices. Methods A qualitative, descriptive design was used with 10 doctoral-prepared nurses of color with expertise in diversity, equity, inclusion, and social determinants of health. Findings Three overarching themes emerged: (1) Experience of Racism as a Nurse of Color (with subthemes of False Assumptions/ Negative Stereotyping, Discrediting/Unheard, and Rejection), (2) Experience of Racism as a Patient of Color (with subthemes of False Assumptions/Negative Stereotyping, Inequitable Treatment/ Lack of Care, and Dismissing/Ignoring or Not Believing), and (3) Culturally Humble Care (with subthemes of Asking, Active Listening, Caring Body Language, Individualized Care, and Respect). Conclusions Study findings may be used to inform and improve nursing practice to reduce racism and decrease health disparities.
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spelling doaj-art-6dcc06be2b844461a234c606e7b987272025-02-02T12:15:11ZengBMCBMC Nursing1472-69552025-01-0124111010.1186/s12912-024-02521-8Racism in clinical nursing practice: a qualitative studyNichole Crenshaw0LaToya Lewis1Cynthia L. Foronda2University of Miami School of Nursing and Health StudiesUniversity of Miami School of Nursing and Health StudiesUniversity of Miami School of Nursing and Health StudiesAbstract Background Racism in healthcare has led to disparate health outcomes amongst people of color. The construct of racism may be misunderstood, and research is lacking about the actions nurses can in the clinical setting take to reduce racism. The purpose of the study was to determine behaviors demonstrative of racism in nursing care and behaviors that are demonstrative of culturally humble nursing care to develop an awareness of racial bias in nursing to inform future educational practices. Methods A qualitative, descriptive design was used with 10 doctoral-prepared nurses of color with expertise in diversity, equity, inclusion, and social determinants of health. Findings Three overarching themes emerged: (1) Experience of Racism as a Nurse of Color (with subthemes of False Assumptions/ Negative Stereotyping, Discrediting/Unheard, and Rejection), (2) Experience of Racism as a Patient of Color (with subthemes of False Assumptions/Negative Stereotyping, Inequitable Treatment/ Lack of Care, and Dismissing/Ignoring or Not Believing), and (3) Culturally Humble Care (with subthemes of Asking, Active Listening, Caring Body Language, Individualized Care, and Respect). Conclusions Study findings may be used to inform and improve nursing practice to reduce racism and decrease health disparities.https://doi.org/10.1186/s12912-024-02521-8RacismNursingEducationClinicalPracticeBias
spellingShingle Nichole Crenshaw
LaToya Lewis
Cynthia L. Foronda
Racism in clinical nursing practice: a qualitative study
BMC Nursing
Racism
Nursing
Education
Clinical
Practice
Bias
title Racism in clinical nursing practice: a qualitative study
title_full Racism in clinical nursing practice: a qualitative study
title_fullStr Racism in clinical nursing practice: a qualitative study
title_full_unstemmed Racism in clinical nursing practice: a qualitative study
title_short Racism in clinical nursing practice: a qualitative study
title_sort racism in clinical nursing practice a qualitative study
topic Racism
Nursing
Education
Clinical
Practice
Bias
url https://doi.org/10.1186/s12912-024-02521-8
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