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Nurses' Use of Race in Clinical Decision Making
Sherrill L Sellers1, Melissa E Moss2, Kathleen Calzone3
1*Associate Dean for Undergraduate Education and Professor, Department of Family Studies and Social Work, Miami University, Oxford, OH, USA. sellersl@miamioh.edu.
Summary
Nurses
Area of Science:
- Nursing
- Genetics
- Health Disparities
Background:
- Registered nurses care for diverse populations.
- Reducing healthcare disparities is crucial.
- Understanding nurses' use of race is key.
Purpose of the Study:
- Examine nurses' self-reported use of race in clinical evaluation.
- Investigate factors associated with race use in clinical decision-making.
Main Methods:
- Cross-sectional study using data from the Genetics and Genomics in Nursing Practice Survey.
- Employed the Racial Attributes in Clinical Evaluation (RACE) scale.
- Multivariate regression analysis of 5,733 registered nurses.
Main Results:
- Significant associations found between RACE score and nurses' race/ethnicity, education level, and perceived importance of patient demographics.
- Asian and Black nurses reported higher RACE scores than White nurses.
- Higher nursing education levels correlated with increased use of race in clinical evaluation.
Conclusions:
- Minority nurses may have higher self-reported race use due to racial self-awareness.
- Enhanced knowledge of genetic ancestry and population genetics may improve appropriate race use in clinical care.
- Integrating patient demographics is vital for effective nursing practice.
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