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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Nurses Need Not Be Guilty Bystanders: Caring for Vulnerable Immigrant Populations

Elizabeth Moran Fitzgerald, Judith G Myers, Paul Clark

    Online Journal of Issues in Nursing
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    PubMed
    Summary

    Nurses can combat racism and ensure quality care for immigrant patients by addressing harmful dialogue and using ethical leadership strategies. This approach promotes safe and inclusive healthcare environments for vulnerable populations.

    Keywords:
    Ethicsvulnerable/immigrant populationsquiet leadershipguilty bystanderincivilityCode of Ethics for Nurses with Interpretive Statementsrancorous discourseAmerican Nurses Associationtenacityimmigration mythsnursing educationbullyinghostile workplaceshostile work environmentspersonal responsibilityracismThomas MertonJoseph Badaracco

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    Area of Science:

    • Nursing
    • Healthcare Ethics
    • Immigrant Health

    Background:

    • Nurses encounter ethical dilemmas caring for immigrants, a vulnerable population.
    • Racist dialogue creates hostile environments, risking substandard care for immigrant patients.

    Purpose of the Study:

    • To illustrate inappropriate dialogue and effective nursing actions in immigrant care.
    • To provide nurses with tools to advocate for ethical and quality care for immigrant populations.

    Main Methods:

    • Presents a two-part case study of a Hispanic patient.
    • Reviews myths versus facts regarding Hispanic immigrants.
    • Introduces concepts of the guilty bystander, professional nursing code of ethics, and quiet leadership.

    Main Results:

    • Highlights examples of inappropriate dialogue in patient care.
    • Suggests practical nursing actions and leadership approaches for advocacy.
    • Demonstrates how to counter hostile care environments.

    Conclusions:

    • Nurses can advocate for safe, quality, and ethical care for immigrants.
    • Ethical leadership and awareness of harmful dialogue are crucial.
    • Addressing racism is essential for patient well-being in diverse healthcare settings.