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Let's Talk About Racism: Strategies for Building Structural Competency in Nursing
Sandra Davis1, Anne-Marie O'Brien2
1S. Davis is associate professor and assistant dean, Diversity, Equity, and Inclusion, School of Nursing, The George Washington University, Washington, DC.
Summary
Achieving health equity requires addressing systemic racism and discrimination. Healthcare professions must move from cultural humility to structural competency, focusing on institutions and policies to eliminate health disparities.
Area of Science:
- Public Health
- Health Equity
- Healthcare Disparities
Background:
- Health equity is a key goal, yet racial disparities persist.
- Addressing root causes of disparities, inequities, and injustices is crucial.
- Current approaches often focus on individuals, failing to tackle systemic issues.
Purpose of the Study:
- To advocate for a shift from cultural humility to structural competency in healthcare.
- To emphasize the need to focus on institutions, systems, practices, and policies.
- To address racism, bias, and discrimination as root causes of health inequities.
Main Methods:
- Utilized a case study approach to illustrate concepts.
- Demonstrated the need for contextualized learning for faculty.
- Discussed strategies for faculty to teach about structural racism and discrimination.
Main Results:
- Highlighted the persistent nature of racial disparities in health.
- Emphasized the necessity of structural competency over cultural humility.
- Provided actionable strategies for healthcare educators.
Conclusions:
- Healthcare professions must adopt structural competency to achieve health equity.
- Addressing systemic racism and discrimination is essential for equitable health outcomes.
- Faculty development is key to educating future healthcare professionals on these issues.
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