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Utilizing Simulation to Address Structural Racism in the Health-Care System
1Department of Nursing, St. Olaf College, Northfield, MN, USA.
Creative Nursing
|November 30, 2023
Summary
This study highlights how a nursing simulation effectively taught students to recognize and address healthcare provider bias and structural racism. It emphasizes the need for training to combat inequities in healthcare.
Area of Science:
- Nursing Education
- Health Equity Research
- Social Determinants of Health
Background:
- Historically, research has overlooked health disparities affecting people of color.
- Healthcare systems often perpetuate systemic racism and provider bias.
- Addressing these gaps is crucial for equitable patient care.
Purpose of the Study:
- To develop and evaluate a simulation for nursing students focused on intervening against oppressive healthcare provider behavior.
- To explore the impact of addressing structural racism in a simulated learning environment.
- To enhance student understanding of racism within the healthcare system.
Main Methods:
- A simulation exercise was designed for senior pre-licensure nursing students.
- The simulation involved scenarios where healthcare providers acted oppressively towards clients.
- Students were trained to intervene in such situations.
Main Results:
- Qualitative findings indicated the simulation's value in understanding systemic racism in healthcare.
- Participants gained insight into biases perpetuated by healthcare providers.
- The learning experience facilitated comprehension of the extent of racism in healthcare.
Conclusions:
- The simulation effectively initiated discussions on equity, belonging, and justice in healthcare.
- It underscored the importance of addressing implicit bias and racism.
- Further training is essential for nurses to drive change and address healthcare inequities.
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