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Racism and Nursing Leadership in Massachusetts: A Mixed-Methods Study.

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  • 1Author Affiliations: Executive Director (Dr Banister), Institute for Patient Care & Yvonne L. Munn Center for Nursing Research, Massachusetts General Hospital, Boston; Dean (Dr Harris), Prairie View School of Nursing, A&M University, Prairie View, Texas; Nursing Research Scientist (Dr Masson), Massachusetts General Hospital; and Nursing Director (Dr Raymond), Jamaica Plain Health Center, Brigham & Women's Hospital, Boston, Massachusetts; Nursing Research Scientist (Dr Dzurec), Hartford HealthCare, Connecticut; Executive Director (Dr Daniello), ANA Massachusetts, Milton; and Massachusetts General Hospital (Yactayo); and Senior Biostatistician (Horick) and Biostatistician (Huang), Mass General Brigham Research Institute, Boston, Massachusetts.

The Journal of Nursing Administration
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Summary
This summary is machine-generated.

Nurse administrators influence staff nurses' experiences of racism. While administrators reported more diversity, equity, and inclusion initiatives, staff nurses experienced racism more directly, highlighting a gap in addressing workplace racial injustice.

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Area of Science:

  • Nursing
  • Sociology
  • Critical Race Theory

Background:

  • Racism has historically influenced nursing in the U.S.
  • Nurse administrators are key to addressing racial injustice in healthcare workplaces.

Purpose of the Study:

  • Examine Massachusetts nurses' experiences with workplace racism.
  • Analyze nurse administrators' impact on staff nurses' racism experiences before and after George Floyd's death.
  • Utilize feminist and critical race feminist frameworks.

Main Methods:

  • Mixed-methods study using electronic surveys in 2021.
  • Survey distributed to Massachusetts nurses via professional organizations.
  • 219 nurse respondents completed quantitative and qualitative questions.

Main Results:

  • Nurse administrators reported more DEI policies/meetings than staff nurses.
  • Staff nurses were more likely to directly experience racism from colleagues/superiors.
  • Nurse administrators' actions significantly influence staff nurses' experiences of racism.

Conclusions:

  • A disparity exists between nurse administrators' and staff nurses' perceptions and experiences of racism.
  • Nurse administrators play a critical role in mitigating or perpetuating racism within nursing environments.
  • Further research is needed to understand and address the systemic nature of racism in nursing.