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Racism in clinical nursing practice: a qualitative study
Nichole Crenshaw1, LaToya Lewis2, Cynthia L Foronda2
1University of Miami School of Nursing and Health Studies, Coral Gables, USA. n.crenshaw@miami.edu.
BMC Nursing
|January 28, 2025
Summary
Nurses of color experience racism, impacting patient care. Culturally humble practices like active listening and respect are crucial for reducing racial bias and health disparities in nursing.
Area of Science:
- Nursing Research
- Health Equity
- Qualitative Study
Background:
- Racism in healthcare contributes to health disparities among people of color.
- Understanding and addressing racism in nursing practice is critical.
- Limited research exists on actionable nursing interventions to reduce racism.
Purpose of the Study:
- To identify behaviors demonstrating racism in nursing care.
- To identify behaviors demonstrating culturally humble nursing care.
- To inform nursing education and practice regarding racial bias.
Main Methods:
- Qualitative, descriptive research design.
- Involved 10 doctoral-prepared nurses of color.
- Participants had expertise in diversity, equity, inclusion, and social determinants of health.
Main Results:
- Racism experienced by nurses of color included false assumptions, stereotyping, being discredited, and rejection.
- Racism experienced as patients of color involved stereotyping, inequitable treatment, and disbelief.
- Culturally humble care behaviors included asking, active listening, caring body language, individualized care, and respect.
Conclusions:
- Findings can inform nursing practice to mitigate racism.
- Interventions can help decrease health disparities.
- Enhancing awareness of racial bias is key for future education.
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