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Racism during clinical placement, the perpetrators, impact, advocating and reporting.
Hila Ariela Dafny1, Nicole Snaith1, Christine McCloud1
1Flinders University.
Nursing Ethics
|February 7, 2025
Summary
Nursing students frequently experience racism from patients and staff during clinical placements, leading to feelings of disempowerment and barriers to reporting. Systemic changes are needed to create inclusive healthcare environments for all nursing students.
Area of Science:
- Healthcare Education
- Nursing Practice
- Social Determinants of Health
Background:
- Racism in healthcare is complex and often denied, with limited research on its impact on nursing students.
- Workplace violence, including racism from patients and staff, affects nurses and nursing students.
- Understanding and addressing racism in clinical settings is crucial for healthcare equity.
Purpose of the Study:
- To explore nursing students' experiences with unethical behavior, specifically racism, during clinical placements.
- To identify perpetrators, impacts, and reporting mechanisms related to racism experienced by nursing students.
- To understand the challenges in advocating against racism in healthcare settings.
Main Methods:
- Qualitative interpretive design utilizing semi-structured interviews with 15 nursing students.
- Thematic analysis of transcribed interview recordings to identify key themes.
- Study conducted with an undergraduate nursing student cohort in metropolitan South Australia.
Main Results:
- Racism experienced by student nurses is multi-faceted, originating from patients, other nurses, and affecting patients.
- Students reported feeling disempowered and faced significant barriers to reporting racist incidents.
- The pervasive influence of racism negatively impacts nursing students' well-being and learning.
Conclusions:
- Registered nurse students encounter diverse forms of racism within clinical environments.
- Racism significantly impacts nursing students during placements, necessitating urgent attention.
- Systemic changes are essential to foster inclusive and supportive clinical environments for nursing students.
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