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Exploring Racial Microaggressions in Baccalaureate Nursing Education: A Qualitative Descriptive Study.

Karen L Hunt1, Monika Schuler, Maryellen Brisbois

  • 1About the Authors Karen L. Hunt, PhD, RN, RD, CNE, is assistant professor, School of Nursing, MGH Institute of Health Professions, Boston, Massachusetts. Monika Schuler, PhD, FNP-BC, CNE, is associate professor, College of Nursing and Health Sciences, University of Massachusetts Dartmouth. Maryellen Brisbois, PhD, RN, PHCNS-BC, is associate professor, College of Nursing and Health Sciences, University of Massachusetts Dartmouth. Susan Sullivan-Bolyai, DNSc, CNS, RN, FAAN, is professor emerita, Tan Chingfen Graduate School of Nursing, University of Massachusetts Chan Medical School, Worcester, Massachusetts. The authors acknowledge Eleonor Pusey-Reid, DNP, RN, MS, Med, for guidance and support. For more information, contact Dr. Hunt at klhunt@mghihp.edu .

Nursing Education Perspectives
|June 4, 2025
PubMed
Summary
This summary is machine-generated.

Racial microaggressions negatively impact nursing students of color, affecting their academic integration and sense of belonging. Nurse educators must address these experiences to improve student persistence and graduation rates.

Keywords:
Academic IntegrationAttritionNursing EducationPersistenceSense of Belonging

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Area of Science:

  • Nursing Education
  • Social Determinants of Health
  • Qualitative Research

Background:

  • Baccalaureate students of color face higher attrition rates in the U.S. compared to White students.
  • Racial microaggressions, which convey discriminatory messages, contribute to feelings of exclusion among marginalized students.

Purpose of the Study:

  • To explore how baccalaureate nursing students of color perceive the impact of racial microaggressions.
  • To understand the effects on academic integration, sense of belonging, and persistence to graduation.

Main Methods:

  • Qualitative descriptive study utilizing semistructured interviews.
  • Data analysis guided by Braun and Clarke's thematic analysis.
  • Grounded in Tinto's institutional departure model.

Main Results:

  • All 15 participants experienced or witnessed racial microaggressions during their nursing studies.
  • Microaggressions were most frequently encountered in clinical settings, often perpetrated by patients.
  • Key themes identified include the prevalence of microaggressions, the burden they impose, and student-proposed solutions.

Conclusions:

  • Racial microaggressions result in nursing students feeling unsafe, unheard, and experiencing rumination.
  • Nurse educators are urged to validate students' lived experiences with microaggressions.
  • Intervention strategies led by nurse educators are crucial for supporting students of color.