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Published on: June 21, 2010
Teaching Racism, Health Care, and Social Justice to Advanced Practice Nursing Students: Integrating Structural
Lisa Mihaly1, Linda Stephan, Denisse Porter
1Author Affiliations: Department of Family Healthcare Nursing, University of California San Francisco, San Francisco, CA (Mss Mihaly and Stephan); Mission Neighborhood Health Center, San Francisco, CA (Ms Porter); Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, PA (Ms McGuinness); Department of OB/Gyn, Penn Medicine, Philadelphia, PA (Ms McGuinness); and Nursing Department, California State University East Bay, Hayward, CA (Dr Swartz).
A new course on structural racism in health care significantly improved nursing students' understanding of its impact. Integrating these concepts more broadly in nursing education is recommended for better health equity.
Area of Science:
- Health Equity
- Nursing Education
- Social Determinants of Health
Background:
- Structural racism in U.S. education and clinical settings adversely affects health outcomes.
- A need for advanced nursing education on structural racism and health disparities was identified.
Purpose of the Study:
- To address a gap in master's-level nursing curricula by developing a course on structural racism and health.
- To align nursing education with the AACN Essentials' emphasis on structural competency.
Main Methods:
- A course titled "Racism, Health Care, and Social Justice" was developed and implemented.
- Curriculum focused on structural racism's impact on health outcomes.
Main Results:
- The course successfully expanded students' comprehension of racism within health care.
- Students gained a deeper understanding of structural competency.
Conclusions:
- A dedicated course can enhance nursing students' understanding of structural racism and health.
- Nursing education must integrate structural competency more comprehensively to address health inequities.
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