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Identifying barriers to equality and diversity within the trainee advanced practitioner workforce.

Charlotte Barker1, Melanie Rogers2

  • 1advanced clinical practice, Department of Nursing, School of Human and Health Sciences, University of Huddersfield, Huddersfield, England.

Nursing Management (Harrow, London, England : 1994)
|January 20, 2026
PubMed
Summary

Minority ethnic trainee advanced practitioners face discrimination and lack representation in the NHS. Targeted strategies are needed to improve equality, diversity, and inclusion in advanced practice roles.

Keywords:
advanced practiceblack and minority ethnicdiscriminationdiversityequalityethnicityinclusionpractice developmentprofessionalprofessional issuesracism

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Area of Science:

  • Healthcare Workforce Diversity
  • Health Services Research
  • Equality and Inclusion in Medicine

Background:

  • Persistent ethnic disparities exist in the National Health Service (NHS), hindering workforce race equality.
  • Advanced practitioners are key to fostering inclusivity, yet data on their diversity and experiences are scarce.

Purpose of the Study:

  • To assess the ethnic makeup of trainee advanced practitioners in North East and Yorkshire, England.
  • To investigate their experiences with equality and diversity initiatives.
  • To identify factors promoting or hindering a diverse advanced practice workforce.

Main Methods:

  • Purposive sampling was used to recruit trainee advanced practitioners for a survey.
  • The survey collected data on demographics, ethnicity, and equality/diversity experiences.
  • Focus groups and interviews provided in-depth qualitative insights.

Main Results:

  • The majority of 152 respondents were nurses, female, and of white ethnicity.
  • A significant proportion (90%) of those experiencing discrimination were from minority ethnic backgrounds.
  • Concerns were raised about underrepresentation, unfair recruitment/promotion, and inadequate diversity initiatives.

Conclusions:

  • Sustained, organization-led strategies are crucial for embedding equality and inclusion.
  • Findings informed a toolkit to support equitable recruitment and career progression for advanced practitioners.