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Empowering Students as Advocates for Health Equity: A Multisite Multimethod Study
Monika Costa1, Michele M McKelvey, Joan Esper Kuhnly
1About the Authors Monika Costa, EdD, MSN, RNC-OB, IBCLC, is assistant professor of nursing, University of Saint Joseph, West Hartford, Connecticut. Michele M. McKelvey, PhD, RN, is associate professor of nursing, Central Connecticut State University, New Britain, Connecticut. Joan Esper Kuhnly, DNP, NNP-BC, APRN, IBCLC, CNE, is professor, School of Nursing, College of Professional Studies, Westfield State University, Westfield, Massachusetts. Tamara Holland, EdD, CNM, CHSE, is associate professor of nursing, Central Connecticut State University, New Britain, Connecticut. Jeffrey Fouche-Camargo, DNP, APRN, WHNP-BC, is founding director of Doctor of Nursing Practice programs at Antioch University, Yellow Springs, OH. For more information, contact Dr. Costa at mcosta@usj.edu.
Aim:
This study aimed to integrate antiracist pedagogies to help students understand systemic racism's impact on maternal health and advocate for health equity.
Background:
National League for Nursing research priorities and American Association of Colleges of Nursing core competencies emphasize the need to prepare nurses to address systemic racism, social and structural determinants of health, and disparities in health care.
Method:
A multisite, multimethod study utilized critical race theory to implement antiracist pedagogies in perinatal nursing courses at three universities. Post-intervention surveys from 97 baccalaureate nursing students provided quantitative data via Likert scales and qualitative insights through interpretive description.
Results:
The redesigned perinatal course had a transformative impact on nursing students, shaping their understanding of health disparities and social and structural determinants affecting underrepresented populations.
Conclusion:
Antiracist pedagogies prepare nurses to deliver equitable, unbiased care. This study highlights how nursing education can cultivate antiracist practices in health care.
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