Unit 8 Flashcards
What does EDI stand for?
Equity, diversity and inclusion
What are some factors deterring black students from entering the field of nursing?
lack of:
- finanical support of scholarships and familial contribution
- self-confidence and self-efficacy
- previous positive experience with health care system
- informal or formal mentership
what is the lower self efficacy amongst black students contributed to?
expectations of failure from others
what did the yale study fins about implicit racial bias amongst preschool teachers?
both black and white teachers where asked to look for potentially problematic behaviour amongst a black boy and girl and white boy and girl
learned helplessness
people feel they have no control over things in their life so they give up and accept that this is their reality
why do black individuals have negative experiences with the health care system?
many white medical students had several wrong assumptions about the biological differences between their black and white patience.
what are some of the false statements white medical students made about their black patients?
blacks’ nerve endings are less sensitive than whites’
what is the % of black RNs in canada?
3.6
what % of black students have faced discrimination in the clinical setting?
88.30%
How are black individuals represented in nursing at mcmaster?
- low ration of black students admittted into the nursing program
what are some solutions to assist black students to entire nursing programs/ thrive in nursing programs?
- outreach programs
Medical Biases
biases healthcare professionals hold against their patients and their backgrounds
example of an equipment bias
pulse ox
What is “Mind the Gap”?
a book that displays clinical signs on black and brown skin tones
How to identify pallor in a black or brown individual?
pallor may be identified by asking the patient to turn their palms to face the ceiling. in particular there is reduced darkness in the palmar creases. It is useful to compare the patients palm with your own or that of an accompanying family member.
Does Kawasaki disease look the same on white and brown skin?
no
How does eGFR rate vary in african vs white individuals?
is this good?is this good?
in african it is multiple by 1.15
no - its not really corrected, if the adjustment wasnt included 31,000 more black americans would become eligible for kidney transplant, 300,000 more would qualify for a nephrologist referral and 3.3 million more would reach the threshold for stage 3 kidney disease
Issue with monkeypox search?
all black images, monkey pox DOES NOT only affect black individuals.
discrepancy between monkey pox and vaccination
new cases among black ppl began to exceed those of whtite individuals but only 13% of vaccinations were distributed to black individuals
what can we do to make a change?
engage in discussion on race, equity and diversity
be open minded and interact with students of all races, ethnicicites, gender etc
seek out more diverse media content
advocate for more inclusive cirrculum more inclusive work and school spaces
practice self reflection, be aware of individuals privileges
speak up
Supports for black students
Canadian black nurses alliance (CBNA-McMaster)
Black Student Success Centre (BSSC)
Anti-Racism & Racial Justice Resources
African, Caribbean, Black-Identifying students
Black student association (BSA)
4 Pillars of the RNAO black nurses task force
- Education and awareness building
- research
- advocacy at all levels - recommendations and action
- solidarity through partnership and allyship
Pillar 1 - education and awareness building
enhance learning and foster awareness among nurses and the broader public on systemic anti-black racism and discrimination within the nursing profession
Pillar 2 - research
conducst focused research to uncover the lived experiences of black nurses in ontario and identity enablers and barriers to address anti-black racism and discrimination within the nursing profession
Pillar 3 - advocacy at all levels - recommendations and action
propose and advocate for the implementation of strategies to address anti-black racism at all levels across the health system for sustainable and meaningful change
pillar 4 - solidarity through partnership and allyship
partner with allies of the black nursing community and collaborate with stakeholders leading initiatives in anti-black racism and discrimination across the province
what are some things that fall under pillar 1?
racialized communities and health student led seminar
RNAO webinar series: lets talk about anti-black racism and discrimination in nursing
future webinars and the black nurses leading change interest group
what recommendations fall under pillar 2?
collecting and openly sharing race-based data in nursing schools
surveying current nursing students and alumni of McMaster University to gauge need of a mentorship program for Black nursing students
what recommendations fall under pillar 3?
including discussions of racism and discrimination in nursing cirriculums
ensuring that all racial groups are adequately represented in care scenarios
what recommendations fall under pillar 4?
support CBNA and its academic chapters, including CBNA-Mac
Join MUNSS as an EDI chairperson
Join RNAO as a student liaison for Black Nurses Leading Change
Partner with supportive faculty members