Lack Of Diversity Within Nursing : Past, Present And Future

The nursing profession has a long history of assessing and placing patient needs first when giving care. The tenets of nursing practice include meeting those needs using individualized care by collaborating with the patient, family, and health care team members. (American Nurses Association, 2010). The concept of transcultural nursing aligns with these tenets because it calls on nurses to provide patient-centered care by taking into account the patient’s background, beliefs, culture and values. In this paper, I will identify the factors that made it necessary to develop the transcultural nursing theory, describe the meaning of diversity and its relationship to the field of nursing, and explain three ways that I provide culturally sensitive care to my patients.

Health in all cultures is an important aspect of life. A person’s cultural background, religion and/or beliefs, greatly influences a person’s health and their response to medical care (Spector, 2004). These diverse cultures guide decisions made in daily life; what food eaten, living arrangements made, medications taken and medical advice listened to. A nurse must be knowledgeable and respectful of these diverse cultures and understand their importance when providing care. This understanding helps to build a strong nurse/patient relationship, increasing patient compliance, which ensures positive outcomes are met. Patients who are satisfied

The Motion picture film, “Sentimental Women Need Not Apply”, highlighted that the first group of nursing students were all white women (1988). Black women were unwelcomed in some nursing schools hence nursing schools were establish for colored people only (Gary & Hott, 1988). One nurse shared that the lack of black doctors rendered black nurses as the sole healthcare providers in some communities. After years of speaking out against segregation, any capable human, regardless of race or gender can now become a nurse. In the 21st century both men and women of all cultures are welcome to becoming a nurse. Though nursing remains a female dominated profession, the gap between male and female nurses has narrowed. In 1970, three percent of nurses were males compared to ten percent in 2013 (Tanner,

Although African-Americans represent the largest minority group, studies show they have the lowest success rates in nursing programs. According to the AACN (2013), “African-American nursing students have the lowest graduation rate when compared to other minority groups”. The lack of minorities providing care negatively effects healthcare outcomes and accessibility. In order to increase the number of African-Americans nurses practicing, it is essential to gain an understanding of the conditions that lead to successes and failures. The purpose of this study is to provide insight into the positive and negative experiences had by African-American nursing students, for development of appropriate interventions to increase the number of successful graduates.

I consider myself to be a fairly traditional American white woman, with non-denominational Christian beliefs. My ethnicity is sort of a mixture of Irish, German, Native American and a few others, but my main cultural background is traditional American. I do not put a lot of emphasis on my ethnicity, because in my opinion and the opinion of many others as well, Caucasian American can be race and ethnicity. I celebrate traditional American holidays such as Christmas, Independence Day and Thanksgiving. I do eat traditional American foods, but I also love ethnic foods of all kinds. According to McKinney, James, Murray, Nelson and Ashwill (2013), “Belief in Jesus Christ as the son of God and the Messiah comprises the central core of Christianity” and “Study of biblical scripture; practicing faith, good works, and sacramental rites (e.g., baptism, communion, and others); and prayer are common among most Christian faiths” (p.44). I am non-denominational; however, I do believe this statement sums up the main core of my beliefs. I pray, I have been baptized, I believe in good deeds, and attending church. The only difference is that I do not believe that you must attend church or partake in communion to have a relationship with God; I believe that relationship is rather personal. Now in terms of American culture in the healthcare setting, Euromed Info Online indicates that Western industrialized societies such as the United States, which

Culture is a multifaceted characters of a diverse sets of people that have a common ground on values, languages, emotions and identity. It is a symbolic communication perpetuated in a much larger society that influence by means of conditioning and imitation from one generation to the next. Knowledge of cultural diversity is crucial at all levels of nursing practice. It require nurses to be challenge on a multilevel amplitude of social character and commitment. It is empirical that the nurse consider specific cultural factors impacting on each individual patients and be able to recognize its differences. The impact of cultural diversity on each patient start with the nurse as a co-provider and influence on the perceptions, interpretations and behaviors of a particular specific cultural group. Nurses need to understand the validity of how culture minded patients understand life process, health, illness, death, and dying. Through collaboration and scientific evidence of multicultural society can bring about a culturally-relevant and responsive services.

Diversity means difference as everyone is very different no one is the same, for example twins may be identical but be totally different and have different interests and different stages off development.

A third contributing factor to the crisis our nation faces are the nursing education systems. The nursing education systems include the nursing students, nursing educators, and nursing schools. When it comes to the nursing students the enrollment rates are far below the necessary amount needed to help the current nursing crisis. The current enrollment number is at 300,000 students, but in order to help the shortage this number needs to increase to 400,000 students (Stanton, 2016). Sadly even though an increase is needed the AACN found that enrollment rates dropped 4.6% at the turn of the century and they have yet to see any increase since then (Benjamin, 2000, p. 2).

Nurses in the USA make up the biggest workforce of any country in the world. However nurses continue to be in short supply even with an aggressive campaign to attract foreign nurses (Brunetto et al., 2013). It is estimated that “the United States will need to have produced 1.13 million new RN’s to fill the future demand” (MeMenamin, 2014). Of the current-working nurses in the United States, “males represent approximately 7% of the nursing workforce…”(Colby, 2012). The percentage of men in nursing must improve if nursing is to become diversified. Although the number of men in the nursing profession is slowly growing, they will not have an impact on the future nursing shortage. In order for men to choose nursing over other professions, men should be exposed to the historical contributions of men in nursing, as well as changing the perception of male nurses. The lack of male representation in the field of nursing is due to “the feminization of modern day nursing by Florence Nightingale” (Colby, 2013) in the nineteenth century. Nightingale saw all women as nurses and believed that those who entered the nursing field “were doing what came naturally to them as women (Evans, 2003).” According to Evans (2003), “The failure to recognize their contributions leaves male nurses with little information about their professional background and historical position, a situation in which nurse Okrainec (1990) suggests perpetuates the notion that male nurses are anomalies.”

The first step to gaining an equally represented nursing workforce is to ensure all races receive an opportunity to advance their education and become registered nurses. Many cultural beliefs are obstacles for minorities. Families believe that a woman’s place is just within the household or that college is not an option for their children (Wros, Doutrich, and Ruiz, 2009). The nursing industry must advertise vigilantly to both the children and their families that culture should not hold anyone back from achieving their goals, and a nursing career is a good goal to want to achieve. When asked what could be done to increase the amount of minority nursing students, Yvette

Considering that I want to be a nurse, I was especially attentive to them and the work they were doing day to day. Some were younger, some were older. Some identified as male, some as female. Some were bilingual, some only spoke English. Some were pursuing further education, some were content with the degree(s) and qualifications they already held. Although I was not allowed to know much of the patient information, based on the ones I saw in the hallway or interacted with, I could tell that they came from a wide range of demographics. The people that needed treatment or assistance were just as diverse as the ones qualified to give care. I believe the range of diversity contributed to the success of the hospital staff and patient relations.

In the last twenty years, the rising number of disparities in health and healthcare has increased simultaneously with the influx of minorities within the population (Baldwin, 2003) A4. As the size of an ethnically diverse population steadily continues to increase, so will the level of complexities of patients’ health needs, which nurses and other healthcare staff will be expected to address (Black, 2008) A1. The issue of racial, ethnic and health disparities for minorities exists for several complex reasons, however, even with this being widely known, very little action has been taken to try and correct it (Baldwin, 2003) A4. Research findings suggest that without actively implementing cultural diversity within the healthcare workforce, quality in healthcare will decline while health disparities continue to rise (Lowe & Archibald, 2009) A3. So although the shortage of nursing staff should be a high-priority for change in the U.S., the need for more registered nurses with racially

The nurses of today are primarily Caucasian females. There is improvement on expanding the diversity in nursing and many initiatives in place to assist the success of this goal. The image of today’s nurse is apprehensive and invisible; quite the opposite of Margaret Sanger.

Introduction Diversity in Health Care is very important because working with a diverse population create an exceptional organization since; some patients and families feel comfortable walking into a diverse hospital or clinic. When a diverse group of employees comes together, different cultures unite as one striving to undertake the same purpose, which is meeting the organizational standards. Moreover, with a growing society of diversity, it is significant to have a diverse population in the workplace. Besides, creating and managing a strategic organization, as well as educating staff about the impact of diversity in the workplace would help diminish discrimination. Likewise, considering the meaning of strategic management and the role of

Among twenty leading female-dominated professions, registered nurses (RN’s) are the second most occupation that employed women in 2006¬. Similar to many traditionally female professions, the percentage of male in nursing is small. In fact, male nurses only comprised eight percent of RN’s in 2008. Although much effort has been made to recruit more men into nursing, many contributing factors have driven them away from this profession. Those factors include poor nursing image, negative public perception, low economic status, and gender stereotypes. One of the most significant factors that deter men from entering the profession is stereotypes. Research shows that men might be more likely to encounter stereotypes than discrimination;