An astounding lack of diversity in nursing - page 3

I pasted my comment from another thread (above) into its own thread because I'm interested in why y'all think there is such a lack of diversity in nursing and what you think the solutions should be.... Read More

  1. by   NRSKarenRN
    Quote from spacenurse
    if other states mirror mine the majority of lvn/lpns are minority nurses. i think there should be tuition, stipend, mentoring programs to encourage and assist these nurses to earn their rn. and especially more "bridge" programs.

    it would improve the lack of diversity while lessenining the rn shortage at the same time.

    and these nurses have proven they can handle aspects of nursing many cannot.

    from nursing spectrum, monday january 29, 2007...
    copy just arrived in the mail. karen

    hospitals turn to lpns to fill staffing shortages
    the future appears bright for students considering an lpn education or those already holding the credential


    an lpn cannot replace an rn, but lpns can assist them and do it more safely than a patient care technician or certified nursing assistant [cna] in many cases,” says maryann alexander, rn, phd, associate executive director of the national council of state boards of nursing, which is based in chicago.

    alexander believes that the current trend for hospitals to use unlicensed personnel rather than lpns might put patients at increased risk for incidents or negative outcomes such as hospital-acquired infections and falls. in some facilities, the scope of practice for cnas and patient care technicians is extended to include duties that alexander says should be the responsibility of licensed individuals. these duties include performing assessments and invasive procedures, such as inserting foley catheters and drawing blood from central lines.

    “the more you delegate to less experienced and knowledgeable individuals, the more you put patients at risk,” alexander says. basic care needs, such as getting water, changing linens, and feeding patients, might be neglected if unlicensed staff members are too busy with tasks that should be performed by lpns or rns, she adds.......

    from 1984 to 2001, the percentage of lpns working in nursing and personal care facilities grew from 26% to 32%, according to the 2004 hrsa report. during the same time, the proportion of lpns working in hospitals declined from 54% to 32%.

    sure hope this trend reverses itself. educated nurses lpn's certainly provide a higher level of care over most uap. the replacement with uap's to save $$$ is pound foolish when it comes to clinical outcomes.

    as this article states, several schools have mixed student populations with over 50% non-caucasian students. several lpn-rn bridge programs just starting in philly area to promote career advancement to rn role.
    Last edit by NRSKarenRN on Jan 30, '07
  2. by   Annointed_RNStudent
    I've often wondered how affirmitive action and such even work, I applied to two MAJORITY majority hospital, one seeing no minorities, and the other seeing only one, during the interview they told me they were interested in increasing diversity, and told me I interviewed well, only to find out I wasn't hired at either place, but every single place I interviewed that was diverse, I was hired at. Now that I have seen such facilities as Duke and Hopkins, who would even want to work at one where there isn't much diversity?

    So I think that AA/EOE can be BS, and people hire who they want to hire, and I believe that prejudices are still in full force in the hiring process.In Maternal-Child Nursing, Males and Minorities are practically non existent. Part of which Males are responsible for, it is almost expected of male nurses to go to ED/ICU, because that is the norm, but I can't wait to break the mold in Maternal-Child Health!

    Let's just commit to working together in Advancing the Nursing Profession!
  3. by   GardenDove
    If I were having a baby I wouldn't want a male nurse...
  4. by   NRSKarenRN
    Prior to 1990's , most OB's were male....what's the difference as long as competent care provided?
  5. by   Marie_LPN, RN
    Since i am having a baby, i don't care if the nursing helping me is male or female, i just want them to know what the heck they are doing. Either way, i could pretty much guarentee that the nurse will have seen better or worse nether regions than mine.

    I guess i'm just 'over' the modesty thing.
  6. by   Marie_LPN, RN
    Oh, and i don't agree on recruitment based on diversity. To me that's kind of racist in itself.
  7. by   subee
    Quote from NRSKarenRN
    Prior to 1990's , most OB's were male....what's the difference as long as competent care provided?

    Well, let's see what the male-dominated gynnnies given to women - 1. the hysterectomy (fortunately curtailed in recent times) for any and every reason (painful sex was a diagnosis);2. women depending on someone else to help them get through delivery (as opposed to empowering themselves to keep things) and make it painless (!?);and 3.the pitocin drip that starts when the patient walks in the door (so we can get the section finished by 11 pm.
  8. by   VegRN
    I am so sick of hearing about "diversity". The main reason I am sick of hearing about this is because it almost always entails how we can recruit more non white individuals into nursing. Diversity shouldn't just be about recruiting more not whites but, that is always how it is presented and enacted.
    In addition, I have read many times that male nurses (who are the minority) make more money on average than female nurses. This is also the case in other female dominated professions. Seems unfair to me.
    How about being more holistic and recruiting persons with a wide variety of backgrounds, socioeconomic status etc? I would think socioeconomic status would be a bigger factor than race in whether someone went to college or not.
    The university I went to was always talking about being more diverse. The thing is, they university was surrounded by white communities and the university had MUCH more "diversity" than the surrounding communities did in the first place. I would not expect to go to Howard university, an African American university and see a lot of white people. I agree with the previous poster that said that it depends on where you live, and mostly non white nurses worked at her hospital.
    Last edit by VegRN on Jan 30, '07
  9. by   donsterRN
    Quote from GardenDove
    If I were having a baby I wouldn't want a male nurse...
    Gee, that's nice.

    How are we supposed to bridge the gender gap so prevalent by the community at large regarding the nursing profession, when it is apparently alive and well among our own ranks? Aren't we supposed to know better? Aren't we supposed to guide our own careers and be the change we want to see?

    This attitude saddens me.
  10. by   VegRN
    Quote from Don3218
    Gee, that's nice.

    How are we supposed to bridge the gender gap so prevalent by the community at large regarding the nursing profession, when it is apparently alive and well among our own ranks? Aren't we supposed to know better? Aren't we supposed to guide our own careers and be the change we want to see?

    This attitude saddens me.
    Why does it sadden you? Some women feel more comfortable around women and choose a female Md as well. Are you aware that the majority of sex crimes are committed against women BY men? Sexual assault and the like are quite common and maybe some women aren't ready to have their genitals exposed to a male they don't know.
    Certain things are very personal and if a person requests someone of the same sex to provide care for that, you should respect that.
    On my unit there have been male pts that said they would feel more comfortable having a male nurse give them a rectal suppos, place foley, etc and I always respected that.
    Please think about the reasons why a person would prefer this rather than jumping to conclusions.
  11. by   medsurgnurse
    Quote from ZASHAGALKA
    The most glaring statistic (men in nursing aside) is this:

    Hispanics represent 14.5% of the gen pop but just over 2% of nursing.

    I don't think it's an issue of minorities being 'turned away' at the door, but how to get them interested and prepared enough to knock on the door in the first place. I think nursing has an image problem.

    ~faith,
    Timothy.
    Why? Why spend more taxpayers ( because face it that's where it will come from) money trying to get more minorities into nursing. Noone recruited me, I knocked on doors and kicked down a few. Nursing schools accept students based on criteria not race so that's not an issue.
  12. by   medsurgnurse
    Quote from nrskarenrn
    there has been recognition of lack of diversity in nursing by nursing leaders over the past 25 years. here are some of their efforts:

    national efforts:

    1998: ana addressing cultural diversity in profession
    nursingworld | tan jan/feb '98: diversity: a continuing challenge

    1999: ana advocates more diversity in nursing


    2004: ana review: institute of medicine report on workforce diversity ...

    [color=#660000]nursingworld | ojin: the many faces of diversity | web references
    cultural diversity in nursing practice: ana position statement ... national institute of nursing research diversity programs and resources

    decmber 2001, aacn: effective strategies for increasing diversity in nursing programs

    2000: a national agenda for nursing workforce racial/ethnic diversity. national advisory council on nurse education and practice report to the secretary of health and human services and congress.


    [color=#660000]books:

    [color=#660000]strategies for recruitment, retention and graduation of minority nurses in colleges of nursing


    [color=#660000]2002: [color=#660000]minority nurses in the new century
    edited by hattie bessent , edd, rn, faan

    a national survey of ethnic and racial minority nurses and a follow-up pilot project provide a wealth of data and insights for identifying and overcoming workplace barriers. these findings can contribute to diversity in the health care workforce by facilitating minority nurses in professional and leadership roles. 2002/96 pp.
    for free contact hours on this topic, see the ce independent study module disparities in health care and


    [color=#660000]welcome to minority fellowship program
    ...for nearly three decades, the mfp has aided ethnic nurses in attaining advanced degrees in mental health related areas. the two-fold intent is to expand and enhance the scientific knowledge of mental health care, and to provide quality culturally relevant care to a diverse group of individuals and families within the national and throughout the global community. since its inception in 1974, the program has nurtured more than 200 fellows, and these individuals now work in a variety of settings. they are leaders in research, clinical practice, public policy, administration, and community service... http://ana.org/emfp/about/


    legislation and funding:

    us code: title 42,part c--increasing nursing workforce diversity
    in carrying out subsection (a) of this section, the secretary shall take into consideration the recommendations of the first, second and third invitational congresses for minority nurse leaders on "caring for the emerging majority," in 1992, 1993 and 1997, and consult with nursing associations including the american nurses association, the national league for nursing, the american association of colleges of nursing, the national black nurses association, the national association of hispanic nurses, the association of asian american and pacific islander nurses, the native american indian and alaskan nurses association, and the national council of state boards of nursing. http://www.law.cornell.edu/uscode/42...6---m000-.html


    nursing workforce diveristy programthe nursing workforce diversity program (nwdp) is a principal hrsa ... public health service act to increase nursing education opportunities for individuals ...
    bhpr.hrsa.gov/kidscareers/nursing_workforce.htm


    nursing workforce diversity grants (nwd)purpose, the purpose of the nursing workforce diversity (nwd) program is to provide federal funding for projects to increase nursing education opportunities

    2007: nwd budget justification-program description - the goal of the nursing workforce diversity program is to improve the diversity of the nursing workforce to meet the increasing need ...
    www.hrsa.gov/about/budgetjustification07/nursingworkforcediversity.htm




    individual state/facility efforts:

    penn nursing: diversity in education
    appointment of clifford jordan to teaching faculty, school of nursing, 1966 by dean dorothy mereness ...

    nov 06: nurse retention and workforce diversity in nyc--final report

    recruitment and retention of hispanic nursing students

    the california endowment - march 27, 2002 - central valley nursing ...

    national health foundation + calif. - nurse workforce presentation.ppt

    2007:
    the relationship between cultural competence education and ...
    thanks for the information. it looks like much is being done to increase diversity.
  13. by   CHATSDALE
    trudy you have put in some good points as have many others

    i know black mds who will not hire a white nurse in their clinics, i know women who look down on males as not 'real' nurses . on the other hand i have had female pts who would want a male rn to put in ivs..by the way i really hate the term male rn i think that they should be viewed as nurses and for the gender

    the idea of educating the lpns to rn status is a very good one, they know what nursing entails and you will have less of those accepting a opening in a program and then dropping out when reality bites the fire out of them a drop out reduces the population of nurses

    too many minorities tach their children to blame discrimination for every setback..sometimes this is true but you will have to ignore these people and show them by example what you are made of

    because the racial makeup of this area there are many black mds, rns, lpns
    male and female = this is prpably because of the knowledge that their jobs will not be outsourced, that this will give a good paycheck to support self and fly, they will receive respect from their peers and patients..some are advancing to higher paying jobs and large percentage of their children are going to college and beyond
    nursing is hard work and it is not based on gender, race etc..your future is in your hands

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