An astounding lack of diversity in nursing

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https://allnurses.com/forums/f34/african-american-male-nurse-practitioners-4734.html

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.

This is a touchy subject, I know, so I only ask that you keep your comments respectful and constructive:

As a minority we experience many unnecessary, unexplainable things that our equal counterparts never even have to deal with, like be confused with all of the healthcare team auxillary members (CNA,house keeping,PT,RT,patient escort, lab tech, pharm tech, etc...) while having a badge that Ray Charles could see identifying us as an RN!!!!! When you pretend to yourself that it doesn't happen, it is because you have probably been guilty of it yourself. Have you noticed how receptive people are to a young (majority) male in scrubs/lab coat versus a minority male in scrubs/lab coat?????? The minority could actually be the MD and majority the scrub tech, but guess who gets the MD RESPECT?

Older thread I came across but wanted to comment on this:

First, some demographics: in the U.S. as of 2000, RNs are comprised of:

http://bhpr.hrsa.gov/healthworkforce/reports/changingdemo/composition.htm#3.3.2

White Female: 82%

non-Hispanic African American Female: 4.9%

Asian Female: 3.5%

Hispanic Female: 2%

Native American Female: 0.7%

Mixed/Other race Female: 1.2%

White Male: 4.7%

All other Male: 1.0%

3 points:

1. The key statistic here is that only ONE PERCENT of nurses are non-white males. If I mistake a minority male as being somebody OTHER than a nurse, sure, there might be some built-in cultural bias there, but it's just as likely that it's because of the rarity of such nurses in the first place.

Now, you might argue that the rarity is the real problem and I would agree. A profession that under-represents minorities by a factor of 3 and males by a factor of 9 needs to ask itself one potent question: why?

2. I think the OP has had a difficult time over the years finding fellow minority male NPs because those nurses would be a fraction of the ONE PERCENT total number of non-white male nurses. A small pool to swim in, to be sure.

3. As demographics change, nursing is simply going to be forced to address this issue of an astounding lack of diversity in its ranks. As our nation drops below 50% "white" in the next decade or two, it will simply become unfeasible to continue to recruit 86.6% of RNs (male and female combined) from the shrinking pool of whites in this nation. Think real hard about that last statistic: something is amiss in how we recruit nurses. Something's broken and needs to be fixed.

(disclaimer: it's not my intent to be biased against LVN/LPNs, however, I got my stats from government links that only tabulated RNs.)

~faith,

Timothy.

Specializes in Lie detection.

another white female here. i certainly didn't get handed anything either, matter of fact i had to struggle like heck to get what i have. i grew up quite needy with mom on social services. i had to work to help put food on the table and put myself through school.

college was a necessity for me. without it, i knew i would be destined to a lifetime of low paying jobs and struggling to make ends meet.

in my current area of nursing and job, i am a minority. the majority of nurses are black females. they are diverse in the fact that they are not all american born, some from jamaica, trinidad, africa, england,and several other places. i would say that at the level of staff nurses it's probably about 80-85% black and 15-20% white. management is more equal with about 50/50.

i love diversity, the more the better in my eyes, and i don't like anything that separates us. i wish we had more organizations that focused on joining nurses together in general, keeping us in unity, rather than focusing on a specific ethnicity.

i really wish the world was colorblind, reality stinks.

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.

I don't think we're ever going to see an end to racism as long as ANY distinctions are made for any race.

AMEN!!!!!!!

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.
But when I see official nursing associations that I am excluded from, based on my color, I think: so it was bad back then but now it's ok as long as it's not YOU? If it's wrong, it's wrong.

Completely agree.

Specializes in Critical Care.

Lots of people have commented along the lines of: I desired it, I pursued it, why can't anybody else?

Fair enough.

Two issues here.

1. WHY aren't more minorities desiring to pursue nursing? This is an important question and addresses cultural differences.

2. The issue isn't today, with full wait lists, but going forward to the future. IN THE FUTURE, there is going to be greater demand for nurses from a smaller demographic that includes more and more minorities.

If minorities are not invested in becoming nurses, for WHATEVER reason, that has to be addressed now or otherwise, in a very few short years, there are simply not going to be enough applicants for nursing.

AT THAT POINT, when demand for nurses hits headlong into a brickwall of little supply, something will have to give. I'm afraid that what will give is that our responsibilities, which can no longer be sufficiently recruited, will be handed off to a lower level of care.

Folks, this is ALREADY happening.

At this point, addressing this issue is a matter of future job security, for all of us.

At the other end of the spectrum, this IS an issue of fairness. If whites have a built in advantage of cultural desire to become nurses, then it's simply an issue of fairness to address why this isn't the case for other minorities. This is not simply a black/white thing. The biggest current gap between population and representation in nursing is with Hispanics.

The issue isn't giving some minority a 'leg up', or lowering standards. The issue is getting the highest standard of candidates to be interested in nursing, regardless of race.

A color-blind society would be wonderful. However, there is simply not a color-blind level of interest in nursing. It is important, I believe, to figure out why that is the case.

~faith,

Timothy.

Specializes in Critical Care.

I think programs should add a clinical or two at the end of the programs (in addition to the current clinical hours) for students to reach into the community to be role models for nursing. I think those clinicals should factor race and sex. Male nursing students should go into boy scout meetings, etc., and promote nursing. Minorities students should go into like minority community centers for after school youths and promote nursing. The more our youth see similar peers promoting the concept, the more their interests might be sparked.

~faith,

Timothy.

Specializes in Tele, ICU, ER.

Timothy - I always love your posts - they're always well thought-out and intelligent.

But I STILL say, give race a darn REST! So I had a cultural affinity for nursing? Since when? I wasn't raised around nurses, I wasn't recruited, never met a nurse in HS except the health teacher one year, didn't have a medical background and hadn't a clue WHO was becoming nurses, race-wise. I have a cultural affinity for pasta - that's what I have a cultural affinity for.

If you want people to be nurses, ANY people, then let's TELL PEOPLE what we do. In ALL highschools, not just minority schools. In ALL communities, not just minority communities. Make nursing as a career choice as common on one's lips as Mickey Dee's for lunch. Nursing sure does need an overhaul - sure does need a good PR campaign, but I do not believe that basing it on race does anything at all to bring about equality.

I totally agree with you that schools should look at and be graded on attrition. The nursing school forums here are FULL of students who are bullied by nasty instructors, dropped from school when something might have been done - nursing schools seem to have an US against the Students attitude (I remember from my own days). We were treated like children, insulted on a daily basis, and made to feel like idiots. "You should have read that" should never be an answer. If it needs explaining more, then explain it. And I'm not denying that there is still racism in the world and in the world of nursing - racism on MANY sides, I might add. However, if you take race OUT of all of these equations, then someday, just maybe, when someone does bring up race, the rest of the country will look at them like they have two heads, because it will be so RARE.

I will support any initiative that supports ALL races, all communities and people's option to become a nurse. Just don't base it on race/skin color. That's just getting old.

And for the record, I am a white female in a VERY culturally diverse area, where there are very very much more hispanic and black nurses (from both this country and many others) where I work.

I don't judge people based on race and I'm very very tired of folks of other races assuming I do, just because I'm white. So sorry - in my next life I'll plan it better. Like ANY of us have a choice.

Specializes in Critical Care.
If you want people to be nurses, ANY people, then let's TELL PEOPLE what we do. In ALL highschools, not just minority schools. In ALL communities, not just minority communities. Make nursing as a career choice as common on one's lips as Mickey Dee's for lunch. Nursing sure does need an overhaul - sure does need a good PR campaign, but I do not believe that basing it on race does anything at all to bring about equality.

I agree. Those extra clinicals would include white female students going into all our youth communities to promote nursing as well. The POINT would be a radical overhaul of sparking interest, at a young age.

But, I think that minority and male youths might be MORE sparked if those that promote nursing to them are similar peers. It's a matter of identifying with the role model.

Take race out of it for a minute. Imagine the power of boy scouts hearing from a male student nurse 2 weeks from graduating. We need to recruit more males, as well. We need to recruit more white females down the road as well, so having white female students out there recruiting would be part of the solution, too.

This is a generic concept that would apply to all students and all forums. I'm just suggesting that we pair the forum to the role model, is all.

~faith,

Timothy.

While I've learned so much from this thread, it leaves me with a thought that I'm unable to answer, being a white female....

.... what has the black or any minority community done to recruit, lament the status of that of an RN.? How does ones cultural community hold a higher standard to this position?

I'm at a bad negative day today, where I see race unimportant as we're ALL treated inferiorly, with a pretense of management to have a say-so, which we are never truly given in the end.

I see us ALL, every race suffering through this nursing shortage, overstaffing, customer service, press gainey scores... and I don't see any cultural differences, struggling to provide the required 5* service with 2* resources on upping each other, no matter what lab coat we don.

as a female, the black male in a lab coat will be called doctor, treated better as a male by physicians then I. I still don't see this as a race or gender issue... to me... we're all drowning here..... and only WE can save ourselves, not by further pointing out or deliniating gender or race, but working together as nurses.

I miss your point entirely....I see my peers no different than me.

Rather than separate, perhaps you can focus your energy on unifying. I have nothing else to say. I've said it all.

carol

Specializes in Critical Care.

Ultimately, this isn't an issue of any particular nurse, but one of demographics. When nursing under-recruits minorities by a factor of 3, something is amiss.

It's easy to throw up hands in disgust that this is yet another personal accusation that shouldn't be leveled at all us white nurses that don't personally discriminate.

But the demographics don't lie. There IS something that needs to be addressed. It's not an issue of a 'blame game', but one of fostering empowerment.

Ultimately, that empowerment will benefit us all. Therefore, it's worth some time and consideration.

Nobody is BLAMING any one of you (us) for being white. However, noting an astounding gap, it is reasonable to ponder why that gap exists, in the first place. More important, it is reasonable to ponder how to address it.

Just because none of you are at fault for creating this gap does not mean the gap therefore doesn't merit being addressed.

I'm not pondering quotas or 'reverse discrimination', rather, how to bring more of ALL RACES to a future table that will suffer from the future demographics that govern it. It just so happens at this time that there are plenty of white women (82% of all nurses) interested in nursing. How do we get more of ALL races (and both sexes) interested in nursing, to benefit that future for all of us? Since that future will see many more minorities in the demographics, we must address those areas as well, or we will all come up short.

~faith,

Timothy.

Specializes in Global Health Informatics, MNCH.
Ok, I will call your raise.

Discovernursing.com

Search criteria

State: Mississippi

Gpa 3.5

Ethnicity No restriction

Program Undergraduate

In spite of these criteria it returned 32 scholarships funded by various institutions far far away. Which require committing to working there for X amount of time. Which I believe falls into my criteria of terms I'm not willing to accept.

BSN or LPN bridge programs-3

Religious affiliation-4

Gender (opposite)- 2

Ethnicity - 8

with no location restrictions

Other -3

other includes criteria such as participation in equine activites, go figure

All - 1

all includes my criteria, adn, with no gender or ethnicity requirements

Didn't have the same luck at DiscoverNursing. I only found 4 scholarships for Hispanics, 2 from the same organization, none worth over $2000 (not much of a dent in the $80,000 I needed last year), all had a financial need requirement (I'm not going to qualify) and one required I be fluent in Spanish (I'm not). Sorry darling, I know you want someone to blame, but at the end of the day scholarships go to really smart and/or really poor people. When you stack that up against the economic power of whites who could possibly send there kids to school for free versus minorities that can afford to do that, a couple of $2000 scholarships really don't make it even. I know at least 5 women, I'm sure there were more, at my school who had it paid for by mommy and daddy, and this is a second degree program. But when I looked around the classroom, there were only 3 Latinas, even though the school is located in an area that 90% Dominican, and I don't know about the other 2 students but I'm not from the area. I realize you're not one of the fortunate ones but that doesn't erase the fact that racism has and continues to exist in this country, and that economic imbalance that it causes creates serious disadvantages for minorities. I'm not mad that I can't get a scholarship because I'm not poor so I don't see what you are so upset about. Maybe you don't know a lot of minorities, I know many, and none of my friends got scholarships because of their race, it was poverty and academic achievement that got them money. My roommate in college (not a minority) however, got more grant money from the school then me because of her financial "need", this despite the fact that she kept on campus a $25000 horse, a $20000 truck and a $15000 trailer for the horse. Her dad was a detective for the LAPD, my dad for the NYPD, her mom was a stewardess, my mom was a secretary. Her parents knew how to work the system, mine didn't. So really, can we drop the whole, minorities get all this scholarship money bs, my $130,000 in student loans are quite a testament to the fact that it's just not true.

It shouldn't cost $130,000 to go to nursing school, that's ridiculous. Also, I have four grown white male sons, I'm white, and I can't afford to give them all an educational carte blanche. My kids all pay their own way, so stereotyping white people as all living on easy street is a bunch of annoying bs, imho.

Timothy, I have two questions I'd like you to address.

The WHY aren't more minorities interested in a nursing career. Obviously no solution will be effective until this is understood. I don't have any personal experience to help me understand what prevents a minority individual from making the same descision I did.

And how you think that lessening the attrition % at schools will help minorities any more than white individuals.

I'm lucky to be going to a school at a military base where diversity is a fact of life. I think I'm also lucky that my school doesn't seem to play as many head games as I've read here on the board. The teachers are supportive and I've never heard of anyone failing clinicals because the teachers will just keep recycling teaching with testing for you to pass. HOWEVER, we still lost 12 out of 41 students the first semester because of grades. The school should be punished because the students didn't study enough?

People (no matter what race) still need to take personal responsibility and step up if they want to pass.

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