Racial Discrimination in the Nursing Profession

My article describes what racial discrimination is and how it can be present in the nursing profession. I included a personal story of my own experience with racial discrimination and the negative effects that it had on me. I also provided a few tips on how to deal with racial discrimination appropriately and ended the article with an opening for other potential comments or stories. Nurses General Nursing Article

Racial discrimination is the discrimination of minority individuals based on their race, skin color, or ethnicity. Racial discrimination is a popular topic today evidenced by instances of police shooting unarmed suspects and individuals calling the police on minorities for no reason. The problem is exacerbated by social media videos and political influences. Racial discrimination can occur in any setting including your work setting, stores and restaurants, a job interview, and even applying for credit.

The nursing profession is not immune to the problem of racial discrimination either. Less than 25% of the nursing workforce in the United States are minorities. Racial discrimination can be the basis for failures to promote, termination, patient requests, and disciplinary actions. Have you ever been told that the patient requested "only white nurses", or they stated that they "did not want a black nurse"? These are some examples of racial discrimination demonstrated by patients in the nursing profession. Minority nurses may experience racially motivated bullying and feel as if they are being talked down to by other members of the interprofessional healthcare team, such as physicians, managers, supervisors, administrators, and even colleagues and coworkers. The failure to promote based on racial discrimination has been happening for years and is the basis for many discrimination lawsuits.

My Story: My own personal experience with racial discrimination in nursing stemmed from a situation of failure to promote. I had been an employee working for a healthcare facility for approximately three years. In the course of my employment, I had obtained a Bachelor Degree in Nursing and was working on a Master's Degree in Nursing Administration. A month or so prior to the incident, I was trained in the charge nurse/supervisor role and began to fill in in the absence of the supervisor. When the supervisor was promoted to the nurse manager position it was expected that I would move into the open supervisor position. The position was posted and there were both internal and external candidates. During the application and interview process, I continued to fill in in the supervisor position, which lasted for a little over a month. I was eventually notified that the position had been given to another internal candidate who had not even completed the 90-day probation period. Other contraindications for this promotion included the selected candidate not having a bachelor's degree and not being already trained in the position. We both had charge nurse and supervisory experience, although she had been a nurse longer than me, I had more experience in that specialty and setting. The only major difference between us was race. How can a new employee with less experience and credentials be chosen for promotion over a 3-year employee with the experience and credentials, and already trained and doing the job? I asked myself the same question. Even after the other nurse was promoted, I continued to fill in as the relief charge nurse. So did that mean I was good enough to fill in but not good enough to be the permanent supervisor? The whole situation affected me very negatively. I lost confidence in myself and began to think about quitting the master's degree program. I began to question if it even mattered that I had an advanced degree because my race and skin color would block me from moving up in the nursing profession. I became so discouraged and disillusioned with being in nursing administration and eventually changed my concentration to nursing education. For days it clouded my thoughts and judgment. I had trouble sleeping and just felt bad in general. Eventually, I decided that I had to address the situation in order to move on.

There are measures you can take to protect yourself against racial discrimination. Racial discrimination is a violation of the "Civil Rights Act of 1964". Minority nurses who feel that their civil rights have been violated should first file a complaint with their organization's human resource office. In some cases, a complaint must be filed with your organization's corporate human resources office. If the issue is not resolved, the nurse may choose to take action outside of the company and retain an attorney for the potential of filing a Civil Action Lawsuit. In some instances of racial discrimination, you may react negatively lashing out or becoming indignant. This is the wrong action to take. When dealing with instances of racial discrimination in nursing remember to:

  • Confront the situation but stay professional
  • Keep a written record of occurrences
  • Do not quit your job
  • Attempt to resolve the issue internally
  • Seek outside counsel if necessary

Being racially discriminated against may not be a big deal to some, but the truth is discrimination can affect you mentally, emotionally, and even physically. No one should be allowed to make you feel diminished or second best based on the color of your skin. Are there any other minority nurses out there who have experienced racial discrimination in nursing?

Yet no one else has been willing to venture anything productive. It's hard to imagine why discrimination is alive and well when so many are willing to attack an ally in the fight just because I suggest they think.

You're not an ally. You're trying to masquerade as one.

Allies dont use phrases like "playing the race card."

They dont say things like, "every time a minority doesnt get their way."

They dont try and hijack threads written by a minority POC asking for the stories and experiences of other POC,to turn the topic of conversation to "well its not ALWAYS racism."

You can go sell that "abused ally" story somewhere else because NO ONE here is buying it.

You're not an ally. You're trying to masquerade as one.

Allies dont use phrases like "playing the race card."

They dont say things like, "every time a minority doesnt get their way."

They dont try and hijack threads written by a minority POC asking for the stories and experiences of other POC,to turn the topic of conversation to "well its not ALWAYS racism."

You can go sell that "abused ally" story somewhere else because NO ONE here is buying it.

Thank you!

So, essentially you are insinuating the OP is crying wolf??

That's the thing, covert racism is well and alive. In my almost 20 years of nursing, I've seen it in many different forms: a surgeon who makes bogus complains on one of the best nurses in the unit (African American); a family that tells you they do not want that night nurse again because "they didn't connect"; a manager who keeps writing up a nurse for menial transgressions (i.e. not labeling an IV site); an educated/experienced nurse being passed for promotion for someone with far less experienced....you get the picture. Unless you are a minority yourself (or really closed to one), it is really difficult to relate and understand where they are coming from. Honestly, I'd have more respect for someone who is direct in their point of views vs someone who passive aggressively discriminate in an overt manner. I think I'd give the OP enough credit and respect (since she is the one going through that situation) to believe and empathize with what she is sharing in this forum.

She should have labeled the IV site. Maybe someone is sleeping with someone and she is not.

There is a ton of so-called reverse discrimination out there, too.

Maybe personality enters into the equation.

Just because someone says it's so, doesn't mean it is.

A brave article that brings to light something that most would rather pretend isn't happening. Unfortunately (or perhaps fortunately?) the current political and social climate has thrust the truth of it out into the spotlight and it is very difficult to look away from. It is also very difficult to look directly at. How many of us would like to believe we do not have any social bias? How many of us decry the idea of privilege, finding it far more comfortable to believe the playing field is level, despite all evidence to the contrary?

Keep singing your truth, OP. We all need to hear it, think about it and let it and stories like it change us from the inside out. I am torn up about what is happening in our country and will do what I can to be part of the solution. Sometimes that looks like listening, accepting, thinking and giving credence. Your truth is yours and someone's unwillingness to entertain the idea that it isn't true has less to do with you than it does them. Summary dismissal is just too easy and almost never the right response and it is brave of you to subject yourself to it in the name of putting light on a subject so many prefer to ignore.

And sometimes it means the minority could actually be in the wrong. Or do you just not think that is ever possible?

Specializes in Critical Care.

Going back to the original post; OP, what is your next move??

Are planning to stay in that unit or venture somewhere else?

Specializes in Critical Care and ED.
Another form of discrimination we don't talk enough about is age discrimination. This effects people of all races and ethnic backgrounds. I'm going through this right now. I would like to return to nursing after being on FEMLA, but all I get is rejection. I'm 57, with a BSN. They only look at my 9 year absense.

This is happening to me right now. A few years ago I could apply for a job and have a call the next day. Now I have even more experience, degrees and certifications up the wazoo and I can't even get arrested since I turned 50. They say they don't take it in to consideration but I've many a time had to enter my birthdate or the year I graduated college so of course they're going to figure it out. I heard recently a girl I know got an interview at a unit I'd been trying to get into for months. She has minimal experience and isn't very "dynamic" if you know what I mean. She just happens to be 20 years younger then me. The basis behind this I feel is money. I'm sure she'd happily accept a position for half of what I expect to be paid. It's made me pretty mad to be honest, and hopefully when I graduate as an NP I won't face the same nonsense.

Specializes in Critical Care and ED.

On the subject of racism, I haven't seen it personally as my hospital is pretty multi-cultural and we're a tight knit group that respect each other. However, I know that just because I haven't seen it doesn't mean it's not going on. There are subtleties to this that I don't pretend to understand as I haven't faced it personally. Just like many people scoff at perceived homophobia...they don't face it and so don't "get it"...but I know it's happening. I just hate that it's 2018 and we're still dealing with this nonsense. I had an NP class last semester that had a high proportion of African-Americans in it and I thought that was fantastic. What a smart bunch of people they were. It's them that will change society by changing people's perspectives. Give it another 10 years and this will start to fade as times change. Youngsters won't put up with this stuff anymore.

I worked at a very racially diverse hospital. But when I actually thought hard about it after reading this thread, I realized that I can't think of even one unit manager who wasn't white. So although minorities were hired in healthy numbers, they weren't put in positions of higher responsibility.

My two cents... I think that area of the country plays a role... Recent news had NY metro area toward the top of most diverse. Must have some truth to it, since my graduating class is as diverse as the managers I have run into in different facilities. I don't dismiss the OP's statements. Seen enough national news stories to see some of the news-making incidents in the South just have not happened in my area. At least that I know of...

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
You didn't do anything to be sorry for.

Minorities deal with discrimination in many aspects of our lives.

I may not have personally done anything to you. But I have been guilty of stereotyping and wrongful perceptions about people in the past. I know I have. I am learning. And listening. Stories like yours remind me I have no idea what it means to be a minority or disenfranchised in this country.

I am sorry, not for a perceived wrong on my part toward you, but for this situation. And how awful it is, each day ,to realize how far we have NOT come in this country.

That you would be rejected based on your race, I am sorry for that.

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

I come from a very racially diverse city in the USA. But within the city, are still racial divides, in geography and treatment, discrimination, perceptions. A racially diverse area does not guarantee better situations for minority race people.

I know that much.

But "everybody" doesn't agree.

That's what I meant....there are only about 30 different "sides", aspects, interpretations, feelings, understandings, horror stories, about racism. I can understand where the posters are coming from in all sides of the issue...but I didn't read every post thoroughly....if someone said racism doesn't exist I wouldn't agree with that.