Abstract
Despite years of research identifying healthcare disparities as a fundamental concern, health equity remains an elusive goal for many communities. Healthcare disparities are fueled by upstream factors that lead to avoidable differences in healthcare outcomes and reduce the quality of life for racially and ethnically diverse populations. While no single approach will resolve healthcare disparities, addressing the most significant barriers to and strategies for achieving health equity could provide a crucial step to improve outcomes. This chapter highlights recommendation 2 of the Future of Nursing 2020–2030 report and is guided by the Institute for Health Improvement’s (IHI) white paper entitled Achieving Health Equity: A Guide for Health Care Organizations.
Future of Nursing 2020–2030: Recommendation 2
By 2023, state and federal government agencies, healthcare and public health organizations, payers, and foundations should initiate substantive actions to enable the nursing workforce to address social determinants of health and health equity more comprehensively, regardless of practice setting.
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References
Braveman P, Arkin E, Orleans T, Proctor D, Plough A. What is health equity? And what difference does a definition make? Princeton: Robert Wood Johnson Foundation; 2017.
National Academies of Sciences Engineering, and Medicine, National Academy of Medical Sciences, Committee on the Future of Nursing. In: Flaubert JL, Le Menestrel S, Williams DR, Wakefield MK, editors. The future of nursing 2020-2030: charting a path to achieve health equity. Washington, DC: National Academies Press (US). Copyright 2021 by the National Academy of Sciences. All rights reserved; 2021.
Fouad MN, Ruffin J, Vickers SM. COVID-19 is disproportionately high in African Americans. This will come as no surprise…. Am J Med. 2020;133(10):e544–e5.
National League for Nursing Vision Statement: The Equitable Determinants of Access to Vaccine Distribution & Vaccination for All. 2021 [cited 2021 May]. https://www.nln.org/detail-pages/news/2021/05/20/NLN-Publishes-New-Vision-Statement-The-Equitable-Determinants-of-Access-to-Vaccine-Distribution-Vaccinations-for-All.
Centers for Disease Control and Prevention. National diabetes statistics report 2020. Estimates of diabetes and its burden in the United States. Atlanta, GA: Centers for Disease Control and Prevention; 2020.
Lee LT, Jung SE, Bowen P, Clay OJ, Locher JL, Cherrington AL. Understanding the dietary habits of black men with diabetes. J Nurse Pract. 2019;15(5):365–9.
Lee LT, Willig AL, Agne AA, Locher JL, Cherrington AL. Challenges to healthy eating practices: a qualitative study of non-Hispanic black men living with diabetes. Diabetes Educ. 2016;42(3):325–35.
Dawes DE. The political determinants of health. Baltimore: Johns Hopkins University Press; 2020.
Pindus N, Kingsley T, Biess J, Levy D, Simington J, Hayes C. Housing needs of American Indians and Alaska Natives in tribal areas: a report from the assessment of American Indian, Alaska Native, and Native Hawaiian housing needs: executive summary. US Department of Housing and Urban Development, Office of Policy Development and Research; 2017.
Workgroup NCtARiNR. Racism in nursing: national commission to address racism in nursing. 2022 [cited 2022 Dec 16]. https://www.nursingworld.org/~49c4d0/globalassets/practiceandpolicy/workforce/commission-to-address-racism/racism-in-nursing-report-series.pdf.
Leading nursing organizations to launch the national commission to address racism in nursing [press release]. Silver Spring, MD: American Nurse Association Enterprise; 2021.
Thurman WA, Johnson KE, Sumpter DF. Words matter: an integrative review of institutionalized racism in nursing literature. Adv Nurs Sci. 2019;42(2):89–108.
Scally CP, Lo L, Pettit KL, Anoll CH, Scott K. Driving systems change forward: leveraging multisite, cross-sector initiatives to change systems, advance racial equity, and shift power; 2020.
Smiley RA, Ruttinger C, Oliveira CM, Hudson LR, Allgeyer R, Reneau KA, et al. The 2020 national nursing workforce survey. J Nurs Regul. 2021;12(1):S1–S96.
Nursing AAoCo. Nursing fact sheet, Washington, DC; 2022. https://www.aacnnursing.org/news-Information/fact-sheets/nursing-fact-sheet.
Association AN. Our racial reckoning statement, Washington, DC; 2022. https://www.nursingworld.org/~4a00a2/globalassets/practiceandpolicy/workforce/racial-reckoning-statement.pdf.
Fields SD, Wharton MJ, Ackerman-Barger K, Lewis LM, Beard KV. The rise of diversity, equity, and inclusion (DEI) practitioners in academic nursing. OJIN. 2022;27(1), manuscript 3. https://doi.org/10.3912/OJIN.Vol27No01Man03.
Olds DM, Aiken LH, Cimiotti JP, Lake ET. Association of nurse work environment and safety climate on patient mortality: a cross-sectional study. Int J Nurs Stud. 2017;74:155–61.
Smith JG. The nurse work environment: current and future challenges. J Appl Biobehav Res. 2018;23(1):e12126.
Lake ET, Sanders J, Duan R, Riman KA, Schoenauer KM, Chen Y. A meta-analysis of the associations between the nurse work environment in hospitals and 4 sets of outcomes. Med Care. 2019;57(5):353.
Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001;52(1):397–422.
Lake ET. Development of the practice environment scale of the nursing work index. Res Nurs Health. 2002;25(3):176–88.
McHugh MD, Kutney-Lee A, Cimiotti JP, Sloane DM, Aiken LH. Nurses’ widespread job dissatisfaction, burnout, and frustration with health benefits signal problems for patient care. Health Aff (Millwood). 2011;30(2):202–10.
National Academies of Sciences Engineering, and Medicine, National Academy of Medical Sciences, Committee on systems approaches to improve patient care by supporting clinician W-B. Taking action against clinician burnout: a systems approach to professional well-being. Washington, DC: National Academies Press (US). Copyright 2019 by the National Academy of Sciences. All rights reserved; 2019.
Rosa WE, Schlak AE, Rushton CH. A blueprint for leadership during COVID-19: minimizing burnout and moral distress among the nursing workforce. Nurs Manag. 2020;51(8):28.
Cuellar NG, Aquino L, Dawson MA, Garcia-Dia MJ, Eun-Ok I, Jurado LM, Lee YS, Toney DA. Issues of COVID-19 and health disparities in minorities in the U.S. J Transcult Nurs. 2020;31(5):434–43. https://doi.org/10.1177/1043659620941578.
Carthon JMB, Travers JL, Hounshell D, Udoeyo I, Chittams J. Disparities in nurse job dissatisfaction and intent to leave: implications for retaining a diverse workforce. J Nurs Adm. 2021;51(6):310–7.
Campinha-Bacote J. Cultural competemility: a paradigm shift in the cultural competence versus cultural humility debate—part I. Online J Issues Nurs. 2019;24(1).
Public policy awakening: NBNA’s new call to action [press release]. Silver Springs, MD: National Black Nurses Association; 2022.
Byrd JT, Daniels CL, Flores DD, Kayle M, Lewinski AA, Smith JB, et al. Establishing a research racial justice task force to improve diversity, equity, and inclusion in nursing research. Nurs Outlook. 2022;70(5):758–61.
Yearby R. Race based medicine, colorblind disease: how racism in medicine harms us all. Am J Bioeth. 2021;21(2):19–27.
Callier SL. The use of racial categories in precision medicine research. Ethn Dis. 2019;29(Suppl 3):651.
Churchwell K, Elkind MSV, Benjamin RM, Carson AP, Chang EK, Lawrence W, et al. Call to action: structural racism as a fundamental driver of health disparities: a presidential advisory from the American Heart Association. Circulation. 2020;142:e454–68.
Jones RA, Hirschey R, Campbell G, Cooley ME, Somayaji D, Lally R, et al. Update to 2019-2022 ONS Research Agenda: rapid review to promote equity in oncology healthcare access and workforce development. Oncol Nurs Forum. 2021;48(6):604–12.
Klarman SE, Formica RN. The broader sharing of deceased donor kidneys is an ethical and legal imperative. J Am Soc Nephrol. 2020;31(6):1174–6.
Cerdeña JP, Plaisime MV, Tsai J. From race-based to race-conscious medicine: how anti-racist uprisings call us to act. Lancet. 2020;396(10257):1125–8.
DeConinck JB. The effect of organizational justice, perceived organizational support, and perceived supervisor support on marketing employees’ level of trust. J Bus Res. 2010;63(12):1349–55.
Kuh GD. Organizational theory. In: Student services: a handbook for the profession, vol. 4. New York: Wiley; 2003. p. 269–96.
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Lee, L., Flores, D.D., Tucker, K., Gakumo, C.A., Dawson, M.A. (2023). Nursing’s Role in Advancing Health Equity. In: Hassmiller, S., Darcy Mahoney, A., Beard, K. (eds) The Future of Nursing 2020-2030: Global Applications to Advance Health Equity. Springer, Cham. https://doi.org/10.1007/978-3-031-29746-5_2
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