Celebrating Dr. Ildaura Murillo-Rohde, Trailblazing Hispanic Nursing Pioneer

Celebrating Dr. Ildaura Murillo-Rohde, Trailblazing Hispanic Nursing Pioneer

Ildaura Murillo-Rohde, PhD, RN, FAAN, is a pioneering Hispanic nursing leader who shattered barriers for Latina leaders in education, research, and nursing. We are honored to celebrate her contributions on National Hispanic Nurses Day.celebrating-dr-ildaura-murillo-rohde-trailblazing-hispanic-nursing-pioneer

Her background in academics and healthcare policy is impressive, and to add to her resume, she founded the National Association of Hispanic Nurses (NAHN) in 1975 and served as president until 1980.

Throughout her career, Dr. Murillo-Rohde has campaigned for Hispanic diversity in nursing, emphasizing the importance of understanding a patient’s culture when caring for their needs.

Her legacy has left behind more Hispanics who represent the nursing population by giving back to their community as dedicated leaders.

Nursing Beginnings

Dr. Murillo-Rohde was born in Panama on September 6, 1920. Her career ambitions came from wanting to “join the army and help” during World War II in the 1940s. After immigrating to the United States, she graduated with a nursing degree from the Medical and Surgical Hospital School of Nursing in San Antonio, Texas, in 1948.

Her nursing studies inspired her to complete a bachelor’s degree in psychiatric nursing from Teachers College, Columbia University. This degree motivated her to become an expert in psychotherapy and marriage and family therapy later in her career.

She completed several other degrees in education administration and teaching, earning a PhD from New York University and becoming the first Latina to do so. She became an academic leader at many different universities across the U.S., including Bellevue Hospital School of Nursing in New York City, the University of Puerto Rico and SUNY’s School of Nursing.

In the early years of her career as a family therapist in New York City, Dr. Murillo-Rohde noticed how important representation is within the healthcare system for Hispanic families who want professionals to understand their culture. Even as a nurse in San Antonio, she didn’t find others like her representing the large Latino population in the city.

She found this to be the same case in Washington, D.C., when she worked with the federal government reviewing research and educational grants.

“I began to realize that something had to be done about this,” said Dr. Murillo-Rohde, according to Minority Nurse. “There was nobody else. I looked behind me and thought: ‘Where are my people?'”

Founding the National Association of Hispanic Nurses 

Dr. Murillo-Rohde was a member of the American Nurses Association during the 1970s but felt like the primarily white members weren’t receptive to the needs of Hispanic nurses at the time.

With a group of about 15 Hispanic nurses, the National Association of Spanish-Speaking Spanish-Surnamed Nurses (NASSSN) was created in Washington State, where Dr. Murillo-Rohde was an associate dean of the School of Nursing at the University of Washington. As the organization grew, it was renamed the National Association of Hispanic Nurses.

Today, NAHN provides healthcare opportunities to Hispanic nurses in the U.S. and is actively raising awareness for effective health policy, improving the quality of Hispanic care, and increasing Hispanic nurses’ engagement in the workforce.

The organization sponsors an award and scholarship in her name, honoring members who have achieved excellence in nursing education, research, and practice.

Her Contribution to Hispanic Nurses

Where many Hispanics didn’t see a pathway to healthcare, Dr. Murillo-Rohde paved the road for Hispanics of any origin to work in any nursing field.

Wherever Dr. Murillo-Rohde went, she became an advocate for nursing education, AIDS, cancer care, marriage and family therapy, family relations, and cultural diversity to improve the lives of others. The former nurse believed that all patients, especially Hispanics, deserved respect and compassion for their respective cultures.

She passed away on September 5, 2010, a day before her 90th birthday in her homeland of Panama.

Honoring Hispanic Heritage with Ashley Merida

Honoring Hispanic Heritage with Ashley Merida

Ashley Merida BSN, RN is the president of the Phoenix chapter of the National Association of Hispanic Nurses and talked with Minority Nurse recently to help mark Hispanic Heritage Month, held annually from September 15 to October 15. She says the organization’s advocacy for nursing in general and Hispanic nurses in particular has been a building block for her personal and professional growth.

Merida, who works in solid organ transplant of the Mayo Clinic Hospital in Phoenix, says she has known nursing was the career path for her since she was a child. “My younger brother was sick and in and out of the hospital, and I spent lots of time in the hospital visiting,” she says. For a while, Merida shifted her career aspirations to firefighting, but, she says with a laugh, “my heart went back to nursing.”headshot of Ashley Merida for National Association of Hispanic Nurses

Through a bilingual nurse fellowship program at Phoenix College, Merida started her nursing education and became passionate about giving back to her community. “It was a calling for me,” she says. She found both an opportunity to do that and a new core community when she accompanied a friend to a NAHN meeting in 2017. “I heard the president at the time, Veronica Vitale, speak and she was so inspiring and motivating,” she says. “I found a new family in that moment.” With less than 10 percent of nurses identifying as Hispanic, Merida says she’s often the only Latina nurse in a room. But at the NAHN meeting, she was surrounded by others who shared her heritage and had so many accolades. “I felt like I belonged,” she says.

From her first NAHN meeting, Merida set a goal to become a leader in the organization and to eventually lead as the chapter president. As she became a regular at NAHN meetings, Merida says her fellow NAHN members were an excellent support during times when things got tough. “They helped me keep going during the times when I wanted to quit,” she says. The chapter members have an energy and warmth, she says, that includes checking in on each other, asking about their families, and understanding their nursing lives.

NAHN’s members set high goals for themselves that are modeled by their own work and advocacy. They work with nurses and nursing students to connect preceptors with students, to offer DACA-friendly scholarships, to advance financial literacy, and to offer CEUs. They also partner with schools so nurses can speak to younger children and tell them about nursing careers.

Merida recognizes the efforts of Hispanic nurses before her including Dr. Ester Ruiz, a co-founder of NAHN’s Phoenix chapter. Ruiz made an impact for the entire community, says Merida, and is still on NAHN’s Phoenix chapter’s board. Merida feels the responsibility to honor Ruiz’s work and that of other Hispanic nursing leaders who struggled for equity for nurses and Hispanic patients. “It’s important,” she says, “to pave the way.”

Meet a Champion of Nursing Diversity: Derek Flores

Meet a Champion of Nursing Diversity: Derek Flores

Nursing is a second career for Derek J. Flores, RN, CHPN, BS, a hospice nurse in Colorado since 2012.

In 2020 Flores was a featured guest on the TV Show, The Doctors, sharing his expertise on end-of-life hospice care. He’s also written two books to increase knowledge of end-of-life care. Flores’ first book, Seven Keys to a Peaceful Passingwalks patients and families through common challenges and decisions they must make during their hospice journey. His second book, Letter to a Hospice Nurse, celebrates the lives of hospice patients and gives a format for surviving family and friends to process grief.

Flores has a Spanish mother and Mexican father and credits his background, education, and experiences for helping him connect with his patients to provide good outcomes.

Flores is an important nursing leader, and we’re pleased to profile him as part of the Champions of Nursing Diversity Series 2023.

The series highlights healthcare leaders who are prominent figures in their organizations and are making transformational impacts in nursing.

Meet Derek Flores, RN, CHPN, BS, and hospice nurse in Colorado.

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Talk about your role in nursing.

I’m a hospice nurse case manager in the Denver Metro area. I work with a varying census of patients facing a terminal diagnosis. Besides regularly visiting my patients, I coordinate care between other disciplines, including CNAs, social workers, chaplains, and volunteers. Our team serves a widely diverse community of beautiful people from various backgrounds. Many of my patient visits can be considered ‘routine,’ others unexpectedly are filled with urgency to treat symptoms at the end of life. I work in the world of the ‘dying.’ It is a place and space where the dignity of each person is cherished and celebrated.

How long have you worked in the nursing field?

I earned my LPN in 2011, then passed the NCLEX-RN in 2012 after graduating from Laramie County Community College in Cheyenne, Wyoming. Nursing is a second career for me. I graduated from Colorado State University in 1991 with a BS in business administration. I spent a dozen years working in various industries in marketing and sales departments. I even had my own business for a few years.

Why did you become a nurse? 

The seeds for me becoming a hospice nurse were sewn while observing both of my parents care for their aging, then dying parents. The love and compassion I saw from them was an inspiration. My mother, whose name is Crisela, has family roots in Spain. The Archuleta family arrived in Mexico in the 17th Century, then migrated to northern New Mexico, where they were farmers and ranchers. My mother’s first language was Spanish. She worked as an elementary school teacher in Pueblo, Colorado for many years before retiring. My earliest memories are of my mom and grandma speaking Spanish in the kitchen while the smells of a delicious dinner were in the air. The love, devotion, and endurance she showed in the care of her parents moved my heart. My mother and her siblings cared for Grandma Rita and Grandpa Ambrosio for fifteen years before Grandma passed peacefully at the age of 103.

My dad’s family was from southern Texas and Mexico. My late father, Jim, worked as a teacher specializing in special education. He was also a former Green Beret, champion runner, and weight lifter. He showed compassion for his students and the tenderness he had in the care of his parents at the end of their life. My parents were the first generation to earn bachelor’s and master’s degrees, breaking down societal barriers during my formative years in the 1970s and 80s. Their example set a standard for pursuing higher education and service to others.

I began the journey to become a nurse during a difficult period of my life as I turned 40 years old. During this time, I began to work as a CNA. My experience as a CNA helped form me into a well-rounded nurse. I learned how to provide basic care to my patients, who often lived in difficult conditions. After watching some of my supervising nurses do their work, I realized, ‘I can do that’! The next thing I knew, I was in nursing school. My family’s example of hard work and never giving up helped me make a career change.

What are the most important attributes of today’s nursing leaders?

In the hospice environment of today, a nursing leader has many hats to wear. In nursing school, we are taught to become multitaskers. As a hospice nurse case manager, I lead my interdisciplinary team by being responsive and communicative. If someone asks me a question, I respond as quickly as possible. I like surprising people with very quick responses. This level of communication sets a ‘Nursing Leader’ apart.

A hospice organization is multi-faceted with clinical, administrative, and management pieces. The clinical part of my work is also just as important because our patients depend on us to manage symptoms in often very stressful situations. When this happens, everyone looks to us for good nursing judgment, a cool head, and a soft heart.

What does being a nursing leader mean to you, and what are you most proud of?

I have been and will probably always be a bedside hospice nurse because my personality makeup doesn’t do well behind a desk or in the same location all day. I work out of my car, driving to each patient’s location. I lead my hospice team as a case manager by being attentive to my patients and team. My hope is they are inspired and motivated by my actions.

I’m most grateful for recognizing that nursing is a vocation I have been called to do. It’s rare that I don’t feel I have contributed to someone going through the most difficult time in their life. I’m most proud that I live out the legacy of my parents, Jim and Cris. Their example of serving others drives me each day. I’ve always wanted them to be proud of me.

Tell us about your career path and how you ascended to that role.

I’ve alternated throughout my career in hospice between case management and on-call roles with both for-profit and not-for-profit companies. The caseloads in some hospices can exceed twenty patients, so my career path has been marked by individual experiences with patients in difficult situations and measured by how I assisted them to be free of the symptom or symptoms they were struggling with.

Hospice nursing can be very emotionally trying, so I have taken sabbaticals by working in pediatric home health. I found that medically challenged children bring joy to everyone around them. They have helped heal my heart when I needed it most, preparing me to return to hospice nursing to do the work I’m called to do.

What is the most significant challenge facing nursing today?

My nursing work must be completed within a limited amount of time. There isn’t any wiggle room for this, so I can’t even list this as a challenge. It simply has to get done, no matter what. I never have a day like the previous one, so planning every moment of my week is almost impossible. I always have to try and stay ahead of the next patient emergency or death by pushing to get tasks done in the moment. I know if I don’t get something done now, it might not get done at all.

My family is most important to me. I am recently married at 54 to a wonderful woman, Kirsten. After many years alone, I now have a wonderful and kind companion. We enjoy our life together, including time with three adult daughters, one lovely granddaughter, and another who is making her debut in a few months. Our hearts are full.

I share my professional challenge of having enough time to meet all my work and personal responsibilities because it is common for hospice nurses to quit after their job takes over their lives. It’s not uncommon to work a full day, kiss your loved one as you arrive home, then head to your home office to work another few hours before you go to bed. It’s super easy to have hospice take over your life. Quite often, hospice nurses are paid on salary, so at some point, you may decide you’re working for a much-reduced rate than you thought you were. Then you choose to leave. The result is that patients get shortchanged by nurses who are rushed to get everything in their day completed. I encourage hospice nurses struggling with situations like this to ask their manager for adjustments. Caseloads can be lightened, geographic work areas can be shrunk to decrease time driving each day, and changes can be made if a manager wants to keep a nurse. Don’t be afraid to speak up if you have difficulty getting everything done.

In the end, if nurses and their managers don’t find solutions, the result can often be rushed nursing visits or nurses who aren’t fully present to their patients because they multitask. Our patients aren’t aware of all of the demands of our positions. They want to share what is happening with themselves on that particular day – needing us to meet their needs.

As a nursing leader, how are you working to overcome this challenge?

I try to put my patients first by being present to them. If I were to fail them by supporting them with my full attention, then not much else matters. I think my efficiency and proficiency in this role have improved over time. I also get up very early in the morning when I have work to do so I don’t take time away from my family.

I also have a mission outside of my bedside nursing practice. I write and publish books to increase knowledge of end-of-life care. My first book is Seven Keys to a Peaceful Passing and my second is Letter to a Hospice Nurse. I’ve also created journals that nurses and families can use to communicate with each other and keep track of important tasks like medication administration.

What nursing leader inspires you the most and why?

I had a colleague named Ted in the first years of my nursing career. I identified with him in several ways. He looked a lot like my dad with his black wavy hair and chocolate brown skin and had a similar background. Seeing another person like me, with Spanish and Indigenous roots, gave me the strength to look outward to solve our patients’ challenges. Ted is one of the most knowledgeable hospice nurses I’ve known. I still use his recommendation to help patients suffering from chronic nausea.

What inspirational message would you like to share with the next generation of nurses?

I’d encourage anyone considering a career in nursing to look deep and find the one thing that fills their heart. If it is helping those in need, you’ll never have a day in nursing where you don’t take away a feeling of satisfaction for your hard work. If you are a young nurse struggling to get traction in your career, please reach out to an experienced nurse to find a solution to your challenges. I’d also suggest that once you have a few years of successful experience, you realize you are a hot commodity. Don’t be afraid to ask for a competitive wage or salary. Negotiate the time off from work you need for your family and yourself. You are in high demand!

Is there anything else you’d like to share with our readers? 

Nursing should be a vocation for everyone who chooses to do this work. By finding the intersection of your heart and mind, you’ll never work a day. Instead, you will have a life filled with purpose, struggle, and satisfaction for the benefit of others. You’ll have a life that matters.

ANA Issues Racial Reckoning Statement: “We Ask Forgiveness From Nurses of Color…”

ANA Issues Racial Reckoning Statement: “We Ask Forgiveness From Nurses of Color…”

“To begin, we must acknowledge that from 1916 until 1964, ANA purposefully, systemically and systematically excluded Black nurses…”

The American Nurses Association (ANA) is taking a meaningful first step to acknowledge its own past actions that have negatively impacted nurses of color and perpetuated systemic racism. With the release of a formal racial reckoning statement on July 12, ANA is beginning a multi-phase journey of reconciliation, forgiveness, and healing. The Journey of Racial Reconciliation is the name for ANA’s racial reckoning journey as it seeks to address past racial harms from as far back as the formation of the association in 1896.

From the ANA statement:

“Similar to the concerns raised by Black nurses, in 1974, led by Dr. Ildaura Murillo- Rhode, a group of 12 Hispanic nurses who were also members of ANA came together to consider establishing a Hispanic Nurses Caucus within ANA because ‘ANA was not being responsive to the needs of Hispanic nurses.'”

“We know that ANA’s work to reckon with our historical and institutional racist actions and inactions is long overdue. Racism is an assault on the human spirit, and we want to be accountable for our part in perpetuating it. We have certainly failed many nurses of color and ethnic-minority nursing organizations, undoubtedly damaging our relationship with them and in so doing, diluting the richness of the nursing profession. We ask forgiveness from nurses of color as a first step to mend what is broken,” said ANA CEO Loressa Cole, DNP, MBA, RN, NEA-BC, FAAN.

“ANA recognizes that issues of racism persist today and continue to harm nurses of color. Findings from the Commission’s 2021 national survey on racism in nursing (n = 5,600) noted that racist acts are principally perpetrated by colleagues and those in positions of power. Over half of nurses surveyed (63%) said they had personally experienced an act of racism in the workplace with the transgressors being either a peer (66%) or a manager or supervisor (60%). Fifty-six percent of respondents also noted that racism in the workplace has negatively impacted their professional well-being.”

On June 11, 2022, the ANA Membership Assembly, ANA’s highest governing body, took historic action to begin a journey of racial reckoning by unanimously adopting the ANA Racial Reckoning Statement. Please read the entire statement and stay connected with ANA on its journey.

“I’m Going to Match!” A Tale of Nurses, Mentoring, and a Lifetime Bond

“I’m Going to Match!” A Tale of Nurses, Mentoring, and a Lifetime Bond

Roxana Chicas, PhD, RN, a research professor in Emory’s Nell Hodgson Woodruff School of Nursing, rued her nontraditional academic path until a mentor reassured her: “The teacher always arrives when the student is ready.”

That advice about timing resonated last month as she prepared to donate a kidney to her mentor, professor and faculty colleague. Professor and biostatistician Vicki Stover Hertzberg, PhD, who directs the school’s Center for Data Science, had been waiting nine months for a transplant after being diagnosed with kidney failure.

The two professors’ personal relationship is only one aspect of their remarkable story. Vicki Stover Hertzberg, PhD, FASA and Roxana Chicas, PhD, RN.

Both long ago had personal experiences that made them aware of the high need for living kidney transplants and the safety of donation. At the nationally No. 2-ranked School of Nursing, both women work on a research team that studies renal issues and other health problems related to heat exposure in farmworkers and published their findings in March. Both say their life-giving partnership reflects their school’s caring connections.

Chicas was only one of several Emory employees who answered Hertzberg’s call for potential donors in mid-2021. While others matched enough to donate, Chicas was the closest match.

“So much science has gone into it for such a long time, and to be able to use that science to help Dr. Hertzberg be healthier and live longer, it’s awesome. And I get to be a part of it.”

—Roxana Chicas, PhD, RN

“I have no words to express my gratitude for the individuals who came forward including those who ultimately, for one reason or another, could not be a donor,” Hertzberg said before the March 15 transplant surgery. “And for Roxana to do this is just phenomenal. I find it very overwhelming and very humbling.”

Most of us only need one kidney

Chicas’ first job at a pediatric office in Atlanta, when she was 18, exposed her to kidney issues and solutions. She translated for pediatric nephrologist Stephanie M. Jernigan, an associate professor of pediatrics at Emory School of Medicine.

“Children who were born with just one kidney often lived perfectly normal lives,” she says. “Other children who had kidney transplants did very well, even though it’s a very invasive surgery.”

She also learned to see her own intellectual potential.

Having come from El Salvador at age four and undocumented, Chicas had received temporary protective status that allowed her to work for the pediatricians. She helped them communicate with families who only spoke Spanish, and thought she might be smart enough to become a medical assistant so she could help them more. Pediatrician A. Gerald Reisman, MD, urged her to try nursing instead, and at age 28, Chicas enrolled in what is now Perimeter College at Georgia State University.

That educational decision led to Bridges to the Baccalaureate, an Emory program that nurtures minority students in research. With School of Nursing Dean Linda A. McCauley, PhD, RN, FAAN, as her advisor, Chicas got a BSN and went directly into the doctoral program. She joined McCauley’s team working on farmworker health, which felt personal because her mother, Maria Chicas, farmed in El Salvador. Farmworkers are 35 times more likely to die from heat-related illnesses than any other profession, she says.

“My goal is to do great science that will really improve the working conditions of agricultural workers,” Chicas says. “They are the backbone of this country and the globe. They feed us, and I think we need to value them more and recognize their worth, and they should be treated with dignity and given the same benefits that sometimes we take for granted. Many of them are undocumented and live in poverty, and I hope that I can be a part of a movement to better their lives.”

Heat-related illnesses affect kidney function, and Chicas did a postdoctoral stint in renal (kidney-related) medicine at the Emory School of Medicine. The research team measures indicators of health like core body temperature and kidney function.

“I got lucky, because I could have been working out in the field,” Chicas says. “I’m not there because of sacrifices that my mom made, and many other Latino parents have made and by having a mentor who told me that I can be a professional.”

A mentor in need

Hertzberg became Chicas’ professor and research teammate. From Florida to Mexico to Brazil, Chicas was in direct contact with farmworkers while Hertzberg worked to tell the story of the collected data.

“A wonderful mentor,” Chicas, 39, calls Hertzberg, 67. “She taught me that you can be smart and be strong in your career, and yet still be very kind.”

As the director for the nursing school’s Center for Data Science, Hertzberg is an internationally-recognized expert on “big data” and its impact on health care. She is widely known for her work measuring the social contacts in emergency departments and disease transmission on airplanes.

“Mentoring is what graduate education is all about,” Hertzberg says. “You learn a lot from each other. Part of it is just kind of a natural process because we’re engaged through research activities and part of that is just kind of understanding how the world works and what makes people tick. Roxana is incredibly driven and intrinsically kind, and always keeps me and our team focused on issues that our partner community experiences in ways that we don’t.”

On the farmworker longitudinal study, newer data relates to 25 markers of kidney function disease because of a relatively recent phenomenon called chronic kidney disease of undetermined etiology (CKDu). “Young farmworkers who had been feeling fine or really healthy all of a sudden wake up sick,” Hertzberg says. “Lo and behold, they have kidney failure and need dialysis.”

In late 2020, Hertzberg’s own bloodwork showed acute kidney injury, and when restrictive diet didn’t improve function enough, she was referred for a kidney transplant in mid-2021.

Like Chicas, Hertzberg had learned about the disease long before through a family friend and others. She reached out to her network by email and social media.

“Ideally a living donor is best,” she wrote. “A kidney from a living donor lasts on average 25 years, while a kidney for somebody who is about to have life support turned off is on average 12 years. Obviously, the 25 years is my preference…. the wait for a kidney from the person on life support will take three to seven years.”

She didn’t expect much response.

“I’m going to match”

Chicas jumped on Hertzberg’s direction for potential donors to phone the Emory Transplant Center (855-366-7989) or complete a questionnaire online.

“I knew it’s a pretty big surgery, but I was just like, ‘I have an extra kidney. I’m pretty healthy,’” she says. “And I called my mom and asked her what she thought and she was like, well, if that’s what you feel that you’re called to do, then go for it. And I was like, Okay.”

When she found out that there was competition to give a kidney to Hertzberg, Chicas told herself, “If God wants me to be the donor, then I’m going to match. So much science has gone into it for such a long time, and to be able to use that science to help Dr. Hertzberg be healthier and live longer, it’s awesome. And I get to be a part of it.”

Hertzberg even had colleagues clamoring to organize her meal train. This loyalty is partly from working at Emory since 1995, and supporting so many people and projects with her expertise. She served on dissertation committees for Chicas in 2020 and (at the University of Cincinnati) for McCauley in 1988.

Christian Larsen, MD, DPhil, professor of surgery in the Division of Transplantation at Emory and former dean of the Emory School of Medicine, transplanted Hertzberg’s new kidney last month. Larsen and Hertzberg knew each other through their collaborative research. From 2005 to 2010, they teamed-up on a protective immunity project studying aspects of the immune system in kidney transplant patients.

“This is not a road I would have chosen for myself,” Hertzberg says. “So I’m trying my hardest to learn the lessons along the way and to keep being positive. I want to dance at my grandchildren’s weddings, and the oldest one is soon to be five years old.”

Chicas believes that her success, her mentors and her organ donation have proved her favorite quote.

“Mother Teresa said, ‘If you can’t feed 100 people, then feed just one,’” she says. “I’m not a philanthropy. I’m not a billionaire. But I feel like there are certain things that I can do.”

Now More Than Ever, Nurses Need to Act as Advocates for Health Equity

Now More Than Ever, Nurses Need to Act as Advocates for Health Equity

Changes in the status of women’s reproductive health and protections have been at the forefront of new headlines in recent weeks. The leaked Supreme Court documents indicating that the justices are on the precipice of turning over 50 years worth of reproductive health precedent has a lot of people pausing to consider the implications of losing something they have largely taken for granted. Many women are recognizing that if Roe v. Wade is overturned, they will have less bodily autonomy than corpses often have in their home states.

Of course, for many women – particularly minority women in deeply conservative states – these rights were slipping away long before this. In many of these states, the number of reproductive health clinics is extremely limited and causes undue burdens on women trying to access them. Multiple studies on the topic have shown that minority women, especially those from poorer backgrounds, are the most likely to face difficulties accessing any sort of reproductive healthcare than their more affluent, white peers.

Regardless of where our personal beliefs related to abortion rights fall, we can all agree that women having better access to reproductive healthcare is a valuable endeavor. For many nurses out there, this means striving to break down barriers that limit healthcare access. It also means becoming an advocate for health equity. But how does one become an advocate within their own community?

Address Inequalities

Many of the inequalities that nurses see every day aren’t easy ones to just address and deal with. Rather, they are ingrained, pervasive community and cultural issues that will take years to fully unpack and start to address in a positive manner. However, there are things that nurses can do to help address some of the healthcare inequalities that minority women face regularly.

Perhaps one of the most powerful things nurses can do to help address health disparities is to recognize and empathize with the differences. Minority nurses with a background in minority communities are in the position to play a unique and powerful role here. Who better to build a bridge of understanding and trust than someone who already has an understanding of the social, cultural, and economic factors that may be influencing healthcare choices.

Nurses can also be the linchpin in making sure that healthcare facilities are working to adopt more inclusive practices both for employees and for patients. These can be things such as:

  • Immediately addressing any form of blatant discrimination.
  • Advocating for policies that promote human rights and equity.
  • Working with numerous professionals across disciplines to ensure patients are receiving holistic healthcare.
  • Encouraging medical trials that are inclusive and address the concerns of minorities.
  • Seeking out and promoting other professionals that are striving to address equity issues in their communities.

Encourage Screenings

When working directly with patients there are a few things that can be done to help decrease health disparities. Arguably the most important is building trust in the community, which most certainly will not happen overnight. Small steps to start can include things like doing preventative health education out in the community, finding strategies that can help with payment for medical services, and being available for health-related questions without requiring an appointment.

Unfortunately, minority women are typically at greater risk for developing a number of diseases. For instance, African American women are twice as likely to develop breast cancer. Likewise, African American women are more likely to develop high blood pressure earlier in life than white women. There are many factors that influence this, but ultimately detection is one of the best forms of prevention.

Women can benefit from regular health screenings, but many are reluctant to do so. Going to the doctor’s office is uncomfortable, time-consuming, and potentially expensive. Helping women, especially minority women, understand the value of preventative health screenings over the long term is a vital role that nurses can play. Promoting more screenings can be one straightforward way to catch and treat issues before they become life-altering health problems.

Soft Skills Matter

Minority women, particularly women of color, are more likely to face negative health outcomes than other groups. Ingrained inequalities and cultural perceptions of the healthcare system play a major role in this. As nurses work to address these health disparities it becomes apparent that not only is a deep knowledge of nursing and healthcare important, but so are the soft skills that help convey the message.

For example, soft skills such as empathy are critical to understanding and adequately responding to the difficulties that some patients are facing. Empathy can lead to better, more realistic health prescriptions and outcomes. Patients are also more inclined to trust and listen to someone that shows an understanding and compassion for the information they are providing about themselves and their health.

Communication is another important factor. Even the best messages can be lost if they are not delivered in an understandable and relatable way. Patients do not like to feel talked down to and many very deeply want to understand the healthcare system before they have to make major decisions within it. Clear communication about procedures, health factors, costs, and outcomes are also imperative for building trust and making patients feel comfortable about their health choices.

Healthcare inequalities are significant for some demographics of the population, particularly minority women seeking reproductive healthcare. Nurses can make a real difference in starting to address some of these disparities by becoming advocates for their patients. It involves building trust, showing empathy, and encouraging positive health choices. None of it is easy, but it can add up to make a powerful difference in local communities.

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