Commitment to Positive Change: Structural Anti-racism Audit of Nursing Education Programs
Keywords:structural anti-racism, nursing education, audit
Amidst many opportunities to create positive change and examine systemic anti-racist decolonial practices (Moorley et al., 2020), we are advocating for concrete action at the root of Nursing education programs by way of a structural anti-racism audit. Based on decolonial and antiracist theory (Garneau et al, 2018; Gaudry & Lorenz, 2018; Kendi, 2019; McGibbon & Etowa, 2009), we propose to engage in systems-level action (McGowan et al, 2020; Mulgan, 2006; van Wijk t al., 2018) and examine institutional structures through an anti-racist framework (Sutton, 2002) based on audit processes for equity, diversity, and inclusion (Chun & Evans, 2019; Olson, 2020; Skrla et al., 2004; Skrla et al., 2009; Zion, et al., 2020). Structures within and influencing curriculum, pedagogy, evaluation will be examined to advance systems-level anti-racist practices and policies (Moorley et al., 2020) with Nursing students, faculty, staff, leadership as a foundation for equitable Nursing education and care (National Collaborating Centre for the Determinants of Health, 2014). This anti-racist approach to Nursing education reform promises to address the pernicious harms of discrimination in the healthcare system, as noted in a recent report on Indigenous-specific racism (Turpel-Lafonde, 2020). We aim to conduct a strengths-based structural anti-racism audit that does not lose sight of disparities (Fogarty et al., 2018). We are currently conducting a literature review and audit framework development and will pilot the structural anti-racism audit in fall 2021. Rather than requesting endorsement of our project, and with respect for diverse approaches, we asked Nursing colleagues to sign this letter to demonstrate shared commitment to critically examine racist challenges and anti-racist opportunities in their Nursing program at a structural level (see this survey: https://forms.gle/tZPN2z1kUoARNPp1A
Fogarty, W., Lovell, M., Langenberg, J. & Heron, M-J. (2018). Deficit discourse and strengths-based approaches: Changing the narrative of Aboriginal and Torres Strait Islander health and wellbeing. Melbourne: The Lowitja Institute.
Garneau, A.B., Browne, A.J. & Varcoe, C. (2018). Drawing on antiracist approaches toward a critical antidiscriminatory pedagogy for nursing. Nursing Inquiry, 25(1), 1-9. DOI: 10.1111/nin.12211
Gaudry, A., & Lorenz, D. (2018). Indigenization as inclusion, reconciliation, and decolonization: Navigating the different visions for indigenizing the Canadian Academy. AlterNative: An International Journal of Indigenous Peoples, 14(3), 218-227.
Government of British Columbia. (2020). In plain sight: Addressing Indigenous-specific racism and discrimination in B.C. health care. https://engage.gov.bc.ca/app/uploads/sites/613/2020/11/In-Plain-Sight-Summary-Report.pdf
Kendi, I. X. (2019). How to be an antiracist. One World.
McGibbon, E. A., & Etowa, J. B. (2009). Anti-racist health care practice. Toronto: Canadian Scholars’ Press.
McGowan, K., Kennedy, A., El Hussein, M. & Bear Chief, R. (2020). Decolonization, social innovation and rigidity in higher education, Social Enterprise Journal, 16(3), 299-316. https://doi.org/10.1108/SEJ-10-2019-0074
Moorley, C., Darbyshire, P., Serrant, L., Mohamed, J., Parveen, A., De Souza, R. (2020). Dismantling structural racism: Nursing must not be caught on the wrong side of history, Journal of Advanced Nursing, 76(10), 2450-2453.
Mulgan, G. (2006). The process of social innovation. Innovations: technology, governance, globalization, 1(2), 145-162.
National Collaborating Centre for the Determinants of Health. (2014). Let’s talk racism and health equity. Antigonish, NS: Author. https://nccdh.ca/resources/entry/lets-talk-racism-and-health-equity
Olson, A. (March 25, 2020). Equity audits should be commonplace. Inside Higher Ed. https://www.insidehighered.com/views/2020/03/25/more-colleges-should-use-equity-audits-address-inequalities-their-institutions
Skrla, L., Scheurich, J.J. , Garcia, J., & Nelly, G. (2004). Equity audits: A practical leadership tool for developing equitable and excellent schools. Educational Administration Quarterly, 40(1), 133-161.
Skrla, L., McKenzie, K.B. & Scheurich, J.J. (2009). Using equity audits to create equitable and excellent schools. Corwin Press.
Sutton, S.A. (2002). Operationalizing a structural racism framework: A guide for community level research and action. The Aspen Roundtable Structural Racism and Community Revitalization Project. https://www.racialequitytools.org/resourcefiles/aspeninst.pdf
The Nursology Theory Collective (December 18, 2020). Equity, diversity, inclusion, justice and the future of nursing webinar part 2. https://nursology.net/resources/the-nursology-theory-collective/equity-diversity-inclusion-justice-and-the-future-of-nursing-webinar-part-2-december-18th-2020/
Turpel-Lafond, M.E. A.-K. (2020). In plain sight. Addressing Indigenous-specific racism and discrimination in B.C. health care. https://engage.gov.bc.ca/app/uploads/sites/613/2020/11/In-Plain-Sight-Summary-Report.pdf
How to Cite
Copyright (c) 2021 Andrea Kennedy, R. Lisa Bourque Bearskin, Kaija Freborg
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Witness publishes under a Creative Commons Attribution-NonCommercial 4.0 International license (CC BY-NC 4.0). Read the license terms at https://creativecommons.org/licenses/by-nc/4.0/. The author(s) retain copyright to their works.