By Caitlyn Coverly
A few weeks ago, senior vice-president Laszlo Bock took to Google’s official blog to publicly share the company’s employee demographics, revealing a predominately white male workforce and admitting a reluctance to come forward with the data earlier.
The announcement was deemed a groundbreaking disclosure, because U.S. companies are not obligated to make their workforce demographics public. However, citing that transparency is key to finding a solution, Mr. Bock wrote, “Simply put, Google is not where we want to be when it comes to diversity … our efforts, including going public with these numbers, are designed to help us recruit and develop the world’s most talented and diverse people.”
In Canada, many companies have come to realize the strategic importance of a diverse workforce and, much like Google, have initiated comprehensive diversity strategies. But developing and executing those strategies is no easy feat.
Financial institutions were among the first organizations to act on the long-term demographic and labour-market significance of Canada’s Employment Equity Act, which requires special measures and the accommodation of differences for four designated groups in Canada: women, aboriginal peoples, persons with disabilities and members of visible minorities.
“As a regulated organization, we looked at diversity from a compliance perspective at first,” said Norma Tombari, director of Global Diversity at the Royal Bank of Canada. “However, with the appointment of Gordon Nixon as CEO in 2001, came the revitalization of a very robust diversity strategy; what we refer to as our Diversity Blueprint.”
RBC has been recognized in recent years for its achievements in diversity and inclusion practices. Its 2013 Diversity and Inclusion Report shows RBC’s workforce is comprised of 64% women, 31% visible minorities, 4.6% people with disabilities and 1.5% aboriginal persons — numbers that are fairly representative of the general workforce in Canada.
So, how do companies reach this level?
“Education becomes key when you are managing a multicultural and multigenerational workforce,” Ms. Tombari said. “There will be unconscious bias and blindspots, as well as a lack of cultural understanding and awareness throughout all levels of the organization, so it is our job to put programs in place that counter those attitudes.”
RBC takes a multifaceted approach, offering employees various workshops and webcasts on raising cultural acumen, as well as access to self-assessment tools where employees can rate their own level of understanding.
“The goal is to provide learning that is focused on the topic of diversity and inclusion and the rest is about embedding it in the cultural landscape of an organization,” Ms. Tombari said.
Canada’s energy giant Suncor is at a different stage of the diversity and inclusion-implementation process. After merging with Petro-Canada in 2009, changes in corporate structure created a tidal wave of new systems and strategies.
“With so much change and turnover, some things — such as our diversity strategies — got pushed to the side,” said Kelli Stevens, a company spokeswoman.
The company’s 2012 diversity report shows Suncor’s workforce is comprised of 23% women, 11.1% visible minorities and 2.7% Aboriginal persons. “We don’t look at our current percentages and think that’s okay,” Ms. Stevens said. “We are, and always will be, trying to improve them.”
Suncor, similar to Google, faces the uphill battle of recruiting from a rather homogenous talent pool. “We are a male-dominated field,” Ms. Stevens said.
In 2011, women earned only 16.5% of degrees/diplomas categorized within the fields of architecture, engineering and related technologies, Statistics Canada data shows. In fields relating to mathematics, computer and information sciences, women earned only 27% of degrees/diplomas. However, out of those pursuing post-secondary education, women account for more than half at 58%.
Suncor is in the process of developing a strategy that makes those desires a reality. Part of that strategy is supporting various programs that work to broaden the talent pool.
In March 2013, the Suncor Energy Foundation approved a five-year, $1.5-million program aimed at helping Women Building Futures (WBF), an organization that specializes in encouraging and preparing women for careers in skilled trades, to refine its business model and expand its impact.
Suncor also provides funding for Actua, the Ottawa-based national science, technology engineering, and mathematics (STEM) program, to help develop and deliver STEM programs to Aboriginal youth across Canada.
“Many of the communities we have a strong presence in have a high representation of aboriginal people,” Ms. Stevens said. “We want to be reflective of where we work and build strong relationships with those communities.”
Echoed in both companies’ strategies is the hard fact that implementing a diversity strategy is not easy; it is a long-term commitment with results as well as challenges at all stages.
Susan Black, managing partner at Crossbar Group, and Keith Caver, North America practice leader for talent management and organizational alignment at Towers Watson, offer the following advice for corporations undergoing a significant change in workforce demographics:
Inclusion is about making the numbers count: “Companies tend to jump right into programs without clearly defining their goals,” Ms. Black said. “This is often the result of a disconnect in their understanding of their own issues. In an ideal world, having a 50/50 split between male and female employees would be considered success, however, companies really need to look at their corporate structure and their client base to determine if that is what is best for their organization.”
Don’t define diversity too narrowly: “Companies tend to frame all diversity efforts around the four groups and they end up leaving a lot of white space,” Ms. Black said. “As a result people get left out of the diversity conversation. We are all a part of diversity and the thoughts and opinions of everyone should be valued in an organization.”
Culture isn’t something you can change overnight: “It typically goes one of two ways,” she said. “Either organizations declare victory too soon or they fall prey to diversity fatigue. The fact is it takes a long time to change workplace cultures. Don’t rush the process.”
You must address cultural differences and unconscious bias: “It is not good enough to just have the people in place,” Mr. Caver said. “There is an array of information available about shifting demographics and leveraging human capital. There must be an unwavering commitment to educating and preparing leaders so companies are not held back by hidden biases.”
2014 Diversity Holidays
The United States is rich with diversity, which is reflected in the observances celebrated by its various cultures and populations. Knowledge of the following diversity holidays and celebrations can enhance your workplace diversity and inclusion efforts. (Please note: All dates are for 2014.)
January 6 is Epiphany, a holiday recognizing the visit of the three wise men to the baby Jesus 12 days after his birth. The holiday is observed by both Eastern and Western churches.
January 14 is Makar Sankranti, a major harvest festival celebrated in various parts of India.
January 14 is also Eid Milad Un Nabi, an Islamic holiday commerating the birthday of the prophet Muhammad. During this celebration, homes and mosques are decorated, large parades take place, and those observing the holiday participate in charity events.
January 15 (sunset) – January 16 (sunset) is Tu B'shvat, a Jewish holiday recognizing "The New Year of the Trees." It is celebrated on the fifteenth day of the Hebrew month of Shevat. In Israel, the flowering of the almond tree usually coincides with this holiday, which is observed by planting trees and eating dried fruits and nuts.
January 16 is Mahayana New Year celebrated on the first full-moon day in January by members of the Mahayana Buddhist branch.
January 19 is World Religion Day. This day is observed by those of the Baha’i faith to promote interfaith harmony and understanding.
Third Monday in January (January 20) is Martin Luther King Day, commemorating the birth of Martin Luther King, Jr., the recipient of the 1964 Nobel Peace Prize and an activist for non-violent social change until his assassination in 1968.
January 18-25 is the Week of Prayer for Christian Unity. During the week, Christians pray for unity between all churches of the Christian faith.
January 26 is Republic Day of India. This day recognizes the date the Constitution of India came into law in 1950, replacing the Government of India Act of 1935. This day also coincides with India's 1930 declaration of independence.
January 31 is the birthday of Guru Har Rai, the seventh Sikh guru.
January 31 also marks the start of the Asian Lunar New Year, celebrated by many Asian groups including Chinese, Vietnamese, and Koreans. This year is the Year of the Wooden Horse.
January 31-February 14 marks the Chinese New Year. This year is the Year of the Wooden Horse. Chinese New Year is the most important holiday in the Chinese lunisolar calendar and is recognized by gift giving, parades, decorations, and feasting. The celebration culminates with the Lantern Festival on February 14.
February is Black History Month in the United States and Canada. Since 1976, the month has been designated to remember the contributions of people of the African Diaspora.
February 8 is Nirvana Day, the commemoration of Buddha’s death at the age of 80, when he reached the zenith of Nirvana. February 15 is an alternative date of observance.
February 17 is President’s Day, originally established to honor Presidents Washington and Lincoln, it now serves as a reminder of the contributions of all U.S. presidents.
February 26 – March 1 are Intercalary Days for people of the Baha’i faith. At this time, days are added to the Baha’i calendar to maintain their solar calendar. Intercalary days are observed with gift giving, special acts of charity, and preparation for the fasting that precedes the new year.
February 27 is Mahashivratri, a Hindu holiday that honors Shiva, one of the Hindu deities.
March is Women’s History Month. Started in 1987, Women’s History Month recognizes all women for their valuable contributions to history and society.
March is also National Mental Retardation Awareness Month, which was established to increase awareness and understanding of issues affecting people with mental retardation and other developmental disabilities.
March is National Multiple Sclerosis Education and Awareness Month. It was established to raise public awareness of the autoimmune disease that affects the brain and spinal cord and assist those with multiple sclerosis in making informed decisions about their health care.
March 2 is Losar, the Tibetan Buddhist New Year. Losar, which means new year in Tibetan, is considered the most important holiday in Tibet.
March 5 is Ash Wednesday, the beginning of Lent in the Christian faith. As a display of atonement, ashes are marked on worshippers. Lent, which is observed during the seven weeks prior to Easter, is a time of reflection and preparation for the Holy Week and is observed by fasting, charitable giving, and worshipping.
March 8 is International Women’s Day. First observed in 1911 in Germany, it has now become a major global celebration honoring women’s economic, political, and social achievements.
March 13 – April 15 is Deaf History Month. This observance celebrates key events in deaf history, including the founding of Gallaudet University and the American School for the Deaf.
March 15 (sunset)- March 16 (sunset) is Purim, a Jewish celebration that marks the time when the Jewish community living in Persia was saved from genocide. According to the Book of Esther, King Ahasuerus’s political advisor planned to have all the Jews killed; however, his plot was foiled when Esther, one of the king’s wives, revealed her Jewish identity. On Purim, Jewish people offer charity and share food with friends.
March 16 is Magha Puja Day, a Buddhist holiday that marks an event early in the Buddha’s teaching life when a group of 1,250 enlightened saints, ordained by the Buddha, gathered to pay their respect to him.
March 17 is St. Patrick’s Day, a holiday started in Ireland to recognize St. Patrick, the patron saint of Ireland, who brought Christianity to the country in the early days of the faith.
March 17 is also Holi, a Hindu and Sikh spring religious festival observed in India, Nepal, and Sri Lanka, along with other countries that have large Hindu and Sikh populations. People celebrate Holi by throwing colored powder and water at each other. Bonfires are lit the day before in the memory of the miraculous escape that young Prahlad accomplished when Demoness Holika carried him into the fire.
April is Celebrate Diversity Month, started in 2004 to recognize and honor the diversity surrounding us all. By celebrating differences and similarities during this month, organizers hope that people will get a deeper understanding of each other.
April is Autism Awareness Month, established to raise awareness about the developmental disorder that affects children's normal development of social and communication skills.
April 2 is World Autism Awareness Day, created to raise awareness of the developmental disorder around the globe.
April 8 is Ram Navami, a Hindu festival commemorating the birth of Lord Rama, a popular deity in Hinduism. People celebrate the holiday by sharing stories and visiting temples.
April 13 is Palm Sunday, a holiday recognized by Christians to commemorate the entry of Jesus in Jerusalem. It is the last Sunday of Lent and the beginning of the Holy Week.
April 14 (sunset)- April 22 (sunset) is Passover, a Jewish holiday celebrated each spring in remembrance of the Jews’ deliverance out of slavery in Egypt in 1300 B.C. On the first two days of Passover, a traditional Seder is eaten and the story of deliverance is shared.
April 18 is Good Friday, celebrated by Christians to commemorate the execution of Jesus by crucifixion and is recognized on the Friday before Easter.
April 20 is Easter, a holiday celebrated by Christians to recognize Jesus’ return from death after the crucifixion. It is considered to be the most important Christian holiday.
May is Asian-American and Pacific Islander Heritage Month in the United States. The month of May was chosen to commemorate the immigration of the first Japanese to the United States on May 7, 1843, and to mark the anniversary of the completion of the transcontinental railroad on May 10, 1869. The majority of the workers who laid the tracks on the project were Chinese immigrants.
May is also Older Americans Month, established in 1963 to honor the legacies and contributions of older Americans and to support them as they enter their next stage of life.
May 21 is World Day for Cultural Diversity for Dialogue and Development, a day set aside by the United Nations as an opportunity to deepen our understanding of the values of cultural diversity and to learn to live together better.
May 25 is Lailat al Mairaj. On this day, Muslims celebrate Prophet Muhammad’s night journey from Makkah to Jerusalem and his ascension to heaven.
June is Lesbian, Gay, Bisexual, and Transgender Pride Month, established to recognize the impact that gay, lesbian, bisexual, and transgender individuals have had on the world. Gay, lesbian, and bisexual groups celebrate this special time with pride parades, picnics, parties, memorials for those lost to hate crimes and HIV/AIDS, and other group gatherings. The last Sunday in June is Gay Pride Day.
June 12 is Lailat al Bara’a, celebrated as the night of forgiveness by Muslims.
June 14 is Flag Day in the United States. This day is observed to celebrate the history and symbolism of the American flag.
June 15 is Native American Citizenship Day. This observance commemorates the day in 1924 when the United States Congress passed legislation recognizing the citizenship of Native Americans.
On June 16, Sikhs observe the Martyrdom of Guru Arjan Dev. Guru Arjan Dev was the fifth Sikh guru and the first Sikh martyr.
June 19 is Juneteenth, also known as Freedom Day or Emancipation Day. It is observed as a public holiday in 14 U.S. states. This celebration honors the day in 1865 when slaves in Texas and Louisiana finally heard they were free, two months after the end of the Civil War. June 19, therefore, became the day of emancipation for thousands of Blacks.
June 19 is also Corpus Christi, a Catholic celebration in honor of the Eucharist.
The last Sunday in June (June 29) is Lesbian, Gay, Bisexual, Transgender (LGBT) Pride Day in the United States.
June 29 marks the beginning of Ramadan, the Islamic month of fasting. Muslims abstain from eating, drinking, and sexual activity from dawn until sunset, in efforts to teach patience, modesty, and spirituality. This year, the observance lasts until July 29.
On July 9, the Martyrdom of the Bab, Baha'is observe the anniversary of the Bab's execution in Tabriz, Iran, in 1850.
July 11 is World Population Day, an observance established in 1989 by the Governing Council of the United Nations Development Programme. The annual event is designed to raise awareness of global population issues.
July 13 is Asala–Dharma Day, which celebrates the anniversary of the start of the Buddha’s teaching.
July 23 is the birthday of Haile Selassie I, the Emperor of Ethiopia, who the Rastafarians consider to be God and their Savior.
July 26 is Disability Independence Day, which marks the anniversary of the 1990 signing of the Americans with Disabilities Act.
July 29 is Eid al Fitr, the Muslim celebration commemorating the ending of Ramadan. It is a festival of thanksgiving to Allah for enjoying the month of Ramadan. It involves wearing one's finest clothing, saying prayers, and nurturing understanding of other religions.
August 4 (sunset) - August 5 (sunset) Tisha B’ Av, an annual fasting day, is observed to commemorate the tragedies that have befallen the Jewish people.
August 6 is Transfiguration, a holiday recognized by Orthodox Christians to celebrate when Jesus became radiant, and communed with Moses and Elijah on Mount Tabor. To celebrate, adherents have a feast.
August 9 is International Day of the World's Indigenous Peoples. The focus this year is "Indigenous peoples building alliances: Honouring treaties, agreements and other constructive arrangements."
August 10 is Raksha Bandhan, a Hindu holiday commemorating the loving kinship between a brother and a sister. Raksha means protection in Hindi, and symbolizes the longing a sister has to be protected by her brother. During the celebration, a sister ties a string around her brother's (or brother-figure’s) wrist, and asks him to protect her. The brother usually gives the sister a gift and agrees to protect her for life.
August 12 is Pioneer Day, observed by the Mormons to commemorate the arrival in 1847 of the first Latter Day Saints pioneer in Salt Lake Valley.
August 17 is Marcus Garvey Day, which celebrates the birthday of the Jamaican politician and activist who is revered by Rastafarians. Garvey is credited with starting the Back to Africa movement, which encouraged those of African descent to return to the land of their ancestors during and after slavery in North America.
August 26 is Women’s Equality Day, which commemorates the August 26, 1920 certification of the 19th Amendment to the United States Constitution, which gave women the right to vote. Congresswoman Bella Abzug first introduced a proclamation for Women’s Equality Day in 1971. Since that time, every president has published a proclamation recognizing August 26 as Women’s Equality Day.
August 28 is Janmashtami, a Hindu holiday recognizing Krishna’s birthday. Krishna is the highest god in the Hindu faith.
September 10 is Paryushana, the most revered Jain festival comprising eight or ten days of fasting and repentance.
September 11 is the Ethiopian New Year. Rastafarians celebrate the New Year on this date and believe that Ethiopia is their spiritual home, a place they desire to return to.
September 15 – October 15 is Hispanic Heritage Month. This month corresponds with Mexican Independence Day, which is celebrated on September 16, and recognizes the revolution in 1810 that ended Spanish dictatorship.
September 24 (sunset) – September 26 (nightfall) is Rosh Hashanah, a holiday recognizing the Jewish New Year. It is the first of the Jewish High Holy Days, and is marked by abstinence, prayer, repentance, and rest.
October is National Disability Employment Awareness Month. This observance was launched in 1945 when Congress declared the first week in October as "National Employ the Physically Handicapped Week." In 1998, the week was extended to a month and renamed. The annual event draws attention to employment barriers that still need to be addressed.
October is also LGBT History Month, a U.S. observance started in 1994 to recognize lesbian, gay, bisexual, and transgender history and the history of the gay rights movement.
October 3 (sunset)- October 4 (sunset) is Yom Kippur. This holiday is the holiest day on the Jewish calendar and is a day of atonement marked by fasting and ceremonial repentance.
October 4 marks the beginning of Dussehra (Dasera), a ten day festival celebrated by Hinus to recognize Rama's victory over evil.
October 8 (sunset)- October 15 (sunset) is the Jewish holiday of Sukkot. It is a time of rememberance of the fragile tabernacles that Israelites lived in as they wandered the wilderness for 40 years. The first day of the holiday is celebrated with prayers and special meals.
October 11 is National Coming Out Day. For those who identify as lesbian, gay, bisexual, or transgender, this day celebrates coming out and the recognition of the 1987 march on Washington for gay and lesbian equality.
Second Monday in October is National Indigenous People’s Day, which recognizes 500 years of resistance and the continued existence of North American Indigenous people. This is celebrated in lieu of Columbus Day.
October 20 is Birth of the Bab, a holiday celebrated by the Baha'i recognizing the birth of the founder of the Baha'i faith.
October 23 marks the beginning of Diwali (the festival of lights), celebrated by Sikhs, Hindus, and Jains. The holiday is observed with decorating homes with lights and candles, setting off fireworks, and distributing sweets and gifts.
November is National Native American Heritage Month, which celebrates the history and contributions of Native Americans.
November 3 is Ashura, a holiday recognized by Muslims to mark the martyrdom of Hussain. It also commemorates that day Noah left the ark and Moses was saved from the Egyptians by God.
November 11 is Veterans Day, an annual U.S. federal holiday honoring military veterans. The date is also celebrated as Armistice Day or Remembrance Day in other parts of the world and commemorates the ending of the first World War in 1918.
November 12 is the Birth of Baha’u’llah, a day on which members of the Baha’i faith celebrate the birthday of the founder of the Baha’i religion.
November 20 is Transgender Day of Remembrance, established in 1998 to memorialize those who have been killed as a result of transphobia and raise awareness of the continued violence endured by the transgender community.
November 23 is Feast of Christ the King, the last holy Sunday in the western liturgical calendar. This day is observed by the Roman Catholic Church, as well as many Anglicans, Lutherans, and other mainline Protestants.
December 1 is World AIDS Day, which was created to commemorate those who have died of AIDS, and to acknowledge the need for a continued commitment to all those affected by the HIV/AIDS epidemic.
December 8 is Bodhi Day, a holiday observed by Buddhists to commemorate Gautama’s enlightenment under the Bodhi tree at Bodhgaya, India.
December 10 is International Human Rights Day, established by the United Nations in 1948 to commemorate the anniversary of the Universal Declaration of Human Rights.
December 12 is Feast Day at Our Lady of Guadalupe. This day commemorates the appearance of the Virgin Mary near Mexico City in 1531.
December 16-24 is Las Posadas, a nine-day celebration in Mexico commemorating the trials Mary and Joseph endured during their journey to Bethlehem.
December 16 (sunset) - December 24 (sunset) is Hanukkah (Chanukah). Also known as the Festival of Lights, it is an eight-day Jewish holiday recognizing the rededication of the Holy Temple in Jerusalem. It is observed by lighting candles on a Menorah—one for each day of the festival.
December 25 is Christmas, the day that Christians associate with Jesus’ birth.
December 26 – January 1 is Kwanzaa, an African-American holiday started by Maulana Karenga in 1966 to celebrate universal African-American heritage. It is observed by lighting candles to represent each of the holiday’s seven principles, libations, feasting, and gift giving.
Source: Diversity Best Practices
Barbara Nichols, a national nurse leader who broke through color barriers to become the first Black president of the American Nurses Association, likes to point out that she entered the profession in its dinosaur days—before the advent of cardio-pulmonary resuscitation, intensive care units, and pre-mixed narcotics.
It was also prehistoric in another way; Nichols became a nurse in the 1950s, when a national system of institutionalized discrimination kept minorities from entering and advancing in nursing.
In those days, many hospitals were segregated, as were many nursing schools. Those schools that weren’t often capped the number of students from racial, ethnic, and religious minority backgrounds with rigid quota systems. Few minority nurses earned baccalaureate or advanced degrees, and fewer still rose to become leaders of the profession.
But Nichols overcame those hurdles and eventually made history as the first Black nurse to hold national and state-level nursing leadership positions. Throughout her career, she has been helping others from underrepresented backgrounds enter and advance in the profession—a mission she continues at the age of 75 as director of a diversity initiative in her home state of Wisconsin.
“My whole career has been spent raising the issue of the need for racial and ethnic inclusion and looking for specific ways to involve and include more minorities in nursing,” she says. “That has been my passion.”
Born during tail end of the Great Depression and raised in Maine, Nichols was active in children’s theater and considered becoming an actor; but she ultimately decided against it because of limited professional acting roles for Blacks. Instead, she pursued a different, more “practical” dream, and became a nurse. “I was born in the late 30s, and the job market and occupations for Blacks were very limited,” she recalls. “Pragmatically, nursing was one of the fields you could go into.”
Not that it was easy. Nichols landed a highly coveted spot at Massachusetts Memorial School of Nursing in Boston, where she was one of only four Black students in her class. She went on to earn her bachelor’s degree in nursing at Case Western Reserve University, where she was one of two Black students in her class. She took a job at Boston Children’s Hospital, where she was the only Black registered nurse (RN) on staff. She then joined the U.S. Navy, where she was one of a handful of Black nurses on a staff of 150.
But life as “a speck of pepper in a shaker of salt,” as one reporter put it, never held her back; rather, it propelled her forward as a nurse leader and advocate for diversity in nursing. As a young staff nurse, she recalls, her suggestions were ignored because of her race. “Nurses would say, ‘Well, who are you to tell us what to do,’” she recalls. “That’s when I decided to get into a leadership role. It was a direct result of being ignored, and of the impression I got that my ideas weren’t worthy of consideration because I was Black.”
And lead she did. In 1970, Nichols became the first Black woman to serve as president of the Wisconsin Nurses Association. To this day, she is still the only ethnic minority to serve as the organization’s president in its more than 100 years of existence. In 1979, Nichols went on to become the first Black president of the American Nursing Association—an organization that once banned Blacks—and served for two terms. In 1983, she became the first Black woman to hold a cabinet-level position in the state of Wisconsin when she was appointed to serve as secretary of the Wisconsin Department of Regulation and Licensing. She was named a Living Legend by the American Academy of Nurses in 2010.
“I’ve been a role model who says that Blacks can achieve and can participate in meaningful ways in issues that are central to the profession,” she says.
A Long Way to Go
A lot has changed since Nichols first entered the profession. Nursing schools are no longer segregated and no longer use quotas. Employers are working harder to recruit and retain nurses of color, she adds, and more nurses from underrepresented backgrounds are seeking higher degrees.
But there’s still a ways to go before the nursing workforce reflects the increasingly diverse population it serves. The RN workforce is 75 percent White, almost 10 percent Black. and less than 5 percent Latino, according to a 2013 report by the Health Resources and Services Administration. A more diverse nursing workforce is needed to provide culturally relevant care, improve interaction and communication between providers and patients, and narrow health disparities, according to the Institute of Medicine (IOM).
After six decades in nursing, Nichols is not giving up. A visiting associate professor at the University of Wisconsin-Milwaukee College of Nursing, Nichols recently took a position as project coordinator for the Wisconsin Action Coalition to help diversify the state’s nursing workforce. Action Coalitions are the driving force of the Future of Nursing: Campaign for Action, which is backed by the Robert Wood Johnson Foundation and AARP and aims to transform the nursing profession to improve health and health care. It is grounded in anIOM report on the future of nursing released in 2010.
“Our goal is to embed, and ground, all our activities with a diversity component,” Nichols said. To do that, she and her colleagues are gathering data about the diversity of Wisconsin’s nursing workforce, partnering with interested parties, raising money to sustain efforts to diversify the profession, and analyzing ways to promote diversity through policy and practice.
She also supports the Campaign’s national efforts to implement diversity planning, recruit and retain students and faculty from underrepresented groups, and promote advanced education and leadership development among minority nurses.
“We have a big job ahead of us,” Nichols says, adding: “Prejudice is still out there.”
by Crystal Loucel
Because minorities are more likely to receive less and lower-quality health care and suffer higher mortality rates from cancer, heart disease, diabetes, HIV/AIDS and mental health illnesses than their Caucasian counterparts, there have long been calls to increase the number of minority providers to reduce these health disparities. Numerous studies have shown that patients are more likely to receive quality preventive care and treatment when they share race, ethnicity, language and/or religious experience with their providers.
The 2010 Institute of Medicine report The Future of Nursing: Leading Change, Advancing Health found that a diverse workforce – and the diverse perspective it provides – contributes to enhanced communication, health care access, patient satisfaction, decreased health disparities, improved problem solving for complex problems and innovation. Moreover, the Health Resources and Services Administration (HRSA) has found that minorities could improve access to care in underserved areas more than nonminority providers (see The Rationale for Diversity in the Health Professions: A Review of the Evidence [HRSA, 2006]).
Yet minorities are still under-represented in the health care workforce generally and in nursing in particular. In 1908, when Israel Zangwill popularized the term melting pot to describe the American population, it was 89 percent white, 10 percent black and less than 1 percent Indian, Chinese, Japanese and “others.” Today’s melting pot is considerably more diverse, composed of more than one-third racial and ethnic minorities; moreover, the United States Census Bureau expects that portion to be more than half by 2050.
“Today the nursing workforce does not adequately reflect the diversity in the population including gender,” says Beverly Malone, CEO of the National League for Nursing. Latinos, African Americans, American Indians and Native Alaskans compose only 7.6 percent of the nursing workforce, a dismal figure compared to the 25 percent in the general population. UCSF’s nursing student population is doing a bit better – in 2009, the latest year for which data are available, these same groups composed 16 percent of the UCSF nursing student body – but there is certainly room for improvement. When Asian Americans are included, a 2008 HRSA report showed that minorities make up 35 percent of the total population but only 17 percent of the nursing population.
UCSF has been trying to respond to the 2004 Sullivan Commission Report, titled Missing Persons: Minorities in the Health Professions, which recommended that health profession schools hire diversity program managers and develop plans to ensure institutional diversity, including providing educational support, commitment, role modeling and dedicated recruitment. Currently, Judy Martin-Holland serves as associate dean for Academic Programs and Diversity Initiatives at UCSF School of Nursing, a role in which she recruits minority students, seeks to integrate more diversity in the curriculum, and offers support programs for minority students. In addition, after years of medical student advocacy, Renee Navarro, vice chancellor Diversity and Outreach, created the School’s first Multicultural Resource Center. Though the center currently has no budget, its director, Mijiza Sanchez, hopes to advocate for the types of programs that the commission has recommended, such as the mentoring that Sanchez herself offers students.
It’s also important to remember that minorities often face barriers to financing their education and would benefit from scholarships, loan forgiveness and tuition reimbursement programs.
In addition, universities should link to minority professional organizations to promote enhanced admissions policies, cultural competency training and enhanced minority student recruitment. For example, as volunteer past president of the San Francisco Bay Area chapter of the National Association of Hispanic Nurses (NAHN), I am proactively connecting to the UCSF student group Voces Latinas Nursing Student Association (VLNSA) to do just that. VLNSA is open to students of all ethnicities who are interested in working with the Latino community; the ability to speak Spanish is not required. And organizations like NAHN typically offer reduced student membership and benefits such as mentoring, résumé revision, job postings, volunteer opportunities, networking and more for students, without requiring them to be from any particular racial or ethnic background.
That last point is important, because no matter how diverse your workforce, the goal is to create an environment that is inclusive and allows everyone to express themselves. As minorities, we cannot address our specific health issues alone; rather, this is a challenge for all health care providers. Given what we know about diversity and its importance to health care, we must partner to creatively address and embrace an ever more diverse future.
Crystal Loucel is a second-year master’s student at UCSF School of Nursing and past president of the San Francisco Bay Area chapter of the National Association of Hispanic Nurses. She has a master’s in public health, specializing in global health, from Loma Linda University; has served as an AmeriCorps and Peace Corps volunteer in Honduras; was one of eight RNs chosen in 2012 for a General Electric-National Medical Fellowship in primary care; and is a 2012 scholarship recipient from the Deloras Jones Kaiser Foundation. An earlier version of this piece appeared in the UCSF student newspaper, Synapse.
By Christina Orlovsky
Ask a young girl what she wants to be when she grows up, and top answers are often a teacher or a nurse, which are professions that have been associated with women throughout history. Ask a young boy the same question and neither answer is likely to be given.
Ask Christopher Lance Coleman, PhD, MS, MPH, FAAN, and he’ll tell you that inequity has to change.
Coleman, an associate professor of nursing and multicultural diversity at the University of Pennsylvania School of Nursing in Philadelphia and the author of Man Up! A Practical Guide for Men in Nursing, is a strong advocate for recruiting males into the nursing workforce and empowering them to pursue leadership roles. His new book serves as a roadmap for men seeking to break into the predominantly female nursing profession.
“I believe men need a guide, a blueprint to use to navigate through the complexity of specialty choice and a culture where, frankly, a gender disparity still exists,” Coleman explains. “This is an opportunity of a lifetime for men not only to change the face of nursing in the 21st century, but also to reshape the public image that nursing is a women’s profession.”
In fact, while the most recent numbers show that men are still a clear minority in the nursing field, an uptick is occurring. According to a 2012 U.S. Census Bureau study, “Men in Nursing Occupations,” which presents data from the 2011 American Community Survey, the percentage of male nurses has more than tripled since 1970, from 2.7 percent to 9.6 percent. Of the 3.5 million employed nurses in 2011, 3.2 million were female and 330,000 were male. It’s a change, but, if you ask Coleman, it’s not enough.
“The startling thing is how underrepresented men still are in areas of leadership,” he says. “While the numbers of RNs has increased, when you look at the profession as a whole--heads of nursing, academia--we are still so far underrepresented. This is significant for males going through school looking for role models and seeing predominantly female leaders. I want men to know this is a viable profession and there are tremendous opportunities out there.”
Coleman believes the greatest opportunities for change are in younger men, who even at the high school level should do their research and start the conversation with their parents about the opportunities that exist for them in nursing. Ethnic minority groups, he adds, are particularly critical.
“Many ethnic minority groups, even today in 2013, still think of nursing as only a woman’s profession,” he says. “That racial disparity needs to be taken away.”
Coleman hopes that his book also opens up a dialogue among current male registered nurses. Empowering male RNs to continue to climb the ladder to leadership roles where they can influence change and serve as a new face of the nursing profession, he says, can encourage them to become the mentors male RNs need to help them succeed.
Another conversation that needs to occur in order to influence a culture shift is one between female nurses who may stereotype their male counterparts as only necessary for heavy lifting or things they “can’t” do.
“That’s a stereotype that hurts women and hurts the profession,” Coleman explains. “We don’t want nursing to be seen as a profession of the weak, we want it to be seen as a profession of the strong, because nurses are strong. We all need to do a better job of marketing ourselves--stop stereotyping and typecasting males and do more education in the hospital setting about gender diversity.”
Many men, after all, possess all the qualities required to be good nurses.
“Passion; someone with a tremendous amount of integrity; leadership skills; with a natural curiosity about the world; someone who is unafraid to take on issues that perhaps have challenged them in the past; someone who could treat someone at the end of the day how they want to be treated; and someone who cares to change the world we live in--those characteristics are essential and they transcend gender,” Coleman concludes. “Those are things I’d like to see in anyone who is interested in entering our noble profession.”
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