DiversityNursing Blog

Nurses, as frontline healthcare providers, are uniquely positioned to identify victims of human trafficking. Our holistic approach to patient care, coupled with the trust patients often place in us, makes us a crucial link in ending this horrific crime. However, recognizing the subtle signs of trafficking can be challenging. This article aims to equip you with the knowledge and resources to identify potential victims and provide them with a lifeline to safety.

Understanding Human Trafficking

Human trafficking involves the exploitation of individuals for profit through force, fraud, or coercion. It can take many forms, including sex trafficking, forced labor, and domestic servitude. It's a global issue that tragically exists in our own communities, affecting people of all ages, genders, and backgrounds.

Why Nurses are Key

We often interact with patients during vulnerable times. Traffickers may bring victims to emergency departments, clinics, or even home healthcare settings for treatment of injuries, illnesses, or routine care. These interactions can provide crucial opportunities to identify and assist victims who may be unable to seek help themselves.

Red Flags: What to Look For

While no single sign definitively indicates trafficking, a combination of certain indicators should raise suspicion. Be observant of both the patient's demeanor and physical condition, as well as the behavior of any accompanying individuals:

Patient Presentation:

• Physical Signs:
  • Unexplained injuries, such as bruises, burns, cuts, or fractures, that may be in various stages of healing.
  • Signs of malnourishment, dehydration, or poor hygiene.
  • Sexually transmitted infections (STIs) or pelvic inflammatory disease (PID).
  • Fatigue, sleep deprivation, or anxiety.
  • Evidence of forced medical procedures or denial of care.
• Behavioral Signs:
  • Appears fearful, anxious, or submissive.
  • Avoids eye contact or direct communication.
  • Seems coached or hesitant to answer questions independently.
  • Unable to provide their own identification or personal information.
  • Inconsistent or vague explanations of injuries or illnesses.
  • Restricted communication with family or friends.
  • Fear of law enforcement or authority figures.
• Lack of Control:
  • Limited access to their own money or belongings.
  • No freedom of movement or decision-making.

Accompanying Individual's Behavior:

• Speaks for the patient and is unwilling to leave them alone.
• Shows controlling or overly concerned behavior.
• Is reluctant to provide their own information or identification.
• Answers questions directed at the patient.
• Seems to profit from the patient's medical visit.

What to Do If You Suspect Trafficking

If you suspect trafficking, your immediate priority is the patient's safety. Follow your facility's specific protocols for reporting suspected abuse or neglect. Here's a more detailed breakdown of what to do:

Initial Steps & Immediate Actions

• Create a Safe Space: Your primary goal is to get the patient alone, away from the potential trafficker. This can be challenging in an emergency department, but it's crucial. You might say, "I need to do a private exam" or "I need to discuss some sensitive information with the patient." Be creative and firm, but not confrontational.
• Use a Trauma-Informed Approach: The patient is likely terrified, and they may not see you as a safe person. Approach them with empathy and without judgment. Ask open-ended questions in a gentle tone, such as "Are you feeling safe at home?" or "Is there anything you want to tell me that you can't right now?"
• Look for Cues: Since the patient may be unable to speak freely, look for nonverbal cues. You can write down a simple question like, "Are you in danger?" on a piece of paper and hand it to them, or even use a simple yes/no response system with a nod or a blink.

Documentation & Reporting

• Document Thoroughly: Your documentation is a legal record and can be critical for any future investigation. Document everything you observe, not just what the patient says. Include details about their physical condition, their demeanor, the behavior of the accompanying individual, and any statements made by either party. Be objective and factual. Use direct quotes whenever possible, for example, "Patient stated, 'I'm not allowed to be alone.'"
• Follow Facility Protocol: Every healthcare institution has a protocol for handling suspected abuse. This typically involves notifying a supervisor, a social worker, or a patient advocate. Your facility's protocol is your roadmap—stick to it.

You can also contact the following resources for guidance and support:

• National Human Trafficking Hotline: 1-888-373-7888 or text HELP to 233733. This hotline is available 24/7 and provides confidential support and resources for victims and those who suspect trafficking. Link to National Human Trafficking Hotline
• Polaris Project: This organization works to end human trafficking and provides resources for victims and professionals. Link to Polaris Project
• The Department of Health and Human Services (HHS), Administration for Children and Families (ACF): Offers resources and information on human trafficking. Link to HHS Anti-Trafficking Website

Education and Awareness

Staying informed is our collective responsibility. Advocate for ongoing training within your healthcare system on human trafficking recognition and response. By increasing our awareness and understanding, we can collectively become a powerful force in identifying and supporting victims of this heinous crime.

As Nurses, we are advocates for our patients' well-being. By learning to see the unseen signs of human trafficking, we can offer a beacon of hope and help pave the way for their freedom and recovery.

Congratulations! The decision to begin Nursing school is not only brave, it's life-changing. As a Nurse, I know the butterflies (and possibly the nerves) that come with this big leap. Whether you’re fresh out of high school, changing careers, or pursuing a lifelong dream, here’s my candid advice for those stepping into this new world.

What to Expect in Nursing School

An Intense but Rewarding Workload
Nursing school isn’t just “hard”, it’s a unique balance of science-heavy classes, hands-on clinicals, and the deep emotional learning that comes with caring for others. Expect lots of reading, group projects, pop quizzes, and skills check-offs. It’s challenging, but the moments when you really connect theory to practice make it all worthwhile.

Clinicals: Where the Magic Happens
You’ll spend time in hospitals, clinics, or care centers learning directly from professionals. These experiences are both thrilling and intimidating at first. Remember, everyone feels nervous! Embrace mistakes as learning opportunities, ask questions, and soak up every moment.

A Sense of Community (and Camaraderie)
Your classmates will become your support system, study buddies, and most importantly, lifelong friends. Lean on each other, celebrate wins, and help someone up when they’re down. Nursing is about teamwork from day one.

Personal and Professional Growth
Nursing school isn’t just about medical knowledge. You’ll become more resilient, patient, organized, and adaptable. Expect to face ethical dilemmas, emotional challenges, and days when you question yourself. That’s all part of your growth as a future Nurse.

How to Prepare for Nursing School

Get Organized Early
Invest in a sturdy planner or digital calendar. Keep track of assignments, tests, skills labs, and clinical rotations. Getting (and staying) organized helps reduce stress and ensures you never miss an important deadline.

Master the Basics

• Review anatomy, physiology, and medical terminology.

• Brush up on basic math for safe medication calculation, you’ll need it!
  
  

Practice Self-Care
Nursing school will stretch you, so plan time for meals, rest, exercise, and fun. Burnout is real, but manageable with the right routines. Don’t neglect your health for your grades!

Harness Your Support System
Tell family and friends about your journey. Let them know when you’ll need encouragement or space to study. Leaning on your support network is a sign of strength, not weakness.

Be Ready to Ask for Help
There’s no shame in seeking assistance, whether it’s clarification from a professor, advice from a mentor, or counseling services for stress. Nursing school is a team effort.

Find Your “Why”
On tough days, remembering why you chose Nursing will keep you moving forward. Whether it’s to help others, chase your passion, or build a stable career, hold close to your motivation.

Essential Items Every Nursing Student Should Have

Heading into Nursing school prepared makes a huge difference, you’ll be more organized, comfortable, and ready for whatever the day brings. Here’s a list of must-have items to pack, buy, or keep on hand:

Stethoscope
A reliable stethoscope is vital for clinical skills and patient care. Choose a quality model that feels comfortable, you’ll use it every day.

Comfortable, Professional Scrubs
Invest in a few sets of scrubs that fit well, breathe, and are easy to wash. Some schools have color requirements, so check your guidelines before buying.

Supportive Shoes
You’ll be on your feet for hours. Go for non-slip, comfortable footwear made for healthcare settings. Your feet (and back) will thank you!

Watch With a Second Hand
Many clinical tasks require accurate time tracking (pulse counts, medication administration, and more.) A simple, waterproof watch is best.

Notebooks, Pens, and Highlighters
Jot down notes during lectures and clinicals. Color-coding helps keep info organized and makes study sessions more effective.

Clipboard (preferably with storage)
Useful for holding papers, forms, medication sheets, plus, a clipboard with storage keeps everything together as you move through your day.

Medical Reference Pocket Book or App
Having quick access to drug guides, medical terminology, or procedure notes can be a lifesaver, especially during clinical rotations.

Water Bottle and Healthy Snacks
Long days demand hydration and fuel. Bring a sturdy water bottle and portable snacks (nuts, granola bars, fruit) for energy when break times are short.

Hand Sanitizer and Sanitizing Wipes
Staying germ-free is a must, both at school and on the job. Keep hand sanitizer and wipes handy for a quick clean.

ID Badge Holder or Lanyard
Secure your student or hospital ID, many clinical sites require you to wear it at all times.

Planner or Digital Organizer
Keep track of assignments, shifts, exams, and appointments. Staying organized will lower your stress and help you meet deadlines.

Compression Socks
Extra support can reduce fatigue and swelling during long clinical shifts.

With these essentials, you’ll start Nursing school ready for learning, caring for patients, and tackling anything the day brings!

Nursing school is a wild, wonderful ride. You’ll fill your brain and your heart more than you ever thought possible. Be curious, stay kind (especially to yourself), and remember: every great Nurse was once a student just like you.

You’re about to embark on a journey that truly makes a difference. Embrace it all, you’ve got this!

In Nursing, there are moments when the clock seems to slow down, not because the shift is quiet, but because the weight of the situation demands your full presence. Whether it’s holding a patient’s hand before a major surgery or being the first face they see after hearing life-altering news, these are the moments when trust is not just helpful, it’s essential.

The bond between a Nurse and patient isn’t built in grand gestures. It’s formed through small, intentional acts that convey, I’m here for you. And often, these acts happen during some of the hardest moments in a patient’s life.

Why Trust Matters Most in Crisis

When a patient is facing fear, pain, or uncertainty, trust becomes the bridge between their vulnerability and your care. In these moments, clinical skills alone are not enough. Compassion, honesty, and presence can calm anxieties and make patients feel safe enough to let you in.

For example, during an emergency trauma admission, you might not have the luxury of a long conversation, but you can look the patient in the eyes, introduce yourself clearly, and explain every step you’re taking. That simple act communicates: You’re not alone, and I will guide you through this.

Real-Life Moments That Build the Bond

The Pre-Op Promise

One Nurse recalls caring for a young woman about to undergo open-heart surgery. The patient’s hands were shaking as she signed her consent form. The Nurse pulled up a chair, sat at eye level, and said, “I’ll be here when you wake up.” Hours later, when the patient opened her eyes in recovery, that same Nurse was standing right beside her. The relief on her face said everything, trust had been earned.

Staying Present in Loss

Another Nurse shared her experience with a family in the ICU whose loved one wasn’t going to make it. She didn’t have the right words, there are no perfect words, but she stayed in the room, adjusting blankets, offering tissues, and answering questions gently. Sometimes, trust isn’t about fixing the unfixable. It’s about being the steady presence when the world is falling apart.

Respecting Patient Fears

A Pediatric Nurse remembers a little boy who was terrified of needles. Instead of rushing, she knelt beside him, let him “give her a shot” with a toy syringe, and explained step-by-step what she was going to do. When it came time for the real injection, he squeezed her hand and said, “Okay, I'm ready.” That trust turned a moment of fear into a moment of bravery.

Practical Ways to Build Trust During Hard Times

• Be transparent – Even when the news is difficult, honesty fosters trust. Patients can sense when information is being withheld.

• Use their name – It’s a small thing, but it helps patients feel seen as a person, not a room number.

• Explain what you’re doing, even if it seems obvious – Especially in emergencies, a calm, clear voice can anchor a patient in chaos.

• Honor their dignity – Knock before entering, provide privacy, and respect personal boundaries.

• Show up when you say you will – Consistency builds reliability, which builds trust.

The Lasting Impact

Nurses may not remember every patient, but patients often remember their Nurses, especially the ones who showed compassion during their hardest days. The trust you build in those moments can be a source of comfort long after the hospital stay ends.

In the end, the nurse-patient bond isn’t just about care plans and medication schedules. It’s about creating a human connection strong enough to hold someone together when their world feels like it’s falling apart. And for Nurses, that’s both the privilege and the heart of the job.

Nursing shifts are no joke; 12 hours (or more) on your feet, juggling patient care, documentation, and the occasional code blue. In the middle of all that chaos, snacks become more than just food; they’re fuel, comfort, and sometimes the only thing keeping you from crashing halfway through. 

But not all snacks are created equal. Some energize you and keep your blood sugar stable, while others leave you drained and sluggish. Here’s a breakdown of the best and worst snacks to stash in your locker, break room, or scrub pocket.

🥇 The Best Snacks for Long Nursing Shifts

These snacks are portable, protein-packed, and made to go the distance, just like you.

1. Hard-Boiled Eggs

• Why it works: High in protein and healthy fats to keep you full.

• Pro tip: Pre-peel them for a quick grab-and-go option.
  
  

2. Greek Yogurt or Skyr

• Why it works: High in protein and calcium; great with a handful of berries or a drizzle of honey.

• Storage tip: Keep in a cooler bag or shared fridge.
  
  

3. Mixed Nuts or Trail Mix

• Why it works: Protein + fat + carbs = lasting energy.

• Watch out: Skip ones loaded with candy or extra salt.
  
  

4. Hummus and Veggie Sticks

• Why it works: Crunchy, refreshing, and satisfying without a crash.

• Meal-prep win: Pre-cut carrots, cucumbers, and bell peppers in snack containers.
  
  

5. String Cheese or Babybel

• Why it works: Easy, mess-free protein and calcium boost.

• Bonus: Doesn’t take up much space in your lunch bag.
  
  

6. Tuna Packets or Chicken Salad Cups

• Why it works: High-protein and super filling.

• Try this: Scoop onto whole grain crackers or eat straight from the pouch.
  
  

7. Protein Bars (with Clean Ingredients)

• What to look for: 10+ grams of protein, low added sugar, no weird additives.

• Favorites: RXBAR, KIND Protein, or Quest.
  
  

8. Rice Cakes with Nut Butter

• Why it works: Carbs + healthy fat combo helps you power through.

• Add-ons: Banana slices or chia seeds for extra nutrition.
  
  

🥴 The Worst Snacks for Long Nursing Shifts

These may seem like quick fixes, but they usually lead to sugar crashes, energy dips, or growling stomachs before your next charting session.

1. Candy Bars

• Why not: Quick sugar rush = quick crash. Not the kind of code you want to run into.
  
  

2. Chips

• Why not: Empty calories, high sodium, and they don’t keep you full.
  
  

3. Pastries and Donuts

• Why not: Tempting during that morning huddle, but they’ll leave you crashing by lunch.
  
  

4. Energy Drinks

• Why not: Spikes your heart rate and can dehydrate you, water and electrolytes are safer long-term.
  
  

5. Flavored Yogurts

• Why not: Often packed with sugar, and the protein-to-sugar ratio isn’t ideal.
  
  

🧠 Smart Snacking Tips for Nurses

• Think “mini-meals”: Choose snacks that combine protein, carbs, and healthy fats.

• Hydrate or crash trying: Pair every snack with water. Dehydration = fatigue.

• Don’t skip breaks: When you fuel yourself properly, you take better care of others.

• Stock your locker: Keep shelf-stable snacks like nuts, bars, and jerky ready for backup.

💬 Final Thoughts

You deserve snacks that work as hard as you do. The right fuel can help you stay focused, energized, and avoid the dreaded 3 PM slump. A little planning goes a long way, your body and your patients will thank you.

In the grand narrative of healthcare, the spotlight often shines brightest on dramatic interventions – emergency surgeries, groundbreaking treatments, and heroic resuscitations. Yet, lurking quietly in the background, making a profound and often unseen difference, is the steady, vital work of preventative Nursing care. It's the silent force that saves lives, improves quality of life, and ultimately, reshapes the health of communities.

What is Preventative Nursing Care?

Preventative Nursing care isn't about reacting to illness; it's about proactively safeguarding health. It encompasses a wide range of strategies aimed at stopping diseases before they start, identifying health risks early, and empowering individuals to make choices that promote their well-being. Think of it as building a strong foundation for health, rather than constantly patching cracks after they appear.

Nurses are at the forefront of this crucial work. They are educators, advocates, and direct care providers who implement primary, secondary, and even tertiary prevention strategies:

• Primary Prevention: Focuses on preventing disease altogether. This includes immunizations, health education on diet and exercise, promoting healthy lifestyle choices, and advocating for public health policies.

• Secondary Prevention: Aims for early detection and intervention when a disease is in its nascent stages. Regular screenings (like mammograms, colonoscopies, blood pressure checks, and diabetes screenings) fall under this category. Nurses play a crucial role in ensuring these screenings happen and interpreting the results.

• Tertiary Prevention: While a disease may have already manifested, tertiary prevention focuses on preventing its worsening, reducing complications, and improving the patient's quality of life. This can involve managing chronic conditions, rehabilitation, and education to prevent further decline.

The Undeniable Impact

The statistics paint a clear picture: preventative care is a game-changer. The United States, despite having the highest health expenditures globally, only sees about 8% of its population undergoing routine preventive screenings. This missed opportunity costs the nation an estimated $55 billion annually, or roughly 30 cents on every healthcare dollar, due to preventable conditions. 

Conversely, investing in preventative care yields significant returns:

• Longer, Healthier Lives: By identifying and addressing risks early, individuals can avoid or delay the onset of chronic diseases like heart disease, diabetes, and certain cancers. "Prevention is one of the few known ways to reduce demand for health and aged care services."- Julie Bishop

• Reduced Healthcare Costs: Early detection and intervention are often less invasive and less expensive than treating advanced illnesses. For example, addressing pre-diabetes through lifestyle changes can prevent the progression to full-blown Type 2 diabetes, saving significant medical costs down the line.

• Improved Quality of Life: Beyond extending lifespan, preventative care empowers individuals to live more active, fulfilling lives, free from the debilitating effects of preventable conditions.

Nurses: The Backbone of Prevention

Nurses are uniquely positioned to deliver impactful preventative care. Their roles extend far beyond the hospital bedside:

• Patient Education: Nurses spend the most time with patients, providing invaluable guidance on immunizations, nutrition, medication adherence, and safety. They translate complex medical information into understandable advice, empowering patients to take ownership of their health.

• Community Outreach: Many Nurses work in public health, developing programs and resources that positively affect large groups of people, addressing health disparities and promoting wellness at a broader level.

• Screening and Vaccination Champions: Nurses are instrumental in administering routine diagnostic tests and vaccinations, protecting individuals from serious illnesses like the flu, pneumonia, and childhood diseases.

• Building Trust: Through their consistent presence and compassionate care, Nurses build trust with patients, making them more receptive to health advice and lifestyle changes.

A Patient's Perspective:

"I used to think going to the doctor was only for when you were sick," shared Sarah M., a 52-year-old patient. "But my Nurse kept encouraging me to get my regular screenings, even when I felt fine. Turns out, she caught my high blood pressure before it caused any serious problems. Now, I'm on medication, I've changed my diet, and I feel so much better. She truly saved me from a lot of heartache down the road."

The Call to Action

The "unsung" nature of preventative Nursing care shouldn't diminish its profound importance. As healthcare systems continue to evolve, recognizing and investing in the preventative power of Nursing will be paramount to creating a healthier future for all. It’s time we celebrated these vital healthcare heroes who, through their proactive and compassionate approach, are truly saving lives, one healthy habit at a time.

As Nurses, we witness the incredible resilience and unique journeys of individuals every single day. July marks an important occasion: Disability Pride Month.

Disability Pride isn't about denying the challenges that can come with living with a disability. Instead, it's about embracing disability as a natural and valuable aspect of human diversity. It's about dismantling stigma, fighting for accessibility, and recognizing the immense contributions of disabled individuals to society.

The History: A Look Back

Did you know that Disability Pride Month is celebrated in July to commemorate a monumental civil rights victory? The Americans with Disabilities Act (ADA) was signed into law on July 26, 1990. This landmark legislation prohibits discrimination against individuals with disabilities in all areas of public life, from employment to transportation and public accommodations. The first official Disability Pride Month celebration occurred in July 2015, marking the ADA's 25th anniversary.

Beyond legislation, the disability rights movement has a rich history of advocacy. Events like the Capital Crawl in 1990, where disabled activists crawled up the steps of the U.S. Capitol, dramatically illustrated the inaccessibility faced by many and spurred the passage of the ADA. These acts of courage laid the groundwork for the pride we celebrate today.

More Than Just a Month: Key Facts About Disability

• Disability is diverse: It encompasses a vast spectrum of conditions, both visible and invisible, including physical disabilities, neurodiversity, mental health conditions, chronic illnesses, and sensory impairments.

• A global community: According to the World Health Organization, approximately 16% of the world's population, or an estimated 1.3 billion people, live with a disability, making it the largest minority group globally. In the U.S., over 61 million adults live with a disability (CDC).

• The Disability Pride Flag: Designed by Ann Magill, the current flag features a charcoal gray background representing mourning for victims of ableist violence and abuse. The diagonal band signifies cutting through barriers, and the five colors represent different types of disabilities: Red (physical), Gold (neurodiversity), White (invisible and undiagnosed), Blue (emotional and psychiatric), and Green (sensory).

• Combating Ableism: Disability Pride actively challenges ableism – the discrimination and social prejudice against people with disabilities based on the belief that typical abilities are superior. It encourages us to shift from a "medical model" that views disability as something to be "fixed" to a "social model" that recognizes societal barriers as the disabling factor.

Voices of Experience 

Patient Voices:

• "My disability isn't a limitation; it's a different way of experiencing the world. It has given me unique strengths and a perspective I wouldn't trade." – Maria, living with a spinal cord injury

• "For so long, I felt like I had to hide my invisible illness. Disability Pride Month reminds me that my experiences are valid and that I deserve to be seen and celebrated for who I am, chronic pain and all." – Damian, living with fibromyalgia

• "When people focus on my wheelchair, they miss me. This month is about showing the world that disabled lives are full, vibrant, and deserve respect." – Sarah, a proud advocate and artist

Nurse Reflections:

• "As a Nurse, Disability Pride Month is a powerful reminder to always listen, to advocate for accessibility in our healthcare systems, and to see the person, not just the diagnosis. Every patient teaches me something new about resilience and adaptation." – Emily, RN

• "It's about shifting our mindset. We're here to empower, to support independence, and to make sure our patients receive equitable and dignified care. Celebrating Disability Pride is an extension of that commitment." – Michael, BSN

• "Disability isn't a tragedy; it's a characteristic. This month challenges us to examine our own biases and focus on creating truly inclusive environments for both our patients and our colleagues." – Jessi, Charge Nurse

How Can We All Celebrate?

Beyond July, the spirit of Disability Pride should inform our actions every day:

• Educate yourself: Learn about disability history, culture, and current issues.

• Challenge ableism: Be mindful of language, stereotypes, and unconscious biases.

• Advocate for accessibility: Support initiatives that promote universal design and inclusion in all areas of life.

• Amplify disabled voices: Listen to and uplift the experiences of people with disabilities.

• Celebrate diversity: Recognize and value the unique perspectives and contributions that disabled individuals bring to our communities.

Disability Pride Month is a call to action, a celebration of identity, and a profound reminder that true strength lies in embracing all forms of human diversity. Let's stand together, Nurses and allies, to create a world where every person, regardless of ability, is seen, valued, and empowered to thrive.

This year’s conference theme is “Rising Strong: Better Together to Advance Wellness Initiatives for All.” 

VERSAILLES, Ky. – Frontier Nursing University (FNU) will hold its 15th-annual Diversity Impact Conference on July 23-24. This year’s conference will be held on Zoom at no cost. The Diversity Impact Conference brings together renowned thought leaders and speakers to expand participant understanding on the topics of health equity and reducing health disparities in patient care delivery across healthcare settings. 

 The theme of this year’s conference is “Rising Strong: Better Together to Advance Wellness Initiatives for All.” The two-day event will feature keynote presentations on both days from nationally recognized leaders in diversity, equity, and inclusion. Additional sessions will include panel discussions, breakout sessions, and time for reflection. 

“This year’s theme reflects Frontier’s shared commitment to fostering inclusive, equitable, and impactful health and wellness practices across all communities,” FNU President Dr. Brooke A. Flinders said. “In today’s climate, the insights, experiences, and knowledge shared over the two days of this conference may be more relevant than ever.”  

The opening keynote address will be given by Dr. Kimberly Jenkins Robinson, who is a professor at the University of Virginia School of Law as well as a professor at both the School of Education and Human Development, and the Batten School of Leadership and Public Policy. She is one of the nation’s leading education law experts and speaks throughout the United States about K-20 educational equity, school funding, education and democracy, equal opportunity, civil rights, Title IX and federalism. 

We will welcome Dr. Kenya Beard as our keynote speaker on July 24th. Beard is the inaugural Dean and Chief Nursing Officer at Mercy University’s School of Nursing and former chair of the New York State Board of Nursing. A national health equity expert and transformational leader, she has shaped nursing education, policy, and practice across the U.S. Dr. Beard was a 2012 Macy Faculty Scholar and co-founded the Center for Multicultural Education and Health Disparities. She teaches at the Harvard Macy Institute and serves on the board of Public Health Solutions.  

 “We are increasing access to continuing education related to diversity in healthcare by offering this year’s conference free to everyone,” FNU Dean of Student Success Dr. Paula Alexander-Delpech, PhD, APRN, PMHNP-BC, FAANP, said. “The Conference keeps getting better each year and I’m excited to share that this year’s conference is approved for 8.25 continuing education hours.” 

The learning outcomes attendees can expect to take away from the Diversity Impact Conference include: 

• Identify current policies that impact wellness. 
• Recognize strategies for effective collaboration across disciplines to promote wellness.
• Discuss advocacy for policies that prioritize the determinants of health and wellness.

 For more information about the 2025 Diversity Impact Conference and to register for free, please visit frontier.edu/diversityimpact/. Conference speaker information and bios can be found here. 

This activity is approved for 8.25 contact hour(s) of continuing education (which includes 0 hour(s) of pharmacology) by Frontier Nursing University. Activity #2507-001.  This activity was planned in accordance with ANCC Commission on Accreditation Standards and Policies.

Pride Month in June is a vibrant and essential time for celebration, advocacy, and raising awareness for the LGBTQ+ community. We see rainbow flags adorning hospitals, clinics, and communities, and it's a wonderful display of solidarity. But as Nurses, our commitment to providing safe, respectful, and affirming care for our LGBTQ+ patients must extend far beyond a single month.

True LGBTQ+ inclusive Nursing care isn't a seasonal effort; it's a continuous practice woven into the fabric of our daily routines. It's about ensuring every patient who walks through our doors feels seen, heard, and valued, not just during Pride, but every single day of the year.

So, how do we move "beyond the rainbow flag" and cultivate truly year-round LGBTQ+ affirming Nursing practice? Let's explore some key areas:

Best Practices: The Foundation of Affirming Care

The seemingly small details can make the biggest difference in creating an affirming environment.

• Inclusive Language and Preferred Pronouns: This is paramount. Always ask patients for their preferred name and pronouns, and use them consistently. A simple "What name do you prefer to go by?" and "What pronouns do you use?" can open the door to respectful communication. If you make a mistake, apologize, correct yourself, and move on.
• Updating Patient Intake Forms: Are your intake forms still limited to "male" or "female" and "single" or "married"? They shouldn't be. Advocate for and utilize forms that accurately capture gender identity (e.g., cisgender, transgender, non-binary) and sexual orientation. This allows us to gather crucial information for holistic care.
• Respecting Chosen Names: For many transgender and non-binary individuals, their chosen name is deeply significant to their identity. Always use a patient's chosen name, even if it differs from their legal name, and ensure it's communicated across the care team.
• Avoiding Assumptions: Never assume a patient's gender identity, sexual orientation, relationship status, or lifestyle. This means refraining from comments like, "Does your husband know you're here?" Instead, use gender-neutral language like "partner" or "significant other" until you have more information.

Addressing Microaggressions: Recognizing and Responding

Microaggressions are subtle, often unintentional, expressions of bias that can invalidate or demean LGBTQ+ individuals. They can chip away at a patient's sense of safety and trust.

• Educate Yourself: Learn to recognize common LGBTQ+ microaggressions, such as misgendering, assuming all LGBTQ+ people are promiscuous, or dismissing a patient's health concerns as "lifestyle choices."
• Speak Up (Respectfully): If you witness a microaggression from a colleague, family member, or even another patient, address it. This doesn't mean being confrontational, but rather gently correcting misinformation or redirecting the conversation. For example, "Actually, [patient's preferred pronoun] is 'they/them'," or "It's important that we use inclusive language here."
• Support the Patient: If a patient experiences a microaggression, acknowledge their feelings and validate their experience. Let them know you are a safe person to talk to.

Creating Safe Spaces: Fostering Trust and Openness

A safe space is one where patients feel comfortable disclosing their identities and health concerns, knowing they will receive equitable and non-judgmental care.

• Visible Affirmation: Displaying pride symbols, inclusive signage, or ally stickers can signal to LGBTQ+ patients they are in a welcoming environment.
• Confidentiality and Privacy: Reassure patients that their identities and health information will be kept confidential, especially when discussing sensitive topics related to sexual orientation or gender identity.
• Non-Judgmental Approach: Approach every patient with an open mind and heart. Your role is to provide care, not to judge. Be aware of your own biases and work to mitigate them. Take our quiz to see how familiar you are with unconscious bias.
• Patient-Centered Communication: Encourage patients to share their experiences and concerns. Actively listen and demonstrate empathy.

Education and Resources: Continuous Learning

The landscape of LGBTQ+ health is constantly evolving, and as Nurses, we have a professional responsibility to stay informed.

• The National LGBTQIA+ Health Education Center: This invaluable resource provides a wealth of information, training, and clinical guidelines specifically tailored for healthcare professionals.
• GLMA (Health Professionals Advancing LGBTQ Equality): GLMA offers educational programs, advocacy initiatives, and a network of LGBTQ+ affirming healthcare providers.
• Professional Organizations: Many Nursing organizations now offer resources and position statements on LGBTQ+ health.
• Community Resources: Familiarize yourself with local LGBTQ+ community centers, support groups, and healthcare providers who specialize in LGBTQ+ affirming care. This can be incredibly helpful for patient referrals.

Cultivating year-round LGBTQ+ affirming care is an ongoing journey, not a destination. It requires continuous learning, self-reflection, and a deep commitment to treating every patient with the dignity and respect they deserve. By integrating these best practices into our daily routines, we can move beyond the rainbow flag and truly create healthcare environments where all individuals feel safe, respected, and understood, 365 days a year.

It's encouraging to see the growing recognition of the "fourth trimester", the crucial postpartum period extending from birth to three months or even a year after delivery. For too long, the focus in maternal care has primarily been on pregnancy and childbirth, often leaving new mothers to navigate the complex physical, emotional, and social changes of postpartum on their own. However, a powerful movement is changing this narrative, with health systems nationwide stepping up to provide comprehensive and much-needed support during this vital phase.

One such leader is AdventHealth, which is actively responding to this movement by striving to care for women across their entire lifetime. Their innovative Fourth Trimester Program offers 12 weeks of dedicated postpartum care, a significant expansion from the traditional six-week check-up.

This program goes beyond just medical follow-ups, providing assistance with medications, blood pressure monitoring, and weekly visits. It also addresses the broader determinants of health by helping with insurance, paperwork, supplies for milk, transportation, and even financial and housing assistance.

The impact is already evident. According to Becker's Hospital Review, since its late 2024 launch, the program has achieved a remarkable 20% reduction in readmissions for Black mothers who had a C-section, a testament to its holistic approach and focus on health equity. AdventHealth is further expanding its commitment to women's services with two new locations opening in 2026.

Beyond AdventHealth, other health systems and organizations are also pioneering comprehensive fourth-trimester care:

• Partnership for Proactive Health champions a team-based approach to fourth-trimester care, emphasizing "Healthcare as a Team Sport." Their model proactively builds trusting relationships during pregnancy and extends support into the postpartum period, focusing on five key areas: team and support, food and nutrition, movement and exercise, rest and recovery, and joy and mindset.
• Kahn Health offers a dedicated "4th Trimester Care Package" that includes in-home check-ups for both mother and baby, specialized lactation and breastfeeding advice, and support for common newborn issues. This personalized, integrative primary care model provides crucial support in the comfort of the family's home.
• UW Medicine in Washington is leading the "Maternal Mental Health Access" effort. This initiative, funded by the Washington Department of Health, aims to enhance perinatal behavioral health care capacity across the state. It focuses on screening for suicide risk, developing risk-mitigation plans, and providing team-based care and training for healthcare providers. The Washington State Legislature has also extended Medicaid benefits for mothers from six weeks to a year postpartum, recognizing the increased risk of maternal mortality for those without benefits.
• Cherokee Health Systems in Tennessee has implemented the NURTURE model of care. This integrated approach combines OB/GYN, pediatric, and behavioral health care for new parents and their babies, ensuring comprehensive support during and after pregnancy. Their behavioral health specialists are even trained in basic lactation to address feeding-related stress.
• NewYork-Presbyterian emphasizes "mother-baby" care on their postpartum units, where one nurse is trained to care for both the mother and newborn. They provide support for physical changes, coping with "baby blues," medication management, and daily workshops on breastfeeding and discharge.
• UMass Memorial Health has introduced a "Hospital at Home for Postpartum Care" program for eligible patients who have had cesarean births. This innovative model allows mothers to recover in the comfort of their homes while still receiving high-quality, hospital-level services, including daily virtual doctor visits and 24/7 monitoring.

These pioneering programs represent a vital shift in healthcare, recognizing the postpartum period is not just about the baby, but also about the health and well-being of the birthing parent. By extending care, integrating services, and embracing new technologies, these health systems are not only improving individual maternal health outcomes but also contributing to a healthier society as a whole.

As Nurses, we are at the forefront of this movement, advocating for and delivering the compassionate, comprehensive care that new mothers truly deserve during their fourth trimester and beyond.