DiversityNursing Blog

Healthcare organizations and hospitals are making significant investments in initiatives focused on promoting Diversity, Equity, and Inclusion (DEI) in order to cultivate a dynamic and talented workforce for the future.

Johnson & Johnson has put its support behind two pilot programs aimed at setting Nurses up for success on campus and in healthcare settings.

The first program is a year-long leadership initiative developed by the National League for Nursing (NLN), an organization whose mission is to promote an inclusive nursing workforce and support nursing education. The NLN leadership program is designed to help students of color with a smooth transition from their last year of school to their first clinical job.

The second initiative is led by the American Association of Colleges of Nursing (AACN), which represents more than 865 nursing schools nationwide. The AACN has developed a detailed online survey for student nurses to measure their sense of belonging in classrooms. The goal is to use the survey results to foster a more inclusive and encouraging culture on campuses.

Mass General Brigham and UMass Boston’s Manning College of Nursing and Health Sciences announced an expanded collaboration to enhance the college’s Clinical Leadership Collaborative for Diversity in Nursing program.

With a $20 million investment — $10 million from Mass General Brigham and $10 million from UMass Boston — the goal is to recruit and retain Nursing students from underrepresented communities as they start their clinical rotations. 

“Nurses are fundamental to the delivery of high-quality, compassionate healthcare to our patients,” said Dr. Anne Klibanski, president and CEO of Mass General Brigham. “There is an immense need to increase the pipeline of trained Nurses, with a concerted focus on increasing diversity among our trainees. This initiative is a powerful example of how collaboration can drive change to overcome monumental challenges in a meaningful way.” 

The Cleveland Clinic, MetroHealth and University Hospitals officially signed the Impact Workforce Commitment with the overall goal to find new opportunities, maximize the hiring process and train and retain the area's diverse talent.

"Through this partnership with the Healthcare Anchor Network, we literally have committed to walk the talk," said Alan Nevel, Senior Vice President Chief Equity and Community Impact Officer for Metro Health System.

The health system is creating learn-and-earn programs to amplify and support diversity, as well as hosting community health and job fairs year-round.

The United Health Foundation, the philanthropic arm of UnitedHealth Group, will invest $100 million over the next decade to drive a more diverse healthcare workforce.

Investing in a diverse workforce has numerous benefits and advantages such as:

Better patient care and outcomes: Diverse healthcare teams can provide more comprehensive and culturally competent care to patients from various backgrounds. When healthcare professionals understand the unique needs and perspectives of their patient populations, they can deliver more effective and personalized treatments, leading to better health outcomes.

“When you’re a Nurse with a diverse background, you are likely to bring a differentiated perspective to patient care," explains Lynda Benton, Senior Director of Global Community Impact Strategic Initiatives of Johnson & Johnson Nursing. "You may have broader and deeper insights into patient beliefs, attitudes, ethnicities and perceptions. When patients see Nurses and other members of the medical team who look like them, it can remove barriers, open up conversations and ultimately improve access to quality care."

Enhanced patient satisfaction: Patients feel more comfortable and valued when they see diversity represented in their healthcare providers. Feeling understood and respected by their healthcare team contributes to higher patient satisfaction and better patient-provider communication.

Reducing health disparities: In many healthcare systems, certain minority groups experience disparities in access to care, treatment options, and health outcomes. By promoting diversity and inclusion, hospitals aim to address these disparities and provide equitable care to all patients.

Attracting and retaining talent: High turnover rates are prevalent in this industry, attributed not only to the demanding workload but also the treatment professionals experience. 

A Rutgers School of Nursing study found 63% of Nurses have experienced racism on the job. More than three-fourths of Black Nurses said racism negatively impacts their professional well-being. 

People are more likely to join and stay in an inclusive organization where they feel accepted, supported, valued, and have equal opportunities for growth and advancement.

Fostering innovation and creativity: A diverse workforce brings together individuals with different backgrounds, experiences, and perspectives, creating a mix of ideas and insights. This diversity of thought can foster a culture of innovation and creativity within healthcare settings, leading to more effective problem-solving and decision-making.

When healthcare professionals from diverse backgrounds collaborate, they bring forth a wide range of perspectives and approaches to address complex healthcare challenges. They can draw upon their unique experiences and knowledge to develop innovative strategies and solutions that may not have been considered otherwise.

Reputation and community trust: Healthcare organizations that prioritize diversity and inclusion can build a positive reputation in their communities. Patients and community members are more likely to trust and support organizations that demonstrate a commitment to inclusivity.

Cultural competence and language access: A diverse workforce can help bridge language and cultural barriers between patients and providers. This can improve communication and ensure that patients receive the information and care they need, regardless of their language or cultural background.

Economic benefits: Diverse and inclusive healthcare organizations have been associated with improved financial performance. Studies have shown that companies and institutions with diverse leadership teams tend to outperform their peers financially.

From a health care perspective, lack of equity translates to higher costs. “When we exclude particular populations, decrease access, increase barriers, or provide subpar care, then at the end of the day, those people are going to utilize health care dollars at a much higher rate,” says Mary Fleming, MD, President of the nonprofit Reede Scholars, Inc. and Program Director of the Leadership Development to Advance Equity in Health Care program at the Harvard T.H. Chan School of Public Health.

Employee morale and productivity: Inclusive environments not only foster higher employee morale and satisfaction but also have a direct impact on the overall productivity and success of an organization. 

When employees feel supported and included, they are more likely to develop a sense of loyalty towards the organization. They become advocates for the company's mission and values, which can positively impact employee retention and reduce turnover rates.

Additionally, inclusive environments promote effective communication and collaboration among team members. When employees feel comfortable expressing their thoughts and opinions, it leads to open and honest discussions. This fosters a culture of trust and transparency, enabling teams to work together more efficiently and effectively towards shared objectives.

Furthermore, inclusivity promotes diversity in leadership roles. Employees see individuals from diverse backgrounds in positions of authority, and become inspired and motivated to reach their full potential. This representation not only boosts employee morale but also helps to break down barriers and biases, leading to a more inclusive and equitable workplace for everyone.

Compliance and legal requirements: Many countries have laws and regulations that promote diversity and equal opportunity in the workplace. Hospitals and health systems invest in D&I to comply with these legal requirements and create a safe and inclusive environment for their employees.

Overall, investing in DEI is not just a social responsibility but also a strategic decision that can lead to improved patient care, better employee satisfaction, and enhanced organizational performance for health systems and hospitals.

Applying for a new job can be overwhelming and stressful. For candidates with disabilities, the hiring process can be a disheartening experience.  

According to the CDC, one in four adults in the U.S. has a disability; the unemployment rate for that community is double that of non-disabled workers.

Andrea Dalzell can relate to those who face unjust barriers when searching for employment. She is a disability advocate and New York State's first wheelchair-bound Registered Nurse. 

Dalzell fights for those like her, qualified candidates who face discrimination and obstacles when applying for jobs.

Andrea was diagnosed with transverse myelitis when she was 5 years old and using a wheelchair full-time by the age of 12.

Her experiences with Nurses inspired her to become one. She received her Nursing degree from the City University of New York, College of Staten Island.

Even with her Nursing degree it was difficult to find work.

"I once went through 76 clinical Nursing interviews. I was rejected from them all until COVID demanded my help during the peak in NYC. The rejection from ever having a bedside Nursing position was flipped on its head as my wheelchair was seen for what it is: a mobility device", said Dalzell in an American Nurses Association interview. 

Dalzell uses past negative experiences and turns them into a positive, as she can relate to patients who struggle with disabilities, and give them hope. She encourages them to persevere in the face of adversity. 

However, she finds it frustrating that in the field of caring, many still face discrimination.

According to Employee Benefit News, Dalzell said, "We're forgetting that [enabling] technology has advanced so much, and should allow our healing touch and compassion to come into the profession and give hope in a way that is normally not seen. And yet when [people with disabilities] are saying they want to be Nurses or be on a healthcare team, we're saying well, you have a disability — you're not good enough."

Employers need to do more than just talk about Diversity, Equity, and Inclusion (DEI), they need to actually be about it. 

"You cannot tell people you are an equal opportunity employer, tell them to come on in through the door," Andrea says, "but then be unprepared and your doors are not even big enough to accept someone."

"Disability is the fastest- and largest-growing minority in the world. Without disability inclusion, you could very well be limiting opportunities for your future selves," says Dalzell. 

Andrea is a Pioneer and an inspiration to many. In recognition of her achievements, she's earned many spotlights, such as New Mobility’s Person of the Year (2021). She was also one of the inaugural recipients of the Craig H. Neilsen Foundation Visionary Prize of $1 million.

Dalzell is still figuring out how she will use the money, but has already started a 501c3 nonprofit foundation called The Seated Position to create awareness around those with disabilities in education and the workforce.

According to New Mobility, Andrea attributes her tenacity to her parents, first-generation immigrants from Guyana, who encouraged hard work and perseverance. “I told Andrea, don’t let anyone ever tell you there is something you can’t do,” says her mother, Sharon Dalzell. “Just look at them straight in the face and say, ‘Watch me.’ As long as you do it in the right way, you’ll reap the benefits in the years to come.”

Andrea knows it’s important for people to see someone like her — a black, disabled woman — out in the world, making a life for herself and changing the lives of others. 

You can follow Dalzell on Instagram @theseatedNurse where she posts her everyday life along with great motivational content. Also check out her website theseatednurse.com to learn more! 

Creating a workplace with a strong Diverse, Equitable and Inclusive culture is not only the right thing, it’s also crucial for your retention and improving patient care.

A study from Press Ganey shows health systems with strong Diversity, Equity, and Inclusion (DEI) values have less risk of staff potentially leaving the organization.

The study also found:

• Healthcare organizations had twice as many employees at risk of leaving if the workforce perceived diversity and equity weren’t prioritized versus work forces that do.  
  
  
• The risk of leaving within 3 years is more than 4 times higher for healthcare workers who believe their organization doesn’t value employees from different backgrounds versus workers who do.  
  
  
• If offered another job, healthcare workers are 4 ½ times more likely to leave an organization if they believe different backgrounds aren’t valued, or if the organization isn’t committed to workforce diversity, versus workers who do.   
  
  
• Perceptions of diversity & equity are a bigger indicator of intent to stay with an organization among security personnel, nurses and physicians than other ancillary staff. 

Having a strong DEI culture allows employees to be comfortable and confident in who they are. This allows them to focus on providing the best patient care possible.

Research shows, 77% of employees and 80% of leaders who are disabled chose not to share their disability in their workplace. For LGBTQ workers, 46% are closeted at their place of work. And across all diverse characteristics, 75% of employees feel the need to mask their differences or downplay them during work.

Employees masking or hiding aspects of themselves during shifts affects their confidence, motivation, feelings of safety and hinders their job performance.

It’s important for healthcare workers to have mentors they can look up to throughout their careers. A lack of diversity can make it difficult for minority healthcare workers to find role models they identify with. This can impact their professional growth and their ability to provide optimal patient care.

A strong DEI culture isn’t something that can be achieved overnight. It requires a leadership who is dedicated to promoting cultural awareness and inclusion. It requires staff who are willing to take the time to learn about and understand each other. It also means being willing to identify and address biases.

The tragic events of the past year has brought an increased awareness to Diversity, Equity, and Inclusion (DEI). As a result, healthcare organizations are hiring Chief Diversity Officers (CDO’s), implementing initiatives, providing educational programs, and using new recruitment strategies to increase diversity in medicine.

Increasing diversity in healthcare organizations benefits both the healthcare provider and the patient populations they serve.

To increase diversity and lower racial healthcare disparities, many hospitals and health systems are looking to their CDO for guidance moving forward.

Last year, CDO hires grew by 84%, making it the fastest growing C-suite title, according to LinkedIn.

Some health systems are going beyond hiring a CDO and are creating entire teams or councils to implement and foster best practices. 

Northwell Health formed the Emerging Leaders Diversity & Inclusion Council which is responsible for analyzing current conditions within the health system while seeking to implement best practices in 3 key areas:

• Onboarding
• Mentoring
• Succession Planning

Englewood Health assembled a Diversity and Inclusion Education Council consisting of 12 team members across all departments and leadership levels.  

Warren Geller, President and CEO of Englewood Health said, “Our country’s history of racism and current inequalities have impacted every aspect of life and, most importantly, our health and well-being. With the establishment of a Diversity and Inclusion Education Council we are committing to doing more and doing better for the communities we serve.”

More hospitals are providing educational resources and training programs for their staff members.

At Ochsner Health in Louisiana, they’ve rolled out training to address implicit bias across the organization. Melissa Love, VP of Professional Staff Services and The Office of Professional Well-Being said, “People are really curious. I’m seeing people be very surprised by their lack of knowledge, even those that think they’re very knowledgeable.” 

Hospitals are also participating in evaluation programs to help improve their DEI efforts. 

The HRC Foundation's Healthcare Equality Index (HEI) evaluates healthcare facilities nationwide based on non-discrimination & staff training, LGBTQ patient services & support, employee benefits & policies, and LGBTQ patient & community engagement. 

Last year, a record 765 healthcare facilities participated in the HEI survey. These organizations recognize the importance of implementing LGBTQ-inclusive practices alongside their foundational non-discrimination policies.

When it comes to diversifying the hiring process, Daniel Benavides, Manager of Talent Acquisition at CHG Healthcare, suggests hospitals increase the number of people who select candidates. 

Benavides noticed only one or two people were filtering candidates for interviews. He determined that having a larger mix of individuals looking at applications would result in a greater diversity — and higher quality — of selected candidates.

It’s critical healthcare organizations improve diversity within their staff to reduce healthcare disparities. They must ensure ALL people are equally represented. 

The CEO Action for Diversity & Inclusion is the largest CEO-driven business commitment to advance diversity and inclusion within the workplace.

CEOs at top major companies from around the world are signing this action pledge to support more inclusive workplaces.

This pledge shows the commitment and actions leaders will take to provide resources and strategies for an inclusive environment.

Health systems joining the pledge are taking a step towards positive change. A diverse and inclusive workforce helps the community and inspires innovation and creativity.

According to the CEO Action website, By 2050 there will be no racial or ethnic majority in the US.

Click here to view the list of healthcare CEO's who have signed the pledge so far.

Warren Geller, President and CEO of Englewood Health pledged to provide equal access to vaccines, helping to mitigate risk factors for those most vulnerable to COVID-19; enhancing and expanding training programs for new and current employees, focused on diversity and inclusion; and to continue on the path to diminishing healthcare disparities with the support of the Diversity and Inclusion Education Council (DIEC).

Hackensack Meridian Health CEO, Robert C. Garrett signed the pledge and said, "New Jersey is one of the most diverse states in the nation and we are deeply committed to ensuring that there is equality and opportunity for all in our hospitals and care locations. The network also has a robust and comprehensive strategy to eliminate unacceptable outcomes based on race and ethnicity, a challenge for our entire nation.''

CEO Stephen J. Ubl of the Pharmaceutical Research and Manufacturers of America (PhRMA) signed the pledge and included four goals that PhRMA is committed to working toward.

1. We will continue to make our workplace a trusting place to have complex, and sometimes difficult, conversations about diversity and inclusion. 
2. We will expand unconscious bias education.
3. We will share best—and unsuccessful—practices.
4. We will create and share strategic inclusion and diversity plans with our board of directors.

So far, nearly 2,000 CEOs and Presidents have made the pledge and it is encouraging to see this number grow. Click here to view the pledge.