DiversityNursing Blog

Hiring Nurses who reflect Diversity, Equity, and Inclusion (DEI) is an important step towards creating a healthcare system that is accessible and welcoming to all patients, regardless of their race, ethnicity, gender identity, sexual orientation, or any other characteristic.

Here are some strategies that healthcare organizations can use to improve DEI in their Nursing workforce:

Develop A Diverse Recruitment Plan

Health Systems should develop recruitment strategies that target a Diverse pool of candidates. This may involve partnering with community organizations, attending job fairs and career events that attract a Diverse group of people, and actively recruiting from underrepresented communities.

Get Involved In Your Community

If you aren’t already involved in your community, it’s time to get started. Sponsor community information sessions such as signs to look for regarding specific illnesses including diabetes, weight control, high blood pressure, etc. See if there’s a local chapter of the NBNA (National Black Nurses Association), NAHN (National Association of Hispanic Nurses), AMN (American Men in Nursing) and become a member. Sponsor a local chapter recruiting event or attend their national conferences. Reach out to the schools in your area to get high school and college kids aware of the career opportunities available in healthcare. Your community is full of potential patients and employees so get your Diversity, Equity and Inclusion message out there in your community.

Consistent Communication

It is important that both your internal and external communications consistently promote your inclusive environment. Be honest and welcoming. Don’t be shy. It’s that simple!

Use Inclusive Language In Job Postings

Those responsible for hiring should use inclusive language in their job postings to attract a more Diverse pool of candidates. This includes using gender-neutral language, avoiding language that may be exclusive or discriminatory, and highlighting the organization's commitment to DEI.

Provide Cultural Competence Training

Healthcare organizations should provide cultural competence training to all employees, including management. These trainings can help staff understand the unique needs and perspectives of patients from all different backgrounds, and provide them with the skills and knowledge they need to provide culturally responsive care.

Foster An Inclusive Workplace Culture

It is important to foster an inclusive workplace culture where all employees feel valued and appreciated. This may involve implementing policies and practices that promote Equity and Inclusion, providing opportunities for professional development and advancement, and creating a safe and supportive work environment.

Measure And Track DEI Progress

Management should be measuring and tracking their progress towards Diversity, Equity, and Inclusion goals. This may involve collecting and analyzing data on the Diversity of the Nursing workforce, as well as conducting regular employee surveys to gauge their experiences and perceptions of the workplace culture.

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! 

Age discrimination involves treating an applicant or employee less favorably because of his or her age, defined by the U.S. Equal Employment Opportunity Commission (EEOC).

The Age Discrimination in Employment Act (ADEA) forbids age discrimination against people who are age 40 or older.

Ageism in the Workplace

According to a 2018 AARP survey, about 3 in 5 older workers have seen or experienced age discrimination in the workplace. Also 76% of these older workers see age discrimination as a hurdle to finding a new job.

A diverse workplace is fundamental in providing the best patient care possible. But age is usually left out of an organization's Diversity, Equity and Inclusion (DEI) strategy.

Patients feel more comfortable talking with a Nurse who understands and can relate to them and their issues. Nurses who understand what ageing patients are going through can provide better care. 

Physical Strength - There is a perception older Nurses aren't physically strong enough to handle certain responsibilities such as restraining a combative patient or assisting someone into a bed or wheelchair.

Technology - Another misconception is older Nurses can't keep up with the changing technologies and medications.

Pay - An article by Arkansas State University discusses salary-based ageism in Nursing saying, "As Nurses accumulate experience, they also accumulate pay increases. As a result, employers sometimes discriminate against more experienced Nurses by hiring or promoting younger, less experienced, and therefore, less expensive Nurses."

This type of stereotyping and discrimination often leads to poor morale, job dissatisfaction, burnout and early retirement.

How You Can Reduce Ageism at Work

To combat ageism in healthcare organizations, there should be DEI policies that include a focus on age.

According to the Society for Human Resource Management (SHRM) the EEOC recommends organizations follow these strategies:

• Assess your organization's culture, practices or policies that may reveal outdated assumptions about older workers. The Center on Aging & Work at Boston College and AARP partnered to develop an assessment tool.
• Examine your recruitment practices. Does your website include photos of an age-diverse workforce? Do your job applications ask for age-related information such as date of birth or when a person graduated? Is your interview panel age-diverse? Train recruiters and interviewers to avoid ageist assumptions.
• Include age as part of your diversity and inclusion programs and efforts. Offer learning and development, including anti-bias training and courses.
• Foster a multi-generational culture that recognizes ability regardless of age and rejects age stereotypes, just as it would reject stereotypes involving race, disability, national origin, religion or sex.

Ageism in Your Patient Population

Ageist stereotypes and discrimination are also barriers to health equality for this patient population.

An article from Lippincott Nursing Center states, Older adults represent 13% of the total population in the United States, but account for over 40% of U.S. hospitalizations.

Ageism can negatively affect the care older adults receive. It's often healthcare providers attribute signs and symptoms of illness to normal aging, missing important indicators that need to be addressed.

A lot of ageist behaviors may not be intentional and will take conscious efforts to identify and change. For example, talking slowly and loudly, or assuming someone can’t comprehend what you are telling them, is common behavior around older patients and is considered ageism.

How You Can Reduce Ageist Attitudes Toward Patients

The Alliance for Aging Research warned "that unless ageist attitudes are recognized and rooted out of our healthcare system, the next generation of Americans under Medicare, the largest generation in U.S. history, will likely suffer inadequate care."

The Alliance released recommendations to address the problem of ageism:

• More training and education for healthcare professionals in the field of geriatrics.
• Greater inclusion of older Americans in clinical trials.
• Utilization of appropriate screening and preventive measures for older Americans.
• Empowerment and education of older patients.

The older patient population deserves the same quality care and attention as younger patients. Organizations must acknowledge ageism as an obstacle in providing the best care possible and take action to make healthcare more equitable and inclusive.