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THE NEUTRAL NURSE: HOW INTERSECTIONS OF NURSES’ IDENTITIES IMPACT CARE

THE NEUTRAL NURSE: HOW INTERSECTIONS OF NURSES’ IDENTITIES IMPACT CARE. Dr. Mel B. Freitag University of Wisconsin-Madison Wisconsin Association of School Nurses (WASN) Opening Plenary, April 23, 2015. LEADING FOR SOCIAL JUSTICE. Societal. Institutional. Persona l.

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THE NEUTRAL NURSE: HOW INTERSECTIONS OF NURSES’ IDENTITIES IMPACT CARE

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  1. THE NEUTRAL NURSE: HOW INTERSECTIONS OF NURSES’ IDENTITIES IMPACT CARE Dr. Mel B. Freitag University of Wisconsin-Madison Wisconsin Association of School Nurses (WASN) Opening Plenary, April 23, 2015

  2. LEADING FOR SOCIAL JUSTICE Societal Institutional Personal (Frattura & Capper, 2007)

  3. Visual/Verbal Beliefs Dysconscious Racism (Joyce King)

  4. What is Diversity?

  5. “Cultural Competency” in HealthCare Cultural Knowledge Cultural Sensitivity Cultural Humility Cultural Competency Culturally Responsive Culturally Relevant

  6. Wisconsin White Women (WWW):Self Analysis and Reflexivity The self, regardless of its location, is never exempt. (Asher, 2007)

  7. AXES OF IDENTITY This theory seeks to examine how various biological, social, and cultural categories such as race, class, gender, and other “axes of identity” interact on multiple, simultaneous, and conflicting levels and platforms. The “classic” -isms of society – racism, sexism, homophobia – do not act independently, but rather interdependently, of one another. (Crenshaw, 1989; McCall, 2005)

  8. INTERSECTIONS OF IDENTITY Religion Level of Education Gender Immigrant Status Culture Age Native Language Socioeconomic Status Race and Ethnicity Dis/ability Sexual Orientation Geographic Location Mental Health

  9. THE DANGER OF SILENCE

  10. DIVERSITY DIALOGUES: SMALL GROUP EXERCISE (10 MINUTES) What’s in a name? Earliest memory of diversity Positive experience Awkward/challenging situation

  11. INSTITUTIONAL CHANGE: SCHOOL NURSES ASSESSMENT RESULTS Overall, school nurses demonstrated the least amount of multicultural knowledge, training, and confidence. They had the most training and confidence in their consultation skills, but they had the least amount of training and confidence in the intervention skill areas. In regards to minority specific skills, school nurses had little to no training across all of these areas. On the other hand, they had a little confidence in their ability to implement the skills needed to serve children who live in poverty. Therefore, the more training they had; the more confidence they had.

  12. INSTITUTIONAL CHANGE:RACE TO EQUITY REPORT EDUCATION • African American children and youth make up about 20% of Madison’s public school enrollment and about 17% of the county’s total public school student population. • 86% of the county’s Black 3rd graders tested below the proficiency level in reading in 2012. • 21% of the county’s Black students were suspended compared to 2% of their White counterparts

  13. EQUALITY V EQUITY / MYTH OF MERITOCRACY

  14. SYSTEMS: RACE VIDEO

  15. SOCIAL JUSTICE THEORY & EMBEDDED DIVERSITY A vision of society in which distribution of resources is equitable and all members are physically and psychologically safe and secure. Holistic approach – not just one multicultural “workshop” or one course The ability to be uncomfortable in and out of school (Adams, Bell, and Griffin)

  16. 5 TIPS FOR BEING AN ALLY

  17. HOW CAN THIS BE ACCOMPLISHED? • How are underrepresented patients/people are portrayed in promotional materials (websites, brochures, textbooks, posters) • Active Learning, Team Building, Project- and community-based problem solving • Social identity awareness – comfort with ambiguity • Allyship within healthcare – how is this different from advocacy?

  18. HOW CAN THIS BE ACCOMPLISHED? • Develop a working definition of “inclusive communities” and culturally congruent care • Implement and assess policies and programs that create and sustain a more inclusive climate for teachers AND students • Design and implement a system of accountability and recognition for increasing diversity and forming a more inclusive community Adapted from: To Form a More Inclusive Community, CSU, Diversity Action Plan 2016 by Diversity Scorecard Committee, December 2011

  19. THE TRUE FOCUS OF REVOLUTIONARY CHANGE IS NEVER MERELY THE OPPRESSIVE SITUATIONS WHICH WE SEEK TO ESCAPE, BUT THAT PIECE OF THE OPPRESSOR WHICH IS PLANTED DEEP WITHIN ALL OF US.AUDRE LORDE, SISTER OUTSIDER, 123

  20. MEL B. FREITAG,PHDDIRECTOR OF DIVERSITY, SCHOOL OF NURSINGUNIVERSITY OF WISCOSIN-MADISONMBFREITAG@WISC.EDUWWW.MELFREITAG.COM/DIVERSITY

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