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Teaching racism, health care, and social justice to advanced practice nursing students: Integrating structural competency into nursing education

Mihaly L, Stephan L, Porter D, McGuinness C, Swartz A
Nurse Educ

BACKGROUND: Racism in education and clinical practice continues to impact health outcomes in the United States. 

PROBLEM: Students and faculty at a large public university identified a gap in advanced practice nursing education and advocated for the creation of a course focused on structural racism and its impact on health outcomes. AP

PROACH: This article reviews the development of a course curriculum-Racism, Health Care, and Social Justice-focused on structural racism that was designed and implemented to address curricular gaps in a master's program. This course aligns with the updated AACN Essentials, which emphasize a need for structural competency in nursing practice. 

CONCLUSIONS: A single course can expand student understanding of racism in health care and the concepts of structural competency. Future nursing education should more extensively incorporate these concepts.

Mihaly L, Stephan L, Porter D, McGuinness C, Swartz A. Teaching racism, health care, and social justice to advanced practice nursing students: integrating structural competency into nursing education. Nurse Educ. 2025. DOI:10.1097/NNE.0000000000001940. PMID: 40857205

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Publication year
Resource type
Peer Reviewed Research
Outcomes
Provider Experience of Care
Population
Health Care Professionals
Social Determinant of Health
Criminal Justice
Not Specified
Study design
Other Study Design