Nursing, Inclusive Excellence, and our Future Jeffrey R. Ash, Ed.D.

Nursing, Inclusive Excellence, and our Future Jeffrey R. Ash, Ed.D. Associate Dean, Diversity and Inclusion Assistant Professor University of Maryland, Baltimore, School of Nursing

United States and Maryland Maryland Population 6 million Female 51.5% Over Age 65 14% White 58% Black /African American 29% Hispanic 8% Asian 5 % 2 or more Races, and identifying as other 2%

Diversity and Inclusion What we know According to the U.S. Census Bureau, individuals from ethnic and racial minority groups accounted for more than one third of the U.S. population (37%) in 2012. Projections pointing to minority populations becoming the majority by 2043, professional nurses must demonstrate a sensitivity to and understanding of a variety of cultures to provide high quality care across settings. 2043 Why does this matter in Nursing and Healthcare ? What can we do ? What should we do ?

Inclusive Excellence Minority Now Minority – The smaller in number of two groups constituting a whole The Future Men LGBTQ People of color Veterans Bilingual Seeing beyond characteristics and physical traits

Healthcare 2K43 What can we do Looking beyond the physical and or cultural characteristics (that accompany Minority) Minority group is categorical in nature by those who exhibit the physical or behavioral characteristics Conditioned by numerical relationships and political power NO LONGER COUNTING PEOPLE Minority Should not describe a smaller number in relation to another but Minority is where you are, and should be used to describe the gap-space between the health care provider and the person receiving the care Recondition our thinking on characteristics and considering people and all their uniqueness- and bridging the gap between their uniqueness and yours

Growing Diversity and Inclusion in NURSING Maryland – Population fairly evenly split Male /Female Over 90 % RN’s Female Less than 10% Male Over 80% are White Black, Hispanic, Asian, American Indian – 7.1%, 4.2%, 3.3% 0.7% Demographics changing Whose getting older is changing Where RN’s work will be more diverse Ideally demographics of RN’s will reflect those of the State, and the projected demographics

Bridging the Gaps- Goals Nurses / Healthcare professionals CARE Increase Leadership in Nursing of Men, and all under-represented groups by 10-20% over the next 5-10 years Seek out mid-career employees with training and education on Nursing Remember 2043

Goals Build a deeper knowledge base, and increase understanding and reach in all healthcare settings Build, create, partner, in growing training and cultural competence opportunities in hospitals by 10 % around the State of Maryland’s hospitals and healthcare outlets, and those places where RN’s are actually working over the next 5 years 73 Hospitals in Maryland Strategically Find 7

Goals continued Membership Associations should partner, align, and work in more of a collaborative nature rather than around their individual organization and mission Remove the competitive tone, to one of collaboration and dialogue As we continue to ensure that the RN population is Bachelors Degree prepared ensure that a growing percentage is bilingual over the next 5-10 years. 1015%

Goals Continue to promote Nursing as S.T.E.M.(N) Offer more opportunities for foreign language courses and trainings Continue with pipeline and early interventions with youth (develop and track data to see if these are leading to Nursing careers and Educational opportunities) – They feel good, but do they really work-we need to know

What can you do NOW Begin investing in yourself and unpacking your own bias / belief structure Invest in language and cultural competence courses Embrace safe space training in and out of classrooms Materials, symbols, and building artifacts in and around organizations should represent diversity and inclusion

What you can do now Be meticulous in talking to patients, students, staff, and listening to them- There is an intrinsic value in truly connecting If you believe in the importance of empathy and respect –create a space for that AND think of other areas where decision making pressure(s) can be relieved ARE YOU PREPARED AND OR PREPARING THE NEXT GENERATION OF NURSING LEADERS FOR 2043

“ If you want to go fast go alone; If you want to go far go together” IF YOU WANT TO GO FAST GO ALONE; IF YOU WANT TO GO FAR, GO TOGETHER