Anna-Lise, Paven, Rebecca, Christina, and Colton - I appreciate your thoughtful post addressing the key points of the intersectionality paradigm and the long responses that followed. I see the incredible value of this paradigm that addresses the relationships of health disparities in the scope of the dominant culture, wherever the dominant culture is, speaking globally. I especially appreciated the point made by Pavan regarding the role of the NP which I would like to expand to the role of the DNP. Pavan states, “as NPs we consider the influence of the patient’s social determinants of health, environment, biophysical, and psychological factors as equal counterparts to maintaining health and well-being. Further she mentioned Van Herk, Smith,
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Identifying and bracketing BPSs along with dialogue would be clear, positive steps that a nurse leader can model to encourage growth in staff.” (Rothacker-Peyton, 2017, Moodle post 602B) I have worked with nurses and nursing students who refuse to care for patients with HIV or AIDS. While we have come a long way with treating HIV successfully and in addressing the stigma of HIV, addiction, mental illness, and acknowledging that homosexuality is not a disease process, I hear current stories every week from patients who are victims of marginalization, verbal abuse, and exclusion practices because they are gay and have HIV. Then, we can add they may use methamphetamines to address the voices that accompany their schizophrenia diagnosis. Emergency nurses want them to go away because they are “dirty” and “crazy” and “they deserve what they get” and “you are using and there is nothing I can do for you.” These are comments patients tell me regularly. I recently heard a story that a nursing student refused to do a scheduled CBG or give an insulin injection to a trans female to male patient, making excuses and walking in a rapid manner away from the nurse she was assigned to work with. Deeply troubling and yes, stigma is not gone in nursing, we are still failing to provide unbiased care to individuals with
Identifying and bracketing BPSs along with dialogue would be clear, positive steps that a nurse leader can model to encourage growth in staff.” (Rothacker-Peyton, 2017, Moodle post 602B) I have worked with nurses and nursing students who refuse to care for patients with HIV or AIDS. While we have come a long way with treating HIV successfully and in addressing the stigma of HIV, addiction, mental illness, and acknowledging that homosexuality is not a disease process, I hear current stories every week from patients who are victims of marginalization, verbal abuse, and exclusion practices because they are gay and have HIV. Then, we can add they may use methamphetamines to address the voices that accompany their schizophrenia diagnosis. Emergency nurses want them to go away because they are “dirty” and “crazy” and “they deserve what they get” and “you are using and there is nothing I can do for you.” These are comments patients tell me regularly. I recently heard a story that a nursing student refused to do a scheduled CBG or give an insulin injection to a trans female to male patient, making excuses and walking in a rapid manner away from the nurse she was assigned to work with. Deeply troubling and yes, stigma is not gone in nursing, we are still failing to provide unbiased care to individuals with