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Background
The health of the Nations population depends on: an adequate supply of healthcare providers, i.e., nurses, and a nursing workforce that reflects the racial/ethnic composition of the population. Hispanic Americans are the second-largest and fastest growing minority in the United States. The U.S. Census Bureau reported that approximately one in eight people is of Hispanic origin. In 2000, 32.8 million Latinos resided in the United States, representing 12% of the total population. By the year 2050, the Hispanic population is predicted to increase to 97 million and constitute 25% of the population, surpassing African Americans. The U.S. Census Bureau (2000) reported the 123,838 Hispanic resided in Tennessee, 2% of its population. Only 2 % of the total number of RNs in the United States are Hispanic (National Sample Survey of Registered Nurses, 2001). Reportedly, as of September 2001, only 23 of the 64,970 RNs in Tennessee are Hispanic (personal communication, TDH, Department of Health Statistics and Research, 2000).
Problem Statement
The ranks of Hispanic nurses remain disproportionately small compared to the growth in the Hispanic population
Hispanic are seriously underrepresented in nursing programs at all levels.
Barriers to Entry
Educational preparation - Approximately 51% complete High school
Limited financial resources
Hispanic cultural values - including prescribed gender roles and family support system
Institutions policies - regarding recruitment of Hispanic students such as inflexible schedules, access to academic services, etc.
Few Hispanic faculty and mentors - to provide positive role models for nursing
Lack of cultural content in nursing curricula
Strategies
Education
Primary and Secondary Schools
- Work with schools, K-12, to develop programs focusing on nursing as a career
- Provide appropriate information on the academic requirements, especially in mathematics and science
- Encourage participation in Health Careers Opportunity Program (HCOP)
- KIDS into Health Careers. (HRSA program)
- South Texas High School for the Health Professions |
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Higher education
- Specialized orientation programs
- Involve Hispanic students parents
- Provide student services knowledgeable and skilled in Hispanic socio-culture
- Provide coping and study skills classes
- Provide assistance in securing financial aid
- Provide Hispanic faculty/clinical role model
- Emphasize culturally appropriate nursing care
- Offer flexible course schedule and load (HRSA-BHPr 1998) |
Government/public sector
Advanced Education Nursing grants for Nurse Practitioners, Nurse Midwives, Nurse Anesthetists and Other Advanced Education Nurses (Division of Nursing)
Basic Nurse Education (Division of Nursing)
Nursing Workforce Diversity (Division of Nursing)
Scholarship for Disadvantaged Students (BHPr, 2000)
Minority Faculty Fellowship Program (BHPr, 2000)
The Agency for Healthcare Research and Quality (BHPr, 2000)
Business Sector/ Private Sector
Create partnerships with the private sector to assist in funding targeted projects
Involve private sector in long term plans and projects to support and sponsor educational health related programs in schools and the community
NAHN Scholarship award with Proctor & Gamble
Tuition reimbursement or payment
Mentoring programs
Professional Organizations
Encourage membership in professional nurses organizations.
National Association of Hispanic Nurses
- Act as career builders by offering scholarships, fellowships, research and job opportunities
- Promote networking and professional enhancement through national, state, and local conferences
- Disseminate research findings and policy perspective related to Hispanic health (NAHN) |
Recommendations
Involve the church in disseminating information on nursing and health related programs
Increase awareness of the national educational programs and resources available
Recommendations for research
- Investigate barriers and factors that affect Hispanic enrollment, graduation and retention
- Investigate the effect of work environment in providing support and encouragement for Hispanic nurses
- Create accurate databases on Hispanic, especially in Tennessee
- Document the benefits and effects of providing culturally competent care |
Prepared By
Zoila Vichot Sanchez, BSN A.R.N.P
Union University, MSN student
References
American Association of Colleges of Nurses. (2001). 2000-20001: Enrollment and graduations in baccalaureate and graduate programs in nursing (Publication No. 00-01-1). Washington, DC. http://www.aacn.nche.edu
Bureau of Health Professions. (2001). Division of nursing grant program fact sheets. Washington D.C.: Health Resources and Services Administration. http://bhpr.hrsa.gov/dn/factsHRSA
Division of Nursing. (2001). Selected facts about hispanic registered nurses. Washington D.C.: Health Resources and Services Administration. http://bhpr.hrsa.gov
Division of Nursing. (2001). Registered nurse population: National sample survey of registered nurses march 2000. Washington D.C.: Health Resources and Services Administration. http://bhpr.hrsa.gov
Health Statistics and Research. (2000). Licensed Health Professional Data (Tennessee Department of Health, Authorization No.343286). Nashville, TN: Tennessee Department of Health
HRSA Bureau of Health Professions. (2000). Key ingredient of the national prevention agenda: Workforce development companion document to healthy people 2010.
Washington D.C.: Health Resources and Services Administration. http://bhpr.hrsa.gov
National Advisory Council on Nurses Education and Practice. (2000). National agenda for nursing workforce: Racial/ethnic diversity. Washington, DC: Health Resources and Services Administration. http://www.hrsa.gov
National Association of Hispanic Nurses. NAHN special scholarships and awards. http://www.nahn.org
Tennessee Board of Nursing. (2001). Graduation information: Graduates by gender and ethnicity, 08/01/1999-07-31-2000. provided by Tennessee HealthCare Consortium for Nursing. http://www.thcn.org
U.S. Census Bureau. (2001). Hispanic population in the united states: March 2000 (March 2001 No. P20-535). Washington D.C.: U.S. Department of Commerce. http://www.census.gov/prod/cen2000/dpl/2kh47.pdf
U.S. Census Bureau. (2001). Profiles of general demographic characteristics: 2000. Washington, D.C.: U.S. Department of Commerce. http://www.census.gov
Ms. Sanchez completed the above work in partial fulfillment of course requirements for N695, Nursing Administration: Seminar and Practicum, at Union University, Jackson, TN. Requests for information should be directed to Ms. Sanchez at Foodwizard@juno.com. |