Dissertation
Mitigating Discriminatory Behavior in DNP Clinical Learning Environments
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2025
Abstract
Background: Bias and discrimination are pervasive in healthcare settings, nursing practice, and nursing education. 94% of nurses report racism and discrimination in the nursing profession, and 53% reported microaggressions as being part of their nursing school s culture. Nursing leaders in education, practice, and regulation called for transformational change to overcome bias and discrimination in nursing education. One environment foundational to all levels of nursing education is the precepted clinical experience. There is an expressed need to provide clinical preceptors with resources to address discriminatory behavior and to role model mitigating discrimination in clinical learning environments. Purpose: To pilot an evidence-based online module with Doctor of Nursing Practice (DNP) clinical preceptors that provides education and skills training for mitigating discriminatory behavior in the clinical environment. Methods: Employing the Iowa Model Revised Evidence-Based Practice framework, this pilot project, deemed not human subjects research, included the development of an online interactive training module, and utilized a pretest-posttest evaluation of DNP clinical preceptors knowledge, perceptions/ attitudes, and self-reported current practice behaviors. Findings: Increases in DNP clinical preceptor perceptions/attitudes (p = .139) and self-reported current practice behaviors (p = .007) were identified. Notable increased behaviors include ease of identifying discriminatory behavior, being equipped with a plan, and utilizing a method or framework to address discriminatory behavior. Discussion: An online training module is one approach for academic institutions to strengthen academic-clinical partnerships across geographical locations, increase clinical preceptor s access to educational content critical to enhancing preceptorships, and to increase preceptor self-efficacy in mitigating discrimination. More opportunities to raise consciousness and incite critical self-reflection are needed to truly effect change.
Details
- Title: Subtitle
- Mitigating Discriminatory Behavior in DNP Clinical Learning Environments
- Creators
- Nicole Gleason Limoges - University of Iowa
- Contributors
- Amalia Gedney-Lose (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Date degree season
- Spring 2025
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright 2025 Nicole Gleason Limoges
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984841037502771
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