Equity in Student Health Services 2018 Summer Institute for School Nursing Tia Campbell, MSN, RN, NCSN, FNASN Coordinator, Office of Student Health Services, Chesterfield County Public Schools

At the completion of the session, the school nurse will be able to: Objectives At the completion of the session, the school nurse will be able to: Discuss ways they promote cultural diversity and cultural competency in their clinics based on a self-assessment Define equity, equality, and discuss the difference Verbalize how privilege affects your life and can impact your work Definitions Match

Setting the Stage Diversity Immigrants Inclusion Race Target Group Advantage/Privilege Ally Discrimination Ethnicity Implicit Bias Prejudice Refugee Stereotype 1.5 Generation Advantage/Privilege Agent Group Ally Bystander Discrimination Diversity Ethnicity Immigrants Implicit Bias Inclusion Intersectionality Micro-aggression Prejudice Race Refugee Second Generation Stereotype Target Group Upstander

School Nursing: Scope and Standards of Practice Standard 8 School Nursing: Scope and Standards of Practice Standard 8. Culturally Congruent Practice The school nurse practices in a manner that is congruent with cultural diversity and inclusion principles.

Competency 1 Demonstrates: respect, equity, and empathy.

Equity vs. Equality vs. Liberation

Competency 2 Practices lifelong learning to understand cultural preferences, worldview, choices, and decision making processes of diverse school communities. Cultural Diversity and Cultural Competency Self-Assessment

Competency 3 Creates an inventory of one’s own values, beliefs, and cultural heritage Different inventories. Discuss why it’s important to understand bias.

Activity done in silence Privilege Walk Purpose Activity done in silence If uncomfortable with any statement, remain where you are This is an introspective exercise to help you understand how privilege affects your life. Privilege Walk: Purpose: to better understand the intricacies of privilege and to explore ways that we enjoy privileges based on being members of social identity groups. It is not meant to make anyone feel guilty or ashamed of his/her privilege or lack of privilege, but to highlight the fact that everyone has SOME privilege. By illuminating our privileges as individuals, we can recognize ways that we can use our privileges individually and collectively to work for social justice. The purpose is not to blame anyone for having more power or privilege, but to have an opportunity to identify both obstacles and benefits experiences in our life.

Competency 4 Considers the effect and impact of discrimination and oppression on practice within and among vulnerable cultural groups. Cycle of Prejudice Process isn’t linear/ steps can overlap

Sense of Belonging How can you foster a sense of belonging in your clinic? Why does it matter? Sense of Belonging worksheet

References & Resources American Nurses Association and National Association of School Nurses (2017). School Nursing: Scope and Standards of Practice, 3rd Edition. Silver Spring, MD: ANA & NASN. Virginia Center for Inclusive Communities. www.inclusiveVA.org