1. 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

2. 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

3. 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

4. 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.

5. Competency 1
Demonstrates: respect, equity, and empathy.

6. Equity vs. Equality vs. Liberation

7. 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

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

9. 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.

10. 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

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

12. 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.