This is your friendly reminder that PUBLIC COMMENT for ANA's revision of its scope & standards of nursing practice document is OPEN THROUGH MIDNIGHT SEPT 16

2/ In which Dr. Kimberlé Williams Crenshaw's name is *misspelled* & her concept of #intersectionality explained as: "nurses can better understand how certain aspects of a person will increase their access to good things or their openness to bad things in life", page 24 line 750.
3/ In which Jamaican nurse #MarySeacole is described as a "less well known but also a notable historic nurse, served with Florence Nightingale in Crimea." [not historically accurate, racism prevented Seacole from serving *with* FN, she had to go on her own], page 26 line 814.
4/ In which #nursing practice & care are grounded squarely in commodities, capitalism & consumerism by redefining patients, partners and community members "health care consumers"
5/ In which statements addressing decentering "whiteness" and "white supremacy culture" do not appear once, in a document that asserts nursing has an obligation to practice social justice.

"Racism" appears x1, in the glossary not the main document.
6/ In which nurses' role in opposing police violence, carceral systems and unjust policing in health care is not specifically addressed even after ANA Member Assembly adopted a resolution to oppose racism & "hatred in all forms":
7/ In which Leininger is uncritically cited for her authority on "cultural components of care", in spite of the harms of such anthropologically-based (and now quite dated) frameworks that center whiteness & attendant paternalisms; without interrogating structures of oppression
8/ In which the often weaponized concept of "#professionalism" is not only included as a central competency for nurses but also defined in terms of the deeply problematic field of so-called "#VirtueEthics", page 44, line 1460.
9/ In which the nursing practice model is the symbol of a flame (a la Florence) with 4 words: wisdom, caring, energy, values and yet structural competency is not mentioned.
10/ In which the nurse is forever asked to deliver 'care without bias' or be a 'role model' for diversity, equity and inclusion without once mentioning or dismantling leadership structures for nursing that remain overwhelming white-dominated, hospital- & industry-driven, & racist
11/ I could go on but seriously - please read it. Weigh in. Perspectives beyond those of state nursing association boards and delegates are so very badly needed.

There is nothing innovative about reifying the status quo with slightly different words.

Nursing needs transforming

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More from @UMassWalker

9 Aug
1/ The @NCSBN has a *moral duty* to the profession of nursing & to the public to step in & address the *blatant disparities* nursing students are currently experiencing vis-a-vis their ability to prepare & sit for the NCLEX.

CC: @NLN @AACNursing

Buckle up for a thread:
2/ NOTE: Why do I bring this up now?
Because @NCSBN can ACT. I'll note that their Annual Meeting & Delegate Assembly will be virtual & is happening AUGUST 12. Yes - this Wednesday.

Registration is still open & folx who care can check it out here:

3/ So what should @NCSBN address?

Glad you asked!

First off, let's even NAME a certain reality: School of nursing & their curricula are largely captive to the demands of both the NCLEX exam AND state boards of nursing who require certain minimum pass rates to keep doors open.
Read 42 tweets
1 Aug
I can’t stop thinking about how companies like Johnson & Johnson have nurses & words like “caring” plastered all over their media, while simultaneously & deliberately having made billions off the opioid epidemic...… (please note this headline is from last year, before the judge cut the amount significantly & before JNJ settled a swath of other lawsuits with a 4B+ settlement offer)
I know companies like JNJ are big & incentivized to exploit in the name of profit. That is white imperial capitalism in a nutshell.

I know some nurses, nursing organizations & communities they serve also benefit from investment by these companies.
Read 39 tweets
19 Jun
Are you a college prof who wants to address institutionalized racism, transmisia, colonialism & other -isms but don't have authority to hire or a budget?

You can still work on:
a. Your Syllabus
b. Your Evaluation Strategies
c. Student Handbooks
d. Any document labeled "Policy"
2/ Thx to those who’ve already added their suggestions- here are some links to other Tweets with just a few of the many many MANY resources #onhere (in no particular order):

Read 33 tweets
13 Jun
It might be tempting to write "Put questions about #structuralracism, #whitebodysupremacy & #antiracist praxis on the #NLCEX!" but then you'd have to grapple with the reality that the exam & whole testing industry that surrounds it is a profound example of #whiteness at work.
I mean, if you've ever worked anywhere in prelicensure nursing education, what drives the curriculum?


Why? It's not just rankings. It's also:


Who'll shut you down if you don't keep them high enough. So programs are forever striving-
3/x keep those NCLEX pass rates high. Which means what?

A. Bending the curriculum around NCLEX content areas
B. Purchasing & integrating the products & services of Test Prep Companies like Kaplan & ATI

Which leads to -
Read 12 tweets
25 May
I’m not gonna replay that #LakeoftheOzarks tape, but let me say this: I grew up w/summers in the Ozarks & b4 #nursingschool I interned w/ my uncle, a #CRNA there. CRNAs=critical for #COVIDcare. So few, he served 4 rural hospitals at once

My 💜 to the RNs & those who’ll need them
2/Its very likely the many of the folx in this footage aren’t exactly “local” to the immediate region. But the essential staff/security probably are. Rural health ctrs all over U.S. are struggling/closing. Lower pop. density has provided some COVID19 protection, but no guarantee
3/Most of my family live in Arkansas, Missouri, West Virginia & Texas. To a person, we disagree about philosophy, politics, religion, you name it. Family reunions=awkward. But folx take care of each other. So I’m fairly confident,if one comes down w/ COVID, others will get it too
Read 4 tweets
22 Feb
How much #nursing & #med ed curricula would need to change, today, if we all agreed that shaming folx in our care (“patients”) is never, ever ever OK?
And I include, in this, so-called #motivationalinterviewing.

Tho perhaps not its original intent, many approaches to #MI as it is currently taught assume (a) a person needs to change something about their behavior; (b) the clinician knows what type of change is best;
The way I've most often seen education on #MI operationalized represents a paternalistic approach to care that frames behavior as "choice", places culpability for health outcomes on the individual, and divorces individual behavior from structural & social forces that shape health
Read 5 tweets

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