As Americans, we are adept at living in a state of contradiction. We live in a racialized society where yes, indeed, race matters. Race is the first thing we see when encountering another person. In fact, we immediately categorize people into racial groups. Yet, we have been socialized not to talk about race and were taught not to talk about race in polite conversation. Moreover, when we do talk about race, discomfort, defensiveness, and frustration often prevail, with comments surfacing such as: get over it, it happened 400 years ago, that's in the past, we had a Black president, I don't see color, or you are too sensitive, and the conversation shuts down. To eliminate health disparities and achieve health equity we must connect our past to our present and grow comfortable with conversations about race, racism, and racial justice. This chapter helps to move the dialogue from frightening, feared, difficult, and sensitive to necessary, meaningful, and productive. 1 2 Chapter 1 Why It Is Important to Talk About Race and RacismAfter reading this chapter, the reader will be able to:1. Discuss why it is so difficult to talk about race and racism 2. Explain necessary terms for engaging in conversations about race and racism 3. Describe the importance of discussing race, racism, and the nursing professionThe nursing profession, which has traditionally focused on culture, must begin paying attention to and discovering ways to dialogue about race, racism, and racial justice (Davis & O'Brien, 2020).Cultural competency has been used in nursing education and practice to address health disparities and promote health equity (Davis & O'Brien, 2020; Waite & Nardi, 2021). However, addressing health disparities and promoting health equity must start with an understanding of structural inequities and systems of oppression that started with the founding of our nation (Byrd & Clayton, 2001). Most nursing students and faculty have limited historical knowledge of the legacy of chattel slavery in America (Waite & Nardi, 2021). The right to enslave humans was integrated into the systems and structures of America, including government laws and policies, social interactions, housing, education, and health care (Hammond et al., 2019). Race and racism matter in nursing (Beard & Julion, 2016;Hassouneh, 2006). At the crux of change is understanding how these systems sustain the oppressive practices, stereotyping, health inequities, inferior education, and inadequate access to healthcare that persist today (Hammond et al., 2019). When talking about race and racism, we cannot disconnect the past from the present. We must acknowledge our history. Further, there is a language for talking about race and racism (Waite & Nardi, 2021). We must learn that language and feel comfortable using it. Nursing faculty and leaders cannot teach and practice what they do not know. (Waite & Nardi, 2017)
Race and Racism VocabularyAntiracism: The active process of identifying and eliminating racism by changing systems, organizational structures, policies, practices,...