激励护士，赋能专业人士，转变护理实践

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Introduction

The number of Doctor of Nursing Practice (DNP)–prepared nurses of color is steadily increasing. Despite this growth, there remains lack of diversity among DNPs. According to an American Association of Colleges of Nursing (2019) 2018–2019 report on enrollment in graduate nursing programs, nurses from minority backgrounds represent only 34.6% of DNP nursing students. This lack of representation is a major challenge for ethnic minority nurses, often causing feelings of isolation, exclusion, discrimination, and marginalization (Iheduru-Anderson, 2020; Iheduru-Anderson & Wahi, 2018; Mapedzahama et al., 2012; Moceri, 2014; Robinson, 2014; Wheeler et al., 2013). These findings in the literature reigned true to my experience and thus became the catalyst for the founding of DNPs of Color.

I was the only Black woman in my cohort at the start of my DNP program. Although this had been a never-ending part of my story in nursing, I hoped that, as I advanced in my career, there might be others with whom I could identify either in an educational or professional setting. Clinging to that hope, I prepared myself, mentally, for the road ahead. I made the decision that no matter how hard or lonely the journey, I would accept the trials and triumphs while garnering the strength of my community and my ancestors to pave a path for those who would come after me.

I showed up to my first day of class bearing the significance of growing up in a single-parent household and being the first in my family to pursue doctoral studies. Simultaneously, I carried the weight of being a Black woman at a White institution built by enslaved Africans. I had to contend with and compartmentalize the pressure of being the only Black student in a doctorate program. Inherently, I knew this placed the responsibility on me to represent my entire community, for my family's sake. In addition, I knew how society labeled and historically excluded people like me for so long in spaces such as these.

The dual consciousness of being the only Black person in all White spaces led me to acquire ways of code-switching and assimilating to my surroundings to downplay my Blackness, my authentic self. I developed a keen sense of emotional intelligence and learned to be resourceful. However, as time wore on, the need to have a community that understood my lived experience, where I could be my authentic self, and access resources of support personally and professionally panged heavily on me. Thus began the journey of creating DNPs of Color.

Initially, I researched existing organizations but could not find one that spoke to my desire of an organization specifically for nurses of color pursuing their DNP degree. The search concluded with me creating a Facebook® group, unaware of the magnitude it would have in filling a much-needed gap for a growing body of professionals in nursing. Within a couple of months, there were hundreds of individuals who were aspiring DNPs, current DNP students, or DNP professionals. People described the community as validating, inspiring, and a place where they felt a sense of belonging.

Building a Community (During a Pandemic)

The coronavirus disease 2019 (COVID-19) pandemic and racial reckoning in society exposed the insidious nature and permeation of racism throughout the United States and in health care. This reckoning made DNPs of Color more resolute to the mission of creating a community through networking, mentorship, and advocacy to increase diversity in doctoral studies, clinical practice, and leadership. Our ultimate vision is to inspire, empower, and transform the landscape of nursing by increasing diversity in doctoral nursing practice. The anxieties and fears potentiated by the two pandemics (i.e., COVID-19 and racial reckoning) amplified the need for connection, as a result catapulting our growth to >2,000 DNP–prepared professionals, DNP students, and aspiring DNPs internationally. We served as and continue to be a safe space fostering the psychological safety that helped DNPs of Color process the gravity of the events that directly impacted us deeply because we bear the burden of being providers and witnesses of the devastation ensued by the disproportionate effect of COVID-19 and racism on our communities of color.

Despite the ongoing traumatic stress of society in 2020, we created ways to offer hope and inspiration, hosting events and spaces to foster growth and connection as we all tackled getting through one day at a time. Our first program—virtual commencements, now one of the signature events—recognized and celebrated approximately 200 newly minted DNP graduates. We capitalized on the momentum to host numerous programming events that fostered professional development and mentorship. The largest event was our inaugural virtual conference; the theme was “DNPs of Color at the Table: Promoting Diversity and Transforming Nursing Practice,” which had >200 registrants and 50 sponsors. As we grew, key partnerships with professional nursing organizations enabled us to establish credibility in the nursing profession. We are now featured in numerous media outlets regarding the establishment, growth, and future of DNPs of Color.

Creating Opportunities

DNPs of Color is a wonderful organization and creating meaningful opportunities for DNPs and DNP students that didn't exist prior!—Stephen Ferrara, DNP, FNP-BC, FAAN, FAANP

According to recent data published by Campaign for Action (2021), over the past decade, there have been approximately 50,000 individuals who received their DNP degrees from accredited nursing programs across the country. As more nurses of color pursue their DNPs and as more institutions transition to DNP entry-level programs, there will be an exponential increase in DNP–prepared nurses. This positions DNPs of Color to be the leading organization to represent and elevate the voices of DNP–prepared nurses of color. DNPs of Color is the first organization of its kind that focuses on and supports the voice of this community of nurses.

Inspiring Nurses

I just got accepted to my DNP program. I would have never applied if not for DNPs of Color. Representation matters. Seeing these brilliant DNPs, making connections through events, and feeling supported is exactly what I needed.—Anonymous

The hallmark of DNPs of Color is fostering inspiration by highlighting the richness of diversity of the group and elevating the variety of expertise and scholarship present within the community. We are intentional in acknowledging the stories, lived experiences, and accomplishments of DNPs of Color in a variety of ways, such as establishing partnerships with organizations that provide pathways to expose nursing to elementary to high school students. In addition, our programming often focuses on encouraging doctoral studies, ways to navigate post-DNP, and how to reciprocate/pay it forward for the next generation/those to come.

Members share that this organization has stopped them from leaving their DNP programs and the nursing profession and has given them the courage to stand where they might be the only person of color in their respective areas in nursing. DNPs of Color is crucial to the retention of these professionals, which ultimately contributes to increasing workforce diversity and advancing progress toward health equity (Phillips & Malone, 2014).

Empowering Professionals

Supporting a group of which I hope to soon be a part of. My time is coming! We need to support and build each other up. I believe this group will do exactly that.—Nycole Hollington, MS, ACNP-BC, & future DNP

Building a network enables DNPs of Color to gain access to different levels of opportunities in nursing. Communities of color tend not to have access to such networks, which impacts the success and progress of mentorship and advancement.

Leveraging and utilizing the value, prestige, and distinction of being DNP–prepared opens up seats at different tables. This access is vital for DNPs of Color to increase diversity and is influential in transforming nursing practice.

Transforming Nursing Practice

I have NEVER felt so welcomed by a group of professionals in my entire nursing career. In the short time I've participated in DNP-led events, I've had some truly transformational experiences. I am excited to see how I can support [DNPs of Color] and support other nursing professionals in achieving what they never thought was possible.—Madeline Feliciano-Weiser, MSN, RN, & future DNP

The phenomenal growth and impact we have had in our community through our programs and events is encouraging and amazing. DNPs of Color is at the forefront of elevating the experiences of DNP–prepared nurses of color. Through building a community focused on mentorship, networking, and advocacy to increase diversity in doctoral studies, clinical practice, and leadership, we are fulfilling our mission. As more DNPs are present in nursing, we are changing the face of doctorally prepared nursing. DNPs of color are being found in a variety of places, and therein lies the potential impact we can make. Nurses of color in the present day are making space, trailblazing, and transforming nursing practice so that it is more representative of the patients and families we serve. Our very existence enables us to make strides toward health equity.

Danielle McCamey, DNP, CRNP, ACNP-BC,

FCCP

Founder, CEO, & President

DNPs of Color

全文翻译（仅供参考）

护理实践医生 (DNP) 的有色人种护士人数正在稳步增加。尽管有这种增长，但 DNP 之间仍然缺乏多样性。根据美国护理学院协会 ( 2019 ) 2018-2019 年关于研究生护理课程招生的报告，来自少数族裔背景的护士仅占 DNP 护理专业学生的 34.6%。这种缺乏代表性对少数民族护士来说是一个重大挑战，通常会导致孤立、排斥、歧视和边缘化的感觉（Iheduru-Anderson，2020；Iheduru-Anderson & Wahi，2018；Mapedzahama 等人，2012；Moceri，2014；罗宾逊，2014 年；惠勒等人，2013 年）。文献中的这些发现与我的经验相符，因此成为建立 DNPs of Color 的催化剂。

在我的 DNP 计划开始时，我是我的队列中唯一的黑人女性。尽管这一直是我护理故事中永无止境的一部分，但我希望随着我职业生涯的进步，在教育或专业环境中可能会有其他人可以与我认同。抱着这样的希望，我在精神上为未来的道路做好了准备。我决定，无论旅途多么艰辛或孤独，我都会接受考验和胜利，同时凝聚社区和祖先的力量，为后来者铺平道路。

第一天上课，我就带着在单亲家庭长大的意义，成为家里第一个攻读博士的人。同时，我在被奴役的非洲人建立的白人机构中承担了作为黑人妇女的重担。作为博士课程中唯一的黑人学生，我不得不应对并划分压力。从本质上讲，我知道这让我有责任代表我的整个社区，为了我的家人。此外，我知道社会是如何在这样的空间中标记和历史上排斥像我这样的人这么长时间的。

作为所有白色空间中唯一的黑人的双重意识使我获得了代码转换和同化周围环境的方式来淡化我的黑色，我的真实自我。我培养了敏锐的情商，并学会了足智多谋。然而，随着时间的推移，需要有一个了解我的生活经历的社区，在那里我可以做真实的自己，并获得个人和专业的支持资源，这对我造成了沉重的打击。就这样开始了创建颜色 DNP 的旅程。

最初，我研究了现有的组织，但找不到一个能满足我对一个专门为追求 DNP 学位的有色人种护士的组织的愿望的组织。搜索结束时，我创建了一个 Facebook ®群组，但我没有意识到它在填补护理专业人士日益增长的一个急需的空白方面的重要性。在几个月内，有数百人有志成为 DNP、当前 DNP 学生或 DNP 专业人士。人们将社区描述为有效、鼓舞人心和让他们感到归属感的地方。

建立社区（大流行期间）

2019 年冠状病毒病 (COVID-19) 大流行和社会种族清算暴露了种族主义在整个美国和医疗保健领域的阴险性质和渗透。这种计算使 DNPs of Color 更加坚定地履行通过网络、指导和倡导创建社区的使命，以增加博士研究、临床实践和领导力的多样性。我们的最终愿景是通过增加博士护理实践的多样性来激发、授权和改变护理领域。两种流行病（即 COVID-19 和种族清算）加剧的焦虑和恐惧加剧了对联系的需求，结果使我们的增长迅速增长到超过 2,000 名准备过 DNP 的专业人士、DNP 学生和有抱负的国际 DNP。

尽管 2020 年社会持续存在创伤性压力，但我们创造了提供希望和灵感的方法，举办活动和空间以促进成长和联系，因为我们都在一天一天地度过难关。我们的第一个项目——虚拟毕业典礼，现在是标志性活动之一——表彰并庆祝了大约 200 名新成立的 DNP 毕业生。我们利用这一势头举办了许多促进专业发展和指导的编程活动。最大的活动是我们的首届虚拟会议；主题是“餐桌上的有色人种 DNP：促进多样性和转变护理实践”，有超过 200 名注册人和 50 名赞助商。随着我们的成长，与专业护理组织的重要合作伙伴关系使我们能够在护理专业中建立信誉。

创造机会

DNPs of Color 是一个很棒的组织，它为 DNP 和 DNP 学生创造了以前不存在的有意义的机会！-斯蒂芬费拉拉，DNP，FNP-BC，FAAN，FAANP

根据行动运动（2021 年）最近发布的数据，在过去十年中，大约有 50,000 人从全国认可的护理项目中获得了 DNP 学位。随着越来越多的有色人种护士追求他们的 DNP，并且随着越来越多的机构过渡到 DNP 入门级项目，准备 DNP 的护士将呈指数级增长。这使 DNPs of Color 成为代表和提升 DNP 准备的有色人种护士声音的领先组织。DNPs of Color 是同类组织中第一个关注并支持这个护士社区的声音的组织。

鼓舞人心的护士

我刚刚被我的 DNP 项目录取。如果不是有色的 DNP，我永远不会申请。代表很重要。看到这些出色的 DNP，通过事件建立联系，感觉得到支持正是我所需要的。——匿名

DNPs of Color 的标志是通过突出群体多样性的丰富性和提升社区中存在的各种专业知识和学术来培养灵感。我们有意以各种方式承认有色人种 DNP 的故事、生活经历和成就，例如与提供向小学生到高中学生提供护理途径的组织建立合作伙伴关系。此外，我们的计划通常侧重于鼓励博士研究，导航后 DNP 的方法，以及如何为下一代/未来的人回报/支付它。

成员们分享说，这个组织阻止了他们离开他们的 DNP 计划和护理专业，并让他们有勇气站在他们可能是各自护理领域唯一有色人种的地方。DNPs of Color 对于留住这些专业人士至关重要，这最终有助于增加劳动力多样性并推动健康公平（Phillips & Malone, 2014）。

赋予专业人士权力

支持一个我希望很快成为其中一员的团体。我的时代快到了！我们需要互相支持，互相建设。我相信这个小组会做到这一点。- Nycole Hollington，MS，ACNP-BC 和未来的 DNP

建立一个网络使有色人种的 DNP 能够获得不同级别的护理机会。有色人种社区往往无法访问此类网络，这会影响指导和进步的成功和进步。

利用和利用为 DNP 做好准备的价值、声望和区别在不同的桌子上开辟了座位。这种访问对于有色人种 DNP 增加多样性至关重要，并且对改变护理实践具有影响力。

转变护理实践

在我的整个护理生涯中，我从未感到如此受到一群专业人士的欢迎。在我参加 DNP 主导的活动的短时间内，我获得了一些真正具有变革意义的经历。我很高兴看到我可以如何支持 [DNPs of Color] 并支持其他护理专业人员实现他们从未想过的事情。-Madeline Feliciano-Weiser，MSN，RN，以及未来的 DNP

通过我们的计划和活动，我们在社区中产生的惊人增长和影响令人鼓舞和惊人。DNPs of Color 在提升 DNP 准备的有色人种护士的体验方面处于最前沿。通过建立一个专注于指导、网络和倡导的社区，以增加博士研究、临床实践和领导力的多样性，我们正在履行我们的使命。随着护理中出现更多的 DNP，我们正在改变博士准备护理的面貌。有颜色的 DNP 在很多地方都可以找到，这就是我们可以产生的潜在影响。当今的有色人种护士正在创造空间、开拓和转变护理实践，使其更能代表我们所服务的患者和家庭。我们的存在使我们能够朝着健康公平迈进。

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