Background Research indicates that the implicit biases and racist attitudes of healthcare workers are fundamental contributing factors to race-based health inequities. However, few studies and reviews appear to have examined the provision and effects of anti-racist education and training on post-licensure healthcare workers. The purpose of this systematic literature review was to explore what research methods are being used to ascertain the training healthcare workers are receiving post-licensure and to identify the goals and outcomes of this training. Methods Using PubMed, CINAHL, and Google Scholar databases, peer-reviewed articles meeting inclusion criteria were identified and reviewed by the authors from March through October of 2020 in alignment with the renewed national focus on anti-racism and racial justice. Studies or initiatives involving students were excluded as were commentaries on studies and studies not specific to racism or anti-racism. Results Eleven articles were identified as meeting stipulated inclusion criteria. Few were outcome studies ( n = 3), and many articles did not clearly delineate training methods, content, or outcomes assessed. Identified methods included group discussion, case studies, and online modules. Reported outcomes included increased self-awareness of implicit biases and racism. Only two studies focused specifically on nurses, with the majority of studies centering on physicians ( n = 5). Conclusions A considerable knowledge gap exists regarding effective methods, tools, and outcomes to use for undoing racism and mitigating bias in healthcare professionals. Nothing less than a seismic paradigm shift is called for, one in which an anti-racist perspective informs all healthcare education, research, and practice. Supplementary Information The online version contains supplementary material available at 10.1007/s40615-021-01137-x.

Aim: To describe the experiences of registered nurses working in a US healthcare system during the COVID-19 pandemic.Design: This qualitative thematic analysis study is a secondary analysis of stories submitted by nurses to a repository established by the parent study. Methods: Registered nurses working in various roles in a healthcare system submitted stories (N = 45) to open-ended prompts via an online repository between June 2020 and February 2021. A team of three nurse scientists coded the stories using Dedoose software. Initial codes were then reviewed by the team to synthesize initial coding into themes. The COREQ checklist was used to ensure research reporting guidelines were met. Results: Thematic analysis revealed three themes in a global theme of COVID-19 pandemic-related personal and professional evolution: (1) The art and science of pandemic nursing, (2) Persisting despite challenges; and (3) Learning as we went. Each of the three organizing themes were supported by basic themes.Conclusions: Identified themes affirm some of nursing's long-standing core values, such as the central role of human connectedness in restoring health, but findings also reflect new evolutionary processes of moral identity formation that occurred among nurses and the nursing profession during the COVID-19 pandemic.Impact: Findings from this study describe the processes by which nurses' moral identity evolved during a segment of the COVID-19 pandemic. Collectively, these evolutions represent important shifts in the nursing profession. Using findings from this study, nurse educators, nurse managers and healthcare administrators will be able to implement effective, sustainable policies and processes that meet the needs of both the community and the workforce.No Patient or Public Contribution: This study was designed to capture the experiences of nurses employed by one healthcare organization. However, it was not conducted using input or suggestions from the public or the patient population served by the organization.

Objective: There are approximately 231,000 women detained daily within the nation’s jail and prison systems with women of color making up nearly half of those experiencing incarceration. The purpose of this scoping review was to synthesize the literature on the reproductive autonomy of Black women influenced by incarceration, using the three tenets of reproductive justice. Methods: We searched PubMed, CINAHL, SocINDEX, and PsycINFO for research related to reproductive justice written in English and published in the United States from 1980 to 2022. A review of 440 article titles and abstracts yielded 32 articles for full-text review; nine articles met inclusion. Results: Eight addressed Tenet 1; five mentioned Tenet 2; none addressed Tenet 3. Recognition of the influence of incarceration on the reproductive autonomy of Black women is limited. Conclusion: The findings from this review suggest a need to address (a) reproductive choice, (b) support goals, and (c) support of justice-involved Black women.

ResultsThis study indicates that nurses can recognize the physiological and behavioral cues of sepsis in normal and at risk neonates. Although there were some similarities in characteristics, there were limited differences between nurses with ADN and BSN degrees. Nurses with more than 11 years of experience who practiced in the NICU were able to identify more frequently behavioral cues associated with newborn sepsis than those who practiced in the mother baby unit (t ¼ 2.6, df ¼ 1, p ¼ .011). Conclusion/Implications for Nursing PracticeNeonatal sepsis is the leading cause of pediatric mortality worldwide, and 20% of related deaths are associated with late and improper treatment. Nurses have the ability recognize sepsis early using a combination of behavioral and physiologic cues observed in the neonate. Closing the knowledge gap related to years of experience and practice setting is crucial to early recognition of sepsis. Future researchers should examine whether these cues were present before sepsis diagnosis. This will allow for the implementation of a neonatal early warning system for sepsis. The use of a systematic surveillance tool will help to close the experience gap identified in this study. Strategies to Retain Registered NursesObjective T o examine the lived experience of choosing professional nursing as a career and to explore the effect of public perception of nursing on this choice in order to inform effective recruitment and retention strategies. DesignA feminist phenomenological approach was used. SettingLocations were chosen by each participant and ranged from their homes and coffee shops to a hospital lobby. SampleEight women and two men with experience as registered nurses that ranged from 11 months to two years. MethodsSemistructured tape recorded interviews were conducted in person with participants; Colaizzi's method of data analysis was used to analyze the data. ResultsFive themes emerged from the data: Up-close and personal/exposure and connection, The image of nursing, The conflict inherent in nursing, Recruitment, and Retention and the work environment. For these participants, the choice of nursing as a career bespoke a passion that had been affected but not yet eclipsed by conflict, compromised fulfillment, and the internalization of nursing and gendered stereotypes directly influenced by the image of nursing. Conclusion/Implications for Nursing PracticeRecommendations involved innovative proposals for the support and preservation of the passion that newer nurses demonstrate and health policy initiatives for programs that would expose the public to the value of a career in nursing and provide education about the significance and complexities of nursing practice.

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