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Nursing issues
Professional discrimination toward nurses increases nurse silence threatening patient safety outcomes
  1. Nicole Zhang1,
  2. Breanna Casas2
  1. 1 Nursing, Hartwick College, Oneonta, New York, USA
  2. 2 The Valley Foundation School of Nursing, San Jose State University, San Jose, California, USA
  1. Correspondence to Dr Nicole Zhang, Nursing, Hartwick College, Oneonta, NY 13820, USA; nicole.zhang{at}

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Commentary on: Nursing practice environment and employee silence about patient safety: The mediating role of professional discrimination experienced by nurses

Implications for practice and research

  • More research should be conducted to understand the underlying mechanisms shaping the associations between professional discrimination and nursing silence.

  • Rates of professional discrimination tend to be high and similar to other types of discrimination within the nursing profession.

  • The environment created by nursing leadership and interdisciplinary superiors can inhibit bedside nurses’ interventions in patient safety.

  • Bedside nurses risk patient safety when they feel that they cannot adequately voice their concerns to their superiors.

  • Research can be expanded to include:

    • Exploration of the safety impacts the nursing workplace has on discrimination of minority patient populations.

    • If there is a correlation between the safety of minority nurses (including international …

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