“The history of American nursing is a record of care across social, racial, economic, and geographic lines. The profession has long aligned itself with the needs of the underserved,
sometimes in direct opposition to the social norms of the time. One of the earliest examples are Lillian Wald, a New York nurse and social reformer serving the immigrant community of New York City’s lower east side, and Mary Eliza Mahoney, who became the first African American professionally trained nurse in the United States in 1879. Both, in their own ways,
championed equity and integration in nursing education and care, laying a foundation for social and racial equity in the profession.”

“In light of these challenges, nurse leaders and educators must remember and operationalize the foundational commitments of our profession. Suggested actions include:

• Reframing the conversation : Make it clear that the principles of DEI is not a political movement for nursing; it is the professional expression of our ethical obligation to deliver equitable, just, and inclusive care.
• Strengthening ethics education : Ensure every nurse understands their accountability to manage bias, advocate for vulnerable populations, and embrace each patient with unconditional dignity.
• Creating inclusive cultures : In hospitals, universities, and professional organizations, leadership must actively cultivate environments where all nurses, students, and patients are seen, safe, and valued.
• Leading by example : Nurses at all levels must exemplify the values we teach. We must model respectful discourse, evidence-based practice, and a commitment to equity that transcends political differences.”

Porter-O’Grady T. (2025). Nursing’s Commitment to the Principles of Diversity, Equity, and Inclusion: Historical and Ethical Imperatives. The Journal of nursing administration, 55(6), 313–315.