Black Nurse Community Calls For Culturally Informed Health Care In W.Va.

Black nurses in West Virginia can face fewer identity-specific resources and culturally uninformed workplaces. But groups like the Black Nurse Collaborative aim to change that.

West Virginians face an above-average risk of death from strokes, heart disease and even injury.

This leaves Black residents especially vulnerable, because they already face disproportionate risks in the U.S. health care system.

But Black nurses are coming together to provide better care for patients and new opportunities for Black professionals.

On Thursday, members of the Black Nurse Collaborative (BNC) set aside their scrubs for a visit to the Martinsburg VA Medical Center.

The group, which is based in Bowie, Maryland, provides Black nurses identity-specific professional support. This week, they came to West Virginia to hold a panel on inclusion and racial inequity in their industry.

Speakers’ stories often overlapped. Many recalled patients and coworkers doubting their qualifications simply because of their race.

Nurses already face a power imbalance in health settings, because doctors have more authority over medical decisions.

Together, these biases and professional barriers can make it hard for Black nurses to speak up when they disagree with something.

For Meedie Bardonille, president and founder of the BNC, that is a problem.

She said when a patient has a health care provider that looks like them, “it’s clearly documented from numerous studies that health care outcomes are positively impacted.”

“Whether you’re a male nurse caring for another male patient, whether you’re a Black nurse caring for another Black patient,” Bardonille said.

West Virginia is predominantly white. This means that Black nurses and patients are less likely to encounter people who share their racial and cultural experiences, both of which shape health care outcomes.

In West Virginia, medical officials are looking to make a change. Chief of Staff Ngozi Efobi said the Martinsburg VA is recruiting nurses from all different backgrounds, including historically Black colleges and universities (HBCUs).

“I don’t know that historically an attempt has been made to meet them where they are,” Efobi said. “So we’re being very intentional about working with our fellow hospitals and universities, especially HBCUs, to just let them know that we’re here and that we’re interested.”

Through this, Efobi said the hospital center is making sure “we have a diverse population to take care of our diverse veteran population.”

Still, working in predominantly white places like West Virginia comes with challenges.

According to Bardonille, that is where professional support groups like the BNC come in. They help ensure Black nurses find resources and community, regardless of where they live, she said.

“You’re able to learn and hear from those individuals and experiences that can have a direct impact on your career,” Bardonille said. “More importantly, also the community that you’re seeking to serve.”

For Bardonille, providing culturally competent care means forging community with others who share your experience, and helping educate individuals who do not.

“You have to create your own table, bring your own chair and actually create the menu as well,” she said.

Racial Disparities In State Justice System And Decoding Drug Epidemic Language, This West Virginia Morning

On this West Virginia Morning, when it comes to decoding the language of the drug epidemic, advocates say using compassionate language is vital when speaking with the people behind the numbers. Emily Rice has more.

On this West Virginia Morning, when it comes to decoding the language of the drug epidemic, advocates say using compassionate language is vital when speaking with the people behind the numbers. Emily Rice has more.

Also, in this show, we have an excerpt from our latest episode of Us & Them. Host Trey Kay looks at what contributes to racial disparities in our justice system. Some say Black West Virginians are disproportionately harmed.

You can listen to this full episode of Us & Them, “Who Gets Stuck Behind Bars in West Virginia?” at 8 p.m. on June 22 on West Virginia Public Broadcasting. There will be an encore broadcast on Saturday, June 24 at 3 p.m.

West Virginia Morning is a production of West Virginia Public Broadcasting which is solely responsible for its content.

Support for our news bureaus comes from Concord University and Shepherd University.

Eric Douglas is our news director and produced this episode.

Teresa Wills is our host.

Listen to West Virginia Morning weekdays at 7:43 a.m. on WVPB Radio or subscribe to the podcast and never miss an episode. #WVMorning

Us & Them: Who Gets Stuck Behind Bars In West Virginia?

West Virginia’s state prisons and jails are overcrowded and understaffed. About half of those incarcerated are there because they can’t make their bail. Many are poor and a disproportionate number are Black.

West Virginia’s state prisons and jails are overcrowded and understaffed. 

Just over half of those who are incarcerated have not yet been found guilty of a crime, they’re in a cell because they can’t make their bail. Many of those people are poor and a disproportionate number are Black. 

On this episode of Us & Them, host Trey Kay takes a look at what contributes to the racial disparities in our justice system. Black people make up about 3.5 percent of West Virginia’s population but 12 percent of the state’s incarcerated population. Why are people of color overrepresented in the criminal justice system? 

Join Kay for a visit to arraignment court where the choices made early on play a critical role in how a case proceeds. Bail options are an important point where racial disparities can be on display and when a person’s freedom depends on their access to cash or property, some say Black West Virginians are disproportionately harmed. 

This episode of Us & Them is presented with support from the West Virginia Humanities Council, the CRC Foundation and The Just Trust.

Subscribe to Us & Them on Apple Podcasts, NPR One, RadioPublic, Spotify, Stitcher and beyond.

Since an arraignment is the gateway to any West Virginia jail, Us & Them host Trey Kay decided to take a field trip to Magistrate Court in Kanawha County, West Virginia to meet with Magistrate Traci Strickland.

“Somebody’s present in day court every day from 8 a.m. until midnight,” Strickland told Kay. “For individuals who find themselves needing help with the court system or individuals who have found themselves under arrest, who come in for their initial appearance.” 

She says several hundred come through in a 24-hour period.

“They can come to day court to request a domestic violence petition, to request a personal safety order for people who are under arrest. They come in to post bonds. They come in with tickets. They come in for a variety of things.”

Credit: Trey Kay/West Virginia Public Broadcasting
“Pretrial detention has been called the front door of mass incarceration,” says Sara Whitaker, who spent nine years as a public defender in Kanawha County, West Virginia. 

People who are jailed while they’re awaiting trial are more likely to be convicted, more likely to receive a jail or prison sentence upon conviction and more likely to receive a longer sentence than those who are not detained prior to trial,” Whitaker says. “In West Virginia, like in most places, whether you’re jailed prior to your trial or not depends on how much money or wealth you have.” 

Whitaker is now a criminal legal policy analyst with the West Virginia Center on Budget and Policy. She says bail options are some of the first points in the system where racial disparities can be on display.

Credit: West Virginia Center on Budget and Policy
Just a few years ago, West Virginia legislators debated proposals to lessen the load on the state’s overpopulated jails. In 2020, one of those proposals became law with bipartisan support in both chambers. 

I think it was mainly intended to cut down on the amount of pretrial misdemeanors that would be warehoused in a county jail simply because they don’t have money. But it didn’t do that,” says Del. Mike Pushkin, a Democrat who represents a large section of Charleston, with a district that’s about 30 percent Black.

He says the bill was intended to encourage magistrates to use more personal recognizance bonds. That’s when the bail is set at zero but a person has to promise to show up for their court date.

Credit: Perry Bennett/WV Legislative Photography
Back in February, 2020, when the West Virginia Legislature was debating a number of criminal justice reform bills, this radio ad from Mike Stuart was airing across the state. Stuart was then a U.S. Attorney who says he felt compelled to run what he calls public service announcements to criticize the bail reform measure. Today, Mike Stuart is a Republican state senator representing West Virginia’s 7th district. It’s a rural part of the state, and 96 percent white. He recently announced his candidacy for attorney general. Stuart says he hasn’t seen enough data on the bail reform’s effectiveness, but he’s wary of what he calls a “revolving door” approach to criminal justice.
Mike Stuart is a Republican state senator representing West Virginia’s 7th district. He’s pictured here with Us & Them host Trey Kay.

“My solution to prison overcrowding. Build another prison,” Stuart explained to Kay. “If you’ve committed a crime that’s worthy of incarceration, you should be serving your time. I believe in second chances and redemption and I believe you get there. Part of the criminal justice system is punishment. It’s punishment. It’s not all about rehabilitation. There’s a proper role for rehabilitation. But punishment is part of the role, too.”

Credit: Trey Kay/West Virginia Public Broadcasting
Kenny Matthews is quite familiar with West Virginia’s legal system.
 
He’s originally from Chicago, but back in 2011, he was arrested on drug charges and spent several years incarcerated. About 18 months of his time behind bars was in pre-trial detention. He was there because he was unable to make bail. He had his pretrial hearings and then waited for his trial in West Virginia’s Northern Central Regional Jail.

These days, Matthews works with the American Friends Service Committee as a lobbyist and spends multiple hours during the state’s legislative session speaking to delegates and senators about criminal justice, economic justice and recovery related issues.

“This past legislative session, I almost lived up here and just was talking to senators, delegates, other organizations that had lobbying efforts here at the capitol and were able to get some good bills passed. Some not so good bills killed, and also were able to have some amendments to some bad bills to make them better.” 

One of those bills was House Bill 633, on capias reform. Matthews worked with several legislators, including Sen. Mike Stuart.

Credit: Trey Kay/West Virginia Public Broadcasting
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