Table 5.

Steps to address racism and develop resiliency.

Steps to Address Structural Racism
⁃Involve the staff, multidisciplinary team to simulate “Walk in their shoes”
⁃Work to assemble teams that reflect the communities you serve
⁃Invite community leaders into your practice or institution
⁃Take the Implicit Association Test to understand your own unconscious bias
⁃Commit to authentic allyship
⁃Seek out a Diversity, Equity and Inclusion champion in your organization or community
⁃Join or create a Diversity Committee at your organization

Steps to Develop Resilience in Children & Families
Assessevery child, every visit	⁃ACEs
	⁃Developmental milestones
	⁃Family and peer relationships
	⁃Caregiver mental health
	⁃Social Determinants of Health
Education	⁃Promote protective factors
	⁃Mitigate risk factors
	⁃Enhance adaptation skills
	⁃Support positive parenting skills: nurturing, belonging, role modeling, family organization, family structure and rituals
	⁃Emphasize stress management skill development; self-awareness
Promote Self-care	⁃Problem-solving
	⁃Emotional skill building
	⁃Hope, faith, optimism
	⁃Self-confidence
	⁃Self-efficacy and identity

Adapted from Garner et al., 2021; Goddard, 2021; National Association of Pediatric Nurse Practitioners, 2019.