At the heart of Frontier Nursing University is a talented and diverse community of students, alumni, faculty, staff, couriers and preceptors. Spotlight blogs feature members of our FNU community who are focused on the mission of educating nurse-midwives and nurse practitioners to deliver quality healthcare to underserved and rural populations.
Dr. Lourdes Prince has been a champion of DEI throughout her career in healthcare and education. This summer, Dr. Prince became a Diversity, Equity and Inclusion Faculty Fellow at FNU and served as a moderator during the Diversity Impact conference in July. She is also a reviewer for the Nursing Workforce Diversity grant scholarship and a member of the Diversity, Equity, Inclusion and Belonging; the Diversity Impact Planning; and the Culture of Caring committees at FNU.
As a Hispanic healthcare professional with extensive experience in DEI, Dr. Prince said an emphasis on DEI is crucial in advancing health in Hispanic communities. She said lack of access, lower socioeconomic status and language barriers often prevent many members of the Hispanic community from seeking care.
“Not only are services often out of reach for these families due to lack of insurance or proximity to these services, but they are often not culturally and linguistically tailored for this population,” she said. “Providers who share the same cultural background as their patients communicate more effectively. When a provider speaks the same language, health concerns are more likely to be heard and addressed in an adequate manner.”
According to the 2020 Census, Hispanics represent 18.7% of the U.S. population, yet only 7.4% of registered nurses, 5% of nurse practitioners, 4.8% of certified nurse-midwives, and 6.5% of physicians are Hispanic. Although access to interpreters is required through the Culturally and Linguistically Appropriate Services (CLAS) standards, Hispanic patients with limited English proficiency often have to rely on family, friends, or other untrained individuals as interpreters.
Addressing disparities in healthcare among the Hispanic population is particularly important when it comes to midwifery care, Dr. Prince said. She said this is highlighted by the fact that the Hispanic community in the U.S. faces significant health disparities, particularly with higher rates of conditions such as obesity, diabetes, hypertension, and chronic liver disease, which can lead to pregnancy complications. Hispanic mothers also are at a greater risk of dying from infection and hemorrhage compared to other racial groups. Midwives, as licensed healthcare providers, play a crucial role in improving maternal care, leading to better outcomes and patient satisfaction.
Dr. Prince said advancing health in the Hispanic community can be supported by increasing the number of Hispanic providers who will become a part of those communities, noting that Hispanic providers can bring a more holistic understanding of their patient’s cultural history and the events that shape their healthcare experience. They can use this understanding to foster respect and better communication with their patients. In regards to maternal care, she said schools of nursing can help address health disparities by recruiting and retaining more Hispanic midwives who will understand their communities’ unique health needs.
“A diverse workforce understands that the language, culture, issues and needs of local patient populations can provide deeper insight that results in better decision-making about how to serve those communities,” she said. “Those decisions then have the potential to positively impact patient experience, safety and quality, and the communities’ overall health.”
To that end, Dr. Prince will address the empowerment of Hispanic nurses and the path to becoming a Nurse-Midwife during a presentation for the National Association of Hispanic Nurses in October. The presentation is a collaborative effort with Dr. Tanya Belcheff, FNU’s Director of Diversity, Equity and Inclusion.
Along with her work in DEI, Dr. Prince also serves as a Regional Clinical Faculty (RCF) member. In this role, she supports Frontier students throughout their clinical journey. She advises, supports, educates, and evaluates students, meeting with them biweekly—or more frequently if needed—to guide them through course expectations and foster a positive learning environment. Dr. Prince also collaborates closely with preceptors to ensure students receive the best clinical experiences.
Before joining FNU, Dr. Prince built a career in midwifery and women’s health. She said her passion for midwifery is rooted in her family history, particularly the legacy of her great-great-grandmother, Monserrate Arroyo, a midwife and healer in Puerto Rico. Inspired by her ancestor’s dedication to caring for her community, Dr. Prince pursued midwifery to provide continuity of care to women throughout various stages of life—a cornerstone of the midwifery model that resonated deeply with her family values.
Dr. Prince worked as a labor and delivery nurse for 12 years before earning a Master of Science in nursing in 1998 and a Doctor of Nursing Practice in 2012 from the University of Florida. Over her 24-year career as a Certified Nurse-Midwife, she estimates she has delivered more than 4,000 babies.
“Earning a DNP demonstrates a commitment to learning at the highest level of nursing practice,” she said. “It expanded my knowledge base and professional capacity. With my DNP, my role as a certified nurse-midwife evolved and overlapped with the other area that sparked my passion: nursing education.”
After working as a labor and delivery nurse, Dr. Prince worked in a full scope private practice for four years before joining an OB-GYN Faculty practice with Orlando Health. At Orlando Health, Dr. Prince participated in the Perinatal Improvement Collaborative, testing interventions and protocols to reduce preventable deaths and complications among mothers and babies. She also supervised first-year OB-GYN residents with normal labor and birth.
Dr. Prince also helped launch the collaborative practice between Maternal Fetal Medicine and Certified Nurse-Midwives at Winnie Palmer Hospital in Orlando. Precepting graduate nursing students since 1999, Dr. Prince has been committed to improving healthcare by clinically preparing OB-GYN residents, nurse practitioners and nurse-midwives to serve their communities. This extensive experience in precepting led her to her career at FNU, she said.
“I had colleagues who were RCFs with FNU, and they felt that with my many years of work and precepting experience, I would be a good fit at FNU,” she said. “My passion for precepting students evolved into joining FNU as an RCF.”
Thank you, Lourdes, for your dedication to midwifery education, the Hispanic community and promoting diversity, equity and inclusion in healthcare. Frontier is fortunate to have such an inspiring and passionate leader as part of our faculty.
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