"You have to strive very hard to prove yourself": experiences of Black nursing students in a Western Canadian province.

Abstract Objectives This study explored the experiences of Black students in two western Canadian undergraduate nursing programs. Methods Using a qualitative focused ethnography design grounded in critical race theory and intersectionality, participants were recruited using purposive and snowball sampling. Data were collected through individual interviews, and a follow-up focus group. Data were analyzed using collaborative-thematic analysis team approaches. Results n=18 current and former students participated. Five themes emerged: systemic racism in nursing, precarious immigrant context, mental health/well-being concerns, coping mechanisms, and suggestions for improvement. Conclusions An improved understanding of Black student experiences can inform their recruitment and retention. Supporting Black students’ success can potentially improve equity, diversity, and inclusivity in nursing education programs and/or their representation in the Canadian nursing workforce. Implications for an international audience The presence of a diverse nursing profession is imperative to meet the needs to provide more quality and culturally competent services to diverse population.