在基础护理教科书中暗肤色的代表性:图像分析
Eleonor Pusey-Reid1, Lisa W Quinn1, John Wong2
1MGH Institute of Health Professions, School of Nursing, Charlestown Navy Yard, 36 1st Avenue, Boston, MA 02129, United States of America.
Nurse education today
|August 9, 2023
概括
护理教科书显著低于暗色皮肤色调 (DST),只有12.3%的图像显示DST,而60.9%的图像显示浅色皮肤色调. 这种视觉差异可能会影响医疗保健公平.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 护理信息学 护理信息学
背景情况:
- 美国人口越来越多样化,但护理教育材料往往缺乏不同肤色的代表性.
- 关于评估和识别黑色皮肤色调 (DST) 患者的疾病的文献非常稀缺.
- 在教学材料中DST图像的不足可以在医疗保健教育和实践中引入偏见.
研究的目的:
- 在基础和临床护理教科书中分析和量化深色皮肤色调 (DST) 的表现.
- 评估当前护理教育资源中描绘的多样性程度.
- 在护理文献中识别皮肤色调的视觉表现中的潜在差异.
主要方法:
- 分析了15本护理教科书中的14,192张图像和图形.
- 皮肤色调的分类使用菲茨帕特里克皮肤光型 (FSP) 尺度 (轻,中,深).
- 为准确的数据收集,确保了高的评级者间可靠性 (科恩卡帕>0.89).
主要成果:
- 黑色皮肤色调 (DST) 仅占照片图像的12.3%,图形的2.4%.
- 明亮的皮肤色调占主导地位,占照片图像的60.9%和图形的82.8%.
- 教科书中皮肤色调的代表性 (9.4%是黑色) 与美国人口统计数据形成鲜明对比.
结论:
- 目前,护理教科书中太过重视浅色皮肤,太少重视深色皮肤.
- 在教育材料中增加DST的视觉表现对于对多样化人口的有效照顾至关重要.
- 增强视觉多样性可以帮助改善知识缺陷,并促进护理中的健康公平.
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