针对卫生专业人员的LGBTQ+文化能力培训:系统审查
Hyunmin Yu1, Dalmacio Dennis Flores2, Stephen Bonett2
1School of Nursing, University of Pennsylvania, 418 Curie Blvd, Philadelphia, PA, 19104, USA. hyuy@nursing.upenn.edu.
BMC medical education
|August 9, 2023
概括
LGBTQ+文化能力培训显著提高了医疗保健专业人员对LGBTQ+个人的知识,技能,态度和行为. 这一系统性审查综合了研究结果,强调需要更严格的研究和组织支持包容性实践.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学教育 医学教育
- 文化能力培训 培训文化能力培训
背景情况:
- 对于LGBTQ+个人来说,健康差异仍然存在,部分原因是医疗保健专业人员缺乏文化能力.
- 文化能力培训旨在改善LGBTQ+患者和提供者之间的跨文化沟通和关系.
- 缺乏现有的LGBTQ+文化能力培训的定量综合.
研究的目的:
- 为卫生专业人员系统审查和定量评估LGBTQ+文化能力培训.
- 评估这些培训的设计和有效性,以评估文化能力的结果.
主要方法:
- 从五个数据库中对44篇文章进行系统审查,遵循PRISMA指南.
- 包括的研究量化评估了LGBTQ+文化能力培训在各种医疗保健环境中的有效性.
- 数据提取涉及研究设计,培训特征和效果大小;评估了偏差风险.
主要成果:
- 大多数研究 (75%) 在2017-2023年期间发表,主要使用准实验性设计.
- 平均3.2小时的培训显著改善了知识 (28项研究),技能 (8项研究),态度 (14项研究) 和肯定行为 (7项研究).
- 在不同的文化能力结构中,效果大小从0.12到1.49不等.
结论:
- LGBTQ+文化能力培训显示出增强多元文化能力构造的潜力.
- 限制包括研究设计,样本大小和缺乏纵向/患者报告的结果.
- 迫切需要对LGBTQ+包容性医疗保健进行文化响应培训和组织支持.
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