改变范式:为高级实践护理提供者提供反种族教育
Lisa Mihaly1,2, Teresa Scherzer3, Cara McGuinness4
1Department of Family Health Care Nursing, School of Nursing, University of California, San Francisco, San Francisco, California, USA.
Health equity
|September 21, 2023
概括
一个关于结构性种族主义的新课程显著改善了高级实践护理学生对医疗保健和反种族主义干预中的种族主义的理解,更接近健康平等.
科学领域:
- 健康 公平 卫生 公平
- 医学教育 医学教育
- 健康的社会决定因素
背景情况:
- 美国的种族主义对健康状况产生了负面影响.
- 实现健康公平需要在医疗保健提供者 (HCP) 教育中采取反种族主义方法.
- 现有的教育模式往往侧重于基于种族的医学或社会决定因素,这可能会延续误解.
研究的目的:
- 评估一门旨在向高级实践护理学生教授种族主义结构基础的必修课程.
- 评估学习者对结构性种族主义的理解的转变以及医疗保健工作者在解决问题上的作用.
- 在健康公平教育中超越基于种族的医学和受害者指责的方法.
主要方法:
- 使用混合方法进行评估.
- 匿名调查评估了学生在医疗保健中识别结构性种族主义的例子的能力,以及医疗保健工作人员在解决问题中的作用.
- 分析了课程前后的数据,以衡量理解的变化.
主要成果:
- 学生提供结构性种族主义示例的能力在统计学上显著增加,从41%上升到70%.
- 学生在识别结构性和制度性反种族主义干预方面表现出显著的改善.
- 该课程有效地提高了学习者对医疗保健中的种族主义的理解.
结论:
- 关于结构性种族主义的发展课程,包括社会和机构干预措施,显著改变了医疗保健工作者的理解.
- 这种教育策略是推进健康公平的可行方法.
- 数据表明,这种课程可以为未来的教育努力提供信息,旨在打击医疗保健中的种族主义.
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