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面对医学中的歧视:旁观者干预培训的影响
Leanne Tyson1, Jane Skinner1, Bhairavi Hariharan2
1Norwich Medical School, University of East Anglia, Norwich, UK.
Medical teacher
|February 24, 2024
概括
旁观者干预培训 (BiT) 有效地提高了解决医疗学员和专业人员歧视问题的技能. 参与者报告说,当目睹歧视时,他们有更多的责任和权力进行干预.
科学领域:
- 医学教育 医学教育
- 社会心理学 社会心理学
- 公共卫生 公共卫生
背景情况:
- 在医疗保健环境中,歧视仍然是一个重大问题.
- 需要有效的策略来赋予个人干预权力.
- 旁观者干预培训旨在为个人提供解决歧视问题的技能.
研究的目的:
- 评估旁观者干预培训 (BiT) 的有效性.
- 评估双向技术对解决歧视问题的技能的影响.
- 探索参与者与培训的经验.
主要方法:
- 进行了一项混合方法研究.
- 在线基于模拟的培训提供给医学学生,医生助理学员和合格的医生.
- 569名参与者接受了培训前,培训后和后续评估.
主要成果:
- 在所有12个问题中,在训练后观察到得分的显著改善 (p < 0.001).
- 在那些有机会干预的人中,有85%的人这样做.
- 后续评分高于培训前,低于培训后,表明持续的影响.
结论:
- 旁观者干预培训 (BiT) 有效地提高了解决歧视问题的技能.
- 培训赋予参与者权力,并增加他们的责任感.
- 安全的讨论空间对于制定有效的反歧视干预措施至关重要.
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