在一个大型的学术医疗中心讨论系统性种族主义和种族特权,使用修改后的特权步行
Elizabeth A Brown1, Rosemarie Jones2
1School of Community & Environmental Health, College of Health Sciences, Old Dominion University, Norfolk, VA, 23529, USA. eabrown@odu.edu.
BMC medical education
|March 23, 2024
概括
一个虚拟的修改特权步行 (MPW) 积极影响了参与者的跨种族和民族的互动. 学术卫生中心应实施这些讨论,以解决组织种族主义问题,并支持多元化社区.
科学领域:
- 健康 公平 卫生 公平
- 健康的社会决定因素
- 组织心理学 组织心理学
背景情况:
- 学术卫生中心 (AHC) 对于解决健康差异和教育未来的医疗保健提供者至关重要.
- 组织越来越需要从少数群体的角度了解种族和种族主义.
- 由于其多样化的患者群体和教育角色,AHC处于一个独特的位置,以促进关于种族,社会阶级和特权的对话.
研究的目的:
- 试点和评估一个虚拟的修改特权步行 (MPW) 干预.
- 在一个学术医疗中心内促进关于种族,种族主义,社会阶级和特权的对话.
- 评估MPW对参与者的感知和未来互动的影响.
主要方法:
- 一个虚拟的修改特权步行 (MPW) 通过Zoom与教师,工作人员和学生进行.
- 参与者填写了会议前的问卷,以计算基于种族/种族和社会阶级的"特权得分".
- 进行了会议后评估调查,以收集有关干预措施有效性的反.
主要成果:
- 132人参加了五次虚拟MPW会议,评估调查的回复率为56%.
- 大多数受访者 (91.8%) 同意或强烈同意,虚拟MPW积极影响了他们与不同种族/民族背景的人的互动.
- 参与者要求更多的MPW会议,包括纳入课程和新员工的强制性参与.
结论:
- 虚拟MPW可以成为促进在学术卫生中心关于种族和特权的对话的有效工具.
- AHC应该创造安全的空间来讨论种族和种族主义,承认种族隔离和控制的历史背景.
- 建议包括拆除组织种族主义,加强对少数族裔员工,患者和学生的支持.
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