探索医学学生与土著患者护理的经验:一个现象学研究研究
Marghalara Rashid1, Nicole Arseneau1, Tibetha Kemble2
1Department of Pediatrics, University of Alberta, Edmonton, Canada.
Medical education online
|May 9, 2024
概括
医学学生观察到反土著种族主义影响患者护理,但觉得不准备干预. 加强土著健康教育对于文化敏感的医疗培训和改善土著患者体验至关重要.
科学领域:
- 医疗教育 医学教育
- 土著健康土著健康
- 健康的社会决定因素
背景情况:
- 加拿大的土著人民面临着严重的健康差异和疾病负担.
- 反原住民种族主义是加剧这些健康不平等的一个关键因素.
- 医学学生与土著患者的经历受到他们的临床前教育的影响.
研究的目的:
- 探讨第三和第四年医学学生对与土著患者的临床经验的反思.
- 了解临床前土著健康课程对这些经验的影响.
- 确定医疗培训中关于土著健康和反种族主义的改进领域.
主要方法:
- 由社会耻辱理论指导的现象学.
- 与11名医学本科生进行半结构化的电话采访.
- 采访数据的字面转录和现象学分析.
主要成果:
- 学生观察到土著患者在缺乏文化敏感性的情况下在医疗保健系统中进行导航.
- 种族主义在临床互动中很明显,尽管学生并不总是意识到它对患者护理的影响.
- 学生们希望获得更实用的临床前土著健康教育,以更好地为临床环境做好准备.
结论:
- 医学学生目睹了针对土著人民的种族主义,但缺乏应对它的准备.
- 加强本科医学培训对于理解土著患者的观点至关重要.
- 需要持续的土著健康教育,以培养对文化敏感的护理和学习经验.
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