在儿科临床环境中关于种族和种族主义的对话指南
Shawnese Clark1,2,3, Alyssa Cohen1,2,3,4, Sarah B Welch5
1Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Pediatrics
|June 21, 2024
概括
儿科临床医生应该与年轻人讨论种族和种族主义. 通过德尔菲研究开发的指导强调背景知识,积极倾听和解决系统性种族主义,以便进行有益的对话.
科学领域:
- 儿童健康 儿童健康
- 健康的社会决定因素
- 医学教育 医学教育
背景情况:
- 种族和种族主义显著影响儿童的健康和福祉.
- 儿科临床环境对于解决这些影响至关重要.
- 临床医生需要指导,以有效地与儿科患者讨论种族和种族主义.
研究的目的:
- 为儿科临床医生制定基于证据的指导,讨论种族和种族主义.
- 建立在临床实践中导航这些敏感对话的原则.
主要方法:
- 一个经过修改的Delphi研究,涉及儿科临床医生,心理学家,家长和青少年.
- 关于与年轻人讨论种族和种族主义的开放式调查答案的定性编码.
- 代调查以就这些讨论的关键主题和概念达成共识.
主要成果:
- 在讨论种族和种族主义之前,期间和之后,儿科临床医生应考虑的概念达成共识.
- 同意讨论种族和种族主义是儿科临床医生的职责.
- 关键主题包括理解系统性种族主义,积极倾听,从患者身上学习,以及解决交叉性的问题.
结论:
- 开发的原则可以指导儿科临床医生讨论种族和种族主义.
- 为临床医生提供工具,以提供承认和解决种族主义的护理.
- 强调适当的临床医生培训的重要性,以防止潜在的伤害.
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