新生儿药物检测中的结构性种族主义:医疗保健和儿童保护服务专业人员的观点
Carol Shetty1, Lauren Oshman1,2, Amanda Costa3
1Department of Family Medicine, University of Michigan, Ann Arbor, Michigan.
Annals of family medicine
|July 22, 2024
概括
结构性种族主义导致黑人婴儿的新生儿药物测试不成比例,导致家庭分离. 医疗保健专业人员 医疗保健专业人员
科学领域:
- 医学社会学 医学社会学
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 黑人分娩父母和新生儿面临着不成比例的高水平的药物测试产前物质暴露.
- 医疗保健专业人员 (HCP) 的这种做法有助于儿童保护服务 (CPS) 报告,家庭分离和终止父母权利.
研究的目的:
- 探索医疗保健工作者和医疗保健专业人员关于结构性种族主义对新生儿药物检测不平等的影响的知识,态度和经验.
- 询问导致新生儿药物检测种族差异的主导权力结构.
主要方法:
- 与30名医生,助产士,护士,社会工作者和CPS专业人员进行了半结构化采访.
- 使用解释框架和诱导性,反射性主题分析.
主要成果:
- 确定了三个主要主题:医院结构之外的种族主义,导致种族化的法律应用和CPS报告的不一致政策,以及医疗保健工作者对CPS报告的认识对影响决策的危害.
- 结构性种族主义有助于提高黑人新生儿的毒品测试率.
结论:
- 卫生保健工作者认识到结构性种族主义是新生儿药物测试不成比例的驱动因素.
- 变革的障碍包括医疗保健工作者有限的知识和技能.
- 需要进行制度和政策的改变,以专注于以家庭为中心的护理,并消除不必要的CPS报告产前物质暴露.
相关概念视频
Stereotypes, Prejudice, and Discrimination
90.1K
Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
90.1K
Ethical Dilemmas I
871
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
871
Factors Affecting Drug Response: Overview
1.9K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
1.9K
Healthcare Agencies II
694
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
694
Ethical Issues
890
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
890
The Nativist Approach
39
The nativist approach to infant cognitive development proposes that infants are born with inherent knowledge structures that allow them to interpret the world almost immediately. This perspective contrasts with earlier developmental theories, such as those proposed by Jean Piaget, which emphasized a more gradual acquisition of cognitive abilities through interaction with the environment. One key concept in this approach is object permanence — the understanding that objects continue to...
39


