种族对话和在临床环境中的潜在应用:一个范围审查
Hannah M Borowsky1, Catherine L Schofield2, Ting Du3
1Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA. hborowsky@bwh.harvard.edu.
Journal of general internal medicine
|July 23, 2024
概括
种族对话对于解决医学中的种族主义至关重要. 有效的对话需要谨慎的准备,创伤知情的促进和持续的评估,以改善对种族少数群体患者的护理,并促进包容性的医疗环境.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 社会科学 社会科学 社会科学
背景情况:
- 种族对话,即不同种族身份的个人之间关于种族和种族主义的对话,被提出作为解决医学种族主义的战略.
- 这些对话旨在改善种族少数群体患者的体验,并促进更具包容性的医疗保健环境.
研究的目的:
- 进行关于种族对话的文献范围审查.
- 确定与进行种族对话相关的潜在好处,最佳实践和挑战.
- 探索种族对话在医学教育和临床实践中的作用.
主要方法:
- 进行了范围审查,包括在2022年6月2日之前发表的文章,跨越生物医学,心理学,护理,相关健康和教育.
- 包括54篇专注于不同种族身份的成年人之间关于种族的对话的文章.
- 一个交互式的小组过程被用来合成关键的收藏和横跨主题.
主要成果:
- 关于种族对话的准备,促进和跟进,出现了一些关键主题.
- 准备涉及内省,组织和框架;促进需要创伤知情实践,解决微型攻击和集中少数体验.
- 纵向评估和经验对于有意义的影响至关重要.
结论:
- 支持种族对话可以带来更具包容性的医疗工作人员,并改善对种族少数群体患者的护理.
- 实施高质量的种族正义课程和在招生/招聘中重视种族意识是潜在的支持机制.
- 所有的举措都必须优先考虑和提升具有少数种族身份的个人.
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