临床研究中的文化安全:概念概述和行动呼吁
Hector Salazar1, Carey E Gleason2, Jennifer H Lingler1
1Department of Health and Community Systems, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Innovation in aging
|April 21, 2025
概括
美国黑人面临更高的阿尔茨海默病和相关痴呆症 (ADRD) 风险,但在临床试验中代表性不足. 文化安全原则可以提高包容性,并赋予少数群体在ADRD研究中的权力.
科学领域:
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 与白人相比,黑人美国人患阿尔茨海默病和相关痴呆症 (ADRD) 的风险是白人的2-3倍.
- 尽管风险较高,但黑人美国人仅占ADRD临床试验参与者的2.4%,突出显示了显著的参与差距.
研究的目的:
- 审查目前旨在增加临床研究中的种族和民族包容性的举措,特别是针对民族种族化群体.
- 在研究背景下引入和探索土著文化安全概念的适用性.
主要方法:
- 对临床研究中的包容性现有文献进行综合性审查.
- 文化安全的概念扩展,提出了两个子维度:环境和内部.
主要成果:
- 文化安全尊重和整合少数群体在医疗保健和研究中的身份,价值观和经验.
- 实施文化安全要求研究人员面对隐含的偏见和权力结构.
- 必须整合拟议的环境和内部文化安全维度,以改善社区与研究人员的关系.
结论:
- 捍卫文化安全培养了自我意识的研究人员,与社区需求保持一致.
- 社区参与的研究是实施和维持文化安全的理想框架.
- 应用文化安全原则可以赋予关键ADRD研究的参与者权力.
相关概念视频
Ethics in Research
Today, scientists agree that good research is ethical in nature and is guided by a basic respect for human dignity and safety. However, this has not always been the case. Modern researchers must demonstrate that the research they perform is ethically sound.
Obedience
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...
Clinical Trials
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
Types of Reports II: Incident or Occurrence Report
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Clinical Trials: Overview
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled...


