"还有很多东西要学":将文化安全实践教育纳入医学院课程
Elise O'Connor1, Stuart Yiwarr McGrath2, Craig Castillon3
1Australian College of Rural and Remote Medicine, Level 1/324 Queen St, Brisbane, QLD, Australia. elise_oc@hotmail.com.
Journal of racial and ethnic health disparities
|May 12, 2025
概括
这项研究开发并评估了澳大利亚北领地的医学学生的文化安全医疗保健计划. 该计划成功地提高了学生对种族主义的批判性反思,并提高了以患者为中心的护理技能.
科学领域:
- 医学教育 医学教育
- 文化安全文化安全
- 土著健康土著健康
背景情况:
- 文化安全的护理是澳大利亚医学毕业生的核心期望,但医学院在提供护理时面临着挑战.
- 需要重新设计课程,以便有效地向医学学生教授文化安全.
- 北领地的第一民族需要文化安全的医疗保健方法.
研究的目的:
- 为医学学生设计,实施和评估一个文化安全的医疗保健计划.
- 解决医疗教育方面的差距,以照顾第一民族人民.
- 促进对种族主义的批判性反思,改善医疗保健服务.
主要方法:
- 使用教育理论 (实践社区,建设主义,变革性学习) 开发了一个为期9周的课程.
- 该节目包含了一个播客,用于对医疗保健中的种族主义进行批判性反思.
- 评估涉及177个每周的调查和7个节目前/后访谈,使用归纳叙事分析和柯克帕特里克模型进行分析.
主要成果:
- 81%的参与者认为该计划有价值.
- 学生们对权力动态和种族主义进行了更好的批判性反思.
- 参与者在建立关系,沟通和以患者为中心的护理方面获得了增强的技能.
结论:
- 该试点计划为医学课程中的文化安全教育提供了一个成功的框架.
- 该框架显示了适应和在医学院更广泛实施的潜力.
- 有效的文化安全培训可以改善第一民族人民的医疗保健.
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