制定一项实践标准,以解决医疗保健中的土著特异性种族主义问题:一个案例研究
Dave Bhauruth1, Stephanie McDonnell2, Rebekah Smith3
1Executive Director, Reconciliation, Equity, Diversity and Inclusion British Columbia College of Nurses and Midwives Vancouver, BC.
Nursing leadership (Toronto, Ont.)
|June 16, 2025
概括
英国哥伦比亚大学护士和助产士学院制定了一项新的标准,以解决医疗保健中针对土著人民的种族主义问题. 该倡议旨在减少健康差异,改善土著社区的护理.
科学领域:
- 发展医疗保健政策发展
- 原住民的健康公平性.
- 在职业法规中的反种族主义.
背景情况:
- 加拿大医疗保健中的种族主义不成比例地影响土著人民,导致严重的健康差异.
- 英国哥伦比亚大学护士和助产士学院 (BCCNM) 监管了英属哥伦比亚省的护士和助产士职业.
- 现有的医疗保健系统往往会延续影响土著健康结果的系统性不平等.
研究的目的:
- 描述土著文化安全,文化谦卑和反种族主义实践标准的政策制定过程.
- 确定在创建这项新型监管标准时所吸取的经验教训.
- 为其他处理医疗保健系统性种族主义的监管机构提供榜样.
主要方法:
- 详细介绍政策制定生命周期的案例研究方法.
- 分析了不列颠哥伦比亚大学护士和助产士学院 (BCCNM) 进行的过程.
- 专注于对注册人的新实践标准的实施.
主要成果:
- 在2021-2022年成功开发和实施土著文化安全,文化谦卑和反种族主义实践标准.
- 该标准是加拿大卫生专业监管学院的首个此类标准.
- 这个过程涉及到利益相关者的重大参与和承诺,以解决反土著种族主义.
结论:
- 开发的实践标准代表了减轻土著人民医疗保健中的种族主义的重要一步.
- 从这一过程中吸取的教训可以为未来的文化安全和反种族主义政策制定提供信息.
- 监管学院在促进土著文化安全和健康平等方面发挥着至关重要的作用.
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