超越"检查框":通过反种族主义和公平课程改变医生的看法和文化
Hannah Barber Doucet1, Timmy Lin2, Taneisha Wilson2
1Boston University Chobanian & Avedisian School of Medicine, Department of Pediatrics, Boston, Massachusetts.
The western journal of emergency medicine
|June 25, 2025
概括
讨论反种族主义和公平 (DARE) 课程改善了医生的知识和实践,促进了部门文化的积极转变. 这一举措提高了紧急医疗学员和教师的反种族主义意识.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 反种族主义倡议 反种族主义倡议
背景情况:
- 限定的标准化先前教育在反种族主义的医疗学员和教师.
- 越来越多的人认识到需要具有文化能力的医疗保健.
- 在医疗环境中解决系统性种族主义的重要性.
研究的目的:
- 评估讨论反种族主义和公平 (DARE) 课程的影响.
- 评估个体医生的知识和实践的变化.
- 检查群体和部门文化中的转变.
主要方法:
- 纵向多式调节课程 (讲座,研讨会,模拟,书籍俱乐部,电影放映).
- 使用重点小组和调查的混合方法方法.
- 定性数据的专题分析和定量数据的统计分析.
主要成果:
- 关于反种族主义教育和DARE课程,出现了四个主要主题.
- 参与者报告了对个人知识和实践的积极影响,并提出了改进建议.
- 对反种族主义医疗实践知识的显著改善 (P < 0.01) 以及对部门反种族主义文化的感知转变.
结论:
- 达尔课程有效地提高了个人反种族主义意识.
- 该课程成功培养了急诊医学临床医生之间的文化转变.
- 焦点小组确定了未来教育工作的明确方向.
相关概念视频
Ethical Issues
1.2K
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:
1.2K
Stereotypes, Prejudice, and Discrimination
91.7K
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...
91.7K
Patient-centered Care
2.3K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.3K
Ethical Dilemmas I
1.1K
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...
1.1K
Nursing Ethical Principles II
1.4K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.4K
Professional Values
8.2K
Nurses are responsible for caring for patients during birth, death, illness, and healing. Professional values guide the decisions and actions that nurses make in their careers. If nurses know the decisions and actions to take, providing patients with exceptional care is possible.
The values that are the foundation of the nursing profession are altruism, autonomy, human dignity, and social justice.
First, altruism refers to the concern for the welfare and well-being of others without personal...
The values that are the foundation of the nursing profession are altruism, autonomy, human dignity, and social justice.
First, altruism refers to the concern for the welfare and well-being of others without personal...
8.2K


