种族对注册护士疼痛管理的影响
Esther Chipps1, Todd E Tussing2, Carolyn Huffman3
1The Ohio State University Wexner Medical Center, Columbus, Ohio, USA; The Ohio State University College of Nursing, Columbus, Ohio, USA.
概括
种族偏见影响护士在疼痛管理中的临床决策,影响疼痛评估,药物治疗和患者关系. 解决疼痛管理政策中的偏见对于公平护理至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 护理 护理 护理
- 健康 公平 卫生 公平
背景情况:
- 医疗保健中的种族偏见可能会影响临床决策.
- 疼痛管理是偏见可能表现出来的关键领域.
- 了解这些影响对于改善患者治疗结果至关重要.
研究的目的:
- 确定种族偏见对注册护士 (RN) 在疼痛管理中的临床决策的影响.
- 研究患者种族如何影响RN的疼痛评估和治疗计划.
主要方法:
- 在四个美国医疗保健系统中对RN进行了横截面的在线调查.
- 参与者回顾了具有相同患者信息的临床细节,仅在患者种族 (白 / 黑) 上有所不同.
- 统计分析检查了护士和患者种族对临床决策的影响.
主要成果:
- 观察到混合的结果,有一些证据表明在种族不和的夫妇中疼痛治疗和治疗关系的差异.
- 在护士的疼痛评估和药物管理决策中注意到了种族偏见.
- 对物质使用的耻辱感和对治疗关系的看法也受到种族的影响.
结论:
- 种族偏见明显影响护士在疼痛管理中的临床决策.
- 在不同人群中有效的疼痛管理需要临床医生识别和减轻偏见.
- 疼痛评估政策必须明确地解决种族和种族问题.
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