关于新生儿重症监护室种族不平等的员工观点:REJOICE研究
Krystal Austin1, Olga Smith2, Monica McLemore3
1University of Colorado School of Medicine, Aurora, CO, USA. krystal.austin@cuanschutz.edu.
概括
新生儿重症监护室 (NICU) 的工作人员经历并目睹种族主义,包括人际,机构和结构形式. 调查结果强调工作场所文化,多样性和资源分配是受种族主义影响的关键领域.
科学领域:
- 新生儿护理 新生儿护理
- 医疗保健的公平性 医疗保健的公平性
- 职业健康 职业健康 职业健康 职业健康
背景情况:
- 种族主义对医疗保健机构的患者护理和工作人员福祉构成重大威胁.
- 了解新生儿重症监护室 (NICU) 工作人员对种族主义的经历,对于改善患者和提供者环境至关重要.
研究的目的:
- 探索工作人员对父母和工作人员在城市IV级NICU体验的种族主义的观点.
- 确定与NICU环境中的结构性种族主义相关的主题.
主要方法:
- 与多学科NICU工作人员 (2021-2022) 进行了开放式调查和半结构面试.
- 采用专题分析,从参与者的经验中生成和完善关键主题.
- 专注于参与者与结构性种族主义的直接经历.
主要成果:
- 72名员工完成了调查,10人参加了采访,代表了多元化的员工队伍.
- 确定了五个主要主题:对种族主义的不同认可,工作场所文化的双重作用,缺乏多样性和"少数群体税",有偏见的沟通和不同的资源分配.
- 工作人员报告说,他们经历和目睹了人际,机构和结构性种族主义.
结论:
- 婴儿重症监护室工作人员和其他医疗保健专业人员一样,遇到并观察到各种形式的种族主义.
- 解决NICU内部的种族主义问题对于促进一个更公平,更有支持的环境至关重要.
- 这些发现强调了需要进行系统性变革,以打击新生儿重症监护机构的种族主义.
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