使用戏剧游戏来促进视角和减轻创伤提供者之间的偏见
Michele Schombs1, Shahenda Khedr, Allison A Norful
1Author Affiliations: Department of Surgery, New York-Presbyterian/Queens, Queens, New York (Mrs Schombs, Ms Khedr, Dr Chao, Mrs Sullivan, and Dr Sample); Department of Education, Columbia University School of Nursing, New York, New York (Dr Norful); Department of Population Health Sciences, Weill Cornell Medicine, New York, New York (Pareek and D'Angelo); Department of Surgery, Weill Cornell Medicine, New York, New York (Dr Chao and Sample); Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska (Dr Smith); and Department of Surgery, Tristar Skyline Hospital, Nashville, Tennessee (Dr Chen).
戏剧性干预改善了创伤护理专业人员的视角,减少了偏见,提高了患者的护理. "大脑游戏"研究显示,在理解社会结构和愿意解决偏见方面取得了重大进展.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 创伤护理研究 创伤护理研究
背景情况:
- 医疗保健提供者之间的隐性偏见和色盲态度会对边缘化创伤患者产生负面影响.
- 有效的教育策略,以减轻创伤护理专业人员的偏见是研究不足的.
研究的目的:
- 为了评估"大脑游戏:解构偏见"干预的有效性.
- 评估了创伤护理专业人员对视角采用和色盲态度的影响.
主要方法:
- 单中心,前性队列调查研究.
- 使用雪球采样招募了各种创伤系统专业人员.
- 评估视角采用,色盲态度,以及干预前后的偏见考虑.
主要成果:
- 对视角 (p < .001) 和对社会结构的理解 (p < .001) 的显著增加.
- 显著减少了色盲 (p = .049) 和对制度种族主义的不意识 (p = .020).
- 82.8%的人表示愿意在患者互动之前考虑偏见.
结论:
- "大脑游戏"干预措施在改善创伤专业人员的偏见意识和视角获取方面表现有前途.
- 可行,但由于中等完成率和单中心设计,需要进一步研究.
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