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非洲裔美国人社区与临床医生交谈 1. 计划创建和实施可行性
Ronit Elk1, Shena Gazaway2, Alvin L Reaves3
1Center for Palliative and Supportive Care (R.E.), Co-Director, Mixed Methods, Community Based Participatory Research, and Thematic Analysis Institutional Core, Division of Geriatrics, Gerontology, and Palliative Care, Department of Medicine, Heersink School of Medicine, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
这项研究开发并测试了一项文化一致的沟通培训计划,用于照顾重病的非裔美国患者的临床医生. 该计划与社区共同创建,证明是可行的,并改善了临床医生的实践和倡导.
科学领域:
- 健康差异 在健康上的差异
- 在医疗保健中的文化能力.
- 医学教育 医学教育
背景情况:
- 文化上不合适的护理会对严重患病的非裔美国患者产生负面影响.
- 现有的临床医师培训计划往往缺乏文化敏感性.
- 解决文化差异对于公平的医疗保健服务至关重要.
研究的目的:
- 与南方非洲裔美国人社区合作,共同创建一个文化一致的临床医生沟通培训计划.
- 改善与年长的南非裔美国人面临严重疾病和生命末期护理的尊重沟通.
- 评估这个社区开发的培训计划的可行性.
主要方法:
- 基于社区的参与性研究 (CBPR) 与社区咨询委员会 (CAB) 建立了公平的伙伴关系.
- 焦点小组为CAB创建的文化相关培训视频的开发提供了信息.
- 科尔布的基于成人的学习理论和多纳贝迪安的模型指导了培训设计和可行性评估.
主要成果:
- CAB指导了这项研究,根据社区的投入,开发了四个关于文化,宗教和平等护理需求的视频.
- 创建并试行了一个带有促进指南的三小时培训计划.
- 在培训后三个月报告了高临床医生出勤率和遵守社区建议.
结论:
- 由非洲裔美国人社区成员共同开发的第一个临床医生培训计划成功实施.
- 该培训将临床医生的观点从防御性转变为承认系统性医疗不公正.
- 该计划赋予临床医生权力,倡导改善患者护理和实践变化.
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