关键词: Health Workforce Health policy Literature MEDICAL LAW

Mesh : Humans Health Personnel Racism / prevention & control Research Design Review Literature as Topic

来  源:   DOI:10.1136/bmjopen-2024-084084   PDF(Pubmed)

Abstract:
BACKGROUND: Racism in healthcare leads to significant harm to healthcare professionals and the clients, families and communities they serve. Increasingly, health practitioner regulators-responsible for protecting the public and ensuring practitioner competence-are recognising the importance of reforming policies and practices to contribute to antiracist regulatory approaches. Examples of this work include developing specific standards of practice related to antiracism and antidiscrimination, supporting education and training, re-evaluating discriminatory licensure policies for internationally educated professionals and reforming internal governance structures to address unconscious bias. An understanding of the current state of literature can help identify knowledge gaps and inform the development of research agendas that can build the evidence base required to improve health practitioner regulators\' approaches to addressing racism.The objective of this scoping review is to explore the nature, extent and range of literature focused on racism and health practitioner regulation and identify gaps in the literature.
METHODS: The review will be conducted in accordance with the Joanna Briggs Institute guidelines for scoping reviews. Database searches will include OVID MEDLINE, EMBASE, CINAHL, Scopus and Web of Science Core Collection. The review will include papers that discuss how health practitioner regulation can contribute to and perpetuate interpersonal and institutional racism, and how regulatory policies and practices can help address racism. We will also search for grey literature using the websites of leading regulatory organisations. Data will be analysed using descriptive statistics and conventional content analysis. Findings will be presented using evidence tables and a narrative summary. Reporting will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews.
BACKGROUND: Ethics approval is not applicable to this review protocol. Findings will be disseminated through presentations, meetings with health practitioner regulators and a publication in a peer-reviewed journal.
摘要:
背景:医疗保健中的种族主义会对医疗保健专业人员和客户造成重大伤害,他们所服务的家庭和社区。越来越多,负责保护公众和确保从业人员能力的卫生从业人员监管机构认识到改革政策和做法以促进反种族主义监管方法的重要性。这项工作的例子包括制定与反种族主义和反歧视有关的具体实践标准,支持教育和培训,重新评估针对受过国际教育的专业人员的歧视性许可政策,并改革内部治理结构,以解决无意识的偏见。对文献现状的理解可以帮助识别知识差距,并为研究议程的发展提供信息,这些议程可以建立改善卫生从业人员监管机构解决种族主义的方法所需的证据基础。这次范围界定审查的目的是探索性质,文献的范围和范围集中在种族主义和保健医生的规定,并确定文献中的差距。
方法:审查将根据JoannaBriggs研究所的范围审查指南进行。数据库搜索将包括OVIDMEDLINE,EMBASE,CINAHL,Scopus和WebofScience核心合集。Thereviewwillincludepapersthatdiscusshowhealthpracticianregulationcancontributetoandperventuatepersonalandinstitutionalracism,以及监管政策和做法如何帮助解决种族主义问题。我们还将使用领先的监管机构的网站搜索灰色文献。将使用描述性统计和常规内容分析对数据进行分析。调查结果将使用证据表和叙述性摘要来呈现。报告将遵循系统审查的首选报告项目和范围审查的荟萃分析扩展。
背景:伦理批准不适用于本审查方案。调查结果将通过介绍传播,与卫生从业者监管机构的会议和同行评审期刊上的出版物。
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