Abstract:
The number of health care educational institutions/organizations adopting implicit bias training is growing. Our systematic review of 77 studies (published 1 January 2003 through 21 September 2022) investigated how implicit bias training in health care is designed/delivered and whether gaps in knowledge translation compromised the reliability and validity of the training. The primary training target was race/ethnicity (49.3%); trainings commonly lack specificity on addressing implicit prejudice or stereotyping (67.5%). They involved a combination of hands-on and didactic approaches, lasting an average of 343.15 min, often delivered in a single day (53.2%). Trainings also exhibit translational gaps, diverging from current literature (10 to 67.5%), and lack internal (99.9%), face (93.5%), and external (100%) validity. Implicit bias trainings in health care are characterized by bias in methodological quality and translational gaps, potentially compromising their impacts.
摘要:
采用隐性偏见培训的医疗保健教育机构/组织的数量正在增加。我们对77项研究(发表于2003年1月1日至2022年9月21日)进行了系统回顾,调查了如何设计/实施内隐偏见培训,以及知识翻译中的差距是否会损害培训的可靠性和有效性。主要培训目标是种族/民族(49.3%);培训通常缺乏解决内隐偏见或陈规定型观念的特异性(67.5%)。他们采用了实践和说教相结合的方法,平均持续343.15分钟,通常在一天内交付(53.2%)。训练还表现出平移间隙,与现有文献不同(10%至67.5%),缺乏内部(99.9%),面部(93.5%),和外部(100%)有效性。医疗保健中的内隐偏见培训的特点是方法学质量和翻译差距的偏见,可能损害其影响。