unconscious bias

无意识的偏见
  • 文章类型: Journal Article
    背景:无意识偏见是健康差异的原因之一。由于种族原因,卫生专业人员对患者有偏见,性别,或其他因素没有他们有意识的知识。这篇综述旨在概述卫生专业人员中无意识偏见的研究,并调查世界不同地区存在的偏见。被考虑的卫生专业,以及仍然存在的研究空白。
    方法:我们通过系统地搜索PubMed/MEDLINE,CINAHL,PsycINFO,心术,和AMED。所有记录都经过双重筛选,如果在2011年至2021年之间发布,则包括在内。
    结果:共发现5186条记录。删除重复项(n=300)后,筛选标题和摘要(n=4210),和全文筛选(n=695),81项研究的87篇文章仍然存在。研究起源于北美(n=60),欧洲(n=13),和世界其他地方(n=6),两项研究具有全球范围。种族偏见被最频繁地调查(n=46),其次是性别偏见(n=11),权重偏差(n=10),社会经济地位偏差(n=9),和精神疾病偏见(n=7)。大多数研究由医生(n=51)和护士(n=20)进行。其他医疗保健专业人员很少被纳入这些研究。
    结论:大多数研究表明卫生专业人员存在内隐偏见。美国医生和护士之间的种族偏见得到了很好的证实。缺乏对其他地区和其他卫生专业的其他偏见的研究。
    Unconscious biases are one of the causes of health disparities. Health professionals have prejudices against patients due to their race, gender, or other factors without their conscious knowledge. This review aimed to provide an overview of research on unconscious bias among health professionals and to investigate the biases that exist in different regions of the world, the health professions that are considered, and the research gaps that still exist.
    We conducted a scoping review by systematically searching PubMed/MEDLINE, CINAHL, PsycINFO, PsycARTICLES, and AMED. All records were double-screened and included if they were published between 2011 and 2021.
    A total of 5186 records were found. After removing duplicates (n = 300), screening titles and abstracts (n = 4210), and full-text screening (n = 695), 87 articles from 81 studies remained. Studies originated from North America (n = 60), Europe (n = 13), and the rest of the world (n = 6), and two studies were of global scope. Racial bias was investigated most frequently (n = 46), followed by gender bias (n = 11), weight bias (n = 10), socio-economic status bias (n = 9), and mental illness bias (n = 7). Most of the studies were conducted by physicians (n = 51) and nurses (n = 20). Other health care professionals were rarely included in these studies.
    Most studies show that health professionals have an implicit bias. Racial biases among physicians and nurses in the USA are well confirmed. Research is missing on other biases from other regions and other health professions.
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  • 文章类型: Journal Article
    在卫生专业教育(HPE)中,经常呼吁进行有效的内隐偏见(IB)教育。我们旨在使用Arksey和O\'Malley范围审查框架,探索HPE中临床学习者和IB教育者的IB教育状况。课程设计中的30篇出版物变量符合纳入标准。没有研究在Miller的“显示”或“不”水平上评估学习者的结果,也没有在Kirkpatrick的“行为”或“结果”水平上报告计划评估结果。\"严谨,评估行为变化的理论指导研究,患者护理交付,和患者的结果需要在HPE中推进IB教育领域。
    UNASSIGNED:在线版本包含补充材料,可在10.1007/s40670-022-01673-z获得。
    There is a recurrent call for effective implicit bias (IB) education within health professions education (HPE). We aimed to explore the state of IB education within HPE for clinical learners and IB educators using the Arksey and O\'Malley scoping review framework. Thirty publications variable in curricular design met inclusion criteria. No studies assessed learner outcomes at the level of Miller\'s \"shows\" or \"does\" nor reported program evaluation outcomes at the level of Kirkpatrick\'s \"behavior\" or \"results.\" Rigorous, theory-guided studies assessing behavioral change, patient care delivery, and patient outcomes are needed to move the field of IB education forward within HPE.
    UNASSIGNED: The online version contains supplementary material available at 10.1007/s40670-022-01673-z.
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  • 文章类型: Journal Article
    背景:在许多西方国家,男性注册护理计划的招募一直保持在每年约10%的水平。
    目的:了解西方国家男性在注册前护理计划中的经验和态度,以及招募和保留男性的障碍和促成因素。
    方法:系统化快速回顾。
    方法:在Medline(Ovid)进行搜索,CINAHL(EBSCO)和PsychINFO(EBSCO)数据库。如果他们来自西方国家,英语研究也包括在内,自2000年以来出版,与男性的经历有关,或态度,申请或学习预注册护理。对包含的论文进行了质量评估,并对研究结果进行了主题分析,并以叙事综合形式呈现。
    结果:对记录进行了去重复,筛选了2063条记录,并评估了44篇文章的资格,其中23篇与22项实证研究相关的文章被纳入审查。调查结果分为以下主题:招聘经验/学习护理的原因;性别经验;障碍,方案的困难和挑战;以及影响保留的因素。
    结论:证据表明,许多从事护理工作的男性都有一个家庭成员或熟人,他们是护士,或者他们曾作为病人或照顾者与男护士有过接触。金融安全等激励因素,据报道,职业流动性和有机会从事有爱心的职业。需要改进学校的职业建议,缩短研究生课程可能具有吸引力。在节目中,一些临床领域对男生来说更容易,而在别人,拒绝治疗可能会造成困难。属于少数群体和性别陈规定型观念会影响体验。确保平等待遇,在更多男性的临床领域提供额外的支持和安置可以最大限度地减少这些挑战.
    BACKGROUND: The recruitment of men to pre-registration nursing programmes in many Western countries has remained static at approximately 10% per year.
    OBJECTIVE: To identify the experiences and attitudes of men on pre-registration nursing programmes in Western countries and the barriers and enablers to their recruitment and retention.
    METHODS: Systematized rapid review.
    METHODS: Searches were undertaken in Medline (Ovid), CINAHL (EBSCO) and PsychINFO (EBSCO) databases. Studies in English were included if they were from Western countries, were published since 2000 and related to men\'s experiences of, or attitudes to, applying for or studying pre-registration nursing. Included papers were quality appraised and findings were thematically analysed and presented in a narrative synthesis.
    RESULTS: Records were de-duplicated and 2063 records were screened and 44 articles assessed for eligibility of which 23 articles relating to 22 empirical studies were included in the review. Findings were categorised into the following themes: recruitment experiences/reasons for studying nursing; gender experiences; barriers, difficulties and challenges with programme; and factors affecting retention.
    CONCLUSIONS: Evidence suggests that many men who come into nursing have a family member or acquaintance who is a nurse or that they have had contact with a male nurse as a patient or carer. Motivating factors such as financial security, career mobility and the opportunity to have a job in a caring profession were reported. Improved career advice at school is needed and shortened graduate programmes could be attractive. On programme, some clinical areas were easier for male students, while in others, treatment refusal could cause difficulties. Being in a minority and gender stereotyping can affect experiences. Ensuring equitable treatment, providing additional support and placements in clinical areas with more men could minimise these challenges.
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  • 文章类型: Journal Article
    背景:隐含偏见存在于普通人群和各个领域的专业人士中,会导致歧视。许多干预措施被用来减少内隐偏见。然而,其有效性仍然存在不确定性。
    方法:我们通过搜索ERIC进行了系统综述,PUBMED和PSYCHINFO在2005年5月至2015年4月期间对成年人进行的同行评审研究,测试旨在减少内隐偏见的干预措施,使用隐式关联测试(IAT)或足够相似的方法测量结果。
    结果:30篇文章被确定为合格。一些技术,比如与他人互动,显得毫无结果,至少在短期内减少隐含偏见,而其他技术,比如接触反刻板的范例,更有希望。许多干预措施缺乏可靠的数据。
    结论:因此,当涉及旨在减少偏见的计划时,建议谨慎行事。这并没有削弱实施大量合理的广泛结构和体制变革的理由。
    BACKGROUND: Implicit biases are present in the general population and among professionals in various domains, where they can lead to discrimination. Many interventions are used to reduce implicit bias. However, uncertainties remain as to their effectiveness.
    METHODS: We conducted a systematic review by searching ERIC, PUBMED and PSYCHINFO for peer-reviewed studies conducted on adults between May 2005 and April 2015, testing interventions designed to reduce implicit bias, with results measured using the Implicit Association Test (IAT) or sufficiently similar methods.
    RESULTS: 30 articles were identified as eligible. Some techniques, such as engaging with others\' perspective, appear unfruitful, at least in short term implicit bias reduction, while other techniques, such as exposure to counterstereotypical exemplars, are more promising. Robust data is lacking for many of these interventions.
    CONCLUSIONS: Caution is thus advised when it comes to programs aiming at reducing biases. This does not weaken the case for implementing widespread structural and institutional changes that are multiply justified.
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