Cultural Diversity

文化多样性
  • 文章类型: Journal Article
    在色彩能力中培养归属感可以减少孤立和边缘化的感觉,转化为提高工作满意度和保留率。这个路线图为培养学生的归属感的颜色的教师突出了以下关键战略:(1)采用包容性的领导实践,(2)了解职业和个人身份,(3)减轻文化税收,(4)尽量减少微观侵略和种族主义,(5)提供指导,(6)将文化适应优先于同化。按照这个路线图,物理治疗计划可以为有色人种培养更大的归属感,使他们能够在自己的角色中茁壮成长,并感受到作为学术界不可或缺的成员的价值和尊重。
    UNASSIGNED: Cultivating a sense of belonging among faculty of color decreases feelings of isolation and marginalization, translating to increased job satisfaction and retention. This roadmap for cultivating a sense of belonging for faculty of color highlights the following critical strategies: (1) adopting inclusive leadership practices, (2) understanding professional and personal identities, (3) mitigating cultural taxation, (4) minimizing microaggressions and racism, (5) providing mentorship, and (6) prioritizing acculturation over assimilation. By following this roadmap, physical therapy programs can work toward cultivating a greater sense of belonging for faculty of color, enabling them to thrive in their roles and feel valued and respected as integral members of the academic community.
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  • 文章类型: Journal Article
    包容性领导风格重视团队成员,邀请不同的观点,认可和支持员工的贡献。作者为有兴趣发展包容性领导技能和能力的放射科领导者提供指导,以改善劳动力的招聘和保留,并释放快速多样化的医疗保健劳动力的潜力。随着医疗保健组织寻求吸引最优秀和最聪明的人才,他们将越来越多地招募千禧一代和Z世代员工,他们属于美国历史上最多样化的一代。此外,放射科目前面临放射科医生严重的劳动力短缺,放射科技术人员,工作人员,和先进的实践提供者。在这些短缺的背景下,员工流失的成本强调了放射科领导者需要制定促进招聘和保留的领导行为。放射科领导认为并将有价值的员工视为可替换商品,将被迫处理与招聘和培训相关的极高成本,士气低落,并增加倦怠。作者回顾了包容性与排他性的领导风格,描述包容性领导者的关键属性和技能,为放射学领导者提供具体方法,使他们的组织更具包容性,并概述变更管理的关键步骤。通过采用和实施包容性领导战略,放射学小组可以将自己定位为在快速多样化的医疗保健环境中取得成功。©RSNA,2024请参见本期Siewert的特邀评论。
    Inclusive leadership styles value team members, invite diverse perspectives, and recognize and support the contributions of employees. The authors provide guidance to radiology leaders interested in developing inclusive leadership skills and competencies to improve workforce recruitment and retention and unlock the potential of a rapidly diversifying health care workforce. As health care organizations look to attract the best and brightest talent, they will be increasingly recruiting millennial and Generation Z employees, who belong to the most diverse generations in American history. Additionally, radiology departments currently face critical workforce shortages in radiologists, radiology technicians, staff, and advanced practice providers. In the context of these shortages, the costs of employee turnover have emphasized the need for radiology leaders to develop leadership behaviors that promote recruitment and retention. Radiology department leaders who perceive and treat valued employees as replaceable commodities will be forced to deal with the extremely high costs associated with recruitment and training, decreased morale, and increased burnout. The authors review inclusive versus exclusive leadership styles, describe key attributes and skills of inclusive leaders, provide radiology leaders with concrete methods to make their organizations more inclusive, and outline key steps in change management. By adopting and implementing inclusive leadership strategies, radiology groups can position themselves to succeed in rapidly diversifying health care environments. ©RSNA, 2024 See the invited commentary by Siewert in this issue.
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  • 文章类型: Journal Article
    必须使健康学科非殖民化,这突显了对护理知识发展的殖民地性进行严格检查的必要性。去殖民护理需要认知抵抗,旨在暴露和消除使土著知识边缘化的认识论等级制度。本文介绍了“Nursologies的Pluriverse”作为指导护理非殖民化理论的范式。通过四部分探索,我首先阐明嵌入在主流护理知识中的殖民地。接下来,我对Fawcett的护理元理论进行了非殖民化的批评,认为这是金字塔认识论的典范。然后,我讨论了多元性作为一种使护理知识非殖民化的方法。最后,我介绍了Nursologies的Pluriverse(PoN)作为理论和知识发展的元理论范式,该范式确立并拆除了殖民地/现代护理的金字塔认识论,并将各种苗圃从边缘化社区重新链接到智力护理话语的中心,从而振兴学科的理论格局。
    The imperative to decolonise health disciplines underscores the need for a critical examination of the coloniality of nursing knowledge development. Decolonising nursing requires epistemic resistance aimed at exposing and dismantling epistemological hierarchies that marginalise indigenous knowledges. This paper introduces the \'Pluriverse of Nursologies\' as paradigm to guide decolonial theorising in nursing. Through a four-part exploration, I first elucidate the coloniality embedded in mainstream nursing knowledge. Next, I offer a decolonial critique of Fawcett\'s nursing metaparadigm as an exemplar of pyramidal epistemology. I then discuss pluriversality as an approach to decolonising nursing knowledge. Finally, I introduce the Pluriverse of Nursologies (PoN) as a meta-theoretical paradigm for theory and knowledge development that decentres and dismantles the pyramidal epistemology of colonial/modern nursing, and relinks diverse nursologies from marginalised communities to the centre of intellectual nursing discourse, thereby revitalising the theoretical landscape of the discipline.
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  • 文章类型: Journal Article
    澳大利亚是一个多元文化的国家,近30%的人口出生在海外。移民的心理健康会受到歧视的影响,种族主义以及与庇护和移民有关的经验。由于受污名化的信念和不良的心理健康素养而导致的低寻求帮助可能会加剧这些情况。我的思想,我的声音(MMV)是一个共同设计的计划,旨在提高人们的心理健康和福祉的意识与文化和语言多样化(CALD)背景。该研究项目探讨了MMV的感知影响和价值以及导致这些影响的过程。对参加培训讲习班的CALD组织和社区成员进行了内部定量和定性评估调查(n=32)和研究人员进行的半结构化访谈(n=9)。呈现MMV事件或参加事件。使用反身性专题分析方法对数据进行了分析。制定了五个主题:文化相关和尊重,跨文化联系,语言的重要性,增强信心和识字能力,以及改变态度的潜力。参与一个文化相关和尊重的共同制作的项目是一种积极的体验,增强了人们的信心和素养。感到被尊重,重视和验证帮助参与者感到有能力在社区中发展和提供心理健康和福祉教育。打开,诚实的对话是一个重要的方式来打破耻辱,并开始谈论心理健康和幸福在CALD社区。评估结果证明了MMV协作方法的成功,这可以为CALD心理健康促进干预措施的开发和评估提供信息。
    Australia is a multicultural nation with nearly 30% of the population born overseas. Migrants\' mental health can be impacted by discrimination, racism and experiences relating to asylum and immigration. These can be compounded by low help-seeking caused by stigmatized beliefs and poor mental health literacy. My Mind, My Voice (MMMV) is a co-designed program aiming to promote awareness of mental health and wellbeing for people with a culturally and linguistically diverse (CALD) background. This research project explored the perceived impacts and value of MMMV and processes leading to those impacts. A mixture of internal quantitative and qualitative evaluation surveys (n = 32) and researcher-conducted semi-structured interviews (n = 9) were conducted with CALD organization and community members who attended training workshops, presented MMMV events or attended an event. Data were analysed using a reflexive thematic analysis approach. Five themes were developed: culturally relevant and respectful, cross-cultural connections, the importance of language, increasing confidence and literacy and the potential to change attitudes. Being involved with a co-produced program that was culturally relevant and respectful was a positive experience that enhanced people\'s confidence and literacy. Feeling respected, valued and validated helped participants feel empowered to develop and deliver mental health and wellbeing education in their community. Open, honest conversations are an important way to break down stigma and start conversations about mental health and wellbeing in CALD communities. Evaluation outcomes demonstrate the success of MMMV\'s collaborative approach, which can inform the development and evaluation of CALD mental health promotion interventions.
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  • 文章类型: Journal Article
    迫切需要进行系统性变革,以实现生物医学科学的多样性和包容性目标。因为教师在塑造研究培训环境方面具有很大的影响力,教师发展是建立机构能力的一个关键方面,以创造因种族或种族(PEER)而被排斥的人可以成功的气候。我们提出了一个混合方法的案例研究,该案例研究了一个机构通过教师的导师教育研讨会来改善PEER博士生的导师制度。这些研讨会是旨在提高研究生学员经验的策略之一,并积极影响种族和族裔多样性方面的体制气氛。对108名教师导师的调查显示,大约80%的人总体同意或强烈同意文化响应性指导行为的价值,但大约63%的人总体同意或强烈同意他们对制定这些行为的能力充满信心。通过一系列三个焦点小组,PEER博士生报告说,他们注意到导师为解决文化多样性问题所做的努力,并确定了如何处理这些主题的一些指导。我们讨论了使用导师教育来激活系统变革,以实现包容性研究培训环境并促进机构内导师的价值的未来方向和意义。
    There is an urgent and compelling need for systemic change to achieve diversity and inclusion goals in the biomedical sciences. Because faculty hold great influence in shaping research training environments, faculty development is a key aspect in building institutional capacity to create climates in which persons excluded because of their ethnicity or race (PEERs) can succeed. We present a mixed methods case study of one institution\'s efforts to improve mentorship of PEER doctoral students through mentorship education workshops for faculty. These workshops were one strategy among others intended to improve graduate trainees\' experiences, and positively affect institutional climate with respect to racial and ethnic diversity. Surveys of 108 faculty mentors revealed that about 80% overall agreed or strongly agreed with the value of culturally responsive mentoring behaviors but about 63% overall agreed or strongly agreed that they were confident in their ability to enact those behaviors. Through a series of three focus groups, PEER doctoral students reported that they noticed mentors\' efforts to address cultural diversity matters and identified some guidance for how to approach such topics. We discuss future directions and implications for using mentorship education to activate systemic change toward inclusive research training environments and promoting the value of mentorship within institutions.
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  • 文章类型: Journal Article
    尽管非洲裔美国人占兽医的14%以上,但仍不到3%。缺乏多样性源于种族不平等的历史,南方学校和大学直到20世纪50年代才整合起来,历史上只有一所黑人兽医学校(塔斯基吉大学兽医学院[TUCVM]),成立于1945年。自TUCVM成立以来,非洲裔美国兽医的数量猛增。随着兽医学校的多元化努力,指导和外展计划,和新的兽医学校(包括另一个HBCU)的成立,兽医学的多样性将成倍增加。
    African Americans make up less than 3% of veterinarians despite being over 14% of the population. The lack of diversity stems from a history of racial inequality, Southern schools and universities were not integrated until the 1950s, and there is only one historically Black veterinary school (Tuskegee University College of Veterinary Medicine [TUCVM]), which was founded in 1945. Since the founding of TUCVM, the number of African American veterinarians skyrocketed. With the diversity efforts of veterinary schools, mentoring and outreach programs, and the founding of new veterinary schools (including another HBCU), the diversity in veterinary medicine will increase exponentially.
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  • 文章类型: Journal Article
    辅助死亡,也通常被称为安乐死和医生协助自杀,在许多国家都是合法的。由于社会对良好死亡的理解和对选择的渴望不断发展,对辅助死亡的兴趣正在增长。伦理法律观点是众所周知的,但是随着社会变得更加异质,对不同种族的人的观点有更多的了解,民族,和文化背景是必要的。
    为了探索来自不同种族的人的观点,关于辅助死亡的种族和文化背景。
    带叙事综合的范围审查。该协议已在开放科学框架中注册。
    Medline,CINAHL完成,从成立之初到2023年5月,搜索了PsycINFO和ProQuest论文和论文Global。根据纳入和排除标准独立评估引文。
    在纳入的17项研究中,根据宗教提出了辅助死亡的观点,宗教信仰,灵性,种族,种族和祖先。视角多样,呈现更多的光谱,具有多个交叉点和互连。根据文化属性,对辅助死亡的支持和/或反对是不同的,但是即使在那些具有相似文化属性的人中,根据生活经历和苦难观念的不同,视角也不同。
    关于辅助死亡的观点是动态的和不断发展的。即使在辅助死亡合法化的地方,个人的文化属性有助于将辅助死亡作为临终选择的独特视角。因此,了解一个人的文化,信仰,疾病的期望和选择,治疗目标和护理是根本的,超出了可能已经被认为是临床医生-患者护理关系和常规提前护理计划的一部分。
    UNASSIGNED: Assisted dying, also commonly known as euthanasia and physician-assisted suicide, is legal in many countries. Interest in assisted dying is growing due to evolving societal understandings of a good death and a desire for choice. Ethico-legal perspectives are well-known, but as societies become more heterogenous, a greater understanding of the perspectives of people from diverse racial, ethnic, and cultural backgrounds is needed.
    UNASSIGNED: To explore perspectives of people from diverse racial, ethnic and cultural backgrounds about assisted dying.
    UNASSIGNED: Scoping review with narrative synthesis. The protocol was registered with Open Science Framework.
    UNASSIGNED: Medline, CINAHL Complete, PsycINFO and ProQuest Dissertations & Theses Global were searched from inception to May 2023. Citations were independently assessed against inclusion and exclusion criteria.
    UNASSIGNED: Of the 17 included studies, perspectives of assisted dying were presented according to religion, religiosity, spirituality, race, ethnicity and ancestry. Perspectives were diverse, presenting more as a spectrum, with multiple intersections and interconnections. Support and/or opposition for assisted dying differed according to cultural attributes, but even amongst those with similar cultural attributes, perspectives differed according to life experiences and notions of suffering.
    UNASSIGNED: Perspectives on assisted dying are dynamic and evolving. Even where assisted dying is legalised, individual\'s cultural attributes contribute to unique perspectives of assisted dying as an end-of-life option. Thus, understanding a person\'s culture, beliefs, expectations and choices in illness, treatment goals and care is fundamental, extending beyond what may be already considered as part of clinician-patient care relationships and routine advance care planning.
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  • 文章类型: Journal Article
    目的:本综述综合了在随机对照试验中招募和留住种族多样性参与者的方法的证据,并报告和分析了与种族多样性相关的变量。
    方法:雨伞综述。
    方法:OvidMEDLINE,OvidEmbase,CINAHL,PsycINFO和Cochrane和Campbell图书馆在2010年1月1日至2024年5月13日之间发表的评论论文。
    方法:英语系统评价侧重于种族变量的纳入和报告。使用AMSTAR2工具评估方法学质量。
    结果:纳入62篇系统综述。研究结果表明,试验中种族多样性的代表性和报告有限。审查通常报告的招聘策略是社区参与,广告,面对面招募,文化定位,临床转诊,社区介绍,使用技术,激励措施和与社区的研究伙伴关系。评论强调的保留策略包括对参与者进行频繁的随访,以检查他们在研究中的表现。提供激励措施,使用量身定制的方法和文化上适当的干预措施。研究结果表明,即使在试验中报告了与试验中种族多样性相关的变量,对分析的关注也有限。
    结论:在增加试验中种族多样性参与者的招募和保留以及在临床试验中与多样性相关的变量的分析和报告方面需要显著改进。
    CRD42022325241。
    OBJECTIVE: This umbrella review synthesises evidence on the methods used to recruit and retain ethnically diverse participants and report and analyse variables related to ethnic diversity in randomised controlled trials.
    METHODS: Umbrella review.
    METHODS: Ovid MEDLINE, Ovid Embase, CINAHL, PsycINFO and Cochrane and Campbell Libraries for review papers published between 1 January 2010 and 13 May 2024.
    METHODS: English language systematic reviews focusing on inclusion and reporting of ethnicity variables. Methodological quality was assessed using the AMSTAR 2 tool.
    RESULTS: Sixty-two systematic reviews were included. Findings point to limited representation and reporting of ethnic diversity in trials. Recruitment strategies commonly reported by the reviews were community engagement, advertisement, face-to-face recruitment, cultural targeting, clinical referral, community presentation, use of technology, incentives and research partnership with communities. Retention strategies highlighted by the reviews included frequent follow-ups on participants to check how they are doing in the study, provision of incentives, use of tailored approaches and culturally appropriate interventions. The findings point to a limited focus on the analysis of variables relevant to ethnic diversity in trials even when they are reported in trials.
    CONCLUSIONS: Significant improvements are required in enhancing the recruitment and retention of ethnically diverse participants in trials as well as analysis and reporting of variables relating to diversity in clinical trials.
    UNASSIGNED: CRD42022325241.
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  • 文章类型: Journal Article
    背景:饮食适应是保留或改变来自起源环境的饮食和饮食实践和/或采用新环境中普遍存在的饮食和饮食实践的过程。尽管美国人口增长迅速,亚裔美国人在表征饮食适应方面存在知识差距,夏威夷原住民,和太平洋岛民社区(AANHPI)。这项研究在关键人口统计学特征上描述了代表AANHPI的样本中的饮食模式。
    方法:数据来自旧金山湾区2013-2014年基于人群的病例对照研究,美国调查项目改编自针对AANHPI人群开发的饮食适应量表。经过验证的评估社会资本的措施,社会地位,歧视和移民经验。进行了主成分因子分析,以表征适应的饮食模式。
    结果:确定了三种饮食模式:“亚洲,\"\"西方,“和独特的“多元文化”因素。报告高亚洲饮食的受访者也倾向于报告较小的社交网络,更高水平的压力,and,在美国以外出生的人中,在移民之前更好的教育地位。报告西方饮食的受访者往往也报告了最高程度的歧视。那些报告高多元文化饮食的人倾向于报告更高的邻里集体功效。
    结论:除了典型的“亚洲”和“西方”因素之外,发现独特的“多元文化”因素可能反映了文化之间的多方向关系,饮食,和饮食行为,起源和目的地文化以复杂的方式相互作用,来自多个种族的食物混合在一起。
    BACKGROUND: Dietary acculturation is the process by which diet and dietary practises from the environment of origin are retained or changed and/or those prevalent in a new environment are adopted. Despite rapid population growth the U.S., knowledge gaps exist on characterising dietary acculturation among Asian American, Native Hawaiian, and Pacific Islander communities (AANHPI). This study characterise dietary patterns in a sample representative of AANHPI on key demographic characteristics.
    METHODS: Data were from a 2013-2014 population-based case-control study in the San Francisco Bay Area, U.S. Survey items were adapted from dietary acculturation scales developed for AANHPI populations. Validated measures assessed social capital, social standing, discrimination and immigration experiences. A principal components factor analysis was conducted to characterise dietary patterns of acculturation.
    RESULTS: Three dietary patterns were identified: \"Asian,\" \"Western,\" and a distinct \"Multicultural\" factor. Respondents reporting a high-Asian diet tended to also report smaller social networks, higher levels of stress, and, among those born outside of the U.S., an educational standing that was better before immigration. Respondents reporting a high-Western diet tended to also report the highest level of discrimination. Those reporting a high-Multicultural diet tended to report higher neighbourhood collective efficacy.
    CONCLUSIONS: The finding of a distinct \"Multicultural\" factor beyond the typical \"Asian\" and \"Western\" factors may reflect the multidirectional relationships between culture, diet, and dietary behavior, in which origin and destination cultures interact in complex ways and where foods from multiple ethnicities intermix.
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  • 文章类型: Editorial
    暂无摘要。
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