这篇综述旨在全面巩固和综合现有的关于医疗保健专业人员的看法和经验的实证研究机构,学员,和学生关于不同临床环境中的微侵略相互作用。审查方案已在国际前瞻性系统审查登记册(PROSPEROCRD42024546443)中注册。我们采用了乔安娜·布里格斯研究所的混合方法系统综述方法。在八个数据库中进行了全面的电子数据库搜索(Medline,Embase,CINAHL,PsycINFO,Scopus,WebofScience,社会科学数据库,和ProQuest论文和论文)从各自的成立日期到2023年10月1日。选择标准包括报告医疗专业人员在临床环境中发生的跨专业或专业内微攻击的实例的研究。学员,和学生认定为异性恋和无残疾。总的来说,37项研究符合资格标准,并被纳入我们的审查。我们的分析揭示了三个主要主题:临床环境中的种族微侵略,临床环境中的性别微侵袭,和临床环境中的宗教微侵略。研究必须深入研究这些经验,以更好地了解其长期后果,虽然政策举措应该旨在建立公平,包容性,尊重医疗环境。衔接研究和政策的合作努力对于消除障碍和培育包容性的医疗保健格局至关重要。
This review aims to comprehensively consolidate and synthesize the existing body of empirical research on the perceptions and experiences of healthcare professionals, trainees, and students concerning microaggression interactions within diverse clinical settings. The review protocol was registered with the international prospective register of systematic reviews (PROSPERO CRD42024546443). We employed the Joanna Briggs Institute\'s mixed-methods systematic review approach. Comprehensive electronic database searches were conducted across eight databases (Medline, Embase, CINAHL, PsycINFO, Scopus, Web of Science, Social Science Database, and ProQuest Dissertation and Theses) from their respective inception dates up to October 1, 2023. The selection criteria included studies reporting instances of interprofessional or intra-professional
microaggressions occurring in clinical environments among healthcare professionals, trainees, and students identifying as heterosexual and without disabilities. In total, 37 studies met the eligibility criteria and were included in our review. Our analysis revealed three primary themes: Racial
Microaggressions in the Clinical Environment, Gender
Microaggressions in the Clinical Environment, and Religious
Microaggressions in the Clinical Environment. Research must delve deeply into these experiences to better understand their long-term consequences, while policy initiatives should be designed to establish equitable, inclusive, and respectful healthcare environments. Collaborative endeavors bridging research and policy are paramount to dismantling barriers and nurturing an inclusive healthcare landscape.