Cultural Diversity

文化多样性
  • 文章类型: Journal Article
    背景:全球,文化和语言多样化(CALD)的人口正在增加,预计到2050年将达到4.05亿。由于文化原因,为CALD人群提供紧急护理可能会很复杂,社会,语言因素。文化的程度,社会,目前尚不清楚背景因素对来自CALD背景的患者在整个急诊护理过程中的护理交付的影响。使用系统的方法,这篇综述旨在绘制现有证据,为来自CALD背景的患者提供紧急医疗服务,并使用社会生态框架提供更广泛的文化视角。社会,以及情境对急诊护理服务的影响。
    方法:将使用JoannaBriggsInstitute(JBI)范围审查方法来指导本次审查。人口是来自CALD背景的患者,他们接受了护理,并提供了直接护理的急诊护理临床医生。该概念是从CALD背景向患者提供医疗保健。背景是紧急护理。这项审查将包括定量,定性,和混合方法研究从2012年1月1日起以英文发表。搜索将在CINAHL(EBSCO)的数据库中进行,MEDLINE(Ovid),Embase(Elsevier),Socindex(EBSCO),Scopus(Elsevier),和谷歌学者的网络搜索。PRISMA(系统审查和荟萃分析的首选报告项目)流程图将用于介绍搜索决策过程。所有包含的文章将使用混合方法评估工具(MMAT)进行评估。数据将以表格形式呈现,并附有文献的叙述性综合。
    结论:尽管来自CALD背景的患者越来越多地使用急诊护理服务,在急诊护理背景(ED和院前设置)中,没有对来自CALD背景的患者的医疗保健交付进行全面审查,包括考虑文化,社会,和上下文的影响。此范围审查的结果可用于为未来的研究和策略提供信息,这些研究和策略旨在为需要紧急护理的来自CALD背景的人提供护理服务和经验。
    背景:此范围审查已在OpenScienceFrameworkhttps://doi.org/10.17605/OSF中注册。IO/HTMKQ。
    BACKGROUND: Worldwide, the culturally and linguistically diverse (CALD) population is increasing, and is predicted to reach 405 million by 2050. The delivery of emergency care for the CALD population can be complex due to cultural, social, and language factors. The extent to which cultural, social, and contextual factors influence care delivery to patients from CALD backgrounds throughout their emergency care journey is unclear. Using a systematic approach, this review aims to map the existing evidence regarding emergency healthcare delivery for patients from CALD backgrounds and uses a social ecological framework to provide a broader perspective on cultural, social, and contextual influence on emergency care delivery.
    METHODS: The Joanna Briggs Institute (JBI) scoping review methodology will be used to guide this review. The population is patients from CALD backgrounds who received care and emergency care clinicians who provided direct care. The concept is healthcare delivery to patients from CALD backgrounds. The context is emergency care. This review will include quantitative, qualitative, and mixed-methods studies published in English from January 1, 2012, onwards. Searches will be conducted in the databases of CINAHL (EBSCO), MEDLINE (Ovid), Embase (Elsevier), SocINDEX (EBSCO), Scopus (Elsevier), and a web search of Google Scholar. A PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flow diagram will be used to present the search decision process. All included articles will be appraised using the Mixed Methods Appraisal Tool (MMAT). Data will be presented in tabular form and accompanied by a narrative synthesis of the literature.
    CONCLUSIONS: Despite the increased use of emergency care service by patients from CALD backgrounds, there has been no comprehensive review of healthcare delivery to patients from CALD backgrounds in the emergency care context (ED and prehospital settings) that includes consideration of cultural, social, and contextual influences. The results of this scoping review may be used to inform future research and strategies that aim to enhance care delivery and experiences for people from CALD backgrounds who require emergency care.
    BACKGROUND: This scoping review has been registered in the Open Science Framework https://doi.org/10.17605/OSF.IO/HTMKQ.
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    作者希望邀请综合护理社区与我们一起思考我们如何处理正义和公平问题的进化转变:从多样性,股本,和包含(DEI)框架,以归属感的关系概念为中心,尊严,和正义(BDJ)为一个更公正的世界(戴维斯,2021)。我们渴望反思,question,枢轴的灵感来自生态周期规划模型-我(DeepuGeorge)在文章的第一部分中用来批判性地构建合作家庭医疗保健协会(CFHA)的历史(George,2023a),并在第二部分创造性地预测我们的未来(乔治和哈特里,2024).在这篇文章中,作者希望关注成熟度和创造性破坏的节点,以及刚性陷阱的想法-围绕DEI的想法检查我们的集体能量。随着CFHA成立30周年,我们停下来思考,不仅是迄今为止DEI努力的好处,还有陷阱,为了避免刚性陷阱,这是很可能发生的,当我们拥抱的理念,可能不再服务于我们曾经渴望或未能演变为有利于熟悉的价值观。考虑到对DEI工作在实践和文献中的局限性的批评,作者认为,BDJ方法将更好地为我们的增长提供信息。因此,作者想反思,荣誉,并在DEI的影响和收益的基础上进行调整,以更好地满足所有人的需求,特别是历史上被边缘化和代表性不足的声音。(PsycInfo数据库记录(c)2024APA,保留所有权利)。
    The authors want to invite the integrated care community to reflect with us on an evolutionary shift in how we approach matters of justice and equity: from a diversity, equity, and inclusion (DEI) framework to a perspective that centers the relational concepts of belonging, dignity, and justice (BDJ) for a more just world (Davis, 2021). Our desire to reflect, question, and pivot is inspired by the Ecocycle Planning Model-which I (Deepu George) used to critically frame the Collaborative Family Healthcare Association\'s (CFHA) history in Part I of the article (George, 2023a) and creatively anticipate our future in Part II (George & Khatri, 2024). In this article, the authors want to focus on the nodes of maturity and creative destruction, as well as the idea of the rigidity trap-to examine our collective energies around the idea of DEI. With CFHA\'s 30th anniversary upon us, we pause and reflect on not only the benefits of DEI efforts heretofore, but also the pitfalls, to avoid the rigidity trap, which is likely to occur when we embrace tenets of an idea that may no longer serve the values we once aspired to or fail to evolve in favor of the familiar. Considering critiques of the limitations of DEI work in practice and literature, the authors believe a BDJ approach will better inform our growth moving forward. Therefore, the authors want to reflect, honor, and build upon the impact and gains from DEI and adapt them to better serve the needs of all-especially the historically marginalized and underrepresented voices. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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  • 文章类型: Journal Article
    看电影是最受欢迎的娱乐和文化活动之一。当电影续集增加主要演员阵容中的少数族裔演员(“少数族裔增加”)时,观众如何反应?一方面,如果观众欣赏种族包容性的演员阵容的新颖元素(多样性价值观点)和道德吸引力(多样性的公平观点),则此类续集可能会获得更好的评价。另一方面,歧视研究表明,如果观众对少数民族有偏见,少数族裔增加的续集可能会得到更糟糕的评价。为了研究这些相互竞争的可能性,我们分析了1998年至2021年发行的电影系列的独特面板数据集,并对这些电影的312,457条评论进行了文本分析。与歧视研究一致,我们发现少数族裔增加的电影获得较低的收视率和更多的有毒评论。重要的是,这些影响在黑人生命物质(BLM)运动出现后减弱,特别是当运动的强度很高。这些结果在各种稳健性检查中是可靠的(例如,倾向得分匹配,随机执行测试)。我们在预先注册的实验中从概念上复制了BLM的偏倚缓解效果:提高BLM的显着性会增加白人对电影续集中种族少数族裔的接受度。这项研究证明了社会运动在促进多样性方面的力量,平等,和包容。
    Watching movies is among the most popular entertainment and cultural activities. How do viewers react when a movie sequel increases racial minority actors in the main cast (\"minority increase\")? On the one hand, such sequels may receive better evaluations if viewers appreciate racially inclusive casting for its novel elements (the value-in-diversity perspective) and moral appeal (the fairness perspective on diversity). On the other hand, discrimination research suggests that if viewers harbor biases against racial minorities, sequels with minority increase may receive worse evaluations. To examine these competing possibilities, we analyze a unique panel dataset of movie series released from 1998 to 2021 and conduct text analysis of 312,457 reviews of these movies. Consistent with discrimination research, we find that movies with minority increase receive lower ratings and more toxic reviews. Importantly, these effects weaken after the advent of the Black Lives Matter (BLM) movement, especially when the movement\'s intensity is high. These results are reliable across various robustness checks (e.g., propensity score matching, random implementation test). We conceptually replicate the bias mitigation effect of BLM in a preregistered experiment: Heightening the salience of BLM increases White individuals\' acceptance of racial minority increase in a movie sequel. This research demonstrates the power of social movements in fostering diversity, equality, and inclusion.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    国家研究指导网络(NRMN)是美国国立卫生研究院资助的多元化科学计划,技术,工程,数学,和医学研究人员通过提供指导,网络,和专业发展资源。NRMN通过其在线平台MyNRMN为会员提供指导资源。
    MyNRMN帮助会员建立导师网络。我们的目标是扩大招生和指导联系,尤其是那些历来在生物医学培训和生物医学劳动力中代表性不足的人。
    为了提高注册的便利性,我们实现了平台注册用户界面迭代的分割测试。为了增加指导联系,我们开发了多种功能,便于通过不同的途径连接。
    我们改进的用户界面产生了更高的完成注册率(P<.001)。我们的分析表明,与使用传统表格的注册相比,使用版本1表格的注册人数有所改善(赔率比1.52,95%CI1.30-1.78)。版本2表格,随着它的简化,1步流程和较少的必填字段,优于传统形式(赔率比2.18,95%CI1.90-2.50)。通过改进招生表格,MyNRMN注册完成率从旧版表格的57.3%(784/1368)增加到版本2表格的74.5%(2016/2706).我们新开发的功能增加了成员之间的联系。
    我们的技术努力扩大了MyNRMN的会员基础,并增加了会员之间的联系。其他平台开发团队可以从这些努力中学习,以增加代表性不足的群体的入学率,并促进持续,成功参与。
    UNASSIGNED: The National Research Mentoring Network (NRMN) is a National Institutes of Health-funded program for diversifying the science, technology, engineering, math, and medicine research workforce through the provision of mentoring, networking, and professional development resources. The NRMN provides mentoring resources to members through its online platform-MyNRMN.
    UNASSIGNED: MyNRMN helps members build a network of mentors. Our goal was to expand enrollment and mentoring connections, especially among those who have been historically underrepresented in biomedical training and the biomedical workforce.
    UNASSIGNED: To improve the ease of enrollment, we implemented the split testing of iterations of our user interface for platform registration. To increase mentoring connections, we developed multiple features that facilitate connecting via different pathways.
    UNASSIGNED: Our improved user interface yielded significantly higher rates of completed registrations (P<.001). Our analysis showed improvement in completed enrollments that used the version 1 form when compared to those that used the legacy form (odds ratio 1.52, 95% CI 1.30-1.78). The version 2 form, with its simplified, 1-step process and fewer required fields, outperformed the legacy form (odds ratio 2.18, 95% CI 1.90-2.50). By improving the enrollment form, the rate of MyNRMN enrollment completion increased from 57.3% (784/1368) with the legacy form to 74.5% (2016/2706) with the version 2 form. Our newly developed features delivered an increase in connections between members.
    UNASSIGNED: Our technical efforts expanded MyNRMN\'s membership base and increased connections between members. Other platform development teams can learn from these efforts to increase enrollment among underrepresented groups and foster continuing, successful engagement.
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