■的想法,感情,医疗保健专业人员无意识地对患者的态度和态度会对患者的健康结果产生负面影响。与医疗保健提供者的内隐偏见相关的系统评价发现了对老年人的负面内隐偏见,有色人种,残疾人,精神病患者,肥胖的病人,社会经济地位低下的人,和女人。隐性偏见会影响质量,安全,和提供护理的能力;患者和提供者之间的互动;以及患者对治疗建议的批准。医疗保健专业的学生和医疗保健提供者需要参与基于证据的教育策略,以管理和减少偏见。
■为了审查与医疗保健专业学生和提供者一起使用的教育策略的证据,以提高他们对内隐偏见的认识,减少偏差,改善对偏见的态度。
■综合审查。
■文献综述于2020年7月完成,在2021年2月和2021年6月进行了两次更新,使用9个数据库,包括AcademicSearchComplete™。Embase®,ERIC®,奥维德,PubMed®,Scopus®,和WebofScience™。与教育相关的关键术语,卫生保健专业\'学生,卫生保健提供者,隐式,偏见,无礼,微侵略,和microassult。包括2011年至2021年的出版物。Covidence软件用于初步筛选和全文分析。
■本综述分析了39篇文章。指导内隐偏见原则的最常用教育策略包括讨论组,模拟和基于案例的学习,意识的预先测试,使用专家主持人,对行动/变革的承诺,和汇报。成功战略的共同组成部分包括周到的计划规划,仔细选择节目主持人(他们是内容专家),参与者的支持,和系统级投资。
■不同的教育策略成功地解决了研究中的内隐偏见。对未来研究的建议包括解决抽样策略和数据收集的局限性,以阐明教育策略与参与者结果之间的关系。教育机会是必要的,挑战卫生保健专业人员探索他们对他人的隐性偏见,努力提供考虑多样性的护理,股本,和包容性,也限制了个人的内隐偏见。
UNASSIGNED: The thoughts, feelings, and attitudes health care professionals unconsciously have about patients can negatively impact patients\' health outcomes. Systematic reviews related to implicit bias in health care providers have uncovered negative implicit bias towards older adults, people of color, people with disabilities, psychiatric patients, patients who are obese, people of low socioeconomic status, and women. Implicit bias impacts the quality, safety, and competence of care delivered; interactions between patients and providers; and patient approval of treatment recommendations. Health care professions students and health care providers need to participate in evidence-based educational strategies to manage and diminish bias.
UNASSIGNED: To review the evidence regarding educational strategies used with health care professions students and providers to improve their knowledge of implicit bias, reduce bias, and improve attitudes about bias.
UNASSIGNED: Integrative review.
UNASSIGNED: The literature review was completed in July 2020 with two updates performed in February 2021 and June 2021 using nine databases including Academic Search Complete™, Embase®, ERIC®, Ovid, PubMed®, Scopus®, and Web of Science™. Key terms used related to education, health care professions\' students, health care providers, implicit, bias, incivility, microaggression, and microassult. Publications dates from 2011 to 2021 were included. Covidence software was used for the initial screening and for full-text analysis.
UNASSIGNED: Thirty-nine articles were analysed for this review. The most commonly used educational strategies to instruct about principles of implicit bias include discussion groups, simulation and case-based learning, pre-tests for awareness, use of expert facilitators, commitment to action/change, and debriefing. Common components of successful strategies include thoughtful program planning, careful selection of program facilitators (who are content experts), support of participants, and a system-level investment.
UNASSIGNED: Diverse educational strategies successfully addressed implicit bias across studies. Recommendations for future studies includes addressing limitations in sampling strategies and data collection to clarify relationships between educational strategies and participant outcomes. Educational opportunities are warranted that challenge health care professionals to explore their implicit bias towards others in an effort to provide care that considers diversity, equity, and inclusion and also limits personal implicit bias.