Seeking Inclusion Excellence: Understanding Racial Microaggressions as Experienced by Underrepresented Medical and Nursing Students
Seeking Inclusion Excellence: Understanding Racial Microaggressions as Experienced by Underrepresented Medical and Nursing Students
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DOI：
10.1097/acm.0000000000003077
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发表时间：
2020-05-01
影响因子：
7.4
通讯作者：
Latimore, Darin
中科院分区：
文献类型：
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作者：
Ackerman-Barger, Kupiri;Boatright, Dowin;Latimore, Darin
目的描述种族微侵犯如何影响代表性不足的健康专业学生的最佳学习。方法作者从 2017 年 11 月至 2018 年 6 月对加州大学戴维斯分校和耶鲁大学的 37 名自认为在医学或护理领域代表性不足的学生进行了焦点小组和个人访谈。问题探讨了种族微侵犯的发生率、反应和影响，以及学生的改变建议。对数据进行组织和编码，然后使用主题分析来识别主题和子主题。结果数据显示了卫生专业和学校中微攻击行为的一致例子，同龄人、教师、导师和课程的结构要素都导致了微攻击行为。三个主要主题是：学生因微侵犯而感到贬低；学生们确定了微侵犯如何影响他们的学习、学业表现和个人健康；学生们提出了促进包容性的建议。结论数据表明，学生们认为他们的日常经历受到种族微侵犯的影响。参与者在经历种族微侵犯时报告了强烈的情绪，包括因这些互动而感到压力、沮丧和愤怒。此外，学生们认为微侵犯会对他们的学习、学业成绩和整体健康产生负面影响。这项研究表明，卫生专业学校的领导层和教师需要实施支持和利用多样性的政策、实践和教学策略，以便能够出现创新的问题解决方案，更好地服务于服务不足的社区并减少健康差距。
PurposeTo describe how racial microaggressions may affect optimal learning for under-represented health professions students.MethodThe authors conducted focus groups and individual interviews from November 2017 to June 2018 with 37 students at University of California, Davis and Yale University who self-identified as underrepresented in medicine or nursing. Questions explored incidence, response to, and effects of racial microaggressions, as well as students' suggestions for change. Data were organized and coded, then thematic analysis was used to identify themes and subthemes.ResultsThe data showed consistent examples of microaggressions across both health professions and schools, with peers, faculty, preceptors, and structural elements of the curricula all contributing to microaggressive behavior. The 3 major themes were: students felt devalued by microaggressions; students identified how microaggressions affected their learning, academic performance, and personal wellness; and students had suggestions for promoting inclusion.ConclusionsThe data indicated that students perceived that their daily experiences were affected by racial microaggressions. Participants reported strong emotions while experiencing racial microaggressions including feeling stressed, frustrated, and angered by these interactions. Further, students believed microaggressions negatively affected their learning, academic performance, and overall well-being. This study shows the need for leadership and faculty of health professions schools to implement policies, practices, and instructional strategies that support and leverage diversity so that innovative problem-solving can emerge to better serve underserved communities and reduce health disparities.