A scoping review of research on potential impact of implicit bias in healthcare settings for children with acquired brain injuries.
A scoping review of research on potential impact of implicit bias in healthcare settings for children with acquired brain injuries.
复制标题
对医疗保健环境中隐性偏见对后天性脑损伤儿童的潜在影响的研究进行范围审查。
DOI：
10.1037/rep0000519
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发表时间：
2024
影响因子：
2.7
通讯作者：
Clinton,AlexanderJ
中科院分区：
文献类型：
--
作者：
Shen,Jiabin;Carmichael,Amanda;Clinton,AlexanderJ
目的：获得性脑损伤(ABI)是导致儿童和青少年残疾的主要原因。儿科ABI保健环境中的隐性偏见可能会对临床互动和医疗决策过程产生负面影响。这项研究的目的是对当前的研究进行范围界定，考察在这样的医疗环境中隐性偏见对ABI儿童的潜在影响。研究方法/设计：遵循PRISMA-SCR指南，检索5个数据库(CINAHL、Cochrane Central、PubMed、QicArticle和智力信息库)，然后进行摘要/全文筛选和数据提取。综述了纳入研究的主要特点，包括研究设计、与内隐偏向的相关性以及对公共健康的影响。对纳入研究的偏倚风险进行评估。结果：在文献检索得到的203篇文献中，共有3篇研究符合本综述的纳入标准。所有研究都考察了种族/民族偏见与评估虐待性头部创伤或非意外创伤的相关性。纳入的研究总体上不清楚到偏低的风险。结论/影响：这项范围审查确定了潜在的隐性偏见对ABI儿童接受护理的机会和质量的存在和有害影响的稀有但正在出现的证据。需要更多的研究来检验儿科ABI保健环境中内隐偏见的原因、过程机制和后果。
Purpose/Objective: Acquired brain injury (ABI) is a leading cause of disability in children and adolescents. Implicit biases within pediatric ABI healthcare settings may exert negative effects on clinical interactions and medical decision-making processes. This study aimed to conduct a scoping review of current research that examines the potential impact of implicit biases in such healthcare settings for children with ABI. Research Method/Design: Following PRISMA-ScR guidelines, a search among five databases (CINAHL, Cochrane CENTRAL, PubMed, PsycArticles, and PsycInfo) was conducted, followed by abstract/full-text screening and data extraction. Main characteristics of the included studies, including research design, relevance to implicit biases, and public health impact were synthesized. The risk of bias of included studies was assessed. Results: Out of the 203 articles returned from the literature search, a total of three studies met the inclusion criteria for the present review. All studies examined the relevance of racial/ethnic biases for evaluating abusive head trauma or nonaccidental trauma. The included studies had an overall unclear to low risk of biases. Conclusions/Implications: This scoping review identified scarce but emerging evidence of the presence and detrimental impact of potential implicit biases on the access and quality of care received by children with ABI. More research is needed to examine the causes, process mechanisms, and consequences of implicit biases in pediatric ABI healthcare settings.