Author Response to Reader's Comments to Fitzgerald Jones et al., Top Ten Tips Palliative Care Clinicians Should Know About Delivering Antiracist Care to Black Americans (DOI: 10.1089/jpm.2021.0502).
Author Response to Reader's Comments to Fitzgerald Jones et al., Top Ten Tips Palliative Care Clinicians Should Know About Delivering Antiracist Care to Black Americans (DOI: 10.1089/jpm.2021.0502).
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作者对读者对 Fitzgerald Jones 等人的评论的回应，《姑息治疗临床医生应了解的关于向美国黑人提供反种族主义护理的十大技巧》（DOI：10.1089/jpm.2021.0502）。
DOI：
10.1089/jpm.2021.0673
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发表时间：
2022
影响因子：
2.8
通讯作者：
Meghani,SalimahH
中科院分区：
文献类型：
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作者：
Jones,KatieFitzgerald;Laury,Esther;Sanders,Justin;Starr,LaurenT;Rosa,WilliamE;Booker,StajaQ;Wachterman,Melissa;Jones,ChristopherA;Hickman,Susan;Merlin,JessicaS;Meghani,SalimahH
尊敬的编辑：Curseen博士和布洛克博士为我们提供了机会，参与我们的文章所提示的反种族主义和姑息治疗的话语，姑息治疗临床医生应该知道的十大提示提供反种族主义护理美国黑人。我们希望这篇文章既有助于不断发展的文学，也能引发持续的对话，以解决严重疾病护理中的种族主义问题。我们感谢这封信中提出的许多重要观点，包括所有临床医生必须可持续地采用和展示反种族主义能力。《姑息医学杂志》的专家系列是讨论种族主义这一复杂话题的一种不完美的方式，这一观察是准确的。虽然“提示”格式并不理想，但我们选择了这个系列，因为它是执业姑息治疗临床医生使用的最大平台之一。我们的文章并不打算成为一个全面的资源或解决方案。我们想强调的建议是，询问患者是否在医疗保健系统中经历过种族主义。在一个建立了安全和信任的关系背景下提出这个问题可能是理想的。为了避免进一步的创伤，可能需要仔细注意尊重的语言，治疗性的存在，积极倾听和其他移情沟通技巧。还迫切需要支持拒绝回答或讨论这一主题的患者和家属。这个问题的目的是通过承认我们是在有缺陷的卫生系统中工作的不完美的临床医生来创造一个安全和归属感的环境。对临床医生进行种族主义教育的责任不应该落在患者和代理人身上，需要提供者的敏感性，教育和增加问责制。当然，有必要与关键利益相关者进行更多的对话，以确定让患者，代理人和临床医生参与反种族主义严重疾病护理的最佳方法。
Dear Editor: We appreciate the opportunity afforded us by Dr. Curseen and Dr. Bullock to engage in a discourse on antiracism and palliative care prompted by our article, Top Ten Tips Palliative Care Clinicians Should Know About Delivering Antiracist Care to Black Americans. We hoped for this article to both contribute to evolving literature and spark a continued dialogue to address racism in serious illness care. We are grateful for the many important points raised in this letter, including that all clinicians must sustainably adopt and demonstrate antiracist competencies. The observation that The Journal of Palliative Medicine’s specialist series is an imperfect way to discuss the complex topic of racism is accurate. Although the ‘‘tips’’format is not ideal, we chose this series because it is one of the largest platforms used by practicing palliative care clinicians. Our article is not intended to be a comprehensive resource or solution.We would like to emphasize the suggestion of asking patients if they experience racism in the health care system. It may be ideal to broach this subject in a relationshipbased context of established safety and trust. To avoid further trauma, it will likely require careful attention to respectful language, therapeutic presence, active listening, and other empathic communication skills. There is also a critical need to support patients and families who decline to answer or discuss this topic. The question is intended to engender an environment of safety and belonging through recognition that we are imperfect clinicians working in flawed health systems. The responsibility of educating clinicians about racism should not fall on patients and surrogates, and provider sensitization, education, and increasing accountability are required. It is certainly true that more dialogue with key stakeholders is necessary to determine the best approaches to engage patients, surrogates, and clinicians in antiracist serious illness care.