Using Forum Theater as a Teaching Tool to Combat Patient Bias Directed Toward Health Care Professionals.
Using Forum Theater as a Teaching Tool to Combat Patient Bias Directed Toward Health Care Professionals.
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DOI：
10.15766/mep_2374-8265.11022
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发表时间：
2020-11-20
影响因子：
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通讯作者：
Morgan A
中科院分区：
文献类型：
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作者：
Rizk N;Jones S;Shaw MH;Morgan A
卫生保健专业人员谁确定为代表性不足和种族少数群体的成员可能会遇到来自患者和患者家属的偏见。这些事件破坏了教育和治疗环境，使目标个人和盟友感到痛苦，并产生潜在的法律的责任。然而，在这种情况下，个人很少有教育机会集思广益，实施专业应对战略。这一教育活动是在一年的时间里逐步开展的，首先是一轮大讨论，然后是一个特邀研讨会，最后是一个特邀系列。每一种格式都是根据参与者的反馈（200多名医生和其他医疗保健专业人员）使用自愿和匿名的评估表进行顺序修改的。教育活动使用了一个改编的论坛剧场，参与者角色扮演一个压迫的例子，目的是改变最终的结果。这种方法为参与者提供了机会，以维护医患关系的方式制定和排练对工作场所偏见的反应。对这些教育会议的反馈绝大多数是积极的。与会者指出承认和解决工作场所偏见的重要性，并鼓励主持人扩大会议的长度，频率和范围。论坛剧场是一种方法，可用于医疗保健，教导适当和真实的反应，表达病人的偏见，同时保持治疗关系。在我们的初步会议上，与会者的积极反应为今后改进这项工作奠定了坚实的基础。
Health care professionals who identify as members of underrepresented and racial minority groups may experience bias from patients and patient families. These occurrences disrupt the educational and therapeutic environments, distress the targeted individuals and allies, and create potential legal liability. Yet there are few educational opportunities for individuals to brainstorm and implement strategies for responding professionally during such instances. Presented first as a grand rounds, then an invited workshop, and finally an invited series, this educational activity was developed in a stepwise manner over the course of a year. Each format was sequentially modified based on feedback from participants—more than 200 physicians and other health care professionals—using evaluation forms that were voluntary and anonymous. The educational activity used an adaptation of forum theater, in which participants role-played an instance of oppression with a goal of altering the ultimate outcome. This approach provided participants with the opportunity to develop and rehearse responses to workplace bias in a way that preserved the provider-patient relationship. Feedback for these educational sessions was overwhelmingly positive. Participants noted the importance of acknowledging and addressing bias in the workplace and encouraged facilitators to expand the sessions in length, frequency, and scope. Forum theater is a methodology that can be employed in health care to teach appropriate and authentic responses to expressed patient bias while maintaining the therapeutic relationship. The positive reception from participants in our preliminary sessions established a strong foundation for future improvements to this work.