Interventions to Mitigate Bias in Social Work Decision-Making: A Systematic Review

Interventions to Mitigate Bias in Social Work Decision-Making: A Systematic Review
复制标题

减少社会工作决策中的偏见的干预措施:系统回顾

DOI:
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发表时间:
2019
影响因子:
1.8
通讯作者:
K. Galvin
K. Galvin
中科院分区:
法学3区
文献类型:
--
作者:
R. Featherston;A. Shlonsky;Courtney Lewis;M. Luong;L. Downie;A. Vogel;C. Granger;B. Hamilton;K. Galvin

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目的:本系统综述综合了支持干预措施的证据,这些干预措施旨在减轻与社会工作专业人员决策相关的认知偏见。方法:在10个社会服务和卫生保健数据库中进行系统检索。综述作者根据预先规定的纳入标准独立筛选了两份研究,两名综述作者进行了数据提取和质量评估。结果:确定了4项相关研究。由于这些研究异质性太大,无法进行荟萃分析,因此仅以叙述方式报告结果。三项研究侧重于心理健康方面的诊断决定,一项研究考虑了家庭团聚的决定。据报道,有两种策略可以有效地减少错误:列线图工具和专门设计的在线培训课程。一项研究评估了一种相反的方法,报告说对决策结果没有影响。结论:认知偏差会影响临床推理的准确性。这篇综述强调了在社会工作实践决策背景下研究认知偏见缓解的必要性。
Purpose: This systematic review synthesized evidence supporting interventions aimed at mitigating cognitive bias associated with the decision-making of social work professionals. Methods: A systematic search was conducted within 10 social services and health-care databases. Review authors independently screened studies in duplicate against prespecified inclusion criteria, and two review authors undertook data extraction and quality assessment. Results: Four relevant studies were identified. Because these studies were too heterogeneous to conduct meta-analyses, results are reported narratively. Three studies focused on diagnostic decisions within mental health and one considered family reunification decisions. Two strategies were reportedly effective in mitigating error: a nomogram tool and a specially designed online training course. One study assessing a consider-the-opposite approach reported no effect on decision outcomes. Conclusions: Cognitive bias can impact the accuracy of clinical reasoning. This review highlights the need for research into cognitive bias mitigation within the context of social work practice decision-making.