Promoting Cultural Humility by Integrating Health Equity Literature into the Pharmacy Curriculum.
Promoting Cultural Humility by Integrating Health Equity Literature into the Pharmacy Curriculum.
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通过将健康平等文献纳入药学课程来促进文化谦卑。
DOI：
10.3390/pharmacy10050116
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发表时间：
2022-09-21
期刊：
影响因子：
2.2
通讯作者：
Colon, Kristie
中科院分区：
文献类型：
--
作者：
Venditto, Vincent J;Colon, Kristie
向学生介绍无意识偏见和健康的社会决定因素（SDOH）的策略对于培养他们成为有效的卫生保健提供者至关重要。我们开发了一个长达一个学期的活动，利用疾病相关的科学文献在二年级的风湿病药学课程中实施文化谦卑训练。学生们首先被重新引入内隐偏见，然后在课程开始和结束时完成一项匿名调查，使用5分李克特量表来评估他们对偏见和SDOH在患者护理中的作用的看法。整个学期，五篇与课程材料相关的期刊文章被分配，并专注于一个特征（例如，痛风-性别）。将学生对SDOH的认知演变与基线数据进行比较，指定文章的特征表明对SDOH的理解有所提高，包括种族/民族（3.0至4.4,p < 0.0001）；性别（2.8 ~ 4.0,p < 0.0001）；宗教（2.3 ~ 2.9,p < 0.01）。在作业中没有直接讨论的特征中，只有教育表现出显著的增加（3.0到3.6,p < 0.01）。关注与特定课程疾病相关的卫生不公平现象的科学文章提供了一种整合讨论的策略，帮助学生评估他们的偏见和SDOH，目标是改善患者护理。
Strategies that introduce students to unconscious bias and social determinants of health (SDOH) are critical to develop them as effective health care providers. We developed a semester-long activity that utilizes disease-relevant scientific literature to implement cultural humility training in a second-year rheumatology pharmacy course. Students were first re-introduced to implicit bias and then completed an anonymous survey at the beginning and conclusion of the course using a 5-point Likert scale to assess their perceptions of the role of biases and SDOH in patient care. Throughout the semester, five journal articles were assigned that relate to course material and focus on one characteristic (e.g., gout—gender). Students’ evolved perceptions of SDOH were compared to baseline data and characteristics of assigned articles indicate an improved understanding of SDOH including race/ethnicity (3.0 to 4.4, p < 0.0001); gender (2.8 to 4.0, p < 0.0001); and religion (2.3 to 2.9, p < 0.01). Among characteristics that were not directly discussed in the assignments, only education showed a significant increase (3.0 to 3.6, p < 0.01). Scientific articles that focus on health inequities relevant to course-specific diseases provide a strategy to integrate discussions that help students evaluate their biases and SDOH with the goal of improving patient care.