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用词需谨慎:面向医疗保健专业人员的反偏见工作坊,以减少污名化语言。

Words Matter: An Antibias Workshop for Health Care Professionals to Reduce Stigmatizing Language.

机构信息

Resident, Department of Pediatrics, Stanford University School of Medicine.

Resident, Division of Child Neurology, Department of Neurology and Neurological Sciences, Stanford University School of Medicine.

出版信息

MedEdPORTAL. 2021 Mar 2;17:11115. doi: 10.15766/mep_2374-8265.11115.

Abstract

INTRODUCTION

Biased language influences health care providers' perceptions of patients, impacts their clinical care, and prevents vulnerable populations from seeking treatment. Training clinicians to systematically replace biased verbal and written language is an essential step to providing equitable care.

METHODS

We designed and implemented an interactive workshop to teach health care professionals a framework to identify and replace stigmatizing language in clinical practice. The workshop included a reflective exercise, role-play, brief didactic session, and case-based discussion. We developed the program for a broad target audience of providers and initially delivered it at three academic conferences. We used descriptive statistics to analyze Likert-style items on course evaluations and identified themes in open-text responses.

RESULTS

A total of 66 participants completed course evaluations; most believed the workshop met its objectives (4.8 out of 5.0) and strongly agreed that they would apply skills learned (4.8). Participants planned to incorporate reflection into their verbal and written language. Potential barriers to applying course content included perceived difficulty in changing entrenched practice habits, burnout, and fatigue. Suggestions for improvement included more time for group discussions and strategies to teach skills to colleagues.

DISCUSSION

Participants found the course material highly engaging and relevant to their clinical practice. Learners left the workshop feeling motivated to engage in more mindful word choice and to share key concepts with their colleagues.

摘要

简介

有偏差的语言会影响医疗保健提供者对患者的看法,影响他们的临床护理,并使弱势群体无法寻求治疗。培训临床医生系统地替换有偏见的口头和书面语言是提供公平护理的重要步骤。

方法

我们设计并实施了一个互动式研讨会,以教导医疗保健专业人员识别和替换临床实践中污名化语言的框架。该研讨会包括反思练习、角色扮演、简短的教学课程和基于案例的讨论。我们为广泛的医疗服务提供者受众开发了该计划,并最初在三个学术会议上进行了推广。我们使用描述性统计分析课程评估中的李克特量表项目,并从开放文本回复中确定主题。

结果

共有 66 名参与者完成了课程评估;大多数人认为研讨会达到了目标(5 分制中的 4.8 分),并强烈同意他们将应用所学技能(4.8 分)。参与者计划将反思纳入他们的口头和书面语言中。应用课程内容的潜在障碍包括改变根深蒂固的实践习惯的难度、倦怠和疲劳。改进的建议包括为小组讨论提供更多时间以及教授技能给同事的策略。

讨论

参与者认为课程材料非常有吸引力,与他们的临床实践密切相关。学习者离开研讨会时感到有动力更自觉地选择用词,并与同事分享关键概念。

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