Creat Nurs. 2021 Aug 1;27(3):158-162. doi: 10.1891/CRNR-D-21-00015.
The U.S. public health system has been challenged in constructive ways over the past year, from fighting a novel virus to managing the resulting pandemic, and surmounting pressure from the general public to reconcile past and present trauma fueled by health and racial inequities that claim lives and perpetuate physical, mental, and emotional harm in predominantly Black, Indigenous, and other non-white communities. Through term definitions, discussion of the current literature, and content expert opinions, this article reveals the casual yet calculated manner in which unconscious bias saturates health care and the governing public health systems in the United States, and presents a call to action for professionals in the public health field to keep racial and health equity at the forefront of solutions to the "wicked problems" faced in this field.
过去一年,美国公共卫生系统面临着多方面的挑战,既要抗击新型病毒,又要应对由此引发的大流行,还要应对公众要求解决过去和现在的创伤的压力,这些创伤是由卫生和种族不平等造成的,它们夺走了生命,并在以黑人和其他非白人为主的社区中持续造成身体、精神和情感伤害。本文通过术语定义、当前文献讨论和内容专家意见,揭示了无意识偏见在医疗保健和美国公共卫生系统中无处不在的方式,以及对公共卫生领域专业人士的行动呼吁,要求他们将种族和健康公平置于解决这一领域面临的“棘手问题”的解决方案的前沿。