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跨专业学生和教师对多样性、公平、包容、文化能力和谦逊的认知:一项混合方法研究。

Interprofessional Perceptions of Diversity, Equity, Inclusion, Cultural Competence, and Humility Among Students and Faculty: A Mixed-Methods Study.

机构信息

Dep. of Physical Therapy, University of Texas Medical Branch, 301 University Blvd., School of Health Professions #3.642, Galveston, TX 77555-1144, USA. Tel 409-772-3068.

出版信息

J Allied Health. 2023 Summer;52(2):89-96.

Abstract

BACKGROUND

An urgent educational need is to examine the current gaps in cultural competence/humility, diversity, equity, inclusion, and accessibility (DEIA) that may significantly affect the teaching and learning environments among students/faculty. This mixed-methods study examined the current level of cultural competemility and perceptions of diversity, equity, and inclusion (DEI)-related challenges and recommendations among students/faculty of health professions.

METHODS

Students and faculty completed a survey including the Inventory for Assessing the Process of Cultural Competemility Among Healthcare Professionals (IAPCC-HCP©) and open-ended questions on their DEI perceptions and needs. Data were analyzed via descriptive statistics and independent t-tests. Qualitative data were coded using thematic content analysis.

OUTCOMES

A total of 100 participants (64 students, 38 faculty) completed the survey. The majority identified as Caucasian or non-Hispanic White and female, and were satisfied with DEIA-related school-level initiatives and familiar with how to use pronouns to reflect all genders. Compared to students, faculty scored slightly higher, although not significantly, in five of six domains, including Cultural Humility, Cultural Awareness, Culture Skill, Cultural Encounters and Cultural Desire. Participants shared their need to address: 1) DEIA gaps in knowledge and Schools of Health Professions curriculum; 2) involvement of students; 3) racism, biases, and discrimination; and 4) recognition of underrepresented groups. Training needs were in the areas of 1) DEIA assessment and training for students and faculty; 2) DEIA school activities; 3) DEIA-informed policies; and 4) modifications to clinical education.

CONCLUSION

The faculty more than students expressed the need to enhance their DEI and cultural knowledge. Our findings can guide further development of educational activities and school-level DEI initiatives in schools of health professions.

摘要

背景

目前迫切需要检查文化能力/谦逊、多样性、公平、包容和无障碍(DEIA)方面的差距,这些差距可能会对学生/教师的教学环境产生重大影响。本混合方法研究检查了卫生专业学生/教师的文化能力水平以及对多样性、公平和包容(DEI)相关挑战和建议的看法。

方法

学生和教师完成了一项调查,其中包括医疗保健专业人员文化能力评估清单(IAPCC-HCP©)和关于他们对 DEI 的看法和需求的开放性问题。使用描述性统计和独立 t 检验分析数据。使用主题内容分析对定性数据进行编码。

结果

共有 100 名参与者(64 名学生,38 名教师)完成了调查。大多数人自认为是白种人或非西班牙裔白人,并且是女性,对与 DEIA 相关的学校级倡议感到满意,并熟悉如何使用代词来反映所有性别。与学生相比,教师在六个领域中的五个领域的得分略高,尽管没有显著差异,包括文化谦逊、文化意识、文化技能、文化接触和文化欲望。参与者分享了他们需要解决的问题:1)DEIA 知识差距和健康职业学校课程;2)学生的参与;3)种族主义、偏见和歧视;4)代表性不足群体的认可。培训需求包括:1)学生和教师的 DEIA 评估和培训;2)DEIA 学校活动;3)DEIA 知情政策;4)临床教育的修改。

结论

与学生相比,教师更需要提高他们的 DEI 和文化知识。我们的研究结果可以指导健康职业学校进一步开展教育活动和学校层面的 DEI 倡议。

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本文引用的文献

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Mechanisms Driving Postgraduate Health and Social Science Students' Cultural Competence: An Integrated Systematic Review.
Acad Med. 2022 Nov 1;97(11):1707-1721. doi: 10.1097/ACM.0000000000004714. Epub 2022 May 3.
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J Transcult Nurs. 2021 Mar;32(2):191. doi: 10.1177/1043659621990880.
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