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少数民族一线医护人员在 COVID-19 大流行期间的经历。

Experiences of Minority Frontline Healthcare Workers During the COVID-19 Pandemic.

机构信息

Alpha Chapter Campus Counselor, Sigma Theta Tau International, Indiana University Northwest, 3400 Broadway, Gary, IN, 46408, USA.

Butler University College of Pharmacy and Health Sciences, 4600 Sunset Avenue, PHSB 404E, Indianapolis, IN, 46208, USA.

出版信息

J Racial Ethn Health Disparities. 2024 Dec;11(6):3818-3828. doi: 10.1007/s40615-023-01833-w. Epub 2023 Oct 18.

Abstract

Minority healthcare worker (MHW) experiences during the COVID-19 pandemic has received little attention in the published literature compared to their majority counterparts. This study describes healthcare systems, mental health, and advocacy challenges that MHWs experienced during the pandemic in the United States. A descriptive cross-sectional design was used to gather data from a convenience sample (n = 74) of MHWs who identified as registered nurses, advanced nurse practitioners, physicians, pharmacists, nursing assistants, dentists, and respiratory therapists. Data were imported into SAS Version 9.4 (Cary, NC) for analysis. Responses to each survey question were tabulated, and percentages of participants responding in the affirmative to each health system, mental health, and advocacy question were displayed. Findings indicate the pandemic both exacerbated old and imposed new challenges. Health systems should offer both tangible and intangible or emotional resources that support resilience; build an inclusive work environment that would consider the experiences and knowledge of MHWs; implement and sustain workplace changes that support and promote self-advocacy without fear of retribution; and increase research on MHWs to inform effective and culturally relevant interventions for challenges experienced by MHWs.

摘要

与大多数同行相比,少数族裔医疗工作者(MHW)在 COVID-19 大流行期间的经历在已发表的文献中很少受到关注。本研究描述了美国 MHW 在大流行期间所经历的医疗保健系统、心理健康和宣传方面的挑战。采用描述性横断面设计,从自认为是注册护士、高级执业护士、医生、药剂师、护士助理、牙医和呼吸治疗师的 MHW 的便利样本(n=74)中收集数据。将数据导入 SAS 版本 9.4(Cary,NC)进行分析。对每个调查问题的回答进行制表,并显示对每个医疗系统、心理健康和宣传问题回答肯定的参与者的百分比。研究结果表明,大流行加剧了旧的挑战,同时也带来了新的挑战。医疗保健系统应提供有形和无形或情感资源,以支持韧性;营造一个包容的工作环境,考虑 MHW 的经验和知识;实施和维持支持和促进自我倡导的工作场所变革,而不必担心报复;并增加对 MHW 的研究,为 MHW 所经历的挑战提供有效的和文化相关的干预措施。

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