Faculty of Education, University of Oxford, Oxford, UK.
Biomedical Engineering and Healthcare Technology Research Centre, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa.
Clin Teach. 2024 Dec;21(6):e13806. doi: 10.1111/tct.13806. Epub 2024 Sep 18.
The imperative for decolonial research in health professions education (HPE) is rooted in a resistance to coloniality, which characterises modern medicine and HPE. Coloniality is a residual effect of colonialism, which upholds White, Western, Eurocentric knowledge systems while simultaneously marginalising diverse epistemologies. We outline the problematic nature of coloniality in HPE typified in unequal research partnerships, skewed student exchanges and poor representation of diverse authors. Decoloniality advocates for the active disruption and dismantling of colonial hierarchies to promote epistemic justice. We suggest a practical framework for applying decolonial principles in research, emphasising awareness (critical consciousness), deliberation (reflexivity) and action (transformative praxis). Practical steps for decolonial practice include interrogating research conceptualisation, sharing power and diversifying research teams, adopting participatory and reciprocal (mutually beneficial) methodologies, (re)centring marginalised voices and amplifying 'Other' knowledges, and disrupting hegemonic dissemination practices. By employing decolonial strategies, researchers can produce equitable, socially accountable and epistemically just scholarship, ultimately enhancing the relevance and impact of HPE research for all people globally.
健康职业教育(HPE)中去殖民化研究的必要性源于对殖民性的抵制,殖民性是现代医学和 HPE 的特征。殖民性是殖民主义的残余影响,它维护了白人、西方、欧洲中心主义的知识体系,同时边缘化了多样化的认识论。我们概述了 HPE 中殖民性的问题性质,表现在不平等的研究伙伴关系、倾斜的学生交流和多样化作者代表性不足。去殖民化主张积极打破和拆除殖民等级制度,以促进认识论正义。我们提出了一个在研究中应用去殖民原则的实用框架,强调意识(批判性意识)、审议(反思性)和行动(变革性实践)。去殖民实践的实际步骤包括质疑研究概念化、分享权力和使研究团队多样化、采用参与式和互惠(互利)的方法、重新关注边缘化的声音和放大“其他”知识,并打破霸权传播实践。通过采用去殖民化策略,研究人员可以生成公平、对社会负责和认识论公正的学术成果,最终增强 HPE 研究对全球所有人的相关性和影响力。