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针对医学生的文化谦逊培训干预措施,以改善对性别和性少数群体的护理:系统评价和拟议的荟萃分析方案。

Cultural humility training interventions for healthcare students to improve care for gender and sexual minority groups: Protocol for a systematic review and a proposed meta-analysis.

作者信息

Lambor Pramod Dattaram, Bhageerathy Reshmi, Devi Elsa Sanatombi, Gudi Nachiket, R Vani Lakshmi

机构信息

Dept of Occupational Therapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.

Dept of Health Information Management, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.

出版信息

MethodsX. 2024 Sep 14;13:102963. doi: 10.1016/j.mex.2024.102963. eCollection 2024 Dec.

DOI:10.1016/j.mex.2024.102963
PMID:39385938
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11461977/
Abstract

To deliver comprehensive and efficient care, it is crucial to understand and address the unique healthcare needs of gender and sexual minority (GSM) groups. Implementing cultural humility training may enhance healthcare students' sensitivity, awareness, and proficiency in serving patients. However, there's a necessity to thoroughly evaluate the impact and effectiveness of these interventions, especially in relation to addressing the distinct healthcare requirements of GSM groups. This protocol describes the steps in conducting a systematic review (SR) to investigate if cultural humility training interventions for medical students enhance care of GSM groups. This SR aims to guide the creation of focused interventions and instructional plans to support fair healthcare delivery for GSM populations. The objective of this SR encompass a comprehensive examination across multiple databases such as PubMed (NCBI), Scopus (Elsevier), Cochrane (Wiley), Web of Science (Clarivate). Using keywords and MeSH phrases, the search method will find relevant research from each database's launch from January 1, 2000, until August 30, 2024, emphasizing English-language publications. To ensure comprehensiveness, reference lists of qualifying papers will be thoroughly reviewed. We shall extract the data and use the appropriate Joanna Briggs Institute (JBI) checklist to evaluate the quality of the included study. By synthesizing the data, the findings will illuminate the value and efficacy of cultural humility training interventions for medical students in enhancing GSM group care. This synthesis will incorporate quantitative studies, to ensure a comprehensive understanding of the interventions' impacts. Ethics approval is not sought as the review will only synthesize data from published studies. The findings will be presented at conferences and published in peer-reviewed journals. CRD42024533825 •Our study examines cultural humility training, emphasizing self-reflection and power dynamics, specifically relevant for gender and sexual minority (GSM) groups.•We focus on healthcare students, exploring how early cultural humility training can impact future practice and GSM care.•This is the first systematic review and meta-analysis of cultural humility training for GSM groups, addressing a gap in existing literature.•Our findings aim to inform curriculum and educational policies, addressing a significant need in medical training.•Limiting the review to English-language studies may exclude important research conducted in other languages, potentially missing valuable perspectives and findings that could enhance the understanding of cultural humility training's global applicability.•The review may face challenges in measuring the long-term impact of cultural humility training interventions on healthcare students' competency and attitudes, as existing studies might have a limited follow-up period.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8f3/11461977/6316b0b2a025/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8f3/11461977/aa29a1185582/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8f3/11461977/6316b0b2a025/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8f3/11461977/aa29a1185582/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8f3/11461977/6316b0b2a025/gr1.jpg
摘要

为提供全面高效的护理,了解并满足性别和性取向少数群体(GSM)独特的医疗保健需求至关重要。实施文化谦逊培训可能会提高医学生服务患者的敏感度、意识和熟练度。然而,有必要全面评估这些干预措施的影响和效果,尤其是在满足GSM群体独特的医疗保健需求方面。本方案描述了进行系统评价(SR)的步骤,以调查针对医学生的文化谦逊培训干预措施是否能改善对GSM群体的护理。本系统评价旨在指导制定有针对性的干预措施和教学计划,以支持为GSM人群提供公平的医疗服务。本系统评价的目标包括对多个数据库进行全面检索,如PubMed(美国国立医学图书馆)、Scopus(爱思唯尔)、Cochrane(威利)、Web of Science(科睿唯安)。使用关键词和医学主题词(MeSH)短语,检索方法将从每个数据库自2000年1月1日创建至2024年8月30日期间找到相关研究,重点是英文出版物。为确保全面性,将对符合条件论文的参考文献列表进行全面审查。我们将提取数据并使用适当的乔安娜·布里格斯研究所(JBI)清单来评估纳入研究的质量。通过综合数据,研究结果将阐明针对医学生的文化谦逊培训干预措施在改善对GSM群体护理方面的价值和效果。这种综合将纳入定量研究,以确保对干预措施的影响有全面的了解。由于该评价仅综合已发表研究的数据,因此无需寻求伦理批准。研究结果将在会议上展示并发表在同行评审期刊上。CRD42024533825 •我们的研究考察文化谦逊培训,强调自我反思和权力动态,这对性别和性取向少数群体(GSM)尤为相关。•我们关注医学生,探讨早期文化谦逊培训如何影响未来实践和对GSM群体的护理。•这是首次对针对GSM群体的文化谦逊培训进行系统评价和荟萃分析,填补了现有文献的空白。•我们的研究结果旨在为课程和教育政策提供信息,满足医学培训中的一项重大需求。•将评价限于英文研究可能会排除其他语言进行的重要研究,可能会遗漏有助于增强对文化谦逊培训全球适用性理解的宝贵观点和研究结果。•该评价可能在衡量文化谦逊培训干预措施对医学生能力和态度的长期影响方面面临挑战,因为现有研究的随访期可能有限。

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