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拥抱包容、多元、公平与机会(IDEA):在内部培养理解以促进外部变革。

Embracing Inclusion, Diversity, Equity and Access (IDEA): Cultivating understanding internally to foster external change.

作者信息

Jaramillo Jeffrey P, Hough Sigmund, Walker Jillian, Hicks Trisha, Thomas Florian P, Ciammaichella Ellia, Harfenist Samantha, Tam Katharine, Whitchurch Jessica

机构信息

Spinal Cord injury and Disorders Center, VA Palo Alto Health Care System, Palo Alto, California, USA.

Spinal Cord Injury Service, Virginia Boston Healthcare System, West Roxbury, Massachusetts, USA.

出版信息

J Spinal Cord Med. 2025 Mar;48(2):161-169. doi: 10.1080/10790268.2024.2426312. Epub 2024 Nov 22.

DOI:10.1080/10790268.2024.2426312
PMID:39576274
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11864015/
Abstract

CONTEXT

Healthcare institutions acknowledge the value of diverse workforces for enhancing programs and meeting the varied needs of individuals with Spinal Cord Injury. This survey conducted at the 2023 Academy of Spinal Cord Injury Professions (ASCIP) conference assesses healthcare professionals' views on workplace Diversity, Equity, and Inclusion (DEI) and their support for integrating related educational content in future events.

METHODS

: The survey was distributed digitally to ASCIP attendees, ensuring anonymity and voluntary participation. It aimed to collect data on demographic backgrounds, perceptions of DEI at work, and the relevance of educational topics regarding Inclusion, Diversity, Equity, and Access (IDEA) for upcoming conference agendas.

RESULTS

: Seventy percent of respondents felt able to achieve success and express their genuine feelings in the workplace, with their opinions valued. While economic disparities were often discussed (56%) in relation to patient care, other aspects like religion, cultural racism, racial inequalities, and LGBTQ + issues were less frequently addressed. Approximately 55% reported that their organizations had recently started or were initiating DEI efforts.

CONCLUSIONS

: There is a clear need for inclusive work environments and patient care that values the diverse intersectionality of the community served. Strong support exists for further educational initiatives on IDEA concepts, highlighting a significant opportunity to enhance early-stage DEI programs in healthcare settings.

摘要

背景

医疗机构认识到多元化员工队伍对于加强项目以及满足脊髓损伤患者的各种需求的价值。这项在2023年脊髓损伤专业学会(ASCIP)会议上进行的调查评估了医疗保健专业人员对工作场所多元化、公平和包容(DEI)的看法,以及他们对在未来活动中纳入相关教育内容的支持。

方法

该调查以数字方式分发给ASCIP的与会者,确保匿名和自愿参与。其目的是收集有关人口背景、对工作场所DEI的看法,以及关于包容、多元化、公平和可及性(IDEA)的教育主题与即将到来的会议议程的相关性的数据。

结果

70%的受访者认为能够在工作场所取得成功并表达自己的真实感受,他们的意见受到重视。虽然在患者护理方面经常讨论经济差距(56%),但宗教、文化种族主义、种族不平等和 LGBTQ + 问题等其他方面较少被提及。约55%的人报告称,他们的组织最近已经开始或正在开展DEI工作。

结论

显然需要包容的工作环境和重视所服务社区多元交叉性的患者护理。对关于IDEA概念的进一步教育倡议有强烈支持,这凸显了在医疗保健环境中加强早期DEI项目的重大机会。

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本文引用的文献

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Perceptions of healthcare professionals' psychological wellbeing at work and the link to patients' experiences of care: A scoping review.医疗保健专业人员工作时的心理健康认知及其与患者护理体验的关联:一项范围综述。
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Mitigating Racial And Ethnic Bias And Advancing Health Equity In Clinical Algorithms: A Scoping Review.减轻临床算法中的种族和民族偏见并促进健康公平:范围综述。
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What an IDEA! Inclusion, Diversity, Equity, and Access in the Spinal Cord Injury Community.好主意!脊髓损伤群体中的包容、多样性、公平和可及性。
J Spinal Cord Med. 2022 May;45(3):325-326. doi: 10.1080/10790268.2022.2069539.
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Valuing Diversity and Inclusion in Health Care to Equip the Workforce: Survey Study and Pathway Analysis.重视医疗保健领域的多样性与包容性以培养专业人才:调查研究与路径分析
JMIR Form Res. 2022 May 6;6(5):e34808. doi: 10.2196/34808.
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Eliminating Explicit and Implicit Biases in Health Care: Evidence and Research Needs.消除医疗保健中的显性和隐性偏见:证据和研究需求。
Annu Rev Public Health. 2022 Apr 5;43:477-501. doi: 10.1146/annurev-publhealth-052620-103528. Epub 2022 Jan 12.
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Can intersectionality help with understanding and tackling health inequalities? Perspectives of professional stakeholders.交叉性理论能否有助于理解和解决健康不平等问题?专业利益相关者的观点。
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