Beavers Lindsay, Vo Tin, Lee Julia, Duvage Thanya, Mullins Hollie, Tewari Aradhana, Needham Allison, Brydges Ryan
Unity Health Toronto, Toronto, Canada.
Department of Physical Therapy, University of Toronto, Toronto, Canada.
Adv Simul (Lond). 2024 Dec 5;9(1):46. doi: 10.1186/s41077-024-00322-2.
Racism continues to plague Western societies' institutions, including the healthcare system. Despite the evidence of racism's negative impacts on healthcare providers, administrators, patients, and families, healthcare workers report hesitancy in taking action to address racism in the workplace. Simulation, with its experiential pedagogy and foundation in psychological safety, may be an educational tool to support practical training. Guided by a social cognitive view of regulation of learning, we piloted virtual reality (VR) modules focused on addressing bias, privilege, and microaggressions. We used pre-/post-surveys, reflective journals, built-in VR platform data, and simulation debriefing session notes to better understand the effectiveness and usability of these VR modules in our organization. Overall, participants found the VR modules highly valuable, and we noted a shift in participants' reported intentions to take action to address racism in the workplace. Participants also noted the importance of a multifaceted plan that goes beyond education to ensure a meaningful culture shift toward addressing racism at work. Practical lessons from this pilot study included the necessity of an informed debriefing plan focused on participants' positionality and power and the need to deeply understand our institution's information technology (IT) environment to ensure successful deployment of VR technology.
种族主义继续困扰着西方社会的机构，包括医疗保健系统。尽管有证据表明种族主义对医疗保健提供者、管理人员、患者和家庭有负面影响，但医疗工作者表示，在采取行动解决工作场所的种族主义问题时犹豫不决。模拟因其体验式教学法和心理安全基础，可能是一种支持实践培训的教育工具。在学习调节的社会认知观点指导下，我们试点了专注于解决偏见、特权和微侵犯的虚拟现实（VR）模块。我们使用了前后调查问卷、反思日志、VR平台内置数据以及模拟汇报会议记录，以更好地了解这些VR模块在我们组织中的有效性和可用性。总体而言，参与者认为VR模块非常有价值，并且我们注意到参与者报告的采取行动解决工作场所种族主义问题的意图发生了转变。参与者还指出了一个多方面计划的重要性，该计划不仅限于教育，以确保朝着解决工作场所种族主义问题实现有意义的文化转变。这项试点研究的实践经验包括制定一个基于参与者立场和权力的明智汇报计划的必要性，以及深入了解我们机构的信息技术（IT）环境以确保VR技术成功部署的必要性。
