Okeahialam Nicola, Salami Oluwatosin, Siddiqui Farah, Thangaratinam Shakila, Khalil Asma, Thakar Ranee
Hillingdon Hospitals NHS Foundation Trust, Uxbridge, UK.
University Hospitals of Leicester NHS Trust, Leicester, UK.
BMJ Open. 2025 Jan 9;15(1):e091811. doi: 10.1136/bmjopen-2024-091811.
The objective of this study is to evaluate the effect of equality, diversity and inclusion (EDI) training interventions on race inequalities experienced by healthcare professionals.
Systematic review.
Cochrane, MEDLINE and Embase databases were searched from database inception to February 2024.
Randomised trials, observational studies and mixed-methods studies published in English were included. Studies that reported the effects of EDI training interventions targeting healthcare professionals were included.
A narrative synthesis approach was used to evaluate the impact of EDI interventions on healthcare professionals.
17 studies were included. EDI interventions were delivered using several methods including didactic, group discussion, game-based learning or a combination of methods. Out of nine studies, eight (88.9%) interventions resulted in an improvement in knowledge and awareness. Five studies reviewed the effect on cultural competence and four (80.0%) improved cultural competence. Out of eight studies, six (75.0%) resulted in willingness to change and skills gained to promote behavioural change. Most of the improvements seen were with theory-based, multimethod curriculum in comparison to a non-theory-based didactic approach. However, there was insufficient evidence to suggest that these interventions impact the racism that healthcare professionals from an ethnic/racial minoritised group experience.
EDI interventions may improve healthcare workers' knowledge and awareness of racial inequalities and cultural competence. Although a willingness to change may occur and behavioural change is promoted, there is insufficient evidence from this review to suggest that this reduces the experience of racism.
本研究的目的是评估平等、多样性和包容性（EDI）培训干预措施对医疗保健专业人员所经历的种族不平等的影响。
系统评价。
检索Cochrane、MEDLINE和Embase数据库，检索时间从数据库创建至2024年2月。
纳入以英文发表的随机试验、观察性研究和混合方法研究。纳入报告针对医疗保健专业人员的EDI培训干预措施效果的研究。
采用叙述性综合方法评估EDI干预措施对医疗保健专业人员的影响。
纳入17项研究。EDI干预措施通过多种方法实施，包括讲授法、小组讨论、基于游戏的学习或多种方法结合。在9项研究中，8项（88.9%）干预措施使知识和意识得到改善。5项研究评估了对文化能力的影响，4项（80.0%）改善了文化能力。在8项研究中，6项（75.0%）使人们产生了改变的意愿，并获得了促进行为改变的技能。与非理论性讲授法相比，大多数改善见于基于理论的多方法课程。然而，没有足够的证据表明这些干预措施会影响少数族裔医疗保健专业人员所经历的种族主义。
EDI干预措施可能会提高医护人员对种族不平等的认识和文化能力。虽然可能会产生改变的意愿并促进行为改变，但本综述没有足够的证据表明这能减少种族主义经历。
