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健康科学专业学生:智利外国患者护理中歧视现象的见证者

Health Sciences Students: Witnesses of Discrimination in the Care of Foreign Patients in Chile.

作者信息

Álvarez-Cruces Debbie Jeinnisse, Álvarez Assumpta Aneas, Nocetti-de-la-Barra Alejandra, Sepúlveda Juan Mansilla

机构信息

Nurse and Dental Surgeon, Ph.D., Associate Professor, Universidad de Concepción, Chile.

Pedagogist, Ph.D., Full Professor, Universidad de Barcelona, Spain.

出版信息

Invest Educ Enferm. 2025 Apr;43(1). doi: 10.17533/udea.iee.v43n1e09.

Abstract

OBJECTIVE

This work sought to inquire on the perception of Health Sciences students about the health care provided to patients of foreign origin in clinical environments.

METHODS

Phenomenological approach with multiple case study design. Health Sciences students from three Chilean universities par-ticipated with intensity sampling. Semi-structured interviews were conducted via Zoom after the consent was signed. Data analysis included open and axial coding axial with the aid of the ATLAS.ti 24 software.

RESULTS

The study had the participation of 106 students, who identified different types of discrimination, besides diverse exclusion manifestations that take place during the care process, such as: apathy, prejudice/stereotyping, derogatory comments, evading, underestimating, normalizing discrimination, infantilizing, and scoffing. Some of the participants normalized these behaviors due to the overload health system.

CONCLUSION

The Health Sciences students witnessed several types of discrimination and exclusion manifestations occurring during the care process, highlighting apathy and evading as characteristic of the clinical environment, which could favor negative vicar-ious learning that perpetuates discriminatory conducts against foreign patients.

摘要

目的

本研究旨在探究健康科学专业学生对临床环境中为外国患者提供的医疗服务的看法。

方法

采用多案例研究设计的现象学方法。来自智利三所大学的健康科学专业学生通过强度抽样参与研究。在签署同意书后,通过Zoom进行半结构化访谈。数据分析借助ATLAS.ti 24软件进行开放式编码和轴心式编码。

结果

该研究有106名学生参与,他们识别出了不同类型的歧视以及护理过程中出现的各种排斥表现,例如:冷漠、偏见/刻板印象、贬损性言论、回避、轻视、将歧视常态化、 infantilizing(该词有误,可能是infantilization,意为幼稚化)和嘲笑。由于医疗系统负担过重,一些参与者将这些行为合理化。

结论

健康科学专业学生目睹了护理过程中出现的几种歧视和排斥表现,突出了冷漠和回避是临床环境的特征,这可能助长负面的替代性学习,使针对外国患者的歧视行为持续存在。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f14/12085254/6374fd6f9b33/2216-0280-iee-43-01-e09-gf1.jpg

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