Odzakovic Elzana, Raphael-Grimm Theresa, Falck Johanna, Hamed Sarah, Lindblom Julia, Huus Karina, Björk Maria
Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
School of Nursing, University of North Carolina at Chapel Hill, USA.
Scand J Caring Sci. 2025 Sep;39(3):e70067. doi: 10.1111/scs.70067.
Notwithstanding nursing's emphasis on equity, social justice and respect for human rights, racism continues to prevail in healthcare. Healthcare professionals are ethically bound to design and implement methods of antiracist practice to ensure equity of care. We created an antiracism learning intervention using a Collaborative Online International Learning (COIL) module, where a multicultural learning environment was developed by bringing together students from different countries. The COIL module promoted discussion and reflection among students to address this sensitive topic. Students engaged in forums that challenged their existing biases and preconceived notions.
To describe students' learning about an antiracist international online learning initiative between Sweden and the USA, designed to raise awareness about racism in healthcare.
A qualitative inductive research design was chosen to analyse 46 students' (27 Swedish students and 19 American students) reflections on the learning module using content analysis.
One main category that emerged was "Learning about racism cross-culturally enhances awareness contributing to mindfulness". Students' experiences were further described in two generic categories: (a) Learning about racism contributes to new knowledge, and (b) Reflecting with others challenges one's attitudes. Within each of the generic categories, two sub-categories were identified.
Engaging in cross-cultural discussions focusing on racism in healthcare seemed to enhance students' awareness and broaden their perspectives on racism and antiracism. Their perceived sense of responsibility for advocating for racialised minority patients and peers also seemed to expand. These findings not only potentially aid healthcare professionals in recognising racism within healthcare but also emphasise the need for increased awareness of methods addressing racism in clinician education curricula.
尽管护理工作强调公平、社会正义和对人权的尊重，但种族主义在医疗保健领域仍然普遍存在。医疗保健专业人员在道德上有责任设计和实施反种族主义实践方法，以确保医疗保健的公平性。我们使用协作式在线国际学习（COIL）模块创建了一个反种族主义学习干预措施，通过汇集来自不同国家的学生，营造了一个多元文化的学习环境。COIL模块促进了学生之间的讨论和反思，以解决这个敏感话题。学生们参与了挑战他们现有偏见和先入之见的论坛。
描述学生对瑞典和美国之间旨在提高对医疗保健领域种族主义认识的反种族主义国际在线学习倡议的学习情况。
选择定性归纳研究设计，使用内容分析法分析46名学生（27名瑞典学生和19名美国学生）对学习模块的反思。
出现的一个主要类别是“跨文化了解种族主义可增强意识，有助于正念”。学生的经历进一步分为两个一般类别：（a）了解种族主义有助于获取新知识，（b）与他人反思会挑战自己的态度。在每个一般类别中，又确定了两个子类别。
参与围绕医疗保健领域种族主义的跨文化讨论似乎增强了学生的意识，拓宽了他们对种族主义和反种族主义的看法。他们对为种族化的少数族裔患者和同龄人发声的责任感也似乎有所增强。这些发现不仅可能有助于医疗保健专业人员认识到医疗保健领域的种族主义，还强调了在临床医生教育课程中提高对解决种族主义方法认识的必要性。
