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运用拉丁裔/奇卡诺女性主义视角对拉丁裔、西班牙裔或有西班牙裔血统(LHS+)女性在医学领域的经历进行的批判性叙述性综述。

A critical narrative review of the experiences of Latinas, Hispanic, or Spanish origin (LHS+) women in medical field using Latina/Chicana feminist perspective.

作者信息

Sharp Sacha, Clarke Ashley Hixson, Sánchez Berenice, Stumpff Julia C, Sotto-Santiago Sylk

机构信息

Department of Medicine, Indiana University School of Medicine, Indiana, IN, USA.

Equity, Inclusion, Belonging, Center on Budget and Policy Priorities, Washington, DC, USA.

出版信息

Med Educ Online. 2025 Dec;30(1):2534049. doi: 10.1080/10872981.2025.2534049. Epub 2025 Jul 17.

Abstract

Women who identify as Latinas, Hispanic, or Spanish Origin (LHS+) are members of one of the fastest growing ethnic groups in the US. When we consider this fact regarding providing quality healthcare, we find that it is important to have a physician workforce that is representative of this population. However, there is little research about the experiences of LHS+ women in the medical field. The purpose of this study was to explore narratives found in medical education literature documenting the experiences of LHS+ women as learners, trainees, and professionals across the medicine continuum. We conducted a critical narrative review using Latina Chicana Feminist Perspective as a theoretical framework to identify and synthesize literature on LHS+ women in medicine. From July 2021 to October 2021 and November 2023 to January 2024, we performed searches using one database (MEDLINE [OVID]) and selected studies consistent with narrative integrity and relevance to the experiences of LHS+ women using the data software Covidence. After four phases of review, which included the identification phase, screening phase, and eligibility phase, we found 12 articles that discuss the experiences of LHS+ women. The literature allowed us to provide a preview of what is being discussed in terms of the experiences of LHS+ women populations. Although the articles found provided some information about the experiences of LHS+ women in medical education literature, more information is needed. Given the limited representation of narratives about LHS+ women in medical education research, there is a narrow opportunity to explore what their medical school experiences are and have been to develop interventions for their success. Medical educators and administrators are therefore limited in how they can address the possibilities of enhancing or replicating positive experiences and environments for LHS+ women in medicine.

摘要

自认为是拉丁裔、西班牙裔或有西班牙裔血统(LHS+)的女性是美国增长最快的种族群体之一。当我们考虑到提供高质量医疗保健这一事实时,我们发现拥有一支能够代表这一人群的医生队伍非常重要。然而,关于LHS+女性在医疗领域的经历的研究却很少。本研究的目的是探索医学教育文献中的叙述,记录LHS+女性作为学习者、受训者和医学连续体中的专业人员的经历。我们以拉丁裔奇卡诺女性主义视角为理论框架进行了批判性叙述性综述,以识别和综合关于LHS+女性在医学领域的文献。从2021年7月到2021年10月以及2023年11月到2024年1月,我们使用一个数据库(MEDLINE [OVID])进行搜索,并使用数据软件Covidence选择与叙述完整性以及与LHS+女性经历相关性一致的研究。经过包括识别阶段、筛选阶段和合格性阶段在内的四个审查阶段,我们找到了12篇讨论LHS+女性经历的文章。这些文献使我们能够预览关于LHS+女性群体经历的讨论内容。尽管找到的文章提供了一些关于LHS+女性在医学教育文献中经历的信息,但仍需要更多信息。鉴于医学教育研究中关于LHS+女性叙述的代表性有限,探索她们的医学院经历以及为她们的成功制定干预措施的机会很少。因此,医学教育工作者和管理人员在如何增强或复制LHS+女性在医学领域的积极经历和环境方面受到限制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ab8/12272707/1f4df014310b/ZMEO_A_2534049_F0001_B.jpg

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