新生儿重症监护病房工作人员对种族不平等问题的看法：“欢乐”研究
Staff perspectives on racial inequities in the neonatal intensive care unit: the REJOICE study.
作者信息
Austin Krystal, Smith Olga, McLemore Monica, Lewis Sarah, McKenzie-Sampson Safyer, Washington Taylor E, Rogers Elizabeth E, Karvonen Kayla L
机构信息
University of Colorado School of Medicine, Aurora, CO, USA.
Independent Researcher, Antioch, CA, USA.
出版信息
J Perinatol. 2025 Aug 6. doi: 10.1038/s41372-025-02378-y.
OBJECTIVE
To understand staff perspectives on racism experienced by both parents and staff members in the neonatal intensive care unit (NICU).
STUDY DESIGN
Open-ended surveys and semi-structured interviews were conducted with staff at an urban level IV NICU from 2021 to 2022. Themes were generated and refined using thematic analysis. The main outcome constituted participants' experiences of structural racism.
RESULTS
72 multi-disciplinary and racially and ethnically diverse participants completed the survey and 10 participants were also interviewed. Five major themes were identified: (1) a wide range of denial and recognition of racism existed, (2) workplace culture and relationships both protected against and facilitated racism, (3) staff experienced a lack of workforce diversity and minority tax, and witnessed (4) biased communication and language barriers, and (5) disparate resource allocation.
CONCLUSIONS
Similar to other healthcare worker and caregiver reports, NICU staff members also experience and witness interpersonal, institutional, and structural forms of racism.
目的
了解新生儿重症监护病房（NICU）中家长和工作人员所经历的种族主义问题，以及工作人员对此的看法。
研究设计
2021年至2022年期间，对一家城市四级新生儿重症监护病房的工作人员进行了开放式调查和半结构化访谈。通过主题分析生成并完善主题。主要结果为参与者所经历的结构性种族主义。
结果
72名多学科、不同种族和民族的参与者完成了调查，10名参与者还接受了访谈。确定了五个主要主题：（1）存在对种族主义的广泛否认和认可；（2）工作场所文化和人际关系既起到了防范种族主义的作用，也助长了种族主义；（3）工作人员经历了劳动力多样性不足和少数群体负担过重的问题，并且目睹了（4）有偏见的沟通和语言障碍，以及（5）资源分配不均。
结论
与其他医护人员和护理人员的报告类似，新生儿重症监护病房的工作人员也经历并目睹了人际、机构和结构性的种族主义形式。
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