Staff perspectives on racial inequities in the neonatal intensive care unit: the REJOICE study.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2025-08-06 DOI:10.1038/s41372-025-02378-y

Krystal Austin, Olga Smith, Monica McLemore, Sarah Lewis, Safyer McKenzie-Sampson, Taylor E Washington, Elizabeth E Rogers, Kayla L Karvonen

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引用次数: 0

Abstract

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.

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新生儿重症监护病房的工作人员对种族不平等的看法：REJOICE研究。

目的：了解工作人员对新生儿重症监护病房（NICU）父母和工作人员所经历的种族歧视的看法。研究设计：对2021 - 2022年城市IV级新生儿重症监护室的工作人员进行开放式调查和半结构化访谈。主题是通过主题分析生成和完善的。主要结果是参与者的结构性种族主义经历。结果：72名多学科、不同种族和民族的参与者完成了调查，10名参与者也接受了采访。确定了五个主要主题：(1)广泛否认和承认种族主义的存在；(2)工作场所文化和关系既保护又促进了种族主义；(3)员工经历了劳动力多样性和少数民族税的缺乏；(4)有偏见的沟通和语言障碍；(5)不同的资源分配。结论：与其他卫生保健工作者和护理人员的报告类似，新生儿重症监护室工作人员也经历和目睹了人际、机构和结构形式的种族主义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.