The hidden curriculum undermines teaching about health literacy and clear communication, promoting inequities in care.

IF 5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Cliff Coleman, Samantha Birk, Katie Stowers, Christine Mullowney, Marie Chisholm-Burns
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引用次数: 0

Abstract

Health care professionals (HCPs) use specialized language to communicate with each other. Health professions curricula teach HCPs clear communication skills to use with patients, however, such best practices are under-utilized in clinical practice. The authors hypothesized that the hidden curriculum is largely responsible for this observation, and conducted a narrative literature review, which explores: a) how HCPs learn the specialized language of their field, b) the relationship of this language to professional identity formation, c) the role of the hidden curriculum in undermining clear communication education and practices, d) the inequities in care that result from unnecessarily complex health communication for communities with lower health literacy, and e) a system-oriented "universal precautions" approach to reforming communication training for HCPs.

隐性课程破坏了关于卫生知识和清晰沟通的教学,助长了护理方面的不公平。
卫生保健专业人员(HCPs)使用专门的语言相互交流。卫生专业课程教授卫生保健专业人员与患者明确的沟通技巧,然而,这种最佳做法在临床实践中未得到充分利用。作者假设隐性课程是造成这一现象的主要原因,并进行了叙述性文献综述,探讨了:a)医护人员如何学习其领域的专业语言,b)这种语言与职业身份形成的关系,c)隐藏课程在破坏清晰的沟通教育和实践方面的作用,d)由于健康素养较低的社区不必要的复杂健康沟通而导致的护理不公平,以及e)以系统为导向的“普遍预防”方法来改革医护人员的沟通培训。
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来源期刊
Social Science & Medicine
Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
9.10
自引率
5.60%
发文量
762
审稿时长
38 days
期刊介绍: Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.
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