Personal and collective responsibility for health equity: An interprofessional education program around racism

Q3 Social Sciences
Alexa Sevin Valentino , Camilla Curren , Emily Baker , Vondolee M. Delgado-Nixon , Megan Gregory , Darryl B. Hood , Tessa Miracle , Andrea L. Pfeifle , James W. McAuley
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引用次数: 0

Abstract

Understanding the effects of racism on public health is necessary to stimulate structural and systemic change to improve the health outcomes of patients. As a healthcare team, racism is best addressed through interprofessional collaboration to develop equitable and sustainable solutions that transform the health and wellbeing of patients and communities. As a part of the collective effort to properly educate our health professional students about the declarations by local and county health departments that “racism as a public health crisis,” we sought to utilize an interprofessional collaboration model. A steering committee of faculty, staff, and students at The Ohio State University created a new longitudinal interprofessional education (IPE) exercise titled Personal and Collective Responsibility for Health Equity: Anti-Racism in Action (ARIA). The participating Colleges/Schools of Dentistry, Medicine, Nursing, Optometry, Pharmacy, Public Health, School of Health and Rehabilitation Sciences (SHRS), Social Work, and Veterinary Medicine worked with leaders from the University's Office of Interprofessional Practice and Education to develop this 5-week program to engage a cohort of approximately 1300 students in a virtual learning experience during the Spring of 2021, when COVID-19 restricted in-person instruction. Ultimately, 200-interprofessional teams of 5–7 students were involved in this learning experience. Students individually selected resources (readings or videos) from a comprehensive resource kit provided by the steering team, to learn about and reflect on the differential types of racism, how it impacts well-being, health care delivery, and how health professionals can collaborate to advance health equity. The 200 interprofessional teams met twice virtually during the 5-week module and were provided with discussion questions and short assignments. Each team then contextualized, designed and submitted a final poster of a project to describe how an interprofessional approach to racism could further racial equity in health and healthcare delivery as applied to a selected perceived health equity issue, problem or dilemma. Student survey data was used to describe the effect of this module on student learning and attitudes. Students generally agreed that the module helped them to achieve the learning objectives. A thematic analysis of open-ended responses revealed that students generally had a positive response to the content on racism and the opportunity to learn interprofessionally, and they had specific suggestions for how to improve the experience. The results were utilized to re-design the activity for the following year and may be useful to other institutions wishing to address racism through interprofessional education.

健康公平的个人和集体责任:围绕种族主义的跨专业教育计划
了解种族主义对公共卫生的影响对于促进结构和系统变革以改善患者的健康状况是必要的。作为一个医疗团队,种族主义最好通过跨专业合作来解决,以制定公平和可持续的解决方案,改变患者和社区的健康和福祉。作为集体努力的一部分,我们试图利用跨专业合作模式,对我们的卫生专业学生进行适当的教育,让他们了解地方和县卫生部门关于“种族主义是一场公共卫生危机”的声明。俄亥俄州立大学的一个由教职员工和学生组成的指导委员会创建了一个新的纵向跨专业教育(IPE)活动,题为“健康公平的个人和集体责任:反种族主义行动”(ARIA)。参与的学院/学院包括牙科、医学、护理、验光、药学、公共卫生、健康与康复科学学院(SHRS)、社会工作、,兽医与大学跨专业实践与教育办公室的领导合作,制定了这项为期5周的计划,让约1300名学生在2021年春季参与虚拟学习体验,当时新冠肺炎限制了住院教学。最终,200个由5-7名学生组成的跨专业团队参与了这一学习体验。学生们从指导团队提供的综合资源包中单独选择资源(读物或视频),以了解和反思不同类型的种族主义,它如何影响福祉、医疗保健服务,以及卫生专业人员如何合作促进健康公平。在为期5周的模块中,200个跨专业团队进行了两次虚拟会议,并提供了讨论问题和简短作业。然后,每个团队都将项目背景化,设计并提交了一张最终海报,以描述跨专业的种族主义方法如何在应用于选定的感知健康公平问题、问题或困境时,促进健康和医疗服务中的种族公平。学生调查数据用于描述本模块对学生学习和态度的影响。学生们普遍认为该模块有助于他们实现学习目标。对开放式回答的主题分析显示,学生们通常对种族主义内容和跨专业学习的机会有积极的反应,他们对如何改善体验有具体的建议。研究结果被用于重新设计下一年的活动,可能对其他希望通过跨专业教育解决种族主义问题的机构有用。
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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
80
期刊介绍: Journal of Interprofessional Education & Practice, a quarterly online-only journal, provides innovative ideas for interprofessional educators and practitioners through peer-reviewed articles and reports. Each issue examines current issues and trends in interprofessional healthcare topics, offering progressive solutions to the challenges facing the profession. The Journal of Interprofessional Education & Practice (JIEP) is affiliated with University of Nebraska Medical Center and the official journal of National Academies of Practice (NAP) and supports its mission to serve the public and the health profession by advancing education, policy, practice & research.
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