迈向健康正义:在妇女保健教育中实施结构能力

Q2 Nursing
Daina Charnelle Fougang , Charles Mpofu , Dianne Wepa
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引用次数: 0

摘要

世界卫生组织提倡为医学生做好准备,以解决少数群体所经历的健康差异。妇女健康结果的持续差异,特别是种族和少数民族之间的差异,突出了当前医学教育方法中的重大差距。尽管对结构能力培训在医学教育中的重要性有着强烈的共识,但大多数课程都难以有效地发展、教授和评估这种培训,特别是在解决妇女健康差异方面。目的本系统综述旨在:(1)评估结构胜任力在女性健康差异中的作用;(2)制定女性健康教育的实施策略。方法使用Scopus, b谷歌Scholar和Web of Science数据库(2010-2023)进行系统文献综述,初步确定了905篇文章。根据严格的纳入标准,重点关注结构能力、妇女健康差异和医学教育,选择了40篇文章进行最终分析。该综述提出了(1)全面的证据表明,妇女保健方面存在健康差异,特别是影响到种族和少数民族;(2)结构能力在解决医疗服务中的系统性障碍和歧视方面的关键作用;(3)有效的教学策略,包括基于讲座的、基于案例的、基于团队的和基于模拟的学习方法;研究结果表明,结构能力的成功实施需要跨越个人、人际、诊所、社区、研究和政策领域的多层次干预。结论将结构胜任力纳入妇女保健教育的重要性。虽然执行方面存在挑战,但制定的框架为通过结构性能力培训解决妇女健康差距问题提供了实际指导。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Towards health justice: Implementing structural competency in women’s healthcare education

Introduction

The World Health Organization advocates for preparing medical students to address health disparities experienced by minority groups. The persistent disparities in women’s health outcomes, particularly among racial and ethnic minorities, highlight critical gaps in current medical education approaches. Despite strong consensus about the significance of structural competence training in medical education, most curricula struggle to develop, teach, and assess it effectively, particularly in addressing women’s health disparities.

Objectives

This systematic review aims to: (1) evaluate structural competency’s role in women’s health disparities and (2) develop implementation strategies for women’s healthcare education.

Methodology

A systematic literature review using Scopus, Google Scholar, and Web of Science databases (2010–2023) initially identified 905 articles. Following rigorous inclusion criteria focusing on structural competency, women’s health disparities, and medical education, 40 articles were selected for final analysis.

Findings

The review presents (1) comprehensive evidence of health disparities in women’s healthcare, particularly affecting racial and ethnic minorities; (2) the critical role of structural competency in addressing systemic barriers and discrimination in healthcare delivery; (3) effective teaching strategies including lecture-based, case-based, team-based, and simulation-based learning approaches; Findings indicate that successful implementation of structural competency requires multi-level interventions across individual, interpersonal, clinic, community, research, and policy domains.

Conclusion

This review establishes the importance of integrating structural competency into women’s healthcare education. While implementation challenges exist, the framework developed provides practical guidance to address women’s health disparities through structural competency training.
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
114
审稿时长
21 weeks
期刊介绍: International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.
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