The Impact of Allyship on Minoritized Patients and Providers in Palliative Practice.

IF 1.2 4区 医学 Q3 NURSING Journal of Hospice & Palliative Nursing Pub Date : 2024-12-01 DOI:10.1097/NJH.0000000000001071
Rosa Terrance, Charmaine Lastimoso
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Abstract

Many minoritized patients experience discrimination in health care. The same is true for minoritized health care clinicians, including the advanced practice registered nurse (APRN). Specifically, Black Americans have historically and disproportionally been privy to both structural racism and interpersonal racial discrimination (J Subst Abuse Treat 2022;133:108551). For patients, such exposure is associated with physical and mental health consequences, including hypertension, obesity, depression, anxiety, psychological distress, and mortality (Health Serv Res 2019;54 suppl 2(suppl 2):1399-1408). For minoritized clinicians, the subsequent result of discrimination additionally includes poor job satisfaction, decreased productivity, and high turnover (JAMA Health Forum 2023;4(12):e235249). Allyship, the act of supporting minoritized individuals while not being a member of that group, is potentially useful in improving the practice experience of minoritized APRNs, as well as positively impacting minoritized patients' outcomes. This article aims to provide actionable and practical skills for the APRN to create safe spaces for minoritized patients and partners in palliative practice. Explicitly, the role of the palliative care APRN as an ally will be reviewed as well as guidance on how to implement changes that will affect the health care experience for both patients and clinicians.

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姑息治疗实践中的盟友关系对少数族裔患者和医护人员的影响。
许多少数族裔病人在医疗保健方面受到歧视。包括高级执业注册护士(APRN)在内的少数族裔医护人员也是如此。具体而言,美国黑人在历史上不成比例地遭受过结构性种族主义和人际种族歧视(J Subst Abuse Treat 2022; 133:108551)。对患者而言,这种暴露与身心健康后果相关,包括高血压、肥胖、抑郁、焦虑、心理困扰和死亡率(Health Serv Res 2019; 54 suppl 2(suppl 2):1399-1408)。对于少数族裔临床医生而言,歧视的后续结果还包括工作满意度低、生产率下降和高离职率(JAMA Health Forum 2023;4(12):e235249)。盟友关系,即在不属于少数群体的情况下支持少数群体的行为,可能有助于改善少数群体全科护士的执业体验,并对少数群体患者的治疗效果产生积极影响。本文旨在为全科护士提供可操作的实用技能,以便在姑息治疗实践中为少数群体患者和合作伙伴创造安全空间。本文将明确回顾姑息关怀助理护士作为盟友的角色,并就如何实施影响患者和临床医生医疗体验的变革提供指导。
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来源期刊
CiteScore
2.60
自引率
11.10%
发文量
203
审稿时长
6-12 weeks
期刊介绍: Journal of Hospice & Palliative Nursing (JHPN) is the official journal of the Hospice & Palliative Nurses Association and is the professional, peer-reviewed journal for nurses in hospice and palliative care settings. Focusing on the clinical, educational and research aspects of care, JHPN offers current and reliable information on end of life nursing. Feature articles in areas such as symptom management, ethics, and futility of care address holistic care across the continuum. Book and article reviews, clinical updates and case studies create a journal that meets the didactic and practical needs of the nurse caring for patients with serious illnesses in advanced stages.
期刊最新文献
Association News. Hospice and Palliative Nurses Association Position Statement: Medical Aid in Dying. Improving Patient-Centered Care for End-Stage Renal Disease Patients at a Community Palliative Setting. The Impact of Allyship on Minoritized Patients and Providers in Palliative Practice. True North.
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