Documenting Nursing and Medical Students' Stereotypes about Hispanic and American Indian Patients.

Meghan G Bean, Elizabeth S Focella, Rebecca Covarrubias, Jeff Stone, Gordon B Moskowitz, Terry A Badger
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Abstract

Objective: Hispanic Americans and American Indians face significant health disparities compared with White Americans. Research suggests that stereotyping of minority patients by members of the medical community is an important antecedent of race and ethnicity-based health disparities. This work has primarily focused on physicians' perceptions, however, and little research has examined the stereotypes healthcare personnel associate with Hispanic and American Indian patients. The present study assesses: 1) the health-related stereotypes both nursing and medical students hold about Hispanic and American Indian patients, and 2) nursing and medical students' motivation to treat Hispanic and American Indian patients in an unbiased manner.

Design: Participants completed a questionnaire assessing their awareness of stereotypes that healthcare professionals associate with Hispanic and American Indian patients then completed measures of their motivation to treat Hispanics and American Indians in an unbiased manner.

Results: Despite being highly motivated to treat Hispanic and American Indian individuals fairly, the majority of participants reported awareness of stereotypes associating these patient groups with noncompliance, risky health behavior, and difficulty understanding and/or communicating health-related information.

Conclusion: This research provides direct evidence for negative health-related stereotypes associated with two understudied minority patient groups-Hispanics and American Indians-among both nursing and medical personnel.

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记录护理和医科学生对西班牙裔和美国印第安人患者的成见。
目标:与美国白人相比,西班牙裔美国人和美国印第安人在健康方面面临着巨大的差异。研究表明,医疗界人士对少数族裔患者的刻板印象是造成种族和民族健康差异的重要原因。然而,这方面的研究主要集中在医生的看法上,很少有研究探讨医护人员对西班牙裔和美国印第安人患者的刻板印象。本研究评估了1)护理专业学生和医科学生对西班牙裔和美国印第安人患者持有的与健康相关的成见;2)护理专业学生和医科学生以不偏不倚的方式对待西班牙裔和美国印第安人患者的动机:设计:参与者填写一份调查问卷,评估他们对医护人员对西班牙裔和美洲印第安人患者的刻板印象的认识,然后填写一份衡量他们以不偏不倚的方式治疗西班牙裔和美洲印第安人的动机的问卷:结果:尽管参与者对公平对待西班牙裔和美国印第安人有很高的积极性,但大多数人都表示意识到这些患者群体与不遵从医嘱、危险的健康行为以及难以理解和/或传达健康相关信息有关的刻板印象:这项研究提供了直接证据,证明护理人员和医务人员对西班牙裔和美国印第安人这两个未被充分研究的少数民族患者群体存在与健康相关的负面刻板印象。
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