一项以学生为主导的质性研究,探讨牙科学院本科生对种族歧视的理解、经验和反应

IF 1.8 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of public health dentistry Pub Date : 2022-06-21 DOI:10.1111/jphd.12514
Arefeh Ahmadifard BDS, Sara Forouhi BDS, Paula Waterhouse BDS (Hons), FDSRCS (Ed), PhD (Ncle), FDS (paed) RCS, FHEA, Vanessa Muirhead BSc (Hons), BDS, MSc, PhD, FHEA, FDS (RCS) DPH
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引用次数: 2

摘要

目的本质性研究探讨牙科学生参与者对种族主义的理解、他们在牙科学校的经历、对种族主义的反应,以及他们经历的影响。方法采用解释性现象学分析设计,于2020年12月招募英国一所牙科学校口腔健康科学专业本科和理学士学生。两名学生和一名定性研究人员促成了在线焦点小组。包括情景问题在内的主题指南指导了平均持续2小时的讨论。对记录的访谈进行转录并使用主题分析进行分析。结果25名参与者参加了5个焦点小组。与参与者的经历和反应相关的几个主题出现了。他们描述了一系列种族主义遭遇,从更微妙的形式,如刻板印象和微侵略到种族嘲笑。他们关心的是专业精神,不知道如何以及何时应对患者的种族主义行为。他们描述了性别歧视和交叉偏见,但觉得必须把病人的利益放在第一位。他们不确定如何应对员工的刻板印象或种族主义,因为他们认为员工-病人-学生三位一体的关系不平衡。他们表达了对煤气灯的恐惧和沮丧。他们还认为,COVID-19大流行和虚拟学习环境的匿名性助长了种族主义行为。结论本研究揭示了参与者、工作人员和患者之间复杂的三位一体关系,以及交叉性和三个层次的种族主义:人际、结构和制度。它强调需要进一步研究以制定行动,包括结构政策和平等和多样性培训。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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A student-led qualitative study to explore dental undergraduates' understanding, experiences, and responses to racism in a dental school

Objectives

This qualitative study explored dental student participants' understanding of racism, their experiences, and responses to racism in dental school, and the impacts of their experiences.

Methods

An interpretative phenomenological analysis design recruited students from the undergraduate dental degree and the BSc in Oral Health Science course at a UK dental school in December 2020. Two students and a qualitative researcher facilitated the online focus groups. A topic guide including scenario questions guided the discussions that lasted an average of 2 h. The recorded interviews were transcribed and analyzed using thematic analysis.

Results

Twenty-five participants took part in five focus groups. Several themes emerged related to participants' experiences and reactions. They described a spectrum of racist encounters ranging from more subtle forms, such as stereotyping and microaggression to racial mocking. They were concerned about professionalism, not knowing how and when to respond to patients' racist behavior. They described gender discrimination and intersectional biases but felt compelled to put patients' interests first. They were unsure about how to respond to stereotyping or racism from staff because of perceived imbalances in the staff-patient-student triad relationship. They expressed fears of gaslighting and despondency. They also felt that the COVID-19 pandemic and anonymity from virtual learning environments enabled racist behavior.

Conclusion

This study revealed a complex triad relationship between participants, staff and patients, and experience of intersectionality and three levels of racism: interpersonal, structural, and institutional. It highlighted the need for further research to develop actions including structural policies and equality and diversity training.

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来源期刊
Journal of public health dentistry
Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.80
自引率
4.30%
发文量
69
审稿时长
6-12 weeks
期刊介绍: The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.
期刊最新文献
Issue Information Associations between disability type and untreated dental decay among community dwelling US adults Evaluating the harmonization potential of oral health-related questionnaires in national longitudinal birth and child cohort surveys Educating long-term care staff on older adult oral health: Maine's oral team-based initiative vital access to education (MOTIVATE) program Integration of dental therapists in safety net practice increases access to oral health care in Minnesota
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