Perceptions of healthcare professionals and students about interventions addressing implicit bias and microaggression: A mixed-studies systematic review
To consolidate and appraise available evidence on the experiences and perceptions of healthcare professionals and students about the interventions addressing implicit bias and microaggression in the clinical setting. Patient-perpetrated acts of implicit bias and microaggression have profound effects...
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| Veröffentlicht in: | Nurse education in practice 2023-11, Vol.73, p.103820-103820, Article 103820 |
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| container_title | Nurse education in practice |
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| creator | Azman, Noorhidayah Bte Noor Zhou, Teo Wei Shorey, Shefaly |
| description | To consolidate and appraise available evidence on the experiences and perceptions of healthcare professionals and students about the interventions addressing implicit bias and microaggression in the clinical setting.
Patient-perpetrated acts of implicit bias and microaggression have profound effects on healthcare professionals' and students' mental health. However, the efficacy of interventions targeted at addressing implicit bias and microaggression requires further scrutiny.
Mixed-studies systematic review.
A comprehensive search was conducted on PubMed, EMBASE, CINAHL, Scopus, Web of Science, PsycINFO, Cochrane Library, ProQuest (Social Science Premium Collection Database), ProQuest (Dissertations and Theses Global), and ClinicalTrials.gov. Study selection, quality appraisal using the mixed methods appraisal tool, and data extraction were performed. Narrative and thematic synthesis were used to analyze quantitative and qualitative findings respectively. A results-based convergent approach was employed to integrate findings from both research designs.
A total of 23 studies were included, involving 4667 healthcare professionals and students. There were 17 quantitative studies and six mixed-method studies of varying methodological quality. This review presented findings on healthcare professionals' and students' experiences and perceptions of the efficacy of the interventions targeted at addressing implicit bias and microaggression. Two themes were identified: 1) A safe space leading to enhanced confidence, and 2) what and why the interventions worked.
Our review findings found that healthcare professionals and students generally had a positive view of implicit bias and microaggression interventions in the realm of helping them gain knowledge and confidence to identify and respond to biased clinical encounters. This review could provide insights for administrators and institutions to provide such interventions in mitigating the impact of implicit bias and microaggression on healthcare staff and students. Future research should focus on comparing the views of participants from varied geographical and cultural backgrounds, and those with different healthcare disciplines. |
| doi_str_mv | 10.1016/j.nepr.2023.103820 |
| format | Article |
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Patient-perpetrated acts of implicit bias and microaggression have profound effects on healthcare professionals' and students' mental health. However, the efficacy of interventions targeted at addressing implicit bias and microaggression requires further scrutiny.
Mixed-studies systematic review.
A comprehensive search was conducted on PubMed, EMBASE, CINAHL, Scopus, Web of Science, PsycINFO, Cochrane Library, ProQuest (Social Science Premium Collection Database), ProQuest (Dissertations and Theses Global), and ClinicalTrials.gov. Study selection, quality appraisal using the mixed methods appraisal tool, and data extraction were performed. Narrative and thematic synthesis were used to analyze quantitative and qualitative findings respectively. A results-based convergent approach was employed to integrate findings from both research designs.
A total of 23 studies were included, involving 4667 healthcare professionals and students. There were 17 quantitative studies and six mixed-method studies of varying methodological quality. This review presented findings on healthcare professionals' and students' experiences and perceptions of the efficacy of the interventions targeted at addressing implicit bias and microaggression. Two themes were identified: 1) A safe space leading to enhanced confidence, and 2) what and why the interventions worked.
Our review findings found that healthcare professionals and students generally had a positive view of implicit bias and microaggression interventions in the realm of helping them gain knowledge and confidence to identify and respond to biased clinical encounters. This review could provide insights for administrators and institutions to provide such interventions in mitigating the impact of implicit bias and microaggression on healthcare staff and students. Future research should focus on comparing the views of participants from varied geographical and cultural backgrounds, and those with different healthcare disciplines.</description><identifier>ISSN: 1471-5953</identifier><identifier>EISSN: 1873-5223</identifier><identifier>DOI: 10.1016/j.nepr.2023.103820</identifier><identifier>PMID: 37922738</identifier><language>eng</language><publisher>Scotland: Elsevier Limited</publisher><subject>Appraisal ; Bias ; Bias, Implicit ; Communication Skills ; Data Analysis ; Delivery of Health Care ; Doctoral Dissertations ; Educational Background ; Efficacy ; Ethnicity ; Extraction ; Health care ; Health Personnel - education ; Humans ; Information Seeking ; Information Sources ; Intervention ; Keywords ; Literature Reviews ; Medical personnel ; Mental health ; Meta Analysis ; Methods Research ; Microaggression ; Microaggressions ; Minority & ethnic groups ; Minority Groups ; Mixed methods research ; Perceptions ; Physicians ; Professionals ; Psychological safety ; Qualitative research ; Racism ; Scrutiny ; Search Strategies ; Students ; Systematic review ; Teaching Methods ; Teaching Skills ; Work Experience</subject><ispartof>Nurse education in practice, 2023-11, Vol.73, p.103820-103820, Article 103820</ispartof><rights>Copyright © 2023 Elsevier Ltd. All rights reserved.</rights><rights>2023. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c282t-39e429e6badd766e7360dd581376a640201a610a5197d1495f54dc4d9aeccfb63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2895297257?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,12826,27903,27904,30978,64361,64363,64365,72215</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37922738$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Azman, Noorhidayah Bte Noor</creatorcontrib><creatorcontrib>Zhou, Teo Wei</creatorcontrib><creatorcontrib>Shorey, Shefaly</creatorcontrib><title>Perceptions of healthcare professionals and students about interventions addressing implicit bias and microaggression: A mixed-studies systematic review</title><title>Nurse education in practice</title><addtitle>Nurse Educ Pract</addtitle><description>To consolidate and appraise available evidence on the experiences and perceptions of healthcare professionals and students about the interventions addressing implicit bias and microaggression in the clinical setting.
Patient-perpetrated acts of implicit bias and microaggression have profound effects on healthcare professionals' and students' mental health. However, the efficacy of interventions targeted at addressing implicit bias and microaggression requires further scrutiny.
Mixed-studies systematic review.
A comprehensive search was conducted on PubMed, EMBASE, CINAHL, Scopus, Web of Science, PsycINFO, Cochrane Library, ProQuest (Social Science Premium Collection Database), ProQuest (Dissertations and Theses Global), and ClinicalTrials.gov. Study selection, quality appraisal using the mixed methods appraisal tool, and data extraction were performed. Narrative and thematic synthesis were used to analyze quantitative and qualitative findings respectively. A results-based convergent approach was employed to integrate findings from both research designs.
A total of 23 studies were included, involving 4667 healthcare professionals and students. There were 17 quantitative studies and six mixed-method studies of varying methodological quality. This review presented findings on healthcare professionals' and students' experiences and perceptions of the efficacy of the interventions targeted at addressing implicit bias and microaggression. Two themes were identified: 1) A safe space leading to enhanced confidence, and 2) what and why the interventions worked.
Our review findings found that healthcare professionals and students generally had a positive view of implicit bias and microaggression interventions in the realm of helping them gain knowledge and confidence to identify and respond to biased clinical encounters. This review could provide insights for administrators and institutions to provide such interventions in mitigating the impact of implicit bias and microaggression on healthcare staff and students. Future research should focus on comparing the views of participants from varied geographical and cultural backgrounds, and those with different healthcare disciplines.</description><subject>Appraisal</subject><subject>Bias</subject><subject>Bias, Implicit</subject><subject>Communication Skills</subject><subject>Data Analysis</subject><subject>Delivery of Health Care</subject><subject>Doctoral Dissertations</subject><subject>Educational Background</subject><subject>Efficacy</subject><subject>Ethnicity</subject><subject>Extraction</subject><subject>Health care</subject><subject>Health Personnel - education</subject><subject>Humans</subject><subject>Information Seeking</subject><subject>Information Sources</subject><subject>Intervention</subject><subject>Keywords</subject><subject>Literature Reviews</subject><subject>Medical personnel</subject><subject>Mental health</subject><subject>Meta Analysis</subject><subject>Methods Research</subject><subject>Microaggression</subject><subject>Microaggressions</subject><subject>Minority & ethnic groups</subject><subject>Minority Groups</subject><subject>Mixed methods research</subject><subject>Perceptions</subject><subject>Physicians</subject><subject>Professionals</subject><subject>Psychological safety</subject><subject>Qualitative research</subject><subject>Racism</subject><subject>Scrutiny</subject><subject>Search Strategies</subject><subject>Students</subject><subject>Systematic review</subject><subject>Teaching Methods</subject><subject>Teaching Skills</subject><subject>Work Experience</subject><issn>1471-5953</issn><issn>1873-5223</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkctu3SAQhlGVqkmTvkAXFVI22fiUiwGTXRSlFylSu2jXCMP4hCPfCjhp3qSPWxynWXQFDN__j2Z-hN5TsqOEyo-H3Qhz3DHCeCnwhpFX6IQ2ileCMX5U7rWildCCH6O3KR1IEREl36BjrjRjijcn6M93iA7mHKYx4anDd2D7fOdsBDzHqYOUyo_tE7ajxykvHsZcHu20ZBzGDPG-FJ7E1vu44uMeh2HugwsZt8FuyiG4ONn9Pm6Gl_iqlH6Dr1bLAAmnx5RhsDk4HOE-wMMZet2VvvDu-TxFPz_d_Lj-Ut1--_z1-uq2cqxhueIaaqZBtqW9khIUl8R70VCupJU1YYRaSYkVVCtPay06UXtXe23Bua6V_BRdbL5l3F8LpGyGkBz0vR1hWpJhTSMlYVLqgp7_hx6mJa7bKZQWTCsmVKHYRpWJU4rQmTmGwcZHQ4lZczMHs-Zm1tzMllsRfXi2XtoB_IvkX1D8L4o7mM4</recordid><startdate>202311</startdate><enddate>202311</enddate><creator>Azman, Noorhidayah Bte Noor</creator><creator>Zhou, Teo Wei</creator><creator>Shorey, Shefaly</creator><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0P</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>202311</creationdate><title>Perceptions of healthcare professionals and students about interventions addressing implicit bias and microaggression: A mixed-studies systematic review</title><author>Azman, Noorhidayah Bte Noor ; Zhou, Teo Wei ; Shorey, Shefaly</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c282t-39e429e6badd766e7360dd581376a640201a610a5197d1495f54dc4d9aeccfb63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Appraisal</topic><topic>Bias</topic><topic>Bias, Implicit</topic><topic>Communication Skills</topic><topic>Data Analysis</topic><topic>Delivery of Health Care</topic><topic>Doctoral Dissertations</topic><topic>Educational Background</topic><topic>Efficacy</topic><topic>Ethnicity</topic><topic>Extraction</topic><topic>Health care</topic><topic>Health Personnel - education</topic><topic>Humans</topic><topic>Information Seeking</topic><topic>Information Sources</topic><topic>Intervention</topic><topic>Keywords</topic><topic>Literature Reviews</topic><topic>Medical personnel</topic><topic>Mental health</topic><topic>Meta Analysis</topic><topic>Methods Research</topic><topic>Microaggression</topic><topic>Microaggressions</topic><topic>Minority & ethnic groups</topic><topic>Minority Groups</topic><topic>Mixed methods research</topic><topic>Perceptions</topic><topic>Physicians</topic><topic>Professionals</topic><topic>Psychological safety</topic><topic>Qualitative research</topic><topic>Racism</topic><topic>Scrutiny</topic><topic>Search Strategies</topic><topic>Students</topic><topic>Systematic review</topic><topic>Teaching Methods</topic><topic>Teaching Skills</topic><topic>Work Experience</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Azman, Noorhidayah Bte Noor</creatorcontrib><creatorcontrib>Zhou, Teo Wei</creatorcontrib><creatorcontrib>Shorey, Shefaly</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Education Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Nurse education in practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Azman, Noorhidayah Bte Noor</au><au>Zhou, Teo Wei</au><au>Shorey, Shefaly</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perceptions of healthcare professionals and students about interventions addressing implicit bias and microaggression: A mixed-studies systematic review</atitle><jtitle>Nurse education in practice</jtitle><addtitle>Nurse Educ Pract</addtitle><date>2023-11</date><risdate>2023</risdate><volume>73</volume><spage>103820</spage><epage>103820</epage><pages>103820-103820</pages><artnum>103820</artnum><issn>1471-5953</issn><eissn>1873-5223</eissn><abstract>To consolidate and appraise available evidence on the experiences and perceptions of healthcare professionals and students about the interventions addressing implicit bias and microaggression in the clinical setting.
Patient-perpetrated acts of implicit bias and microaggression have profound effects on healthcare professionals' and students' mental health. However, the efficacy of interventions targeted at addressing implicit bias and microaggression requires further scrutiny.
Mixed-studies systematic review.
A comprehensive search was conducted on PubMed, EMBASE, CINAHL, Scopus, Web of Science, PsycINFO, Cochrane Library, ProQuest (Social Science Premium Collection Database), ProQuest (Dissertations and Theses Global), and ClinicalTrials.gov. Study selection, quality appraisal using the mixed methods appraisal tool, and data extraction were performed. Narrative and thematic synthesis were used to analyze quantitative and qualitative findings respectively. A results-based convergent approach was employed to integrate findings from both research designs.
A total of 23 studies were included, involving 4667 healthcare professionals and students. There were 17 quantitative studies and six mixed-method studies of varying methodological quality. This review presented findings on healthcare professionals' and students' experiences and perceptions of the efficacy of the interventions targeted at addressing implicit bias and microaggression. Two themes were identified: 1) A safe space leading to enhanced confidence, and 2) what and why the interventions worked.
Our review findings found that healthcare professionals and students generally had a positive view of implicit bias and microaggression interventions in the realm of helping them gain knowledge and confidence to identify and respond to biased clinical encounters. This review could provide insights for administrators and institutions to provide such interventions in mitigating the impact of implicit bias and microaggression on healthcare staff and students. Future research should focus on comparing the views of participants from varied geographical and cultural backgrounds, and those with different healthcare disciplines.</abstract><cop>Scotland</cop><pub>Elsevier Limited</pub><pmid>37922738</pmid><doi>10.1016/j.nepr.2023.103820</doi><tpages>1</tpages></addata></record> |
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| ispartof | Nurse education in practice, 2023-11, Vol.73, p.103820-103820, Article 103820 |
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| subjects | Appraisal Bias Bias, Implicit Communication Skills Data Analysis Delivery of Health Care Doctoral Dissertations Educational Background Efficacy Ethnicity Extraction Health care Health Personnel - education Humans Information Seeking Information Sources Intervention Keywords Literature Reviews Medical personnel Mental health Meta Analysis Methods Research Microaggression Microaggressions Minority & ethnic groups Minority Groups Mixed methods research Perceptions Physicians Professionals Psychological safety Qualitative research Racism Scrutiny Search Strategies Students Systematic review Teaching Methods Teaching Skills Work Experience |
| title | Perceptions of healthcare professionals and students about interventions addressing implicit bias and microaggression: A mixed-studies systematic review |
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