Evaluating the Effectiveness of Simulation Experiences to Help Navigate Racism and Hidden Bias
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 450
- 试验地点
- 2
- 主要终点
- Cultural Humility
研究概览
简要总结
This study utilizes a quasi-experimental design to examine the acceptability, usability and impact of the A-CHARM resources including the pre-learning, the SEs and the debrief. Consenting participants will be asked to complete a demographic questionnaire and pre-simulation assessment of cultural humility using the Cultural Humility Scale, and cultural awareness using the Cultural Diversity Awareness Questionnaire. Participants will complete an education intervention that provides definitions of race, racism, and discrimination and provides an overview of the Six-Step Approach, ERASE framework and Microaggression Triangle model. Following the education intervention, they will complete a SE and a post-simulation questionnaire that reassess cultural humility, cultural awareness and the usability and acceptability of the SE.
详细描述
Background and Literature Review:
Anti-Black and anti-Asian racism has increased significantly since the COVID-19 pandemic, with the number of hate crimes committed due to race or ethnicity increasing by 80% in Canada in 2020. This includes police-reported hate crimes targeting the Black, East or Southeast Asian, Indigenous, and South Asian peoples. Healthcare providers, including nurses who are persons of color, are not exempt from experiencing racism and hidden biases. These experiences often occur in the clinical setting, are unreported or underreported, and have a negative impact on nurses. A study conducted with nurses (n= 788) in New Jersey, United States, examined the direct, indirect, and interactive effects of individual (race), interpersonal (workplace racial microaggressions), and institutional (racial climate) factors on hospital-based nurses' emotional well- being. Compared to White nurses, non-white nurses reported higher emotional distress, more negative racial climates, and more microaggressions due to race.
Nursing students who experience racism or inappropriate comments in the clinical setting often do not possess appropriate strategies regarding how to respond. In addition, faculty, colleagues or other bystanders may not know how to respond. Traditionally, the method of coping has been avoidance or silence.
However, by not addressing racism it can indicate that inappropriate behaviours are acceptable. Providing nursing students with opportunities to critically examine how they may navigate inappropriate comments or racism, if they experience or witness it, is one strategy that can be utilized. Simulation education provides an opportunity for nursing students to engage in scenarios that based on real life experiences in a safe environment. In this proposed study we utilize the term simulation experiences (SEs) to highlight the lived experiences that the simulations are based on.
Due to the lack of available resources an education session and five virtual simulation experiences (SEs) were developed through the A-CHARM (Addressing Culturally based Hidden bias and RacisM) nursing project.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •undergraduate and graduate nursing students at a University in Southern Ontario
- •clinical faculty at a University in Southern Ontario
- •speak, read and understand English.
- •able to navigate a virtual simulation experience using an electronic device.
排除标准
- •students not enrolled in the nursing program
- •faculty not teaching in the nursing program
结局指标
主要结局
Cultural Humility
时间窗: Day 1
To evaluate cultural humility the Foronda's Cultural Humility Scale will be used. This outcome measure includes 19 questions and was validated and tested with 322 undergraduate nursing and health sciences students and yielded a Cronbach's α = 0.85 (Foronda, Porter \& Phitwong, 2021). The Foronda Cultural Humility Scale has three subscales including 1) context for difference in perspective; 2) self-attributes; and 3) outcomes of cultural humility.
次要结局
- Cultural Awareness(Day 1)
- usability, engagement, and impact(Day 1)
研究者
Monakshi Sawhney
Professor
Queen's University