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Challenges and Opportunities for Clinician Implicit Bias Training: Insights from Perinatal Care Stakeholders
INTRODUCTION: In an attempt to address health inequities, many U.S. states have considered or enacted legislation requiring antibias or implicit bias training (IBT) for health care providers. California's “Dignity in Pregnancy and Childbirth Act” requires that hospitals and alternative birthing...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Mary Ann Liebert, Inc., publishers
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10507933/ https://www.ncbi.nlm.nih.gov/pubmed/37731787 http://dx.doi.org/10.1089/heq.2023.0126 |
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author | Garrett, Sarah B. Jones, Linda Montague, Alexandra Fa-Yusuf, Haleemat Harris-Taylor, Julie Powell, Breezy Chan, Erica Zamarripa, Stephen Hooper, Sarah Chambers Butcher, Brittany D. |
author_facet | Garrett, Sarah B. Jones, Linda Montague, Alexandra Fa-Yusuf, Haleemat Harris-Taylor, Julie Powell, Breezy Chan, Erica Zamarripa, Stephen Hooper, Sarah Chambers Butcher, Brittany D. |
author_sort | Garrett, Sarah B. |
collection | PubMed |
description | INTRODUCTION: In an attempt to address health inequities, many U.S. states have considered or enacted legislation requiring antibias or implicit bias training (IBT) for health care providers. California's “Dignity in Pregnancy and Childbirth Act” requires that hospitals and alternative birthing centers provide IBT to perinatal clinicians with the goal of improving clinical outcomes for Black women and birthing people. However, there is as yet insufficient evidence to identify what IBT approaches, if any, achieve this goal. Engaging the experiences and insights of IBT stakeholders is a foundational step in informing nascent IBT policy, curricula, and implementation. METHODS: We conducted a multimethod community-based participatory research study with key stakeholders of California's IBT policy to identify key challenges and recommendations for effective clinician IBT. We used focus groups, in-depth interviews, combined inductive/deductive thematic analysis, and multiple techniques to promote rigor and validity. Participants were San Francisco Bay Area-based individuals who identified as Black or African American women with a recent hospital birth (n=20), and hospital-based perinatal clinicians (n=20). RESULTS: We identified numerous actionable challenges and recommendations regarding aspects of (1) state law; (2) IBT content and format; (3) health care facility IBT implementation; (4) health care facility environment; and (5) provider commitment and behaviors. Patient and clinician insights overlapped substantially. Many respondents felt IBT would improve outcomes only in combination with other antiracism interventions. HEALTH EQUITY IMPLICATIONS: These stakeholder insights offer policy-makers, health system leaders, and curriculum developers crucial guidance for the future development and implementation of clinician antibias interventions. |
format | Online Article Text |
id | pubmed-10507933 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Mary Ann Liebert, Inc., publishers |
record_format | MEDLINE/PubMed |
spelling | pubmed-105079332023-09-20 Challenges and Opportunities for Clinician Implicit Bias Training: Insights from Perinatal Care Stakeholders Garrett, Sarah B. Jones, Linda Montague, Alexandra Fa-Yusuf, Haleemat Harris-Taylor, Julie Powell, Breezy Chan, Erica Zamarripa, Stephen Hooper, Sarah Chambers Butcher, Brittany D. Health Equity Special Collection: How Stakeholders Are Working to Advance Health Equity (#4/16)—Advancing Health Equity in Policy INTRODUCTION: In an attempt to address health inequities, many U.S. states have considered or enacted legislation requiring antibias or implicit bias training (IBT) for health care providers. California's “Dignity in Pregnancy and Childbirth Act” requires that hospitals and alternative birthing centers provide IBT to perinatal clinicians with the goal of improving clinical outcomes for Black women and birthing people. However, there is as yet insufficient evidence to identify what IBT approaches, if any, achieve this goal. Engaging the experiences and insights of IBT stakeholders is a foundational step in informing nascent IBT policy, curricula, and implementation. METHODS: We conducted a multimethod community-based participatory research study with key stakeholders of California's IBT policy to identify key challenges and recommendations for effective clinician IBT. We used focus groups, in-depth interviews, combined inductive/deductive thematic analysis, and multiple techniques to promote rigor and validity. Participants were San Francisco Bay Area-based individuals who identified as Black or African American women with a recent hospital birth (n=20), and hospital-based perinatal clinicians (n=20). RESULTS: We identified numerous actionable challenges and recommendations regarding aspects of (1) state law; (2) IBT content and format; (3) health care facility IBT implementation; (4) health care facility environment; and (5) provider commitment and behaviors. Patient and clinician insights overlapped substantially. Many respondents felt IBT would improve outcomes only in combination with other antiracism interventions. HEALTH EQUITY IMPLICATIONS: These stakeholder insights offer policy-makers, health system leaders, and curriculum developers crucial guidance for the future development and implementation of clinician antibias interventions. Mary Ann Liebert, Inc., publishers 2023-09-13 /pmc/articles/PMC10507933/ /pubmed/37731787 http://dx.doi.org/10.1089/heq.2023.0126 Text en © Sarah B. Garrett et al., 2023; Published by Mary Ann Liebert, Inc. https://creativecommons.org/licenses/by/4.0/This Open Access article is distributed under the terms of the Creative Commons License [CC-BY] (http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Special Collection: How Stakeholders Are Working to Advance Health Equity (#4/16)—Advancing Health Equity in Policy Garrett, Sarah B. Jones, Linda Montague, Alexandra Fa-Yusuf, Haleemat Harris-Taylor, Julie Powell, Breezy Chan, Erica Zamarripa, Stephen Hooper, Sarah Chambers Butcher, Brittany D. Challenges and Opportunities for Clinician Implicit Bias Training: Insights from Perinatal Care Stakeholders |
title | Challenges and Opportunities for Clinician Implicit Bias Training: Insights from Perinatal Care Stakeholders |
title_full | Challenges and Opportunities for Clinician Implicit Bias Training: Insights from Perinatal Care Stakeholders |
title_fullStr | Challenges and Opportunities for Clinician Implicit Bias Training: Insights from Perinatal Care Stakeholders |
title_full_unstemmed | Challenges and Opportunities for Clinician Implicit Bias Training: Insights from Perinatal Care Stakeholders |
title_short | Challenges and Opportunities for Clinician Implicit Bias Training: Insights from Perinatal Care Stakeholders |
title_sort | challenges and opportunities for clinician implicit bias training: insights from perinatal care stakeholders |
topic | Special Collection: How Stakeholders Are Working to Advance Health Equity (#4/16)—Advancing Health Equity in Policy |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10507933/ https://www.ncbi.nlm.nih.gov/pubmed/37731787 http://dx.doi.org/10.1089/heq.2023.0126 |
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