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Why do acute healthcare staff behave unprofessionally towards each other and how can these behaviours be reduced? A realist review.
Health Soc Care Deliv Res
August 2024
School of Health Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.
Background: Unprofessional behaviour in healthcare systems can negatively impact staff well-being, patient safety and organisational costs. Unprofessional behaviour encompasses a range of behaviours, including incivility, microaggressions, harassment and bullying. Despite efforts to combat unprofessional behaviour in healthcare settings, it remains prevalent.
View Article and Find Full Text PDFVariegated racism: exploring experiences of anti-Black racism and their progression in medical education.
CMAJ
June 2024
Department of Community Health and Epidemiology (Alhassan), College of Medicine, University of Saskatchewan, Saskatchewan, Sask.; Department of Family Medicine (Khare), University of British Columbia, Vancouver, BC; College of Medicine (Tanvir), University of Saskatchewan, Saskatchewan, Sask.
Background: Addressing anti-Black racism in medical education in Canada has become increasingly urgent as more Black learners enter medical institutions and bring attention to the racist harms they face. We sought to gather evidence of experiences of racism among Black medical learners and to explore the contexts within which racism is experienced by learners.
Methods: Drawing on critical race and structural violence theories, we conducted interviews with Black medical faculty, students, residents, and staff at the University of Saskatchewan College of Medicine between May and July 2022.
[Public health recommendations as microaggressions: monkeypox and LGBTQIA+ populations].
Cad Saude Publica
November 2023
Departamento de Direito, Universidade Federal de Ouro Preto, Ouro Preto, Brasil.
The article aims to analyze public health recommendations of the World Health Organization and the manifestations of its Director-General during the mpox epidemic addressed to men who have sex with men (MSM) in the light of microaggression as a category of analysis. The stigmatizing potential of statistical disclosure to a broad public that 98% of those infected were among MSM is questioned, as well as the use of the MSM category itself and the suggestion of partial or total sexual abstinence as a way to stop viral dissemination. The following are suggested as alternatives capable of simultaneously guaranteeing disease prevention policies without stigmatizing vulnerable groups, especially the LGBTQIA+ population: (i) differentiating the disclosures addressed to the general public from those aimed at populations predominantly contaminated and subject to a higher degree of social vulnerability; (ii) overcoming the use of the expression MSM, in communications aimed at a wide audience, to use the expression SGD (sex and gender diverse population), maintaining the procedure of recording, in scientific research and in medical forms, the gender identity and sexual orientation by self-declaration of patients; (iii) avoiding messages that negatively address sexuality, reinforce a majority sexual experience, and generate a socially punitive responsibility of the infected, thus excluding from the recommendations aimed at the broad public, the suggestion of partial sexual abstinence, related to the reduction of the number of partners, or total sexual abstinence, except for the cases of people in the active phase of infection or in the immediate period of recovery.
View Article and Find Full Text PDFInterventions to address unprofessional behaviours between staff in acute care: what works for whom and why? A realist review.
BMC Med
October 2023
Health Services Management Centre, University of Birmingham, Birmingham, UK.
Background: Unprofessional behaviour (UB) between staff encompasses various behaviours, including incivility, microaggressions, harassment, and bullying. UB is pervasive in acute healthcare settings and disproportionately impacts minoritised staff. UB has detrimental effects on staff wellbeing, patient safety and organisational resources.
View Article and Find Full Text PDFPurpose: Bias exists in the internal medicine (IM) clinical learning environment; however, it is unclear how often bias is identified by clerkship directors (CDs), how bias is addressed, and whether best practices exist for identifying or mitigating bias. This study investigated how IM CDs receive and respond to bias reports in the clinical learning environment.
Method: In May 2021, the Clerkship Directors in Internal Medicine (CDIM) created an 18-question survey assessing the frequency of bias reports, macroaggressions and microaggressions, and report outcomes.
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