Introduction: Women, Infants and Children (WIC) nutrition professionals serve as frontline providers for Black families who disproportionately experience poor perinatal outcomes. With racism driving inequities, we developed an antiracism training tailored to WIC. This report describes the training framework, design, components, and evaluation.
Methods: In 2019, with feedback from WIC providers, we created a 3-h antiracism training for Philadelphia WIC nutrition professionals that included an identity reflection, key concept definitions, workplace scenario and debrief, a model for repair and disruption, and an action tool. We implemented this training in August 2019 and surveyed WIC staff trainees' awareness of racism and skills to address bias before, immediately after, and 6 months post-training, comparing responses at each time point.
Results: Among 42 WIC staff trainees, mean age was 30 years, 56% were white, 91% female, and 74% had no prior antiracism training. Before the training, 48% felt quite a bit or extremely aware of the role of racism in the healthcare system; this increased to 91% immediately after and was 75% 6 months later. Similar increases in confidence identifying and addressing interactions that perpetuate racism were achieved immediately after training, although the magnitude decreased by 6 months. One-third felt quite a bit or extremely confident the training improved participant interactions at the 6-month timepoint. Qualitative feedback reinforced findings.
Discussion: Results suggest antiracism training may improve WIC nutrition professionals' attitudes, awareness, and actions and could be valuable in efforts to advance health equity. More work is needed to examine how changes translate into improvements for WIC participants.
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http://dx.doi.org/10.1007/s40615-022-01465-6 | DOI Listing |
Can J Nurs Res
January 2025
School of Nursing, Toronto Metropolitan University, Toronto, ON, Canada.
Although race is socially constructed, racism and racialization are social determinants of health. Over four centuries of colonial genocide and structural violence against Indigenous and Black peoples in Canada have resulted in intergeneration traumas and health disparities among Indigenous and Black people, sustained by ongoing social, political, and economic inequities. Evidence indicates the impact of contemporary and historical forms of racism on health outcomes.
View Article and Find Full Text PDFAm J Community Psychol
January 2025
College of Social Work, University of South Carolina, Columbia, South Carolina, USA.
Combating the recent surge of anti-Asian racism requires a collective effort that includes the willingness of nontarget bystanders to intervene, but little is known about the circumstances under which they are willing to do so. The present qualitative study explores why non-Asian bystanders decide to intervene when they witness anti-Asian racism, and why, under other circumstances, they choose not to. Twenty semi-structured interviews were conducted with non-Asian college students who witnessed anti-Asian discrimination.
View Article and Find Full Text PDFSoc Sci Med
December 2024
Department of Medical Education, University of Illinois College of Medicine, United States.
Simulation training provides health professions learners access to training not readily available to them and in a manner that does not harm patients. Simulation also supports learners to develop dispositions and professional communication and reflect on their biases. This study examines how learners, clinical education faculty, and simulation professionals reflect on diversity and antiracism in simulation and contextualize these reflections with their lived experience.
View Article and Find Full Text PDFJ Med Educ Curric Dev
December 2024
Harvard Medical School, Boston, MA, USA.
Objectives: Few opportunities exist for postgraduate physicians to learn to address racism in their professional practice. We created a virtual, 5-session antiracism course that included the development of a formal action project to address racism at participants' home institution.
Methods: We delivered this curriculum virtually to 2 cohorts (2021 and 2022) of postgraduate physicians, nationally.
MedEdPublish (2016)
October 2024
Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Purpose: There is a pressing need to address all forms of anti-oppression in medicine, given systemic harm and inequities in care and outcomes for patients and health care professionals from equity-deserving groups. Revising definitions of professionalism used in competency-based education can incorporate new professional competencies for physicians to identify and eliminate the root causes of these inequities. This study redefined the CanMEDS definition to centre perspectives of equity-deserving groups.
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