Evidence map›Paper›PMID 34886495›Full record

ReviewInternational journal of environmental research and public health2021

Understanding Healthcare Students' Experiences of Racial Bias: A Narrative Review of the Role of Implicit Bias and Potential Interventions in Educational Settings.

Olivia Rochelle Joseph, Stuart W Flint, Rianna Raymond-Williams, Rossby Awadzi, Judith Johnson

Abstract readReview
In one paragraph

Review in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. Trauma-informed language as a tool for health equity.Trauma surgery & acute care open · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Olivia Rochelle JosephSchool of Psychology, University of Leeds, Leeds LS2 9JU, UK.ORCID 0000-0002-5751-2002
Stuart W FlintSchool of Psychology, University of Leeds, Leeds LS2 9JU, UK.
Rianna Raymond-WilliamsSchool of Health and Life Sciences, Glasgow Caledonian University, London E1 6PX, UK.
Rossby AwadziPostgraduate Graduate Medical Education, Northwick Park Hospital, London HA1 3UJ, UK.
Judith JohnsonSchool of Psychology, University of Leeds, Leeds LS2 9JU, UK.ORCID 0000-0003-0431-013X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Implicit racial bias is a persistent and pervasive challenge within healthcare education and training settings. A recent systematic review reported that 84% of included studies (31 out of 37) showed evidence of slight to strong pro-white or light skin tone bias amongst healthcare students and professionals. However, there remains a need to improve understanding about its impact on healthcare students and how they can be better supported. This narrative review provides an overview of current evidence regarding the role of implicit racial bias within healthcare education, considering trends, factors that contribute to bias, and possible interventions. Current evidence suggests that biases held by students remain consistent and may increase during healthcare education. Sources that contribute to the formation and maintenance of implicit racial bias include peers, educators, the curriculum, and placements within healthcare settings. Experiences of implicit racial bias can lead to psychosomatic symptoms, high attrition rates, and reduced diversity within the healthcare workforce. Interventions to address implicit racial bias include an organizational commitment to reducing bias in hiring, retention, and promotion processes, and by addressing misrepresentation of race in the curriculum. We conclude that future research should identify, discuss, and critically reflect on how implicit racial biases are enacted and sustained through the hidden curriculum and can have detrimental consequences for racial and ethnic minority healthcare students.

Indexed as

RacismAttitude of Health PersonnelBias, ImplicitEthnic and Racial MinoritiesEthnicityHealthcare DisparitiesHumansMinority GroupsStudentsdiversityhealthcare educationhealthcare placementimplicit racial bias

Identifiers

PMID34886495
PMCPMC8657581

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.