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1.
7.
BMJ Open ; 10(12): e046620, 2020 12 30.
Artículo en Inglés | MEDLINE | ID: mdl-33380488

RESUMEN

OBJECTIVES: Essential healthcare workers (HCW) uniquely serve as both COVID-19 healers and, potentially, as carriers of SARS-CoV-2. We assessed COVID-19-related stigma and bullying against HCW controlling for social, psychological, medical and community variables. DESIGN: We nested an analytical cross-sectional study of COVID-19-related stigma and bullying among HCW within a larger mixed-methods effort assessing COVID-19-related lived experience and impact. Adjusted OR (aOR) and 95% CIs evaluated the association between working in healthcare settings and experience of COVID-19-related bullying and stigma, controlling for confounders. Thematic qualitative analysis provided insight into lived experience of COVID-19-related bullying. SETTING: We recruited potential participants in four languages (English, Spanish, French, Italian) through Amazon Mechanical Turk's online workforce and Facebook. PARTICIPANTS: Our sample included 7411 people from 173 countries who were aged 18 years or over. FINDINGS: HCW significantly experienced more COVID-19-related bullying after controlling for the confounding effects of job-related, personal, geographic and sociocultural variables (aOR: 1.5; 95% CI 1.2 to 2.0). HCW more frequently believed that people gossip about others with COVID-19 (OR: 2.2; 95% CI 1.9 to 2.6) and that people with COVID-19 lose respect in the community (OR: 2.3; 95% CI 2.0 to 2.7), both which elevate bullying risk (OR: 2.7; 95% CI 2.3 to 3.2, and OR: 3.5; 95% CI 2.9 to 4.2, respectively). The lived experience of COVID-19-related bullying relates frequently to public identities as HCW traverse through the community, intersecting with other domains (eg, police, racism, violence). INTERPRETATION: After controlling for a range of confounding factors, HCW are significantly more likely to experience COVID-19-related stigma and bullying, often in the intersectional context of racism, violence and police involvement in community settings.


Asunto(s)
Acoso Escolar , Personal de Salud , Estrés Laboral/epidemiología , Racismo , Estigma Social , Violencia , Adulto , Acoso Escolar/prevención & control , Acoso Escolar/psicología , Acoso Escolar/estadística & datos numéricos , /prevención & control , Estudios Transversales , Femenino , Salud Global , Personal de Salud/psicología , Personal de Salud/estadística & datos numéricos , Humanos , Internacionalidad , Masculino , Racismo/prevención & control , Racismo/estadística & datos numéricos , Violencia/legislación & jurisprudencia , Violencia/estadística & datos numéricos
11.
Int J Equity Health ; 19(1): 184, 2020 10 19.
Artículo en Inglés | MEDLINE | ID: mdl-33076929

RESUMEN

In healthcare, we find an industry that typifies the unique blend of racism, classism, and other forms of structural discrimination that comprise the U.S. caste system-the artificially-constructed and legally-reinforced social hierarchy for assigning worth and determining opportunity for individuals based on race, class, and other factors. Despite myths of meritocracy, healthcare is actually a casteocracy; and conversations about racism in healthcare largely occupy an echo chamber among the privileged upper caste of hospital professionals. To address racism in healthcare, we must consider the history that brought us here and understand how we effectively perpetuate an employee caste system within our own walls.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Prestación de Atención de Salud/organización & administración , Neumonía Viral/epidemiología , Racismo/prevención & control , Clase Social , Humanos , Pandemias , Estados Unidos/epidemiología
13.
mSphere ; 5(5)2020 09 30.
Artículo en Inglés | MEDLINE | ID: mdl-32999084

RESUMEN

The inaugural Black In Microbiology Week (#BlackInMicro) is 28 September 2020 through 4 October 2020. Its mission is to "showcase the presence and accomplishments of Black microbiologists from around the globe, connect Black microbiologists with one another and foster a sense of community among them, and provide a forum for the discussion of racial disparities in microbiology and its subfields." Participation in this event will happen primarily over Twitter through the hashtag #BlackInMicro and over Zoom through registration on the website https://blackinmicrobiology.org/ An additional mission of Black In Microbiology Week is to amplify black scientists. Today, mSphere does this by presenting two mSphere of Influence commentaries from Black In Microbiology co-lead organizers Ariangela J. Kozik ("mSphere of Influence: frameshift-a vision for human microbiome research" [mSphere 5:e00944-20, 2020, https://doi.org/10.1128/mSphere.00944-20]) and Kishana Taylor ("mSphere of Influence: that's racist-COVID-19, biological determinism, and the limits of hypotheses" [mSphere 5:e00945-20, 2020, https://doi.org/10.1128/mSphere.00945-20]).


Asunto(s)
Grupo de Ascendencia Continental Africana/genética , Determinismo Genético , Racismo/prevención & control , Betacoronavirus , Infecciones por Coronavirus/epidemiología , Humanos , Microbiología , Microbiota , Pandemias , Neumonía Viral/epidemiología
19.
Nurs Forum ; 55(4): 687-694, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32737871

RESUMEN

An organizational culture that values diversity and inclusion is essential for the achievement of high-quality nursing education, yet little literature exists to guide schools of nursing (SON) in accomplishing this goal. All SONs, regardless of size, need a framework that provides specific steps for developing and nurturing a culture that values diversity and inclusion. Using our SON as an exemplar, the goal of this article was to (a) review the barriers we faced when building a diverse and inclusive environment, (b) share our school's strategic plan designed to promote diversity and inclusion, and (c) highlight successful strategies as part of the development and ongoing implementation of our school's strategic plan. This process requires continuous commitment and intentionality as well as flexibility to address unforeseen circumstances. For example, the goals we have adopted and the strategies we have put in place have allowed members of our SON community to acknowledge and address the urgency and validity of the Black Lives Matter movement, as well as the disproportionate impact of the coronavirus disease 2019 pandemic on racial and ethnic minority groups. Although we recognize that we still have work to do within our SON community, we believe our exemplar offers an action-oriented framework for increasing diversity and inclusion among students, faculty, staff, and leadership in SONs.


Asunto(s)
Diversidad Cultural , Cultura Organizacional , Facultades de Enfermería/organización & administración , Betacoronavirus , Infecciones por Coronavirus , Docentes de Enfermería/normas , Docentes de Enfermería/estadística & datos numéricos , Femenino , Humanos , Liderazgo , Masculino , Pandemias , Neumonía Viral , Racismo/prevención & control , Planificación Estratégica , Estudiantes de Enfermería/estadística & datos numéricos
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