‘Humility, Concern, Respect’: A Qualitative Study Exploring Parent Perspectives on a Pediatrician's Role in Addressing Racism - 22/10/24
, Michelle Lawson, MD 1, 2, Adharsh Ponnapakkam, MD 1, 2, Paolo C. Martin, PhD 2, Tasha R. Wyatt, PhD 2, Candace S. Percival, MD 1, 2Abstract |
Objective |
To explore racially minoritized families' perceptions on how, and if, physicians should address children's racial identity and concepts of racism within clinical settings.
Study design |
Parents of racially minoritized children, ages 5 through 18, were interviewed to explore experiences with racial identity formation, discrimination, and the extent to which they wanted pediatricians to address these topics. Children were included at the discretion of their parents. Interviews were transcribed, coded, and analyzed through a critical race theory lens based in constructivist grounded theory.
Results |
Parents encouraged their children to embrace their racial identities but also wanted to shield them from negative experiences of racism to preserve identity safety. Parents felt pediatricians should address racial issues in a manner specific to their child's situation. Thoughtful inclusion of race-related questions, whether in discussion or on questionnaires, is essential to prevent tension in a therapeutic relationship. There was no consensus on the use of preclinical screening. Instead, families highlighted the importance of embracing humility, trust, and respect.
Conclusions |
Participant families have preferences for approaches to address the effects of racism on their children's health. Pediatricians should understand the importance of identity safety and approach their discussions with cultural humility, which includes self-reflection, empathy, active listening, and flexible negotiation. Above all, pediatricians need to create a safe environment for appropriate discussion of these issues.
Le texte complet de cet article est disponible en PDF.Keywords : pediatrics, diversity, social determinants of health, health disparity, racism, discrimination, qualitative, qualitative research, interview, perspectives, advocacy, child, racial discrimination, critical race theory, grounded theory, cultural humility, identity safety, cultural competence, cultural safety
Abbreviations : AAP, CRT
Plan
| Disclaimer: This work was prepared by military and civilian employees of the US Government as part of the individual's official duties and therefore is in the public domain. The view(s) expressed herein are those of the author(s) and do not reflect the official policy or position of Brooke Army Medical Center, the US Army Medical Department, the Uniformed Services University, the H M. Jackson Foundation, the US Army Office of the Surgeon General, the Department of the Army, the Department of the Air Force, or the Department of Defense or the US Government. |
Vol 274
Article 114193- novembre 2024 Retour au numéro
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