Measuring racial microaggression in medical practice

@article{Almond2019MeasuringRM,
  title={Measuring racial microaggression in medical practice},
  author={Amanda Lee Almond},
  journal={Ethnicity \& Health},
  year={2019},
  volume={24},
  pages={589 - 606}
}
  • A. Almond
  • Published 2019
  • Medicine
  • Ethnicity & Health
ABSTRACT The purpose of this study was to validate the already existing Racial Microaggression in Counseling Scale (RMCS) when the term ‘therapist’ was replaced with ‘physician’, thus constituting the modification as the Racial Microaggression in Medical Practice Scale (RMMPS). Racial microaggressions work at reinforcing inferior social status on a cognitive level. Unlike overt racism, messages behind microaggression are subtler and more every day. A lack of acceptance, respect, and regard… Expand

Topics from this paper

Addressing microaggressions in racially charged patient-provider interactions: a pilot randomized trial
TLDR
A pilot randomized trial of an innovative clinical workshop aimed to decrease providers’ likelihood of expressing biases and negative stereotypes when interacting with patients of color in racially charged moments, such as when patients discuss past incidents of discrimination. Expand
Multiracial Patient Experiences With Racial Microaggressions in Health Care Settings.
TLDR
Understanding patient perspectives about racial microaggressions suggests opportunities to improve patient-provider communication and implications for theory and research as well as opportunities to facilitate systematic improvements in the provision of culturally responsive health care services are highlighted. Expand
Evaluation of Racial Microaggressions Experienced During Medical School Training and the Effect on Medical Student Education and Burnout: A Validation Study.
TLDR
The creation and validation of a survey instrument characterizing the experience of microaggressions in medical school and their impact on medical student education and burnout are described and suggested that microagressions experienced by URMMS can be evaluated using an adapted REMS. Expand
Feeling Like an “Odd Duck”
Abstract Problem, research strategy, and findings African American/Black and Hispanic/Latin/o/a/x practitioners are underrepresented in the planning profession. In this study we examine theseExpand
Academic Emergency Medicine Faculty Experiences with Racial and Sexual Orientation Discrimination
TLDR
EM faculty from racial and sexual minority groups perceived more discrimination based on race or sexual orientation in their workplace than their majority counterparts. Expand
'It's a cultural thing': excuses used by health professionals on providing inclusive care.
TLDR
Three racial microaggressions were used to justify the challenges of providing care to people from First Nations, immigrant and refugee backgrounds and these discourses were identified as forms of racial microaggression that can potentially lead to further exclusion of people seeking services and support. Expand
Expressões de microagressões dirigidas a mulheres no contexto do sistema de saúde: uma abordagem baseada em incidentes críticos
Purpose Patients belonging to social minorities can be exposed to various forms of discrimination in the healthcare context. Previous research in this domain has overlooked expressions ofExpand
A snapshot of underrepresented physicians 15 years after medical school
TLDR
The data suggest that negative student experiences in medical school, combined with the lack of mentor encouragement and financial pressures may discourage URiM medical students from pursuing academic careers, and that pressures for productivity and working in academic medicine may degrade the satisfaction derived by physicians in general. Expand
Cultural health literacy: the experiences of Māori in palliative care
TLDR
The shock and grief that attends a life-limiting illness made hearing and processing health information very difficult for patients and whānau, and poor cultural health literacy on the part of organisations has likely impacted on late access to or avoidance of palliative care for Māori. Expand
Institutional Responses to Harassment and Discrimination in Obstetrics and Gynecology.
TLDR
The familiar framework of an obstetric safety bundle is used here to propose 11 practical steps a health care team or institution may take to prepare for and respond to workplace harassment and discrimination in a systematic fashion. Expand
...
1
2
...

References

SHOWING 1-10 OF 32 REFERENCES
The Racial and Ethnic Microaggressions Scale (REMS): construction, reliability, and validity.
  • Kevin L. Nadal
  • Psychology, Medicine
  • Journal of counseling psychology
  • 2011
TLDR
Analysis indicate that the REMS is a valid measure of racial microaggressions, as evidenced by high correlations with existing measures of racism and participants' feedback. Expand
Racial microaggressions and psychological functioning among highly achieving African-Americans: A mixed-methods approach.
Racial microaggressions and their influence on mental health were examined among African American doctoral students and graduates of doctoral programs. Using a mixed-methods approach, the currentExpand
The Racial Microaggressions Scale (RMAS): a new scale to measure experiences of racial microaggressions in people of color.
TLDR
Results indicated that the Racial Microaggression Scale is a multidimensional tool to assess perceptions of racial microaggressions by people of color. Expand
Forgiveness in response to cultural microaggressions
This study investigated prevalence and impact of cultural microaggressions among adults. When participants were asked to describe a time when they had been wronged by another person, approximately 7%Expand
Development and initial validation of the inventory of Microaggressions Against Black Individuals.
TLDR
The present findings support the IMABI as a reliable and valid measure of microaggressions that was associated with general distress and perceived stress and persisted even when social desirability and another measure of race-related stress were included in the analyses. Expand
Racial microaggressions in the life experience of Black Americans.
Racial microaggressions cause considerable psychological distress among Black Americans and are manifested in nearly all interracial encounters. They set in motion energy-depleting attempts toExpand
The relationship of microaggressions with alcohol use and anxiety among ethnic minority college students in a historically White institution.
TLDR
Results suggest that microaggressions may represent a health and mental health risk to students of color. Expand
Racial Microaggressions Against African American Clients in Cross-Racial Counseling Relationships
This study examined the relationships among African American clients’ perceptions of their White counselors with respect to (a) perceived racial microaggressions in cross-racial counselingExpand
Systemic racism and U.S. health care.
TLDR
This article draws upon a major social science theoretical approach-systemic racism theory-to assess decades of empirical research on racial dimensions of U.S. health care and public health institutions and concludes that institutionalized white socioeconomic resources, discrimination, and racialized framing from centuries of slavery, segregation, and contemporary white oppression severely limit and restrict access of many Americans of color. Expand
When the Seemingly Innocuous “Stings”
TLDR
These findings clarify how perceptions of subtle racial discrimination that do not necessarily involve negative treatment may account for the “sting” of racial microaggressions, influencing the emotional well-being of racial minorities, even among Asian Americans, a group not often expected to experience racism. Expand
...
1
2
3
4
...