Addressing Positionality Within Case-Based Learning to Mitigate Systemic Racism in Health Care

Details

• Personal Author:
  Altman MR ; Barrington W ; de Castro AB ; Kantrowitz-Gordon I ; Malcolm K ; Moise E ; O'Connor MR ; Vidakovic M
• Description:
  Background: Case-based learning has historically focused on the individual patient; however, there is often little consideration within this teaching method of how social determinants of health, such as structural racism and its adverse health effects, bear upon patients' health status and consequent patient outcomes. Problem: Implementing case studies necessitates taking into account the positionality of patients, as well as health care providers, to counter the racial oppression and discrimination embedded in existing health care and educational systems. Approach: We describe a process for creating an inclusive, antiracist environment for case-based learning within nursing education, outlining steps for preparing students to more effectively examine case studies through social determinants of health framing and lens to mitigate harmful impacts from systemic racism and racial discrimination in clinical care. Conclusions: Addressing positionality in case-based learning is one antiracist strategy to begin rectifying health disparities and moving health care toward equity. [Description provided by NIOSH]
• Subjects:
  Case Reports Education Healthcare Disparities Health Personnel Health Promotion Occupational Health Safety
• Keywords:
  Author Keywords: Case-based Learning Case Studies Health Care Workers Health Communications Health Disparities Nurses Nursing Nursing Education Methods Positionality Problem-based Learning Race Relations SDOH Social Determinants Of Health Systemic Racism

  More +
• ISSN:
  0363-3624
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 10 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  284-289
• Volume:
  46
• Issue:
  5
• NIOSHTIC Number:
  nn:20062206
• Citation:
  Nurse Educ 2021 Sep/Oct; 46(5):284-289
• Contact Point Address:
  Dr Altman, University of Washington School of Nursing, 1959 NE Pacific St, Box 357262, Seattle, WA 98195
• Email:
  mraltman@uw.edu
• Federal Fiscal Year:
  2021
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Nurse Educator
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:dadc4a3a3a9546c93fcd023ab3996d8aebe8cc52b6626680ed27113b12a3f5d06f43ade9c2d283e4af0e0940ff6d0eb7812e25a6b606741a033615ad0b876083
• Download URL:
  https://stacks.cdc.gov/view/cdc/225501/cdc_225501_DS1.pdf
• File Type:
  [PDF - 248.32 KB ]