Datasheet1_Addressing racism in the workplace through simulation: So much to unlearn.pdf

IntroductionRacism exists in the healthcare system and is a root cause of health inequities among Indigenous Peoples. When microaggressions of racism are carried out by healthcare providers, therapeutic trust may be broken and quality of care may be impacted. Anti-racism response training is considered best practice in recognizing and addressing racism. The objective of this study was to evaluate the impact of a virtual (synchronous) anti-racism response training workshop among a group of rehabilitation therapists from across Canada.
MethodsA 90-minute virtual anti-racism simulation workshop for rehabilitation therapists was developed and delivered virtually four times across Canada between 2020 and 2021. Following an introduction and pre-briefing, role-playing among participants was used to address microaggressive Indigenous-specific racism, followed by an in-depth debriefing with trained facilitators. A post-workshop survey was conducted to evaluate this anti-racism simulation workshop and assess the impact on participating occupational therapists (OTs) and physiotherapists (PTs). Following each simulation workshop, participants were invited to complete an anonymous post-activity survey (n = 20; 50% OTs, 45% PTs). Open text responses were analyzed thematically from the perspective of critical race theory.
ResultsThe majority of the participants self-identified as women (95%); white (90%); mid-career (52%); and had never personally experienced racism (70%). All participants agreed that the workshop gave them ideas on how to start dismantling racism in their workplace. Thematic analysis resulted in four themes: so much to unlearn, remain humble, resist the silence, and discomfort is okay.
DiscussionDespite feelings of discomfort, OTs and PTs appreciated anti-racism skills-based training and recognized the importance of taking action on racism in the workplace. Findings from this study support online (synchronous) anti-racism training as a viable and effective means of creating space for rehabilitation professionals to lean into brave conversations that are necessary for developing strategies to address racial microaggressions impacting Indigenous persons in the workplace. We believe that these small steps of preparing and practicing anti-racism strategies among rehabilitation therapists are essential to achieving a collective goal of dismantling racism in the health system.

引言
医疗保健系统中存在种族主义，这是原住民（Indigenous Peoples）群体健康不平等的根源。当医疗保健从业者实施种族主义微攻击时，可能会破坏治疗信任，并影响照护质量。反种族主义应对培训被认为是识别和应对种族主义的最佳实践。本研究旨在评估一场虚拟（同步）反种族主义应对培训工作坊对加拿大各地康复治疗师群体的影响。

方法
研究团队于2020至2021年间为康复治疗师开发了一场时长90分钟的虚拟反种族主义模拟工作坊，并在加拿大全境开展了4场线上培训。在开场介绍与预说明环节后，参与者通过角色扮演应对针对原住民的种族主义微攻击，随后由经过培训的引导者开展深度复盘研讨。本研究通过工作坊后问卷调查，评估该反种族主义模拟工作坊的效果，并分析其对参与的作业治疗师（Occupational Therapists, OTs）与物理治疗师（Physiotherapists, PTs）的影响。每场模拟工作坊结束后，邀请参与者填写匿名活动后问卷（有效样本量n=20，其中OTs占50%，PTs占45%）。本研究采用批判种族理论（Critical Race Theory）的视角，对开放式文本回复进行主题分析。

结果
绝大多数参与者自我认定为女性（95%）、白人（90%）、处于职业中期（52%），且自述从未亲身经历过种族主义（70%）。所有参与者均认为，该工作坊为他们提供了在工作场所开启反种族主义行动的思路。主题分析提炼出四大主题：需摒弃的固有认知甚多、保持谦逊姿态、拒绝沉默不语、接纳不适感受。

讨论
尽管存在不适感受，但OTs与PTs均认可基于技能的反种族主义培训价值，并认同在工作场所针对种族主义采取行动的重要性。本研究结果证实，线上（同步）反种族主义培训是一种可行且有效的方式，可为康复专业人员创造空间，开展必要的坦诚对话，以制定策略应对工作场所中影响原住民的种族主义微攻击。我们认为，在康复治疗师群体中开展反种族主义策略的学习与实践这类微小举措，对于实现破除医疗系统内种族主义的集体目标至关重要。