Experimental studies testing interventions to promote cultural safety, interculturality or antiracism in healthcare: protocol for a systematic review.

Autor:	Sarmiento I; CIET-PRAM, Department of Family Medicine, McGill University, Montreal, Quebec, Canada ivan.sarmiento@mail.mcgill.ca.; GESTS, Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogota, Cundinamarca, Colombia., Rojas-Cárdenas A; CIET-PRAM, Department of Family Medicine, McGill University, Montreal, Quebec, Canada., Zuluaga G; GESTS, Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogota, Cundinamarca, Colombia.; Centro de Estudios Médicos Interculturales (CEMI), Cota, Cundinamarca, Colombia., Belaid L; École nationale d'administration publique (ENAP), Quebec, Quebec, Canada., Cockcroft A; CIET-PRAM, Department of Family Medicine, McGill University, Montreal, Quebec, Canada., Andersson N; CIET-PRAM, Department of Family Medicine, McGill University, Montreal, Quebec, Canada.; Centro de Investigación de Enfermedades Tropicales (CIET), Universidad Autónoma de Guerrero, Chilpancingo, Guerrero, Mexico.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2024 Jan 03; Vol. 14 (1), pp. e077227. Date of Electronic Publication: 2024 Jan 03.
DOI:	10.1136/bmjopen-2023-077227
Abstrakt:	Introduction: Cultural safety, interculturality and antiracism are crucial concepts in addressing health disparities of minority and diverse groups. Measuring them is challenging, however, due to overlapping meanings and their highly contextual nature. Community engagement is essential for evaluating these concepts, yet the methods for social inclusion and protocols for participation remain unclear. This review identifies experimental studies that measure changes resulting from culturally safe, intercultural or antiracist healthcare. The review will describe outcomes and additional factors addressed in these studies. Methods and Analysis: The study focuses on epidemiological experiments with counterfactual comparisons and explicit interventions involving culturally safe, intercultural or antiracist healthcare. The search strategy covers PubMed, CINAHL, Scopus, Web of Science, ProQuest, LILACS and WHO IRIS databases. We will use critical appraisal tools from the Joanna Briggs Institute to assess the quality of randomised and non-randomised experimental studies. Two researchers will screen references, select studies and extract data to summarise the main characteristics of the studies, their approach to the three concepts under study and the reported effect measures. We will use fuzzy cognitive mapping models based on the causal relationships reported in the literature. We will consider the strength of the relationships depicted in the maps as a function of the effect measure reported in the study. Measures of centrality will identify factors with higher contributions to the outcomes of interest. Illustrative intervention modelling will use what-if scenarios based on the maps. Ethics and Dissemination: This review of published literature does not require ethical approval. We will publish the results in a peer-reviewed journal and present them at conferences. The maps emerging from the process will serve as evidence-based models to facilitate discussions with Indigenous communities to further the dialogue on the contributing factors and assessment of cultural safety, interculturality and antiracism. Prospero Registration Number: CRD42023418459. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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