Research progress on micro-aggressions in medical staff

Abstract

Abstract: As medical staff are the providers of medical services,effective prevention and measures of micro-aggressions from patients is important to maintain the physical and mental health of medical personnel,improve the patient's medical experience and establish the new relationship between the doctors and the patients.The research on micro-aggressions of medical staff in foreign countries includes training medical personnel in micro-aggressions education,creating micro-aggressions education tools,development of behavior frameworks,while the research on micro-aggressions in China is confined to the discussion in the field of education and still in the initial stage. This paper reviews the concept,current situation,assessment tools,influencing factors and interventions of micro-aggressions in medical staff,in order to provide a reference for formulating an intervention program adapted to the micro-aggressions of medical personnel in China.

Key words: Micro-aggressions, Medical staff, Influencing factors, Research progress

CLC Number:

R192

LIU Jinyi, WANG Yuting, XU Shuiqin. Research progress on micro-aggressions in medical staff[J]. OCCUPATION AND HEALTH, 2025, 41(12): 1702-1706.

References

[1] FARHA N,BHAMA A,TIZZANO A,et al.Impostor phenomenon and microaggressions in gastroenterology:Exposing the tip of the iceberg[J].Clin Gastroenterol Hepatol,2024,22(1):3-8.
[2] SUE D W,CAPODILUPO C M,TORINO G C,et al.Racial microaggressions in everyday life:Implications for clinical practice[J].Am Psychol,2007,62(4):271-286.
[3] 胡蝶,周婷.抗疫信息呈现对医护刻板印象及挫折就医情境中患方认知的影响[J].中国临床心理学杂志,2022,30(5):1032-1038.
[4] TORRES M B,SALLES A,COCHRAN A.Recognizing and reacting to microaggressions in medicine and surgery[J].JAMA Surg,2019,154(9):868-872.
[5] 徐肇俊. 美国校园微冒犯现象:内涵、根源及启示[J].安徽师范大学学报(人文社会科学版),2015,43(6):712-717.
[6] PIERCE C M.Black psychiatry one year after Miami[J].J Natl Med Assoc,1970,62(6):471-473.
[7] GONZALES L,DAVIDOFF K C,DELUCA J S,et al.The mental illness microaggressions scale-perpetrator version(MIMS-P):Reliability and validity[J].Psychiatry Res,2015,229(1-2):120-125.
[8] DALE S K,DEAN T,SHARMA R,et al.Microaggressions and discrimination relate to barriers to care among black women living with HIV[J].Aids Patient Care St,2019,33(4):175-183.
[9] SPROW H N,HANSEN N F,LOEB H E,et al.Gender-based microaggressions in surgery:A scoping review of the global literature[J].World J Surg,2021,45(5):1409-1422.
[10] ZHANG L,A N C,CHEN J,et al.Characterizing Asian American medical students' experiences with microaggression and the impact on their well-being[J].Med Educ Online,2024,29(1):2299534.
[11] SPANIERMAN L B,CLARK D A,KIM Y.Reviewing racial microaggressions research:Documenting targets' experiences,harmful sequelae,and resistance strategies[J].Perspect Psychol Sci,2021,16(5):1037-1059.
[12] SUE D W,ALSAIDI S,AWAD M N,et al.Disarming racial microaggressions:Microintervention strategies for targets,white allies,and bystanders[J].Am Psychol,2019,74(1):128-142.
[13] FREEMAN L,STEWART H.Microaggressions in Clinical Medicine[J].Kennedy Inst Ethic J,2018,28(4):411-449.
[14] TORRES-HARDING S R,ANDRADE A L,DIAZ C E R.The racial microaggressions scale(RMAS):A new scale to measure experiences of racial microaggressions in people of color[J].Cult Divers Ethn Min,2012,18(2):153-164.
[15] SUDOL N T,GUADERRAMA N M,HONSBERGER P,et al.Prevalence and nature of sexist and racial/ethnic microaggressions against surgeons and anesthesiologists[J].JAMA Surg,2021,156(5):e210265.
[16] DERTHICK A O,ANNIE O.The sexist mess:Development and initial validation of the sexist microaggressions experiences and stress scale and the relationship of sexist microaggressions to women's mental health[D].Fairbanks:University of Alaska Anchorage,2015.
[17] HU A C,NGUYEN K,MEYER T K.Exploring female otolaryngologists' experiences with gender bias and microaggressions:A cross sectional Canadian survey[J].J Otolaryngol-Head N,2023,52(1):22-22.
[18] DAWSON D,BELL S B,HOLLMAN N,et al.Assaults and microaggressions against psychiatric residents:Findings from a US Survey[J].Acad Psychiatr,2024,48(4):310-319.
[19] 连婕,贾妮,庄蓉,等.心理韧性对精神科医生工作压力与睡眠质量的中介作用[J].中国职业医学,2022,49(2):171-175.
[20] ALIMI Y,BEVILACQUA L A,SNYDE R R A,et al.Microaggressions and implicit bias in surgical training:An undocumented but pervasive phenomenon[J].Ann Surg,2023,277(1):e192-e196.
[21] 肖丹,薛湛,席天舒,等.中国神经外科医生工作强度、工作压力与职业满意度的调查研究[J].中华神经外科杂志,2023,39(11):1161-1166.
[22] DE BOURMONT S S,BURRA A,NOURI S S,et al.Resident physician experiences with and responses to biased patients[J].JAMA Netw Open,2020,3(11):e2021769.
[23] 秦真真,戚圣香,王琛琛,等.南京市常住居民慢性病核心知识知晓情况研究[J].中国慢性病预防与控制,2023,31(2):122-125.
[24] ELFAHAM R H,ALLIHAYDAN F S,BARAGAA L A A,et al.An obscured obstacle-prevalence and nature of micro aggressions amongst healthcare professionals[J].Semergen,2024,50(2):102124.
[25] 吴海璐,曹梅娟,陈琦,等.医护人员负担综合征的研究进展[J].护理学杂志,2023,38(23):113-116.
[26] COSTA P L,MCDUFFIE J W,BROWN S E V,et al.Microaggressions:Mega problems or micro issues? A meta-analysis[J].J Community Psychol,2023,51(1):137-153.
[27] OGUNNOWO S,ZAKRISON T L,BAIRD B,et al.Exploring experiences of traumatic microaggressions toward surgeons and surgical residents[J].J Surg Res,2023,295:191-202.
[28] 原平方. 抗疫报道中“被偏见”的女性医护人员形象[J].青年记者,2020(20):18-19.
[29] FARID H,STACK-DUNNIBER H,MOLINA R,et al.Discrimination,microaggressions,and perceptions of institutional response in an academic obstetrics and gynecology department[J].Cureus,2021,13(6):e15993.
[30] 汪新建,张亚慧.医疗题材影视作品对医生职业污名的作用[J].西北师大学报(社会科学版),2023,60(6):72-79.
[31] MYERS A K,WILLIAMS M S,PEKMEZARIS R.Intersectionality and its impact on microaggression in female physicians in academic medicine:A cross-sectional study[J].Womens Health Rep,2023,4(1):298-304.
[32] 吴晓娜,杨舒涵,孙晓明,等.护生人格画像的潜在剖面与专业认同的关系研究[J].护理学报,2022,29(13):1-5.
[33] 郑胜男,王晓茹,赵睿强,等.公立医院“一院多区”运营模式下医护人员薪酬满意度研究[J].中国医院管理,2023,43(2):13-17.
[34] ACKERMAN-BARGER K,JACOBS N N.The Microaggressions triangle model:A humanistic approach to navigating microaggressions in health professions schools[J].Acad Med,2020,95(12S):S28-S32.
[35] HILL WELLER L,TANG J,CHEN R,et al.Tools for Addressing Microaggressions:An interactive workshop for perioperative trainees[J].MedEdPORTAL,2023,19:11360.
[36] WALKER V P,HODGES L,PERKINS M,et al.Taking the VITALS to interrupt microaggressions[J].MedEdPORTAL,2022,18:11202.
[37] GANOTE C,CHEUNG F,SOUZA T.Don’t remain silent! strategies for supporting yourself and your colleagues via microresistances and ally development[C].San Francisco:POD Diversity Committee White Paper at the 40th Annual POD Conference,2015:1.
[38] Diversity and inclusion in the college classroom.Microaggressions and microresistance:Supporting and empowering students[EB/OL].(2016)[2024-04-11].https://www.facultyfocus.com/wp-content/uploads/2016/03/FF-Special-Report-2016-Diversity-and-Inclusion.pdf#page=15.
[39] SCULLY M,ROWE MJJOTIOA.Bystander training within organizations[J].J Int Ombuds Assoc,2009,2(1):1-9.
[40] BROMBERG G K,GAY E A,HILLS-DUNLAP K,et al.Using a virtual platform to teach residents how to respond to bias[J].J Gen Intern Med,2022,37(11):2871-2872.
[41] WILLEMS J.Microaggressions in the general practice setting[J].Aust J Gen Pract,2023,52(12):836-840.
[42] 谢静静,李丽霞,柳学华,等.正念减压疗法和正念认知疗法安全性的meta分析[J].中国心理卫生杂志,2024,38(1):73-83.
[43] KANTER J W,ROSEN D C,MANBECK K E,et al.Addressing microaggressions in racially charged patient-provider interactions:A pilot randomized trial[J].BMC Med Educ,2020,20(1):88.