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Microaggressions

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Diversity and Inclusion in Quality Patient Care

Abstract

Microaggressions are subtle forms of discrimination, often unintentional and unconscious, which send negative and denigrating messages to various individuals and groups (Virginia et al.,Qual Psychol 2(2):147–163, 2015). Providing quality and equitable care to all patients requires that healthcare organizations invest in creating a climate of inclusiveness, where differences are valued. In their focus to improve diversity, many institutions focus on only one element of the climate: increasing the numbers of underrepresented racial and ethnic minorities. The focus needs to shift to include additional inclusive elements in the milieu, resulting in a work environment where differences are valued and everyone, no matter his or her background, can thrive.

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References

  1. Nadal KL, Davidoff KC, Davis LS, Wong Y, Marshall D, McKenzie V. A qualitative approach to intersectional microaggressions: understanding influences of race, ethnicity, gender, sexuality, and religion. Qual Psychol. 2015;2(2):147–63. https://doi.org/10.1037/qup0000026.

    Article  Google Scholar 

  2. Smedley BD, Butler AS, Bristow LR, editors. In the nation’s compelling interest: ensuring diversity in the health care workforce. Washington, DC: National Academies Press; 2004. 409 p.

    Google Scholar 

  3. Tatum BD. Why are all the black kids sitting together in the cafeteria: and other conversations about race. 5th anniversary rev. ed. New York: Basic Books; 2003. 294 p.

    Google Scholar 

  4. Sue DW, Capodilupo CM, Torino GC, Bucceri JM, Holder AMB, Nadal KL, Esquilin M. Racial microaggressions in everyday life: implications for clinical practice. Am Psychol. 2007;62(4):271–86. https://doi.org/10.1037/0003-066X.62.4.271.

    Article  PubMed  Google Scholar 

  5. Hammond WP, Gillen M, Yen IH. Workplace discrimination and depressive symptoms: a study of multi-ethnic hospital employees. Race Soc Probl. 2010;2(1):19–30.

    Article  Google Scholar 

  6. Hardeman RR, Przedworski JM, Burke S, Burgess DJ, Perry S, Phelan S, Dovidio JF, van Ryn M. Association between perceived medical school diversity climate and change in depressive symptoms among medical students: a report from the medical student CHANGE study. J Natl Med Assoc. 2016;108(4):225–35.

    PubMed  Google Scholar 

  7. Przedworski JM, Dovidio JF, Hardeman RR, Phelan SM, Burke SE, Ruben MA, Perry SP, Burgess DJ, Nelson DB, Yeazel MW, Knudsen JM, van Ryn M. A comparison of the mental health and well-being of sexual minority and heterosexual first-year medical students: a report from medical student CHANGES. Acad Med. 2015;90(5):652–9.

    Article  Google Scholar 

  8. Nadal KL. Preventing racial, ethnic, gender, sexual minority, disability, and religious microaggressions: recommendations for promoting positive mental health. Prev Couns Psychol. 2008;2(1):22–7.

    Google Scholar 

  9. Sue DW. Microaggressions and marginality manifestation, dynamics, and impact. Hoboken: Wiley; 2010. 384 p.

    Google Scholar 

  10. Hernandez P, Carranza M, Almeida R. Mental health professionals’ adaptive responses to racial microaggressions: an exploratory study. Prof Psychol Res Pr. 2010;41(3):202–9.

    Article  Google Scholar 

  11. Embrick DG, Dominguez S, Karsak B. More than just insults: rethinking sociology’s contribution to scholarship on racial microaggressions. Sociol Inq. 2017;87(2):193–206. https://doi.org/10.1111/soin.12184.

    Article  Google Scholar 

  12. Husain A, Howard S. Religious microaggressions: a case study of Muslim Americans. J Ethn Cult Divers Soc Work. 2017;26(1–2):139–52. https://doi.org/10.1080/15313204.2016.1269710.

    Article  Google Scholar 

  13. Platt LF, Lenzen AL. Sexual orientation microaggressions and the experience of sexual minorities. J Homosex. 2013;60(7):1011–34. https://doi.org/10.1080/00918369.2013.774878.

    Article  PubMed  Google Scholar 

  14. DeSouza ER, Wesselmann ED, Ispas D. Workplace discrimination against sexual minorities: subtle and not-so-subtle. Can J Adm Sci. 2017;34(2):121–32. https://doi.org/10.1002/CJAS.1438.

    Article  Google Scholar 

  15. Fleras A. Theorizing micro-aggressions as racism 3.0: shifting the discourse. Can Ethn Stud. 2016;48(2):1–19. https://doi.org/10.1353/ces.2016.0011.

    Article  Google Scholar 

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Correspondence to Jeffrey Druck MD .

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Druck, J., Perry, M., Heron, S., Martin, M.L. (2019). Microaggressions. In: Martin, M.L., Heron, S., Moreno-Walton, L., Strickland, M. (eds) Diversity and Inclusion in Quality Patient Care. Springer, Cham. https://doi.org/10.1007/978-3-319-92762-6_3

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  • DOI: https://doi.org/10.1007/978-3-319-92762-6_3

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-92762-6

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