scholarly journals Mitigating Implicit Racial Bias in the Clinical Setting: A Qualitative Study of Family Medicine Residents

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 90-91
Author(s):  
Anna Goroncy
Keyword(s):  
Older Adults ◽  
Family Medicine ◽  
Thematic Analysis ◽  
Phenomenological Study ◽  
Racial Bias ◽  
Health Inequities ◽  
Clinical Settings ◽  
Implicit Racial Bias ◽  
Work Related ◽  
Homebound Older Adults

Abstract Implicit racial bias (IB) in physicians contributes to racial health inequities. Health profession trainees are not consistently trained to address IB. This phenomenological study explored Family Medicine (FM) residents’ experience of applying strategies to mitigate IB during home visits (HVs) to homebound older adults. FM residents completed pre-work related to IB, applied strategies to mitigate IB during HVs, then completed written reflections and commitments-to-change (CTC). A two-month survey assessed completion of targeted changes and barriers faced. Researchers completed a thematic analysis identifying five themes: Response to IAT, barriers, strategies, value of HVs and mindfulness. All residents’ stated level of CTC remained the same (9/9, 100%) and 8/9 residents (89%) had partially or fully implemented their intended change at 2 months. Residents continued applying newly-learned strategies two months after training with transference to other clinical settings and bias types. These findings can facilitate development of clinically-based IB curricula with lasting impacts.

scholarly journals Voices of Experience: What Do Low-Income Older Adults Tell Us About Mobility, Technology, and Social Participation?

2021 ◽  
pp. 073346482110125
Author(s):  
Haley B. Gallo ◽  
Lia W. Marshall ◽  
Lené Levy-Storms ◽  
Kathleen H. Wilber ◽  
Anastasia Loukaitou-Sideris
Keyword(s):  
Older Adults ◽  
Los Angeles ◽  
Qualitative Study ◽  
Thematic Analysis ◽  
Social Participation ◽  
Low Income ◽  
Technology Use ◽  
Diverse Group ◽  
Senior Center ◽  
Perceived Safety

Mobility and technology can facilitate in-person and virtual social participation to help reduce social isolation, but issues exist regarding older adults’ access, feasibility, and motivation to use various forms of mobility and technology. This qualitative study explores how a diverse group of low-income, urban-living older adults use mobility and technology for social participation. We conducted six focus groups ( N = 48), two each in English, Spanish, and Korean at a Los Angeles senior center. Three major themes emerged from thematic analysis: using technology for mobility; links between mobility and social participation; and technology-mediated social participation. Cost, perceived safety, (dis)ability, and support from family and friends were related to mobility and technology use. This study demonstrates the range of mobility and technology uses among older adults and associated barriers. The findings can help establish a pre-COVID-19 baseline on how to make mobility and technology more accessible for older adults at risk of isolation.

scholarly journals Using Everyday Technology Independently When Living with Forgetfulness: Experiences of Older Adults in Barcelona

2021 ◽  
Vol 7 ◽  
pp. 233372142199375
Author(s):  
Samuel Briones ◽  
Louise Meijering
Keyword(s):  
Older Adults ◽  
Qualitative Methodology ◽  
Local Community ◽  
Phenomenological Study ◽  
Later Life ◽  
Learning Opportunities ◽  
Individual Characteristics ◽  
Community Dwelling ◽  
Community Dwelling Older Adults ◽  
The Capability Approach

Older adults living with forgetfulness encounter difficulties when engaging with changing and dynamic everyday technology (ET). The capability to use ET is important for independence in later life and is affected by the contextual and individual characteristics of older adults. Using the capability approach as a theoretical lens, this phenomenological study aims to explore the experiences of older adults living with forgetfulness, in order to identify contextual and individual factors that facilitate the use of ET in everyday life. A qualitative methodology was used to interview 16 community-dwelling older adults participating in memory and technology workshops at local community centres in Barcelona. Findings show that motivation and openness to learning played a facilitating role in our participants’ use of ET. The presence of social support in the form of “technology experts” and community centres offering learning opportunities were also enhancing factors that encourage independence when engaging with ET. In conclusion, our study demonstrates the importance of expanding intergenerational ET learning opportunities, through the creation of age-friendly spaces.

‘We’re not doing it to be nasty’: Caregivers’ ethical dilemmas in negotiating driving safety with older adults

2021 ◽  
pp. 1-8
Author(s):  
Michelle N. Lafrance ◽  
Elizabeth Dreise ◽  
Lynne Gouliquer ◽  
Carmen Poulin
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Thematic Analysis ◽  
Ethical Dilemmas ◽  
Informal Caregivers ◽  
Health Conditions ◽  
Driving Safety ◽  
Loved One ◽  
Study Participants ◽  
Ability To Drive

Abstract The purpose of this research was to investigate how informal caregivers of older adults cope with and negotiate driving safety when their loved one is no longer safe to drive. Fifteen informal caregivers of an older adult living at home took part in the present study. Participants cared for individuals with a range of health conditions that significantly impaired driving safety, including dementia, Parkinson’s disease, macular degeneration, and stroke. A thematic analysis of participants’ accounts identified the complex interpersonal, social, and organisational context they encountered when their loved one did not recognise or acknowledge limitations in their ability to drive. This analysis highlights the ethical dilemma at the heart of caregivers’ experiences and identifies stake and blame as key considerations in the development of sensitive and effective policies and practices.

Vitamin D in Household Food Supplies of Homebound Older Adults Receiving Home-Delivered Meals

2017 ◽  
Vol 32 (4) ◽  
pp. 282-291
Author(s):  
Nancy F. Lashway ◽  
William K. Hallman ◽  
Carol Byrd-Bredbenner ◽  
Cara L. Cuite ◽  
Rita M. McWilliams ◽  
...  
Keyword(s):  
Older Adults ◽  
Vitamin D ◽  
Household Food ◽  
Homebound Older Adults

scholarly journals Medical School Experiences Associated with Change in Implicit Racial Bias Among 3547 Students: A Medical Student CHANGES Study Report

2015 ◽  
Vol 30 (12) ◽  
pp. 1748-1756 ◽  
Author(s):  
Michelle van Ryn ◽  
Rachel Hardeman ◽  
Sean M. Phelan ◽  
Diana J. Burgess PhD ◽  
John F. Dovidio ◽  
...  
Keyword(s):  
Medical Student ◽  
Medical School ◽  
Racial Bias ◽  
School Experiences ◽  
Implicit Racial Bias ◽  
Study Report

Problematic caregiving activities among family carers of older adults with disabilities

2021 ◽  
Author(s):  
Oladele Atoyebi ◽  
Maude Beaudoin ◽  
François Routhier ◽  
Claudine Auger ◽  
Louise Demers ◽  
...  
Keyword(s):  
Older Adults ◽  
Mixed Methods ◽  
Thematic Analysis ◽  
Family Carers ◽  
Mixed Methods Approach ◽  
Adults With Disabilities ◽  
Sequential Mixed Methods

Family carers of older adults with disability often both experience stress that may affect their ability to provide care, and find some caregiving activities differentially challenging. The objectives of this research are to identify the caregiving activities that are most problematic to carers and to explore the reasons why carers found these activities challenging. Participants were past or current carers aged 19 years and older. Using an explanatory sequential mixed-methods approach, data were collected through a survey and open-ended interviews. Thematic analysis revealed that an activity was likely to be more problematic if it had to be coordinated with other caregiving needs or where a care recipient’s disability was severe.

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