Multiple stakeholder perspectives of factors influencing differential outcomes for ethnic minority students on health and social care placements: a qualitative exploration

Background Despite considerable efforts there continues to be a degree awarding gap within the United Kingdom (UK) between the proportion of White British students receiving higher classifications, compared to ethnic minority UK-domiciled students. Practice placement elements constitute approximately 50% of most health and social care programmes, yet surprisingly little research exists related to the factors which may contribute to ethnic minority student placement outcomes or experiences. This study bridges this evidence gap by exploring factors influencing differential placement outcomes of ethnic minority students from the perspectives of key stakeholders. Methods The study followed a descriptive qualitative research design and was multi-disciplinary, with participants drawn from across nursing, midwifery, social work and the allied health professions. Participants from four stakeholder categories (ethnic minority students, academic staff, placement educators and student union advisors) were invited to join separate focus groups. Focus groups were recorded and transcribed and analysed thematically. Results Ten separate focus groups [n = 66] yielded three primary themes: 1) recognition, which highlighted stakeholder perceptions of the issues [sub-themes: acknowledging concerns; cultural norms; challenging environments]; 2) the lived experience, which primarily captured ethnic minority student perspectives [sub-themes: problematising language and stereotyping, and being treated differently]; 3) surviving not thriving, which outlines the consequences of the lived experience [sub-themes: withdrawing mentally, feeling like an alien]. Conclusion This study presents a rich exploration of the factors affecting differential outcomes of ethnic minority students on practice placements through the lens of four different stakeholder groups. To our knowledge this is the first study in which this comprehensive approach has been taken to enable multiple viewpoints to be accessed across a wide range of health and social care professions. The issues and challenges raised appear to be common to most if not all of these disciplines. This study highlights the urgent need to value and support our ethnic minority students to remove the barriers they face in their practice learning settings. This is a monumental challenge and requires both individuals and organisations to step up and take collective responsibility.

Measuring Math Anxiety Among Predominantly Underrepresented Minority Undergraduates Using the Abbreviated Math Anxiety Scale

Many students experience math anxiety, which can negatively affect their academic achievement and even their career choices. One of the most commonly used methods to assess math anxiety is the Abbreviated Math Anxiety Scale (AMAS). Despite the ubiquity of this measure, there is a lack of studies assessing its validity. Moreover, almost all studies have administered the AMAS to a predominantly (>75%) White sample. The present study assessed the validity of the AMAS in a largely underrepresented minority-student (Hispanics and Blacks) sample. The construct validity of the scale was established by showing that students’ AMAS was predictive of both their actual (objective) and predicted (subjective) performance on an arithmetic task. The factor structure of the measure was validated by confirming that the two-factor model was a better fit than the one-factor model. Gender invariance was supported using multi-group confirmatory factor analyses. Overall, the results of the present study provide further evidence on the validity of the AMAS and its use among underrepresented minority college students.

Academic Reading and Pacific Students: Profiling Texts, Tasks & Readers in the First Year of University in New Zealand

<p>Central to tertiary study in the literate world is the storage, transmission and retrieval of knowledge via the written word through the complex, multi-faceted and largely invisible process of academic reading. With New Zealand's changing demographics and increasing participation in tertiary education by students of Pacific descent, it cannot be assumed that there is a sufficient degree of match between the cultures of academic literacy of the institution and those of the linguistic /ethnic minority student readers; and this is an issue that requires in-depth investigation. This thesis focuses on student readers of Pacific descent undertaking their first year of study in selected 100-level Humanities and Commerce courses in a NZ university. By drawing together the composite skills, cognitive and socio-cultural traditions of reading research, this study conceptualizes academic reading as the dynamic interplay between Text-Task-Reader within any given socio-cultural context. This three-part understanding of academic reading enables a rich profiling of Readers, Texts, and Tasks within their contexts. It permits the systematic discovery and documentation of the nature of the challenge inherent in the academic texts and tasks of the first year of university, and enables the characteristics of the prototypical 'good reader' in a specific discipline to be established. By identifying and holding the core first year academic reading Task of 'reading to understand and remember' constant, the complex interactions between the Reader and Text were able to be observed, thus providing insights into the ways in which these Pacific readers made meaning from Text. Then, through the holistic profiling of cognitive, affective, skills, and socio-culturally based reader features, the Pacific student readers' academic reading personae were constructed. Combined, the readers' profiles reveal group trends, and individually, the complete holistic profiles of two case study readers were able to be woven together from the various profiling 'strands', thus highlighting the usefulness of the profiling system and the uniqueness of the individual readers. Finally, a comparison between the 'good reader' and the 'real' student readers affords an understanding of the degree of 'fit' between the readers' characteristics and the expectations of the institution. It is argued that this type of holistic profiling is of considerable value to institutions, enabling them to respond in informed, strategic ways to the academic literacy development requirements of their Pacific (and other) students, on both an individual and group scale.</p>

Academic Reading and Pacific Students: Profiling Texts, Tasks & Readers in the First Year of University in New Zealand

<p>Central to tertiary study in the literate world is the storage, transmission and retrieval of knowledge via the written word through the complex, multi-faceted and largely invisible process of academic reading. With New Zealand's changing demographics and increasing participation in tertiary education by students of Pacific descent, it cannot be assumed that there is a sufficient degree of match between the cultures of academic literacy of the institution and those of the linguistic /ethnic minority student readers; and this is an issue that requires in-depth investigation. This thesis focuses on student readers of Pacific descent undertaking their first year of study in selected 100-level Humanities and Commerce courses in a NZ university. By drawing together the composite skills, cognitive and socio-cultural traditions of reading research, this study conceptualizes academic reading as the dynamic interplay between Text-Task-Reader within any given socio-cultural context. This three-part understanding of academic reading enables a rich profiling of Readers, Texts, and Tasks within their contexts. It permits the systematic discovery and documentation of the nature of the challenge inherent in the academic texts and tasks of the first year of university, and enables the characteristics of the prototypical 'good reader' in a specific discipline to be established. By identifying and holding the core first year academic reading Task of 'reading to understand and remember' constant, the complex interactions between the Reader and Text were able to be observed, thus providing insights into the ways in which these Pacific readers made meaning from Text. Then, through the holistic profiling of cognitive, affective, skills, and socio-culturally based reader features, the Pacific student readers' academic reading personae were constructed. Combined, the readers' profiles reveal group trends, and individually, the complete holistic profiles of two case study readers were able to be woven together from the various profiling 'strands', thus highlighting the usefulness of the profiling system and the uniqueness of the individual readers. Finally, a comparison between the 'good reader' and the 'real' student readers affords an understanding of the degree of 'fit' between the readers' characteristics and the expectations of the institution. It is argued that this type of holistic profiling is of considerable value to institutions, enabling them to respond in informed, strategic ways to the academic literacy development requirements of their Pacific (and other) students, on both an individual and group scale.</p>

Socioeconomic factors and outcomes from exercise-related sudden cardiac arrest in high school student-athletes in the USA

ObjectiveMinority student-athletes have a lower survival rate from sudden cardiac arrest (SCA) than non-minority student-athletes. This study examined the relationship between high school indicators of socioeconomic status (SES) and survival in student-athletes with exercise-related SCA.MethodsHigh school student-athletes in the USA with exercise-related SCA on school campuses were prospectively identified from 1 July 2014 to 30 June 2018 by the National Center for Catastrophic Sports Injury Research. High school indicators of SES included the following: median household and family income, proportion of students on free/reduced lunch and percent minority students. Resuscitation details included witnessed arrest, presence of an athletic trainer, bystander cardiopulmonary resuscitation and use of an on-site automated external defibrillator (AED). The primary outcome was survival to hospital discharge. Differences in survival were analysed using risk ratios (RR) and univariate general log-binomial regression models.ResultsOf 111 cases identified (mean age 15.8 years, 88% male, 49% white non-Hispanic), 75 (68%) survived. Minority student-athletes had a lower survival rate compared with white non-Hispanic student-athletes (51.1% vs 75.9%; RR 0.67, 95% CI 0.49 to 0.92). A non-significant monotonic increase in survival was observed with increasing median household or family income and with decreasing percent minority students or proportion on free/reduced lunch. The survival rate was 83% if an athletic trainer was on-site at the time of SCA and 85% if an on-site AED was used.ConclusionsMinority student-athletes with exercise-related SCA on high school campuses have lower survival rates than white non-Hispanic athletes, but this difference is not fully explained by SES markers of the school.

Changing the Face of Health Care: A Participatory Theater Intervention for Promoting Retention of Under-Represented Minority Students in Health Care

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Health workforce diversity and under-represented minority student enrollment in health professions programs are major sources of concern for allied health professions. We used sequential mixed methods to examine the impact of a participatory theater intervention on minority students’ engagement in their educational journeys toward becoming health care professionals, with the goal of promoting diversity in health care education, and found a significant increase in meaningful participation. Primary Author and Speaker: Sally Wasmuth Contributing Authors: NiCole Keith, Kevin T. Pritchard

Developing, Implementing, and Learning From a Student-Led Initiative to Support Minority Students in Communication Sciences and Disorders

Purpose The Student Equity & Inclusion Workgroup is a student-led initiative at The University of Kansas that aims to advance equity and inclusion. Within this structure, the workgroup is entirely student-led and independent of any institutional initiatives. It has developed three themes— recognizing minority student leadership, ensuring equitable access to opportunities, and meaningfully supporting students—and used those themes to develop comprehensive programming in research, institutional advocacy, mentorship, and fellowship. Research initiatives included creating research opportunities for minority students by developing independent research projects. Institutional advocacy initiatives focused on policy change and developing a uniquely situated network of allies at and beyond the university. Mentorship centered student-to-student transmission of knowledge, skills, and support. Fellowship entailed creating opportunities for community building and recognition of minority student excellence. Conclusions Student-led initiatives such as those of the workgroup may be an effective way of supporting minority students in communication sciences and disorders. Institutions endeavoring to advance equity and inclusion should consider empowering students through facilitation of self-directed development, using institutional supports to support minority students on their terms, and recognizing students as capable partners in rethinking equity and inclusion.