Diversidad, equidad e inclusión en las organizaciones hospitalarias y el papel del gestor: una revisión de ámbito
DOI:
https://doi.org/10.18554/refacs.v12i2.7467Palabras clave:
Diversidad, equidad e inclusión, Hospitales, Personal de salud, Gestor de salud, LiderazgoResumen
Objetivo: Investigar las prácticas de diversidad, equidad e inclusión implementadas para los trabajadores en las organizaciones hospitalarias, con especial atención al papel del gestor. Método: Se trata de una revisión de alcance, utilizando cinco bases de datos: Base de Datos de Enfermería; Cumulative Index to Nursing and Allied; Literatura Latinoamericana y del Caribe en Ciencias de la Salud, PubMed y SCOPUS, sin restricción de idioma, desde 2019 hasta febrero de 2024. Resultados: Se consideraron 13 estudios, todos internacionales, de los cuales ocho artículos procedían de Estados Unidos (61,53%). Se construyeron tres categorías a partir de los estudios: Estrategias de Liderazgo y Gestión Inclusiva; Capacitación y Entrenamiento; y Políticas y Estructuras Organizativas. Se observó una tendencia creciente entre las organizaciones y los gestores hacia la diversidad, la equidad y la inclusión de los trabajadores hospitalarios como parte de sus prácticas administrativas. Conclusión: La incorporación de estrategias educativas y la creación de políticas sólidas permiten la concienciación sobre el tema, con vistas a entornos laborales más justos, inclusivos, productivos y armoniosos, lo que en consecuencia se refleja en la calidad de la atención prestada a los usuarios.
Citas
Tahan HM. The professional case manager and social justice, inclusion, and equity: a time for reflection and action. Prof Case Manag. [Internet]. 2020 [citado em 16 mar 2024]; 25(6):305-11. Disponível em: https://journals.lww.com/professionalcasemanagementjournal/abstract/2020/11000/the_professional_case_manager_and_social_justice,.1.aspx
Amonoo HL, Levy-Carrick NC, Nadkarni A, Grossman SJ, Green DW, Longley RM, et al. Diversity, equity, and inclusion committee: an instrument to champion diversity efforts within a large Academic Psychiatry Department. Psychiatr Serv. [Internet]. 2022 [citado em 15 nov 2023]; 73(2):223-6. Disponível em: https://psychiatryonline.org/doi/reader/10.1176/appi.ps.202000934
Fleury MTL. Gerenciando a diversidade cultural: experiências de empresas brasileiras. Rev Admin Empres. [Internet]. 2000 [citado em 15 nov 2023]; 40(3):18-25. Disponível em: https://www.scielo.br/j/rae/a/YqBJ94QnWgPFBRcD7FJHnQj/?format=pdf&lang=pt
Kuper A. When I say… equity. Med Educ. [Internet]. 2016 [citado em 16 mar 2024]; 50(3):283-4. Disponível em: https://asmepublications.onlinelibrary.wiley.com/doi/epdf/10.1111/medu.12954
Kusurkar RA. Inclusive leadership in the health professions and health professions education. BMJ Lead. [Internet]. 2024 [citado em 16 mar 2024]; 1-5. Disponível em: https://bmjleader.bmj.com/content/leader/early/2024/01/05/leader-2023-000868.full.pdf
Pyle WG, Roesch FC. Recalibrating healthcare to create a more equitable post-pandemic work environment. Healthc Manage Forum [Internet]. 2022 [citado em 16 mar 2024]; 35(1):39-42. Disponível em: https://journals.sagepub.com/doi/reader/10.1177/08404704211054142
Solheim MCW. Diversity and inclusion is a must to make innovation work for all. Nature [Internet]. 2022 [citado em 16 mar 2024]; 612(7939):S11. Disponível em: https://media.nature.com/original/magazine-assets/d41586-022-04205-2/d41586-022-04205-2.pdf
Kamau S, Oikarainen A, Kiviniitty N, Koskenranta M, Kuivila H, Tomietto M, et al. Nurse leaders' experiences of how culturally and linguistically diverse registered nurses integrate into healthcare settings: an interview study. Int J Nurs Stud. [Internet]. 2023 [citado em 16 mar 2024]; 146:104559. Disponível em: https://www.sciencedirect.com/science/article/pii/S0020748923001244/pdfft?md5=00393f68e98461d4181d8253502d7f6d&pid=1-s2.0-S0020748923001244-main.pdf
Fink-Samnick E. Diversity, equity, and inclusion start from within. Prof Case Manag. [Internet]. 2024 [citado em 16 mar 2024]; 29(1):1-3. Disponível em: https://journals.lww.com/professionalcasemanagementjournal/abstract/2024/01000/diversity,_equity,_and_inclusion_start_from_within.1.aspx
Tricco AC, Lillie E, Zarin W, O’Brien K, Colquhoun H, Kastner M, et al. A scoping review on the conduct and reporting of scoping reviews. BMC Med Res Methodol. [Internet]. 2016 [citado em 16 mar 2024]; 16(15). Disponível em: https://bmcmedresmethodol.biomedcentral.com/counter/pdf/10.1186/s12874-016-0116-4.pdf
Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil, H. Scoping reviews (2020 version). In: Aromataris E, Munn Z (editors). JBI Manual for Evidence Synthesis, JBI; 2020.
Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. [Internet]. 2018 [citado em 16 mar 2024]; 169(7):467-73. Disponível em: https://www.acpjournals.org/doi/10.7326/M18-0850#core-collateral-purchase-access
Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. [Internet]. 2005 [citado em 16 mar 2024]; 8(1):19-32. Disponível em: https://www.tandfonline.com/doi/epdf/10.1080/1364557032000119616?needAccess=true
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan - a web and mobile app for systematic reviews. Syst Rev. [Internet]. 2016 [citado em 16 mar 2024]; 5(1):210. Disponível em: https://systematicreviewsjournal.biomedcentral.com/counter/pdf/10.1186/s13643-016-0384-4.pdf
Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. [Internet]. 2005 [citado em 16 mar 2024]; 52(5):546-53. Disponível em: https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1365-2648.2005.03621.x
Mcintosh-Clarke DR, Zeman MN, Valand HA, Tu RK. Incentivizing physician diversity in radiology. J Am Coll Radiol. [Internet]. 2019 [citado em 16 mar 2024]; 16(4 Pt B):624-30. Disponível em: https://www.sciencedirect.com/science/article/pii/S1546144019300201/pdfft?md5=b3ca1bd19365684f7b46902d1ef55c3f&pid=1-s2.0-S1546144019300201-main.pdf
Jacobs BS, Hatzigeorgiou MN, McCamant KL. Cultivating a culture: implementing methods to embrace diversity and inclusion. Nurse Lead. [Internet]. 2020 [citado em 16 mar 2024]; 18(5):426-9. Disponível em: https://www.sciencedirect.com/science/article/pii/S1541461220302135/pdfft?md5=d9d2a448455d2657072052a61fac075f&pid=1-s2.0-S1541461220302135-main.pdf
Pagali SR, Kiliaki SA, Rizvi SA. Hospital medicine team perception of diversity and inclusion at work. Hosp Pract (1995) [Internet]. 2021 [citado em 16 mar 2024]; 49(5):376-8. Disponível em: https://www.tandfonline.com/doi/full/10.1080/21548331.2021.2003672?scroll=top&needAccess=true
Purtell R, Tam RP, Avondet E, Gradick K. We are part of the problem: the role of children's hospitals in addressing health inequity. Hosp Pract (1995) [Internet]. 2021 [citado em 16 mar 2024]; 49(Supl 1):445-55. Disponível em: https://www.tandfonline.com/doi/epdf/10.1080/21548331.2022.2032072?needAccess=true
Rotenstein LS, Reede JY, Jena AB. Addressing workforce diversity - A quality-improvement framework. N Engl J Med. [Internet]. 2021 [citado em 16 mar 2024]; 384(12):1083-6. Disponível em: https://www.nejm.org/doi/10.1056/NEJMp2032224?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed
Liu HY, Larson AR, Strong SA, Parekh R, Gautam M, Flores LE, Silver JK. Workforce Diversity, equity, and inclusion: a crucial component of professionalism in psychiatry. Psychiatr Clin North Am. [Internet]. 2022 [citado em 16 mar 2024]; 45(2):243-8. Disponível em: https://linkinghub.elsevier.com/retrieve/pii/S0193-953X(22)00016-8
Williams M, Dubree M. Nurse engagement: a diversity and inclusion imperative. Tenn Nurse [Internet]. 2022 [citado em 16 mar 2024]; 85(4):23. Disponível em: https://web.p.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=1&sid=05a75ee1-6bfd-46d9-a675-f7ca51026964%40redis
Abravan A, Correia D, Gasnier A, Shakhverdian S, van der Stok T, Bertholet J, et al. Qualitative study on diversity, equity, and inclusion within radiation oncology in Europe. Int J Radiat Oncol Biol Phys. [Internet]. 2023 [citado em 16 mar 2024]; 116(2):246-56. Disponível em: https://linkinghub.elsevier.com/retrieve/pii/S0360-3016(23)00151-7
Bird A, Zavaletta V, Carroll EF, McGinnis H, Newsome J, Gichoya J, et al. Fostering an inclusive workplace for LGBTQIA+ people in radiology and radiation oncology. J Med Imaging Radiat Oncol. [Internet]. 2023 [citado em 16 mar 2024]; 67(2):193-199. Disponível em: https://onlinelibrary.wiley.com/doi/epdf/10.1111/1754-9485.13498
Meckler GD, Cheung KW, Chun A, Velmurugiah N, Gill GGK, Ivsins A, et al. Equity, diversity, and inclusion in the emergency medicine workforce: benefits, barriers, and strategies. CJEM. [Internet]. 2023 [citado em 16 mar 2024]; 25(4):269-73. Disponível em: https://link.springer.com/content/pdf/10.1007/s43678-023-00451-z.pdf
Tjoeng YL, Myers C, Irving SY, Esangbedo I, Wheeler D, Musa N. The current state of workforce diversity and inclusion in pediatric critical care. Crit Care Clin. [Internet]. 2023 [citado em 16 mar 2024]; 39(2):327-40. Disponível em: https://www.sciencedirect.com/science/article/pii/S0749070422000872/pdfft?md5=6375545669f6ab5da6d53080ece593e0&pid=1-s2.0-S0749070422000872-main.pdf
Tomblinson CM, Stowell JT, Zavaletta V, Freeman N, Yong-Hing CJ, Carroll EF, et al. Beyond the binary: moving the radiology workforce toward gender inclusion, from the AJR Special Series on DEI. AJR Am J Roentgenol. [Internet]. 2023 [citado em 16 mar 2024]; 221(4):425-32. Disponível em: https://www.ajronline.org/doi/epdf/10.2214/AJR.22.28967
Uman T, Edfors E, Padoan S, Edberg AK. Contribution of an inclusive climate to the work of culturally diverse healthcare teams: a qualitative descriptive design. Nord J Nurs Res. [Internet]. 2023 [citado em 16 mar 2024]; 43(1):1-8. Disponível em: https://journals.sagepub.com/doi/pdf/10.1177/20571585211070381?download=true
Stanford FC. The importance of diversity and inclusion in the healthcare workforce. J Natl Med Assoc. [Internet]. 2020 [citado em 16 mar 2024]; 112(3):247-9. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7387183/pdf/nihms-1583418.pdf
Aguiar NE, Brito dos Santos E, Paranhos WR. Diversidade e inclusão em organizações de saúde: como, quando e para quem? Cadernos de Gênero e Diversidade [Internet]. 2021 [citado em 21 mar 2024]; 7(3):246-71. Disponível em: https://periodicos.ufba.br/index.php/cadgendiv/article/view/46904/25915
Morrison V, Hauch RR, Perez E, Bates M, Sepe P, Dans M. Diversity, equity, and inclusion in nursing: the pathway to excellence framework alignment. Nurs Adm Q. [Internet]. 2021 [citado em 16 mar 2024]; 45(4):311-23. Disponível em: https://journals.lww.com/naqjournal/abstract/2021/10000/diversity,_equity,_and_inclusion_in_nursing__the.8.aspx
Carter B. Achieving diversity, inclusion and equity in the nursing workforce. Rev Latino-Am Enfermagem [Internet]. 2020 [citado em 21 mar 2024]; 28:e3254. Disponível em: https://www.scielo.br/j/rlae/a/p5HjJbVbH6QgWTQ6dghvymH/?format=pdf&lang=en
MacDuffie KE, Patneaude A, Bell S, Adiele A, Makhija N, Wilfond B, et al. Addressing racism in the healthcare encounter: the role of clinical ethics consultants. Bioethics [Internet]. 2022 [citado em 21 mar 2024]; 36(3):313-7. Disponível em: https://onlinelibrary.wiley.com/doi/epdf/10.1111/bioe.13008
Padela AI, Azam L, Murrar S, Baqai B. Muslim American physicians' experiences with, and views on, religious discrimination and accommodation in academic medicine. Health Serv Res. [Internet]. 2023 [citado em 21 mar 2024]; 58(3):733-43. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10154159/pdf/HESR-58-733.pdf
Y?ld?z M, Y?ld?r?m MS, Elkoca A, Sarpda?? Y, Atay ME, Dege G. Investigation the relationship between xenophobic attitude and intercultural sensitivity level in nurses. Arch Psychiatr Nurs. [Internet]. 2024 [citado em 21 mar 2024]; 48:20-29. Disponível em: https://linkinghub.elsevier.com/retrieve/pii/S0883-9417(23)00173-5
Lee CC, Cho YS, Breen D, Monroy J, Seo D, Min YT. Relationship between racial diversity in medical staff and hospital operational efficiency: an empirical study of 3870 U.S. Hospitals. Behav Sci (Basel) [Internet]. 2023 [citado em 21 mar 2024]; 13(7):564. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10376650/pdf/behavsci-13-00564.pdf
Arno K, Davenport D, Shah M, Heinrich S, Gottlieb M. Addressing the urgent need for racial diversification in emergency medicine. Ann Emerg Med. [Internet]. 2021 [citado em 16 mar 2024]; 77(1):69-75. Disponível em: https://linkinghub.elsevier.com/retrieve/pii/S0196-0644(20)30502-3
Sanchez M. Equity, diversity, and inclusion: intersection with quality improvement. Nurs Manage. [Internet]. 2021 [citado em 16 mar 2024]; 52(5):14-21. Disponível em: https://pubmed.ncbi.nlm.nih.gov/33908918/
Lyman B, Parchment J, George KC. Diversity, equity, inclusion: Crucial for organizational learning and health equity. Nurse Lead. [Internet]. 2021 [citado em 16 mar 2024]. 20(2):193-6. Disponível em: https://www.sciencedirect.com/science/article/pii/S1541461221002500/pdfft?md5=3c2340428b62d9259f4c4d001f9ea23a&pid=1-s2.0-S1541461221002500-main.pdf
Machin R, Paulino DB, Pontes JC, Rodrigues RRN. Diversidade e diferença: desafios para a formação dos profissionais de saúde. Ciênc Saúde Colet. [Internet]. 2022 [citado em 21 mar 2024]; 27(10):3797-806. Disponível em: https://www.scielo.br/j/csc/a/q5N67D8CRT7mLwjSgy9MKsN/abstract/?lang=pt&goto=previous
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2024 REVISTA FAMILIA, CICLOS DE VIDA Y SALUD EN EL CONTEXTO SOCIAL
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0.
Cada uno de los autores del manuscrito deberá rellenar y firmar una vía de Declaración de responsabilidad y transferencia de derechos de autor, que deberá ser anexada, por el autor responsable de la sumisión, en el paso 4 del proceso de sumisión en el sistema de la revista (Clic en la opción "Browse", seleccionar el archivo que debe se inserta en el formato pdf, haga clic en el botón "Transferir", en el campo "Título" teclear: Declaración de responsabilidades, luego haga clic en el botón "Guardar y Continuar" y continuar con el proceso de sumisión).
Nota: no se aceptará la inclusión de firma digitalizada. Cada autor del manuscrito deberá rellenar una declaración individualmente.
REFACS de Universidade Federal do Triângulo Mineiro está licenciado com uma Licença Creative Commons - Atribuição-NãoComercial 4.0 Internacional.
Baseado no trabalho disponível em www.uftm.edu.br.
Podem estar disponíveis autorizações adicionais às concedidas no âmbito desta licença em http://www.uftm.edu.br/refacs.