Share My World: Illuminating The Experience of Black Uterine Fibroids Patients and the Need for Implicit Bias Awareness and Cultural Competence in Their Reproductive Care Open Access
Grayson, Kierra (Spring 2021)
Abstract
Background/Intro: Black women are disproportionately burdened by uterine fibroids. The benign tumors impact their lives physically, mentally, emotionally, and financially.
Project Goal: This special study project aimed to identify opportunities to address implicit bias as a barrier to care for Black uterine fibroid patients and improve patient outcomes impacted by the implicit bias.
Methods: An extensive literature review was conducted on four databases. Thirty relevant sources were identified. Outreach via email and LinkedIn to stakeholders in uterine fibroid care took place. One thirty five minute stakeholder was interviewed via phone. Existing implicit bias frameworks were discovered and modified for project use.
Results: There are five domains that recommendations to improve Black uterine fibroid patient outcomes using implicit bias frameworks should operate from: (1) increasing knowledge about the science of fibroids, (2) acknowledging the impact of implicit bias of Black fibroid patient outcomes, (3) creating a safe, non-threatening context & environment to deliver fibroid care, (4) addressing the unique attributes of the Black fibroid patient experience, and (5) implementing sustainable efforts to provide bias-free care.
Conclusions/Recommendations: Public health practitioners should seek to improve diagnosis, management, and treatment of Black uterine fibroid patients by addressing the barriers to care perpetuated by racial biases. Physicians should strive to provide culturally competent quality reproductive care to enhance early detection and expand treatment options for Black patients with fibroids.
Table of Contents
Table of Contents
Chapter 1: Introduction 1
Background & Significance 1
Problem Statement 2
Purpose 2
Objectives 3
Chapter 2: Literature Review 4
What Are Uterine Fibroids? 4
Treatment Options 4
Their Invisible Burden On Quality of Life 6
Racial Biases Against Black Women 9
How Racism Manifests Around the Black Female Body 10
How Racism Manifests In The Black Female Body 12
Racial Disparities in Uterine Fibroid Management & Reproductive Healthcare 15
Cultural Competence and Humility in Reproductive Health Care 17
Summary 22
Chapter 3: Methods 23
IRB Approval 25
Limitations 25
Chapter 4: Results 26
Increasing knowledge about the science of fibroids 27
Acknowledging the impact of implicit bias on Black fibroid patient outcomes 27
Creating a safe non threatening environment to provide fibroid care 27
Addressing the unique attributes of the Black fibroid patient experience 28
Implementing sustainable efforts to provide bias free care 28
Chapter 5: Discussion, Implications, and Recommendations for Practice 29
Bibliography 32
About this Master's Thesis
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Share My World: Illuminating The Experience of Black Uterine Fibroids Patients and the Need for Implicit Bias Awareness and Cultural Competence in Their Reproductive Care () | 2021-04-29 17:52:39 -0400 |
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