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An Examination of Biases in Training Design and Treatment Decisions in Combat Medicine
An Examination of Biases in Training Design and Treatment Decisions in Combat Medicine
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202102943
- ISBN
- 9798291502884
- DDC
- 150
- 서명/저자
- An Examination of Biases in Training Design and Treatment Decisions in Combat Medicine
- 발행사항
- [Sl] : University of Minnesota, 2024
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2024
- 형태사항
- 220 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 87-02, Section: A.
- 주기사항
- Advisor: Morris, Nichole L.
- 학위논문주기
- Thesis (Ph.D.)--University of Minnesota, 2024.
- 초록/해제
- 요약There is growing interest in understanding why military first responders are more reluctant to treat female casualties on the battlefield. Past work establishes there are gender disparities in patient care, and patient characteristics influence treatment decisions. This work examines limitations in simulation training devices and gender biases in combat casualty care. Study one developed a taxonomy of simulators to determine their demographic makeup and whether there was evidence of default bias in product catalogs. Simulator demographic information and prehospital care procedure features were cataloged for 114 simulators. Marketing of existing simulators uses the white, male body as the featured default patient. Female and simulated patients of color were significantly less likely to have procedure capabilities that allow for the practice of treating sensitive areas of the body compared to default simulators. The limited availability of diverse simulator options on the marketplace may inhibit simulation facilities' ability to purchase diverse equipment. Study two inventoried simulators in accredited simulation training facilities, evaluated attitudes about representativeness, and identified diverse simulator equipment purchasing barriers. Sixty-two facilities, representing 30 states, reported count information for 804 simulators. Facilities averaged significantly more male than female simulators, and more white than simulated patients of color, however, only gender differences were significantly disproportionate to that of state populations. Availability and cost were the most reported barriers to obtaining diverse equipment. Study three examined whether gender biases predicted differences in undressing and treatment decisions for a chest injury. Twenty-nine combat lifesavers reported gender attitudes and treated female and male patient simulators. Lower endorsement of RMA and female patients were less likely to have a complete chest exposure, and the failure to completely expose the chest was associated with increased treatment errors. Greater endorsement of RMA and female patients was associated with increased treatment errors. Female patients continue to be the underrepresented patient, are treated differently, and receive poorer quality of care than their male counterparts. Recommendations include: 1) integrating gender-specific information into Tactical Combat Casualty Care, 2) addressing medical training and gender biases through Sexual Harassment and Assault Response Prevention, 3) establishing partnerships between simulation facilities and medical device companies, and 4) increasing diversity training opportunities in simulation.
- 일반주제명
- Psychology
- 일반주제명
- Medicine
- 일반주제명
- Social psychology
- 키워드
- Bias
- 키워드
- Decision-making
- 키워드
- Gender
- 키워드
- Simulation
- 키워드
- Training
- 기타저자
- University of Minnesota Human Factors/Ergonomics
- 기본자료저록
- Dissertations Abstracts International. 87-02A.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■00520260202102943
■006m o d
■007cr#unu||||||||
■020 ▼a9798291502884
■035 ▼a(MiAaPQ)AAI31327815
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a150
■1001 ▼aSchwieters, Katelyn Rose.
■24513▼aAn Examination of Biases in Training Design and Treatment Decisions in Combat Medicine
■260 ▼a[Sl]▼bUniversity of Minnesota▼c2024
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2024
■300 ▼a220 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 87-02, Section: A.
■500 ▼aAdvisor: Morris, Nichole L.
■5021 ▼aThesis (Ph.D.)--University of Minnesota, 2024.
■520 ▼aThere is growing interest in understanding why military first responders are more reluctant to treat female casualties on the battlefield. Past work establishes there are gender disparities in patient care, and patient characteristics influence treatment decisions. This work examines limitations in simulation training devices and gender biases in combat casualty care. Study one developed a taxonomy of simulators to determine their demographic makeup and whether there was evidence of default bias in product catalogs. Simulator demographic information and prehospital care procedure features were cataloged for 114 simulators. Marketing of existing simulators uses the white, male body as the featured default patient. Female and simulated patients of color were significantly less likely to have procedure capabilities that allow for the practice of treating sensitive areas of the body compared to default simulators. The limited availability of diverse simulator options on the marketplace may inhibit simulation facilities' ability to purchase diverse equipment. Study two inventoried simulators in accredited simulation training facilities, evaluated attitudes about representativeness, and identified diverse simulator equipment purchasing barriers. Sixty-two facilities, representing 30 states, reported count information for 804 simulators. Facilities averaged significantly more male than female simulators, and more white than simulated patients of color, however, only gender differences were significantly disproportionate to that of state populations. Availability and cost were the most reported barriers to obtaining diverse equipment. Study three examined whether gender biases predicted differences in undressing and treatment decisions for a chest injury. Twenty-nine combat lifesavers reported gender attitudes and treated female and male patient simulators. Lower endorsement of RMA and female patients were less likely to have a complete chest exposure, and the failure to completely expose the chest was associated with increased treatment errors. Greater endorsement of RMA and female patients was associated with increased treatment errors. Female patients continue to be the underrepresented patient, are treated differently, and receive poorer quality of care than their male counterparts. Recommendations include: 1) integrating gender-specific information into Tactical Combat Casualty Care, 2) addressing medical training and gender biases through Sexual Harassment and Assault Response Prevention, 3) establishing partnerships between simulation facilities and medical device companies, and 4) increasing diversity training opportunities in simulation.
■590 ▼aSchool code: 0130.
■650 4▼aPsychology
■650 4▼aMedicine
■650 4▼aSocial psychology
■653 ▼aBias
■653 ▼aDecision-making
■653 ▼aGender
■653 ▼aMilitary medicine
■653 ▼aSimulation
■653 ▼aTraining
■690 ▼a0621
■690 ▼a0564
■690 ▼a0454
■690 ▼a0769
■690 ▼a0451
■71020▼aUniversity of Minnesota▼bHuman Factors/Ergonomics.
■7730 ▼tDissertations Abstracts International▼g87-02A.
■790 ▼a0130
■791 ▼aPh.D.
■792 ▼a2024
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17356522▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
