Skip to main content
Top
Published in: Current Geriatrics Reports 4/2021

01-12-2021 | Care | Invited Commentary

Health Professionals Palliative Care Education for Older Adults: Overcoming Ageism, Racism, and Gender Bias

Authors: Shena B. Gazaway, Michael D. Barnett, Ella H. Bowman, Deborah Ejem, Erin R. Harrell, Cynthia J. Brown, Marie Bakitas

Published in: Current Geriatrics Reports | Issue 4/2021

Login to get access

Abstract

Purpose of review

Most aging Americans lack access to specialist palliative care aimed at those experiencing serious illness and/or high symptom burden at end of life. The curricula used by training programs for all healthcare professions should focus on helping learners develop the primary palliative care skills and competencies necessary to provide compassionate bias-free care for adults with serious illness. We believe there is much opportunity to improve this landscape via the incorporation of palliative care competencies throughout generalist healthcare professional programs.

Recent findings

Several recent publications highlight multiple issues with recruitment and retention of diverse students and faculty into healthcare professional training programs. There are also concerns that the curricula are reinforcing age, race, and gender biases. Due to these biases, healthcare professionals graduate from their training programs with socialized stereotypes unquestioned when caring for older adult minority patients and caregivers.

Summary

Important lessons must be incorporated to assure that bias against age, race, and gender are discovered and openly addressed in healthcare professional’s education programs. This review highlights these three types of bias and their interrelationships with the aim of revealing hidden truths in the education of healthcare professionals. Ultimately, we offer targeted recommendations of focus for programs to address implicit bias within their curricula.
Literature
2.
go back to reference Center for Disease Control. African American health: Creating equal opprotunities for health. In: Vital Signs., Atlanta, GA. 2017. Accessed June 22 2021. Center for Disease Control. African American health: Creating equal opprotunities for health. In: Vital Signs., Atlanta, GA. 2017. Accessed June 22 2021.
4.
go back to reference Gardner DS, Doherty M, Bates G, Koplow A, Johnson S. Racial and ethnic disparities in palliative care: A systematic scoping review. Fam Soc. 2018;99(4):301–16.CrossRef Gardner DS, Doherty M, Bates G, Koplow A, Johnson S. Racial and ethnic disparities in palliative care: A systematic scoping review. Fam Soc. 2018;99(4):301–16.CrossRef
14.
go back to reference Dai F, Liu Y, Ju M, Yang Y. Nursing students' willingness to work in geriatric care: An integrative review. Nursing Open. 2020. Dai F, Liu Y, Ju M, Yang Y. Nursing students' willingness to work in geriatric care: An integrative review. Nursing Open. 2020.
18.
go back to reference Manchanda ECC, Macias-Konstantopoulos WL. Tackling Gender and Racial Bias in Academic Emergency Medicine: The Perceived Role of Implicit Bias in Faculty Development. Cureus. 2020;12(11). Manchanda ECC, Macias-Konstantopoulos WL. Tackling Gender and Racial Bias in Academic Emergency Medicine: The Perceived Role of Implicit Bias in Faculty Development. Cureus. 2020;12(11).
21.
go back to reference Pearson H. The history of pediatrics in America. Oski's Pediatrics: Principles and Practice. Philadephia: Lippincott Williams & Wilkins; 2006. Pearson H. The history of pediatrics in America. Oski's Pediatrics: Principles and Practice. Philadephia: Lippincott Williams & Wilkins; 2006.
23.
go back to reference Staton LJ, Panda M, Chen I, Genao I, Kurz J, Pasanen M, et al. When race matters: disagreement in pain perception between patients and their physicians in primary care. J Natl Med Assoc. 2007;99(5):532–8.PubMedPubMedCentral Staton LJ, Panda M, Chen I, Genao I, Kurz J, Pasanen M, et al. When race matters: disagreement in pain perception between patients and their physicians in primary care. J Natl Med Assoc. 2007;99(5):532–8.PubMedPubMedCentral
27.
go back to reference McGuire SL, Klein DA, Couper D. Aging education: A national imperative. Educ Gerontol. 2005;31(6):443–60.CrossRef McGuire SL, Klein DA, Couper D. Aging education: A national imperative. Educ Gerontol. 2005;31(6):443–60.CrossRef
28.
go back to reference Ng R, Allore HG, Trentalange M, Monin JK, Levy BR. Increasing negativity of age stereotypes across 200 years: Evidence from a database of 400 million words. PLoS ONE. 2015;10(2):e0117086.CrossRef Ng R, Allore HG, Trentalange M, Monin JK, Levy BR. Increasing negativity of age stereotypes across 200 years: Evidence from a database of 400 million words. PLoS ONE. 2015;10(2):e0117086.CrossRef
29.
go back to reference Dong X. Elder abuse: Research, practice, and health policy. The 2012 GSA Maxwell Pollack award lecture. The Gerontologist. 2014;54(2):153–62. Dong X. Elder abuse: Research, practice, and health policy. The 2012 GSA Maxwell Pollack award lecture. The Gerontologist. 2014;54(2):153–62.
42.
go back to reference Bakitas MA. Self-determination: analysis of the concept and implications for research in palliative care. Can J Nurs Res. 2005;37(2):22–49.PubMed Bakitas MA. Self-determination: analysis of the concept and implications for research in palliative care. Can J Nurs Res. 2005;37(2):22–49.PubMed
46.
go back to reference Sullivan LW. Missing persons: Minorities in the health professions, a report of the Sullivan Commission on Diversity in the Healthcare Workforce2004. Sullivan LW. Missing persons: Minorities in the health professions, a report of the Sullivan Commission on Diversity in the Healthcare Workforce2004.
50.
go back to reference Fontenot J, McMurray P. Decolonizing entry to practice: Reconceptualizing methods to facilitate diversity in nursing programs. Teaching and Learning in Nursing. 2020;15(4):272–9.CrossRef Fontenot J, McMurray P. Decolonizing entry to practice: Reconceptualizing methods to facilitate diversity in nursing programs. Teaching and Learning in Nursing. 2020;15(4):272–9.CrossRef
51.
go back to reference Mather M, Scommegna P, Kilduff L. Fact sheet: aging in the United States. Population Reference Bureau. 2016;13. Mather M, Scommegna P, Kilduff L. Fact sheet: aging in the United States. Population Reference Bureau. 2016;13.
Metadata
Title
Health Professionals Palliative Care Education for Older Adults: Overcoming Ageism, Racism, and Gender Bias
Authors
Shena B. Gazaway
Michael D. Barnett
Ella H. Bowman
Deborah Ejem
Erin R. Harrell
Cynthia J. Brown
Marie Bakitas
Publication date
01-12-2021
Publisher
Springer US
Keyword
Care
Published in
Current Geriatrics Reports / Issue 4/2021
Electronic ISSN: 2196-7865
DOI
https://doi.org/10.1007/s13670-021-00365-7

Other articles of this Issue 4/2021

Current Geriatrics Reports 4/2021 Go to the issue

Underserved Populations (H Fernandez, Section Editor)

Home Based Palliative Care: Known Benefits and Future Directions

Nutrition, Obesity, and Diabetes (SML Ribeiro, Section Editor)

Iron Deficiency in Heart Failure: Characteristics and Treatment

Pulmonology and Respiratory Care (D Breen, Section Editor)

Perioperative Pulmonary Support of the Elderly

Surgical Care (F Luchette, Section Editor)

Prehabilitation for High-Risk Surgical Patients

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine