Stereotyping Patients

Puddifoot, Katherine

doi:10.1111/josp.12269

Cited by 23 publications

(14 citation statements)

References 51 publications

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“…Despite this awareness, the perceptions of participants in this study also included elements of implicit bias, stereotyping and "othering". These automatic and unintentional responses were indicated in the judgments made about the passivity of inpatients with obesity, and assumptions regarding their acceptance of poor care and personal responsibility for their presentation [41]. The related phenomenon of "othering" where people with obesity are viewed as a distinctive, different group has also been described previously within the intensive care setting [22] and the broader discourse around obesity and health [42].…”

Section: Discussionmentioning

confidence: 75%

Clinical Leadership and Management Perceptions of Inpatients with Obesity: An Interpretative Phenomenological Analysis

Hitch

Pazsa

Qvist

2020

IJERPH

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While obesity is recognized as a key global public health issue, there has been no research to date on the perceptions of care for people with this condition held by individuals in positions of organizational power. The aim of this study was therefore to describe the perceptions and experiences of clinical leaders and managers of providing care to inpatients with obesity at a metropolitan public health service. This study applied an interpretative phenomenological analysis (IPA) approach to qualitative research, conducting interviews with 17 participants. Their perceptions of care for inpatients with obesity encompassed both their personal understanding as an individual, and their observations about the organizational, patient and carer perspectives. Three overall themes were identified: (1) the problem of inpatients with obesity, (2) inpatients with obesity as sources of risk and (3) personal and professional perceptions of inpatients with obesity. While clinical leaders and managers were aware of the potential impact of stigma and weight bias on care given to this cohort, elements of implicit bias, stereotyping, “othering” and ambivalence were frequently present in the data. Ongoing efforts to improve care for patients with obesity must therefore include efforts to address perceptions and attitudes at all organisational levels of the workforce.

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Section: Discussionmentioning

confidence: 75%

Clinical Leadership and Management Perceptions of Inpatients with Obesity: An Interpretative Phenomenological Analysis

Hitch

Pazsa

Qvist

2020

IJERPH

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“…As men (according to the stereotype) “should be able to cope in each situation”, self-efficacy seems to fit them more. Women, in turn (according to the stereotype) [ 31 ], because of playing socially desired functions, “should feel happy, as they are badly needed”, and therefore should highly assess their own life quality.…”

Section: Discussionmentioning

confidence: 99%

Psychological Determinants of Attitude to Surgery in Internal Carotid Artery Stenosis Patients

2021

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The basic way to prevent cerebral stroke in symptomatic 70–99% stenosis of internal carotid artery (ICA) is an open or endovascular surgical procedure. Psychological research done so far among ICA stenosis patients focused on cognitive functioning changes. The objective was to assess attitude to surgery in relation to self-efficacy, life quality perception, and health locus of control in ICA stenosis patients. Materials and Methods: The study involved 53 asymptomatic ICA stenosis patients, aged from 53 to 81. Four scales were applied: Generalized Self-Efficacy Scale (GSES); Satisfaction With Life Scale (SWLS); Multidimensional Health Locus of Control Scale (MHLC); and a simple scale to examine the attitude to surgery, where “−10” stands for the maximally negative attitude, “0”—neutral, and “+10”—maximally positive. The obtained results were put to statistical analysis. Results: It was found that women and men assessed their attitude to the surgery as positive (M = 7.92; SD = 3.094), though the men estimated it slightly higher (M = 8.03; SD = 3.02) than the women (M = 7.67; SD = 3.37). The mean value of self-efficacy was high (M = 32.53; SD = 6.231), and slightly higher for the men (M = 32.79; SD = 5.576) compared to the women (M = 31.87; SD = 7.836). The patients generally tended to manifest the external personal health locus of control (M = 28.62; SD = 3.17). The runner-up was internal health locus of control (M = 26.02; SD = 3.775), and the next one—external impersonal aspect (chance/luck) (M = 23.57; SD = 4.457). The mean assessment of the patients’ own life quality proved to be above average (M = 23.60) but varied (SD = 5.95). The women perceived the quality of their lives as better (M = 24.33; SD = 6.422) than the men (M = 23.32; SD = 5.818). Very strong positive correlations were found between self-efficacy and life quality assessment (p < 0.001) and between the internal and external personal aspects of health locus of control (p < 0.007) in the women, and positive correlations were found between the attitude to surgery and internal health locus of control (p < 0.021) in the men. Conclusions: When breaking the news of a need to have a surgical intervention due to ICA stenosis, the physician should strongly refer to the value of human life and health. The message should arise from external (in the case of women) or internal (in the case of men) motivation to undergo surgery, and enhance the patient’s conviction that the disease should be considered a challenge which must be taken to reverse their unfavorable situation and improve life quality.

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Section: Discussionmentioning

confidence: 99%

“…It was repeatedly stated that in the hospital, doctors make the worst patients. 17,18 Najman et al, 19 stressed that physicians experience a wide range of negative stereotypes during contacts with their patients, mainly toward unhygienic patients, alcohol or to appearance did not differ significantly by other PHC physicians' personal characteristics. Table 5 shows that the binary logistic regression model for implicit stereotyping (using backward selection) with respect to patient characteristics revealed a significant association between PHC physicians' qualifications with higher stereotyping among less-qualified physicians (Exp(B)=0.212, <0.001) and position with higher stereotyping among senior physicians (Exp(B)=0.576, p=0.011).…”

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confidence: 99%

Prevalence and determinants of unconscious stereotyping among primary care physicians

Alqahtani

Shehata

Mostafa

2020

SMJ

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To explore implicit stereotyping among primary healthcare (PHC) physicians and to identify determinants of physicians' stereotyping of patients based on the patients' characteristics and appearance. Methods: This study followed an analytical cross-sectional design conducted between October 2019 and December 2019, and included 250 primary healthcare (PHC) physicians in Aseer Region, Kingdom of Saudi Arabia. Data was collected using a self-administered questionnaire, which included items concerning physicians' sociodemographic characteristics, and their attitudes toward patient characteristics and patient appearance. Results: Prevalence of stereotyping among PHC physicians was 63.6% with respect to patient characteristics and 57.6% with respect to patient Original Article appearance. Stereotyping based on patient characteristics was higher among younger participants, females, those with bachelor's degrees, those in general practitioner positions, and those with less experience in PHC. Conclusion: Most PHC physicians in Aseer Region, Kingdom of Saudi Arabia, are liable to implicit stereotyping based on patient characteristics (namely, gender and educational level) and patient appearance (namely, clothing). Therefore, it is recommended to train PHC physicians in cultural competency to reduce unintentional acts of discrimination toward their patients.

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Stereotyping Patients

Cited by 23 publications

References 51 publications

Clinical Leadership and Management Perceptions of Inpatients with Obesity: An Interpretative Phenomenological Analysis

Clinical Leadership and Management Perceptions of Inpatients with Obesity: An Interpretative Phenomenological Analysis

Psychological Determinants of Attitude to Surgery in Internal Carotid Artery Stenosis Patients

Prevalence and determinants of unconscious stereotyping among primary care physicians

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