Like, there ARE interesting sociocultural aspects to pain & injury, yes. BUT THEY DO NOT EXIST LIKE THIS IN ANY WAY, SHAPE, OR FORM.
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HOLY SHIT! @pearson actually published this racist bullshit in a nursing textbook. #bioethicspic.twitter.com/EtC6BuDHyy
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Also, source (took a few minutes to track back to a shareable source): https://www.facebook.com/onyx.t.moore/posts/10101196457882383 … All credit to her for finding this.
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This is just so much to unpack, and is teaching students so many horribly racist things beyond "how to manage pain in patients."
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For example, saying that Asians who complain about pain have poor social skills encourages students to dismiss anything they don't like
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Patient thinks the room is too cold? Is in pain? Needs help with whatever? All just poor social skills! Their fault! Not the nurse/hospital!
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And you can run this down with literally EVERY SINGLE EXAMPLE. Each one underscores and reinforces racism & bigotry that will harm patients
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And since a lot of folks are just joining in, I'm gonna thread in a few of my responses to other people in the following:
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I literally did a "..." on first read. BRAIN COULD NOT COMPUTE MALFEASANCE LEVELS PLEASE REREAD AND CONFIRM
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There ARE interesting sociocultural aspects to pain & injury, yes. BUT THEY DO NOT EXIST LIKE THIS IN ANY WAY, SHAPE, OR FORM.
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It's kind of jaw-dropping, and it takes a LOT for me to say that about ethical screwups. (So many options, so much numbness to horror)
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considered best practice for “cultural competency;” research based but still a generalization, thus saying “some” & “may” re: belief systems informed by culture/tradition ie “fatalism.” Comes across racist but attempts respecting culture to deliver appropriate care.
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Except 1) it makes blanket generalizations rooted in racist ideology and 2) that kind of blanketing results in substandard care for patients
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And there's lots of data that what they say is offensive, based in racist caricature, and actively harms patients via reduction in care.
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Teaching cultural differences is complex. It's necessary, but requires significantly more thoughtfulness than seen here.
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Of course, one half page is inadequate. For someone w/ no perspective that others may not experience a situation the way they might, it’s meant to raise that idea. To ask , discuss and not to assume.
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Unfortunately, all reports are this is ALL that's there. And they're quizzed on it later.
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Not at all. Do some digging in community participatory health and health equity. There is a huge and growing movement in public health. Of course population innovations penetrate health care’s individual model of care more slowly but
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You misunderstand me. I said that all the reports of the students who use this textbook say this is all that they were taught
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Well, from that edition. But will they be removing it from ALL textbooks that have it?
@SawtoothEKG found it in another (10th Edition, too) -
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It's in other textbooks on the market right now that Pearson publishes.
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They said they were going to remove it from this ONE. Right now, kinda weasely. What do I want? It gone from ALL Pearson books
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And I'd really like Pearson to explain how it got there and how they're going to make sure that never happens again, too.
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Well, until it’s reported in a book, no one is going to take the effort to remove it. Get contact for their editors.
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I think at this point, Pearson has ample proof they have A Problem and can commit resources to fixing it. We don't need to do it for free.
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