Evidence mapPaperPMID 39788770Full record

SynthesisBMJ open2025

Effects of strategies to tackle racism experienced by healthcare professionals: a systematic review.

Nicola Okeahialam, Oluwatosin Salami, Farah Siddiqui, Shakila Thangaratinam, Asma Khalil, Ranee Thakar

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nicola OkeahialamHillingdon Hospitals NHS Foundation Trust, Uxbridge, UK.
Oluwatosin SalamiUniversity Hospitals of Leicester NHS Trust, Leicester, UK.
Farah SiddiquiUniversity Hospitals of Leicester NHS Trust, Leicester, UK.
Shakila ThangaratinamUniversity of Liverpool, Liverpool, UK.
Asma KhalilRoyal College of Obstetricians and Gynaecologists, London, UK.
Ranee ThakarRoyal College of Obstetricians and Gynaecologists, London, UK raneethakar@gmail.com.ORCID http://orcid.org/0000-0002-5279-141X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objective of this study is to evaluate the effect of equality, diversity and inclusion (EDI) training interventions on race inequalities experienced by healthcare professionals.

designSystematic review. DATA SOURCES: Cochrane, MEDLINE and Embase databases were searched from database inception to February 2024. ELIGIBILITY CRITERIA: Randomised trials, observational studies and mixed-methods studies published in English were included. Studies that reported the effects of EDI training interventions targeting healthcare professionals were included. DATE EXTRACTION AND SYNTHESIS: A narrative synthesis approach was used to evaluate the impact of EDI interventions on healthcare professionals.

results17 studies were included. EDI interventions were delivered using several methods including didactic, group discussion, game-based learning or a combination of methods. Out of nine studies, eight (88.9%) interventions resulted in an improvement in knowledge and awareness. Five studies reviewed the effect on cultural competence and four (80.0%) improved cultural competence. Out of eight studies, six (75.0%) resulted in willingness to change and skills gained to promote behavioural change. Most of the improvements seen were with theory-based, multimethod curriculum in comparison to a non-theory-based didactic approach. However, there was insufficient evidence to suggest that these interventions impact the racism that healthcare professionals from an ethnic/racial minoritised group experience.

conclusionsEDI interventions may improve healthcare workers' knowledge and awareness of racial inequalities and cultural competence. Although a willingness to change may occur and behavioural change is promoted, there is insufficient evidence from this review to suggest that this reduces the experience of racism.

Indexed as

Health PersonnelRacismAttitude of Health PersonnelCultural CompetencyCultural DiversityHumansEducation, MedicalHospitalsJob SatisfactionPsychological StressQuality of LifeSystematic Review

Identifiers

PMID39788770
PMCPMC11751972

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.