ERIC Number: EJ1477031
Record Type: Journal
Publication Date: 2025
Pages: 10
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0744-8481
EISSN: EISSN-1940-3208
Available Date: 0000-00-00
Creating a Tool to Understand University Students' Experiences Regarding Inappropriate, Disrespectful, and Coercive (IDC) Healthcare Interactions
Michelle L. Munro-Kramer1; Charisse Loder2; Claire Kalpakjian3; Kiki E. Martin4; Andrea Hess2; Emily Smith5; Diana Parrish6; Susan Ernst7
Journal of American College Health, v73 n5 p2226-2235 2025
Objective: The purpose of this study was to develop a survey tool to capture inappropriate, disrespectful, and coercive (IDC) interactions with healthcare providers among a diverse sample of university students. Participants: Participants were university students at one large Midwestern public university. Methods: An exploratory qualitative approach was used to create a survey tool to capture IDC interactions. Results: In Phase I, 9 focus group discussions (FGDs) and 3 individual interviews were conducted with a total of 38 participants. In Phase II, 18 participants completed cognitive interviews. Themes across all FGDs included: (1) communication; (2) respect for identity; (3) institutional practices; (4) power imbalances; and (5) lack of patient education and empowerment. Queer participants discussed unique considerations of how queer identity influences one's IDC healthcare experiences. Conclusions: This study resulted in the development of a 64-70 item tool, the "IDC Survey," to measure the prevalence and characteristics of IDC healthcare interactions.
Descriptors: Health Services, Student Experience, College Students, Negative Attitudes, Communication (Thought Transfer), Self Concept, Power Structure, Patients, Empowerment, Sexual Orientation, LGBTQ People, Health Personnel
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Publication Type: Journal Articles; Reports - Research
Education Level: Higher Education; Postsecondary Education
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: Michigan
Grant or Contract Numbers: N/A
Author Affiliations: 1University of Michigan School of Nursing, Ann Arbor, Michigan, USA; 2Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, Michigan, USA; 3Department of Physical Medicine and Rehabilitation, University of Michigan Medical School, Ann Arbor, Michigan, USA; 4Harris School of Public Policy, University of Chicago, Chicago, Illinois, USA; 5Central Michigan University College of Medicine, Ann Arbor, Michigan, USA; 6Parrish Affirming Care, Ypsilanti, MI, USA; 7University of Michigan Medical School & Chief of Gynecology at the University of Michigan University Health Service, Ann Arbor, Michigan, USA