Understanding allies’ participation in social change: A multiple perspectives approach

The introduction to the EJSP special issue brings together recent literature on allyship. We present and discuss different definitions of allyship and highlight a multiple perspectives approach to understanding the predictors and consequences of allyship. This approach suggests that engagement in allyship can be driven by egalitarian and non-egalitarian motivations and that the behaviours identified as allyship can have different meanings, causes and consequences depending on whether researchers take into account the allies’ perspective or the disadvantaged groups’ perspective. We use this approach as an organizing principle to identify themes that emerge in the papers included in this special issue. We start with four papers that consider the perspective of the advantaged group, followed by two papers that consider the perspective of the disadvantaged group. Finally, we introduce two theoretical papers that examine the relations between disadvantaged groups and allies, and we set out directions for future research.     

Key challenges in tram/streetcar driving from the tram driver’s perspective – A qualitative study

Tram drivers have a difficult task in controlling one of the heaviest vehicles on the road whilst negotiating a complex road environment with multiple road users. Like all public transport drivers, tram drivers need to ensure passenger safety and to run on time. However, very little research has been conducted evaluating tram driving tasks and even less on evaluating tram drivers opinion on how other road users are affecting tram road safety. Therefore, the aim of this study is to investigate the key tram driving challenges, to identify the key road user factors affecting tram road safety as well as to explore the potential safety improvement initiatives on tram routes from the tram drivers’ viewpoint. The study incorporated five focus groups involving thirty tram drivers in Melbourne. The key themes emerged inductively from focus groups were identified through a data coding process. Outcomes of the focus groups revealed seven major challenges in tram driving: ensuring safety for all people in and around the tram, pressure for running on-time, maintaining constant concentration on roads, predicting other road users’ behavior in advance to avoid any crash incident, preventing passenger falls on board, accepting the operational constraints of trams and managing fatigue workloads. Tram drivers identified that other road users are unaware of safety issues around trams, have a poor understanding of road rules about driving with trams and often violate road rules around trams, and they mentioned this road user behaviors as the key challenges for safe tram driving. Tram drivers proposed rendering greater law enforcement on the tram network to penalize road users who are violating road rules around trams, introducing more safety campaigns and safety education to increase awareness among road users to improve tram road safety. Findings of this research enhance understanding of tram driving challenges, provide an in-depth knowledge of road user factors affecting tram road safety and suggest effective planning strategies for transit agencies to improve road safety.     

What is the key to culturally competent care: Reducing bias or cultural tailoring?

Objective: To gain a better understanding as to whether disparities in patient–provider relationships arise from ethnic minority patients being treated differently than European American patients while they would prefer to be treated the same, or whether disparities arise when ethnic minority patients are treated the same as European American patients while they would prefer to be treated differently.

Method: African-American, Latina/Latino and European American community members were recruited to participate in one of 27 focus group discussions. Topics included what made a good or bad relationship with a doctor and what led one to trust a doctor. A thematic analysis was conducted using NVivo 10.

Results: Patients of all groups described experiences that reflected the concepts of patient-centred care, such as wanting a clinician who is attentive to patients’ needs. African-American patients reported experiences they viewed as discriminatory. Some African-American patients felt it was appropriate to racially/ethnically contextualise their care, and most Latina/Latino patients preferred language/culturally concordant clinicians.

Conclusion: Health care disparities might be reduced through a patient-centred approach to cultural competency training, general knowledge of the cultural context of clinicians’ patient population, and attention to the effects of racial bias and discrimination among both clinicians and non-clinical staff.