A focus on culturally sensitive communication to transform institutional awareness of health care disparities.

2018 ◽  
Vol 36 (30_suppl) ◽  
pp. 69-69
Author(s):  
William James Maples ◽  
Sandra L Argenio ◽  
Linda Scaz ◽  
Jennifer Krippner
Keyword(s):  
Decision Making ◽  
Cultural Awareness ◽  
Healthcare Disparities ◽  
Health Care Disparities ◽  
Minority Groups ◽  
Cultural Beliefs ◽  
Culturally Sensitive ◽  
Unconscious Bias ◽  
Healthcare Organizations ◽  
Culture Transformation

69 Background: Healthcare organizations can cultivate the strength of a diverse workforce in creating a culture of excellence. Enabling the team to understand how personal and cultural beliefs affect our decision making and how we interact with patients and colleagues is integral. Gaps in care exist in cancer diagnoses and treatment in many minority groups. A need for education in the nature of assumptions, unconscious biases, and awareness around the existence of healthcare disparities, was identified through culture transformation work within multiple healthcare institutions. Methods: An experiential course was designed for multi-disciplinary groups of providers. Designed to meet the evolving demographics in the country and help participants recognize how their own cultural beliefs and values affect their decision making. Topics include cultural awareness, assumptions and unconscious bias, effective use of interpreters, and skills to recognize when cultural differences may be playing a role and how to successfully navigate these situations. Raising awareness of healthcare disparities is highlighted, including disparities in cancer care diagnosis, treatment and outcomes for different ethnicities and socioeconomic groups. Examples include disparities in diagnosis, treatment and outcomes of lung cancer, colon cancer and breast cancer in minorities. Results: Participants engage in skills-based work. Participants develop a plan how they can take this information and education back to help create an awareness of disparities and skills to successfully navigate these situations. After this program, participants will be cognizant of the nature of assumptions and unconscious bias and understand the strength of diversity as an asset rather than a hindrance. Conclusions: Healthcare disparities can have a significant impact on patient experience, quality and outcomes. Specific inequities in cancer diagnosis and treatment in minorities is highlighted. Participants are provided with information and skills that can be introduced to their home institutions to have all caregivers recognize and successfully navigate culturally sensitive situations.

scholarly journals Culturally Sensitive Care: Definitions, Perceptions, and Practices of Health Care Professionals

2020 ◽  
pp. 104365962097062
Author(s):  
Ann Claeys ◽  
Saloua Berdai-Chaouni ◽  
Sandra Tricas-Sauras ◽  
Liesbeth De Donder
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Cultural Awareness ◽  
Care Setting ◽  
Minority Groups ◽  
Culturally Sensitive ◽  
Ethnic Minority Groups ◽  
Culturally Sensitive Care ◽  
Depth Interviews

Introduction Research highlights that patients from ethnic minority groups often receive lower quality of care. This study contributes to the knowledge and understanding of culturally sensitive care and explores health care professionals’ definitions and perceptions of this concept and how they deliver this in practice. Method This qualitative study conducted a total of six focus groups ( n = 34) and four in-depth interviews with six categories of health care professionals in Belgium. Thematic content analysis was used. Results The results indicate that the concept of culturally sensitive care is perceived quite narrowly. Professionals are likely to portray their own frame of reference and find it challenging to show empathy with patients with a different background. Othering (micro-racism by defining “the other”) is a powerful example. Discussion The discussion reveals the significance of increasing cultural awareness and understanding, sensitizing about current narrow perceptions, and enhancing culturally sensitive care in the Belgian health care setting.

Applications of blockchain in healthcare (Preprint)

2020 ◽  
Author(s):  
Pranav C
Keyword(s):  
Decision Making ◽  
Large Scale ◽  
Review Paper ◽  
New Technology ◽  
Personal Identification ◽  
Healthcare Industry ◽  
Healthcare Organizations ◽  
Paper Briefly ◽  
Blockchain Technology ◽  
Audit Trails

UNSTRUCTURED The word blockchain elicits thoughts of cryptocurrency much of the time, which does disservice to this disruptive new technology. Agreed, bitcoin launched in 2011 was the first large scale implementation of blockchain technology. Also, Bitcoin’s success has triggered the establishment of nearly 1000 new cryptocurrencies. This again lead to the delusion that the only application of blockchain technology is for the creation of cryptocurrency. However, the blockchain technology is capable of a lot more than just cryptocurrency creation and may support such things as transactions that require personal identification, peer review, elections and other types of democratic decision-making and audit trails. Blockchain exists with real world implementations beyond cryptocurrencies and these solutions deliver powerful benefits to healthcare organizations, bankers, retailers and consumers among others. One of the areas where blockchain technology can be used effectively is healthcare industry. Proper application of this technology in healthcare will not only save billions of money but also will contribute to the growth in research. This review paper briefly defines blockchain and deals in detail the applications of blockchain in various areas particularly in healthcare industry.

Decision-Making Process for Treatment of Mandibular Fractures among Minority Groups

2006 ◽  
Vol 66 (1) ◽  
pp. 37-43 ◽  
Author(s):  
Claudia Der-Martirosian ◽  
Melanie W. Gironda ◽  
Edward Black ◽  
Richard Leathers ◽  
Kathryn A. Atchison
Keyword(s):  
Decision Making ◽  
Minority Groups ◽  
Decision Making Process ◽  
Mandibular Fractures

Counselling Culturally Different Clients in Careers

1996 ◽  
Vol 5 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Jenny Hyland
Keyword(s):  
Decision Making ◽  
Cultural Awareness ◽  
Career Decision ◽  
Self Awareness ◽  
Cultural Issues ◽  
Career Decision Making ◽  
Client Group ◽  
Culturally Different ◽  
English Speaking ◽  
Decision Making Model

Career counsellors and advisers in a variety of workplace settings often experience a degree of discomfort when counselling culturally different clients from non-English-speaking backgrounds. This may be due to a lack of cultural awareness, background knowledge and counselling skills that are necessary in meeting the needs of many in this client group. Using the Career Decision Making Model as a guide, this paper highlights the special needs of culturally different clients at each stage of the model: self awareness, opportunity awareness, decision-making, and implementation and transition. It aims at heightening career counsellors' sensitivity to and knowledge of cultural issues affecting the career decision-making process for culturally different clients, with an emphasis on people from Asia. It also presents intervention strategies to enable the reduction of communication barriers that may exist between counsellor and client.

scholarly journals Cultural Awareness and Sensitivity of Students in a Physical Therapy Program – A Pilot Survey

2018 ◽  
Author(s):  
Olaide Oluwole-Sangoseni ◽  
Michelle Jenkins-Unterberg
Keyword(s):  
Health Care ◽  
Physical Therapy ◽  
Cultural Sensitivity ◽  
Health Care Professionals ◽  
Cultural Awareness ◽  
Health Care Disparities ◽  
Care Delivery ◽  
The United States ◽  
Cross Sectional Survey ◽  
Significant Difference

Background: Attempts to address health and health care disparities in the United States have led to a renewed focus on the training of healthcare professionals including physical therapists. Current health care policies emphasize culturally competent care as a means of promoting equity in care delivery by health care professionals. Experts agree that cultural insensitivity has a negative association with health professionals’ ability to provide quality care. Objective: To evaluate the cultural awareness and sensitivity of physical therapy (PT) students in a didactic curriculum aimed to increase cultural awareness. Methods: Using the Multicultural Sensitivity Scale (MSS), a cross-sectional survey was conducted to assess cultural sensitivity among three groups of students, (N = 139) from a doctor of physical therapy (DPT) program at a liberal arts university in Saint Louis, MO. Results: Response rate was 76.3%. Participants (n=100) were students in first (DPT1, n=36), third (DPT3, n=36), and sixth (DPT6, n=28) year of the program. Mean ranked MSS score was DPT1 = 45.53, DPT3 = 46.60 DPT6 = 61.91. Kruskal-Wallis analysis of the mean ranked scores showed a significant difference among three groups, H = 6.05 (2, N=100), p ≤ .05. Discussion: Students who have completed the cultural awareness curriculum, and undergone clinical experiences rated themselves higher on the cultural sensitivity/awareness. Results provide initial evidence that experiential learning opportunities may help PT students to more effectively integrate knowledge from classroom activities designed to facilitate cultural competence.

scholarly journals The Efficacy of an Antioppression Curriculum for Health Professionals

2019 ◽  
Vol 51 (1) ◽  
pp. 22-30 ◽  
Author(s):  
Diana Wu ◽  
Lamercie Saint-Hilaire ◽  
Andrew Pineda ◽  
Danielle Hessler ◽  
George W. Saba ◽  
...  
Keyword(s):  
Health Care ◽  
Teaching Methods ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Health Care Disparities ◽  
Unconscious Bias ◽  
Survey Response Rate ◽  
The Mean ◽  
Skill Building

Background and Objectives: Health professionals increasingly recognize the role that social determinants play in health disparities. However, little focus is placed on how health care professionals themselves contribute to disparities through biased care. We have developed a curriculum based on an antioppression framework which encourages health professionals to evaluate their biases and combat health care disparities through an active process of allyship. Methods: Teaching methods emphasize skill building and include lectures, guided reflections, and facilitated discussions. Pre- and postsurveys were administered to assess participants’ confidence level to recognize unconscious bias and to be an ally to colleagues, patients, and staff. In total, we conducted 20 workshops with a total of 468 participants across multiple disciplines. Results: The survey response rate was 80%. Using a paired t-test, the mean difference in the pre- and postsurveys revealed a statistically significant improvement across all measures. Participants showed the greatest improvements (large effect size d>0.8) in their understanding of the process of allyship, their ability to describe strategies to address, assess, and recognize unconscious bias, and their knowledge of managing situations in which prejudice, power, and privilege are involved. Conclusions: Results show that an antioppression curriculum can enhance health professionals’ confidence in addressing bias in health care through allyship. For those who value social justice and equity, moving from the role of bystander to a place of awareness and solidarity allows for one’s behaviors to mirror these values. Allyship is an accessible tool that all health professionals can use in order to facilitate this process.

Teamwork Assessment and Self/Peer Evaluation in Higher Education

2015 ◽  
pp. 1731-1747
Author(s):  
Tomayess Issa
Keyword(s):  
Decision Making ◽  
Problem Solving ◽  
Time Management ◽  
Cultural Awareness ◽  
Creative Thinking ◽  
Technology Literacy ◽  
Peer Evaluation ◽  
Management Problem ◽  
Self Confidence ◽  
Challenges And Opportunities

This chapter examines the challenges and opportunities associated with fostering students' learning skills through teamwork assessment and self/peer evaluation in the Business Technology 2 (BT2) undergraduate unit at an Australian university. This assessment will encourage students to promote skills in teamwork, communication (writing, interpersonal interaction and cultural awareness, and presenting), critical and creative thinking (problem-solving and solving and decision-making), Information Technology literacy, and information literacy, and is intended to increase their self-confidence in both their studies and in the future workforce. This chapter provides empirical evidence from 267 students, based on quantitative and qualitative data derived from two sources. The first consists of anonymous informal feedback collected during the semester, while the second (formal) source of students' evaluations and attitudes towards the BT2 unit and teaching is “eVALUate.” The students indicate that they are satisfied with this form of assessment as it assists them to develop specific skills and understandings, including time management, problem solving, decision-making, cultural awareness, oral presentation, communication, and meeting a deadline.

Teamwork Assessment and Self/Peer Evaluation in Higher Education

2016 ◽  
pp. 1713-1729
Author(s):  
Tomayess Issa
Keyword(s):  
Decision Making ◽  
Problem Solving ◽  
Time Management ◽  
Cultural Awareness ◽  
Creative Thinking ◽  
Technology Literacy ◽  
Peer Evaluation ◽  
Management Problem ◽  
Self Confidence ◽  
Challenges And Opportunities

This chapter examines the challenges and opportunities associated with fostering students' learning skills through teamwork assessment and self/peer evaluation in the Business Technology 2 (BT2) undergraduate unit at an Australian university. This assessment will encourage students to promote skills in teamwork, communication (writing, interpersonal interaction and cultural awareness, and presenting), critical and creative thinking (problem-solving and solving and decision-making), Information Technology literacy, and information literacy, and is intended to increase their self-confidence in both their studies and in the future workforce. This chapter provides empirical evidence from 267 students, based on quantitative and qualitative data derived from two sources. The first consists of anonymous informal feedback collected during the semester, while the second (formal) source of students' evaluations and attitudes towards the BT2 unit and teaching is “eVALUate.” The students indicate that they are satisfied with this form of assessment as it assists them to develop specific skills and understandings, including time management, problem solving, decision-making, cultural awareness, oral presentation, communication, and meeting a deadline.

scholarly journals 4101 Creating a Culturally Sensitive Report Card for African American (AA) Kidney Transplant Candidates

2020 ◽  
Vol 4 (s1) ◽  
pp. 54-54
Author(s):  
Warren McKinney ◽  
Marilyn J. Bruin ◽  
Sauman Chu ◽  
Bertram L. Kasiske ◽  
Ajay K. Israni
Keyword(s):  
Decision Making ◽  
Focus Groups ◽  
Kidney Transplant ◽  
Culturally Sensitive ◽  
Report Card ◽  
Medical Decision ◽  
Transplant Recipients ◽  
Transplant Program ◽  
Study Population ◽  
Transplant Candidates

OBJECTIVES/GOALS: AA are over-represented on the waitlist for kidney transplant and are often unaware of how waitlist acceptance practices differ across transplant programs and influence access to transplant. We will develop a culturally sensitive transplant program report card to communicate these variations. METHODS/STUDY POPULATION: Scientific Registry of Transplant Recipients (SRTR) data will be used to identity clinical factors strongly associated with AA access to transplant. Interviews and focus groups with AA kidney transplant candidates and their families will collect feedback on the SRTR report card and inform the development of the culturally sensitive report card. Additional focus groups will evaluate its effect on knowledge and medical decision making. We will collaborate with the stakeholders, including AA transplant candidates and their families, transplant programs, SRTR, and providers, to identify strategies to disseminate the report card in the AA community RESULTS/ANTICIPATED RESULTS: To date, no investigation has systematically collected feedback on the SRTR transplant program report card from AA candidates to ensure that the tool is accessible and effective in the AA community. We hypothesize that a culturally sensitive report card will improve AA candidates’ knowledge of program factors that impact access to transplant and enable informed decisions about where they pursue a transplant evaluation. The results of this study have the potential to change how AA patients are counselled while seeking transplantation. DISCUSSION/SIGNIFICANCE OF IMPACT: A culturally sensitive report card can reach more AA patients and enable more informed decision making by providing education about differences in transplant programs that may impact their access to transplant. In the future, we will design a trial to evaluate the prototype.

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