week 7 peer responses
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hmgt_320__week7_peer_responses.docxHMGT 320 Week #7 Response. Need a response to each post (Discussion). There are 4 post total. I have also attached my origanal post that requires a reponse back to my instructor. The question my teacher proposed from my original post will be first . The postings that require my peer response are listed next. An example of what a “response” is and or how long it should be. These post are very lengthy, I apologize. You may put you response on a different sheet of paper but please ensure you put the “name” of the person’s discussions you are responding to
Original Post : Created by Deidra on Feb 24, 2016 12:15 PM
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1. This can be achieved by implementing health care center policies and displaying the characteristics and strategies of physical health care center environment. These would make culturally diverse patients feel that their culture is respected by the health care providers and office staff hence, feel comfortable. Another way is by empowering patients so that they can share their views about healthcare that is culturally sensitive. The staff and health care providers can respond to the patients’ views by involving themselves in fostering clinic policies and traits, behaviors and attitudes that the culturally diverse patients think that are important. Health researchers recommend this aspect of patient-centered care because apparently, these ways have led to health behaviors and results that are positive.
2. Patients would experience the change in that there will be no delays for appointments. This is because the demand will be quickly assessed hence, predictable. The providers will be able to tailor the appointment systems in a way that they would match demand appropriately. It will be easier for a patient to see a doctor and be attended to. The advanced access would change a patient’s experience in that, their confidence that they would manage most symptoms by themselves would be undermined because they would now have a perception that all medical problems should be dealt with immediately.
3. The patient population in our area has unique beliefs about health and disease. They believe that illness is caused by the intervention of a supernatural being such as a dead ancestor or the deity. For instance, if an individual has gone against a social norm they get divine punishment, which is the illness. Another belief is that if a person’s health is not tied to the environment, then they will become sick. Attention should be given to appropriate diet and activity. Every season has its diet, and this should be keenly followed. Hot and cold imbalances in the body would bring about illness. The natural environment would then be used to treat this disease.
4. It is important to understand every patient. Those whom the health professional does not understand, he or she should undergo relevant training on cultural competence and cross-cultural issues. Today, many people move from one nation to another, especially in employment. If for example a Latino comes to my country and happens to be my patient, I might have a difficult time in providing care because I am not familiar with their beliefs, values, and behaviors about their health and well-being. The patient might feel dissatisfied with my assessment, treatment, and preventive services.
5. All health care providers should have the ability to understand and integrate factors such as race, nationality, language, gender, ethnicity among others because they shape a person’s values, beliefs, and behaviors about health and well-being. For this reason and to increase health care delivery system cultural competence, I would like to learn how to provide services in a culturally competent manner. This would benefit the patients, especially the ones with chronic conditions because the interaction with the health care system will be increased, hence more health care services. Patients will be satisfied with my care since they will receive exceptional quality care.
References
The Crowed Clinic Case Study http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities/TheCrowdedClinic.aspx
The Joint Commission. (2008, July 9). Behaviors that Undermine a Culture of Safety. Issue 40. http://www.jointcommission.org/assets/1/18/SEA_40.PDF
The Joint Commission. (2012, March 22). A Framework for a cause Analysis and Action Plan in Response to a Sentinel Event. http://www.jointcommission.org/Framework_for_Conducting_a_Root_Cause_Analysis_and_Action_Plan/
1. Response due back to my instructor from my original post:
By Jerome Bozek
· Deidra,
#2, do any of the class members have experience in their organization for direct access? I have not, and want to see if anybody experienced this first hand.
#3, please explain the patient population you are referring to.
JB
2. Created by James Booker on Feb 24, 2016 9:56 PM
What are some ways in which this may be accomplished? Surveys are a great way for patients to express how service was provided and what you can do to make patients feel more welcome. You can eye ball what your patient volume is and what types of patients you have. Maybe there is a language barrier. To combat that, hiring an employee who can speak the language could help.
If you currently work in an office practice, how would your patients’ experience change if what the author calls “advanced access” were implemented? How might advanced access change your experience as a patient? Based on what I read it seems like a good option but the time to fully transition over seems very convoluted. If my office implemented advanced access it would take time to bear fruit. It would be a split based on what services were needed by each person. It would take well executed coordination to where someone with multiple reasons to visit doesn’t holdup the schedule for someone with one or two reasons. Patience is key. Advanced access will change my experience as a patient a little because I am patient.
Can you think of a particular patient population in your area that may have unique beliefs about health and illness that would be important to understand? In my neighborhood there are a lot of transgender individuals. The only conflict I foresee is how to administer healthcare due to the gender identity issue.
How well do you know your patients? Can you think of a patient population (a culture, ethnicity, religious group, sexual orientation) with which you do not have much familiarity? How might this lack of knowledge impact your care? Reverting back to Question 3, I have a serious lack of knowledge with transgender people. This lack of knowledge would pose as a communication barrier because from what I could understand transgender people suffer from depression due changing sex.
What are some ways in which you could be better educated in regards to the beliefs and traditions of the patient population in your area? How might that intervention benefit the patients? A simple way would be to have a conversation and just ask questions. It would benefit the patients because it establishes a level of trust and respect.
Resources
Bjkorman, M., Malterud, K. (2009). Lesbian women's experiences. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3413916/
Ellis, K., Morana, L. (n.d.). The Crowded Clinic. Retrieved from http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities/TheCrowdedClinic.aspx
· Example of a response.
James,
Surveys are a great means of gathering knowledge to a relatable subject. I enjoy this idea for finding out information that could potentially bring up the quality of care that is provided at the facility. Great idea! As for the Advance access, the process will bring along with it great results for the patients as well as the staff members. Having to implement the function of the advance access will only make the staff work harder and find ways to improve the quality of care given but also for the staff sake, the stress level in the department will lessen if the advanced access is implemented properly. As for the patients, the benefits of the advanced access are great, the patients would receive the care in a timely manor and get the care they need. I think you had a good post!
Haley
Respond to James here:
· Jammie Reedy posted Feb 23, 2016 7:53 PM
1. The clinic should have staff members who are trained to speak the many different languages that the patients speak. This clinic also needs to be sure that staff members understand the religious beliefs of other culture and how it affects their health care.
2. Couldn’t find the article on Open Access.
3. The Muslim culture would have different beliefs when it comes to health and illness. When it comes to illness Muslims are expected to ask for God’s help, give more to charity, and ask for forgiveness. Muslims believe that dying is a part of life and you then more on to your next life after that. It is important when treating Muslims to understand that they prefer to be treated by a nurse or physician that is the same sex they are. Another important belief that this is important to respect is that they believe strongly is visiting sick loved ones so one should be accepting of these visits. It is also important to understand their diet which differs from what the hospital may offer. http://www.ispi-usa.org/guidelines.htm
4. Not having knowledge of patient’s belief could have a negative impact of both the patients and the healthcare provider. Jehovah Witness do not believe in having blood transfusions. If a Jehovah Witness woman goes into labor and loses too much blood and you give her a blood transfusion you have violated her religious beliefs. This is why it is important to know your patient population.
5. A way in which healthcare providers could be better educated in regards to the beliefs and traditions of the patient population in their area would be to build a rapport with their patients. Getting to know your patients is the best way to understand them. By knowing your patient they are likely to trust you and be more accepting of treatment. https://www.anthem.com/ca/provider/f3/s1/t0/pw_b144192.pdf
Respond to Jammie here:
· Miguel Wolfe posted Feb 24, 2016 4:33 PM
1. As mentioned above, one aspect of patient-centered care is fostering a culturally sensitive and diverse clinic environment that makes patients feel more welcome. What are some ways in which this may be accomplished?
Some ways of making patients from different cultures feel more comfortable, could be; to include training that would give the staff the opportunity to learn about different cultures. Another way this could be accomplished is through hiring staff from different ethnic groups so that patients can see familiar faces.
1. Read this article about Open Access. If you currently work in an office practice, how would your patients’ experience change if what the author calls “advanced access” were implemented? How might advanced access change your experience as a patient?
If advanced access were implemented in an office practice, patients would experience less wait times to see a physician, there will also be a less stressful environment in the lobby as there would be less overcrowding. Advance access would change the experience of a patient because they have an opportunity to schedule a time that best suits their needs as well as see a physician that they feel more comfortable being around.
1. In order to provide good care for a culturally diverse patient population, it is important to gain some understanding of their ways of being (their belief systems, their traditions, their feelings towards western medicine, etc.). Can you think of a particular patient population in your area that may have unique beliefs about health and illness that would be important to understand?
In Asians/Pacific Islanders cultures, the extended family has significant influence, and the oldest male in the family is often the decision maker and spokesperson. The interests and honor of the family are more important than those of individual family members. Older family members are respected, and their authority is often unquestioned.
How culture influences health beliefs
http://www.euromedinfo.eu/how-culture-influences-health-beliefs.html/
1. How well do you know your patients? Can you think of a patient population (a culture, ethnicity, religious group, sexual orientation) with which you do not have much familiarity? How might this lack of knowledge impact your care?
I may lack familiarity with people who study Buddhism; this lack of knowledge may leave the patient feeling disrespected or have an unpleasing experience. However, I believe it is important to be an well rounded individual which is why i constantly read about different cultures and religious groups.
1. What are some ways in which you could be better educated in regards to the beliefs and traditions of the patient population in your area? How might that intervention benefit the patients?
I believe the best way to be better educated in regards to the beliefs and traditions of patients, is to constantly read up on other cultures to become more well rounded. If you have a basic understanding of other populations, you could try to relate and use the knowledge gained, in your practice.
Respond to Miguel here:
False
