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We’re More Diverse; Now What? Your Unwavering Commitment ... · We’re More Diverse; Now What?...
Transcript of We’re More Diverse; Now What? Your Unwavering Commitment ... · We’re More Diverse; Now What?...
We’re More Diverse; Now What? Your Unwavering Commitment to Excellence
Kenya Beard, EdD, AGACNP-BC, NP-C, CNE, ANEF
Learning Objectives
After completing this session, you will be better able to:
1. Discuss critical factors that undermine social justice.
2. Create environments that support diversity and inclusion.
3. Identify essential skills that create an ethos of respect and acceptance.
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DR. KENYA BEARD,EDD, AGACNP‐BC, NP‐C, CNE, ANEF
ASSOCIATE VICE PRESIDENT, CURRICULUM AND INSTRUCTION DIRECTOR, CENTER FOR MULTICULTURAL EDUCATION AND HEALTH DISPARITIES, JERSEY COLLEGE, TETERBORO, NJ; JOSIAH MACY FACULTY SCHOLAR 2012
We’re More Diverse; Now What?Your Unwavering Commitment to Excellence
We’re More Diverse; Now What?Your Unwavering Commitment to Excellence
Kenya V. Beard EdD, AGACNP-BC, NP-C, CNE, ANEFAssociate Vice President for Curriculum & Instruction
Founding Director, Center for Multicultural Education & Health Disparities2012 Josiah Macy Faculty Scholar
We work hard!Have you taken call before 7 a.m.?
Do you educate our future healthcare providers?
Do you have your own practice?
Do you lobby to make a difference?
Are you committed to excellence?
Do you feel you’ve made a difference in healthcare?
Jeopardy!
THE ATTAINMENT OF THE HIGHEST LEVEL OF
HEALTH FOR ALL PEOPLE
EQUITY
What is…
Attainment of the highest level of health for all people
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Advancing Healthcare Quality62 year old with a 10 year history of type 2 DM and HTN. BMI is 32Meds: Glyburide, Metformin, Metoprolol and Enalapril
Her Hgb A1c is 8.2Blood pressure is 154/90This is her 3rd visit with you and her B/P and Glucose level have not changed. What are the thoughts/assumptions?
Audience Responses
Poor compliance
Diet, depression & stress
Adherence
PurposeTo broaden the capacity of providers to create inclusive
environments that ensure patient satisfaction
Discuss critical factors that undermine social justice.
Create environments that support diversity and inclusion.
Identify essential skills that create an ethos of respect and acceptance.
The State of HealthcareWhich statement is false?
1. Access to health care has shown significant improvement.
2. Everyone receives the same quality of health care.
3. Few disparities in patient safety measures have been reduced.
4. Race and socioeconomic status related disparities persist among measures of all National Quality Strategy priorities.
AHRQ 2015 Healthcare Quality & Disparities Report
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AHRQ Findings 2014
Overall Quality Racial/Ethnic Disparities
What are the Critical Factors that Undermine Social Justice?
Figure 1: IOM Three‐Pronged Approach
Health Care Disparities
Racial or ethnic differences in the quality of care
Patient Factors
‐Refusal of services
‐Poor adherence to tx
‐Delay seeking care
Healing System Factors
‐Time constraints
‐Geographic variability
‐Publicly managed care
Provider Factors
‐Prejudice
‐Clinical uncertainty
‐Provider stereotypes
Hall, W. J. et al. (2015). American Journal of Public Health
Social Justice
Haider, A. H. et al (2011). JAMA
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Tsai J. et al. (2016). Academic Medicine
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Provider Unconscious Bias or Stereotypes?
Systematic review of literature on racial disparities within the VA
Less aggressive management (analgesic medication) of osteoarthritis in blacks compared to whites
Less cancer and cardiac related information given to black veterans as compared to white veterans
Appropriate test ordering was worse for non‐white veterans
Blacks more likely to be diagnosed with psychotic disorders (schizophrenia) and white veterans with affective disorders (depression)
http://www.hsrd.research.va.gov/publications/esp/RacialDisparities‐2007.pdf
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Implicit Bias
Attitudes or stereotypes that
unconsciously affect our
beliefs, behaviors, and decisions
Knowledge of Implicit BiasCould Help Strengthen Diversity & Inclusion
1. Everyone has implicit biases.
2. Implicit bias undermines efforts to advance healthcare quality.
3. Recognition of implicit bias requires a higher level of intellect.
4. Knowledge from prior experiences is used to quickly fill in gaps.
5. We rely on implicit assumptions when we feel rushed.
Critical Steps for Creating an Ethos of Respect & Inclusion
Assess Implicit Bias (take the IAT) & reflect on your stereotypes.
Believe in your intellect to recognize how implicit bias shows up.
Consider how automatic cognition influences behaviors.
Disconnect stereotypical links by recreating personal narratives.
How can we address implicit bias in a way that is non‐confrontational or accusatory?
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Critical Steps: Quiz
Implicit bias
1. What is one critical factor that undermines social justice?
Critical Steps: Quiz
Recognize implicit bias (take the IAT)
2. What can you do to support diversity and inclusion?
Critical Steps: Quiz
Recreate personal narratives.
3. What essential skills can you apply to create an ethos or respect and acceptance?
What Stuck?An ‘Aha’ moment or pleasant surpriseSomething that you had to struggle with to understandSomething that you don’t agree withSomething that you agree with stronglySomething you thought was particularly interestingSomething you didn’t expectAn insight or solutionSomething you want to know more about or a question that you have
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