patients
ow were decisions made in your family of origin?
Is that different from your family of today?
How is your decision-making mode different from that of your patients?
Where do you find common ground?
How do you include family members?
In outpatient settings?
During procedures or treatments?
In the emergency room?
In the Intensive Care Unit?
In the Pediatric Unit?
In the Obstetrical Unit?
During end-of-life?
Role of the Sick Person
What was the role of the sick person in your family of origin?
How is it different from that of your patients and their families?
Where do you find common ground?
In what ways do you encourage the patient’s family to participate in the patient’s care?
From your perspective…
Where is it difficult to provide balance between patient and HCP?
Which element would pose the greatest obstacle?
How would you incorporate cultural beliefs and practices into a plan of care?
Ch. 22
Creating a vision
What is your vision of a culturally competent healthcare organization?
How does it address values of cultural diversity?
How does it address a welcoming environment?
Dignity for all who enter?
Do we reflect our community demographics?
Administrators, do they reflect the community demographics?
Professional staff, do they reflect the community demographics?
Ancillary staff, do they reflect the community demographics?
Patient demographics, if not reflective of community demographics, could this lead to health disparities?
Orienting to a new department
Does your departmental orientation program address cultural diversity?
Is there a policy addressing language spoken in the workplace?
Are cultural styles of communication and conflict resolution reviewed and discussed?
Is there discussion of the cultural values, beliefs, and health practices of your patient population?
Are standards of care and Practice reviewed?
What else needs to be added to the program?