comp2 unit1a lecture slides

8/12/2019 Comp2 Unit1a Lecture Slides

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The Culture of Healthcare

An Overview of the Culture ofHealthcare

Lecture a

This material (comp2_unit1a) was developed by Oregon Health & Science University, funded by the Department of Health and

Human Services, Office of the National Coordinator for Health Information Technology under Award Number

IU24OC000015.


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An Overview of the Culture of HealthcareLearning Objectives

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Distinguish between disease and illness (Lecture a)

Discuss the relationship between health and the healthcare system (Lecture

a, b)

Define 'culture' in the classic sense, as well as in the modern sense of the

term, and what it means for culture to be partial, plural, and relative (Lecture

a, b)

Explain the concept of 'cultural competence(Lecture a)

Explain the concepts and distinguish between 'culture', 'cultural safety', and

'safety culture', as applied to organizations (Lecture a)

Be aware of the multiple cultures that interact in healthcare delivery (Lecture

a, b) Define 'acculturation' and how it relates to working in healthcare settings

(Lecture a)

Be able to give examples of health informatics applications of the study of

culture (Lecture a, b)

Health IT Workforce Curriculum

Version 3.0/Spring 2012


An Overview of the Culture of Healthcare

Lecture a


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3

This lecture: What is meant by the word

culturewhen we talk about healthcare and

healthcare professionals?

Next lecture: Why is this important? What can

we learn from it?

Health IT Workforce Curriculum



An Overview of the Culture of Healthcare

Lecture a


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Infectious Disease Deaths Controlled With Broad SocialImprovements: Food, Housing, Sanitation

6Health IT Workforce Curriculum


The Culture of HealthcareAn Overview of the Culture of Healthcare

Lecture a

2.1 Chart (Health Sentinel, n.d.) Used with Permission.


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Chronic Care Model Coordinates Community Resources withHealth System to Enable Interaction Between Team and Patient




Lecture a

2.2 Figure (Wagner, 1998) Used with Permission.


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Defining Terms: Culture




Lecture a

Culture refers to integrated patterns of

human behavior that include the language,

thoughts, communications, actions,customs, beliefs, values, and institutions of

racial, ethnic, religious, or social groups.

(US HHS Office of Minority Health, 2005)


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Defining Terms: Culture




Lecture a

A collective expression for all behavior

patterns acquired and socially transmitted

through symbols. Culture includescustoms, traditions, and language.

(National Library of Medicine MeSH, 2011)


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Defining Terms: Culture ofHealthcare

10Health IT Workforce CurriculumVersion 3.0/Spring 2012


Lecture a

Patterns of human behavior that include the

language, thoughts, communications, actions,

customs, beliefs, values, and institutions of the

healthcare system.(US HHS Office of Minority Health, 2005)

Behavior patterns in the healthcare system

acquired and socially transmitted, including

customs, traditions, and language.

(National Library of Medicine MeSH, 2011)


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The Language, Behaviors, Traditions, Customs WeObserve in the Healthcare System



Lecture a

(Gorman, n.d.) Used with Permission.


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Culture of Patients



Lecture a

Impact of patient

s culture: inequities in care

Language, Concepts, Models of Illness

Cultural Competence, culturally sensitive care

Specific cultures and our healthcare system Geographic: SE Asian, African-American

Religious: Hmong, Islam

Language: Spanish, Telugu,

Ethnic: Romany

Special Groups: deaf culture, street culture,

adolescent culture


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Cultural Competence

Awareness and respect for cultural differences

Issue specific not culture specific avoid stereotypes

Approach every person as an individual

Examples Traditional beliefs re: transfusion, vaccines

Modesty issues in physical examination

Application to HIT workforce

Assumptions built into HIT

Stereotypes about HIT interest or proficiency of

health professionals.



Lecture a


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Culture of Healthcare Workforce

Cultural diversity in workgroups, e.g. within

a nursing unit

Physician gender, race, ethnicity

International Medical Graduates

Impact or role of health professional

culture on patient care

Just Culture



Lecture a


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Organizational Culture

Desirable properties in organizations

Culture of Innovation

Culture of health (employee wellness)

Culture of privacy Culture of cost effective care

Safety Culture

organizational correlates of safety

Measurement of Culture

Culture change



Lecture a


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What Works?A Climate of Safety

A system. Many elements, working together:

1. Management Commitment

2. Safety Practices and Behaviors3. Safety Knowledge and Training

4. Safety Communication

5. Safety Equipment and Supplies



Lecture a


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Observations

Most literature is about 'other' cultures

the culture you don't notice is your own

Many resources about culture, cultures on web What is acculturation?

US person in another country; immigrant in US

IT professional in health system; health

professional in IT



Lecture a


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An Overview of the Culture of HealthcareSummary Lecture a

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Culturehas many meanings that are relevant to

healthcare and health IT

healthcare takes place in a complex mix of cultures:

professional, organizational, etc.

Culture is not apparent from within taken for granted

We work more effectively when we are aware of the

differences cultural competence applied to health/IT/

as well as to management/patients

One job of informatics professionals is to bridge these

cultures and translate across boundaries

Health IT Workforce CurriculumVersion 3.0/Spring 2012


Lecture a


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An Overview of the Culture of HealthcareReferences Lecture a

24Health IT Workforce CurriculumVersion 3 0/Spring 2012


References

Bateson, M. C. (1989, November). Health as artifact. Journal of Professional Nursing, 5(6), 322-325.

Culture - 2011 MeSH Descriptor Data. (2011). Retrieved December 14, 2011, from National Library of Medicine -

Medical Subject Headings website: http://www.nlm.nih.gov/cgi/mesh/2011/MB_cgi

Kleinman, A., Eisenberg, L., & Good, B. (1978, February 1). Culture, Illness, and Care - Clinical Lessons from

Anthropologic and Cross-Cultural Research.Annals of Internal Medicine, 88(2), 251-258.

What Is Cultural Competency?(2005, October 19). Retrieved November 20, 2011, from U.S. Department of Health &

Human Services website: http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=2&lvlID=11

Charts, Tables, Figures

2.1 Chart: http://www.healthsentinel.com/joomla/images/stories/graphs/us-deaths-1900-1965.jpg. (n.d.). Retrieved

November 20, 2011, from Health Sentinel website: http://www.healthsentinel.com. Used with Permission.

2.2 Figure: Wagner, E. H. (1998). Chronic disease management: What will it take to improve care for chronic

illness?Retrieved from Improving Chronic Illness Care website:

http://www.improvingchroniccare.org/change/model/components.html. Used with Permission.

Images

Slide 11: Gorman, P. (Photographer). (n.d.). [Untitled images of healthcare professionals], Retreived from author, Used

with Permission.
http://www.nlm.nih.gov/cgi/mesh/2011/MB_cgihttp://minorityhealth.hhs.gov/templates/browse.aspx?lvl=2&lvlID=11http://www.healthsentinel.com/http://www.improvingchroniccare.org/change/model/components.htmlhttp://www.improvingchroniccare.org/change/model/components.htmlhttp://www.healthsentinel.com/http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=2&lvlID=11http://www.nlm.nih.gov/cgi/mesh/2011/MB_cgi

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