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Experiences of people with aphasia communicating with healthcare providers
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In: Master's Theses and Doctoral Dissertations (2021)
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Exploring Tertiary Health Science Student Willingness or Resistance to Cultural Competency and Safety Pedagogy
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In: International Journal of Environmental Research and Public Health ; Volume 18 ; Issue 17 (2021)
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Closing the Culture Gap: Student Language Competencies for the Assessment of Patients in a Bilingual Health Care Setting
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In: The Organizational Improvement Plan at Western University (2020)
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Abstract:
In a bilingual health care institution, how can specialized practitioners improve students’ administration of standardized assessments in neuropsychology to French-speaking patients in the absence of language competencies, in alignment with the cultures of both patient-centered care and efficiency? This OIP was developed for a Canadian bilingual health care institution, operating in alignment with political and legal language service and patient care obligations. However, increasing demand for services and professional language competency coupled with reduced funding has led to efficiency-focused departmental practices. Challenges in balancing a culture of efficacy and efficiency with the culture of patient-centered care and bilingualism have led to a culture gap. In this organization, specialized practitioners train students in a non-standardized manner to assess French-speaking patients, and graduate students without language competency tools or support must use clinical judgment to navigate the assessment process. This culture gap impacts the patient’s experience and overall assessment results, as well as the student and specialized practitioners value congruence with the organization. To implement change in this organization as an informal leader and teacher, I use both linear and cyclical change models that align with Symbolic Interactionism. To lead change, I use adaptive and distributed leadership styles, within an ethics of care framework. Both the implementation and leadership approaches focus on double-loop organizational learning, and participatory, stakeholder-driven change. The chosen solution targets the modification of three current organizational practices: student placement, student on-boarding, and patient assessment. The solution is incremental and iterative, promoting stakeholder empowerment and sustainable change, towards an organizational culture that is congruent with organizational and stakeholder values. All elements of the implementation plan, including ethical considerations, are subject to periodic study and revision. The communication strategy is tailored to each stakeholder group, and includes a questioning and appreciative approach, supporting informal leadership and development of a shared vision.
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Keyword:
bilingual(ism); culture; Education; Educational Leadership; Higher Education; language competency; neuropsychology; patient centered care
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URL: https://ir.lib.uwo.ca/cgi/viewcontent.cgi?article=1153&context=oip
https://ir.lib.uwo.ca/oip/130
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Insights from U.S. deaf patients: Interpreters’ presence and receptive skills matter in patient-centered communication care
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In: Journal of Interpretation (2020)
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Potential unintended effects of standardized pain questionnaires: A qualitative study
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Patients’ and Parents’ Perceptions of their Role in the Assessment of Nursing Students’ Pediatric Clinical Practice
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An Exploration of Techniques Used by Healthcare Professionals Outside of Speech-Language Pathology in Caring for Patients with Communication Disorders
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In: Embargoed Honors Theses, University of Nebraska-Lincoln (2019)
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| 8 |
Deaf patient-provider communication and lung cancer screening: Health Information National Trends survey in American Sign Language (HINTS-ASL).
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In: Patient education and counseling, vol 101, iss 7 (2018)
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| 9 |
Trauma, Tinnitus, Suicide, Counseling and the Audiologist
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In: ETSU Faculty Works (2018)
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Educating for collaborative practice: an interpretation of current achievements and thoughts for future directions
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| 11 |
Patient Experiences in a Linguistically Diverse Safety Net Primary Care Setting: Qualitative Study
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In: Faculty Research, Scholarly, and Creative Activity (2018)
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Communication Theory in Physician Training: Examining Medical School Communication Curriculum at American Medical Universities
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In: http://rave.ohiolink.edu/etdc/view?acc_num=ucin1504873270954601 (2017)
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| 13 |
We've Got Some Growing Up to Do: An Evidence-Based Service Delivery Model for the Transition of Care for the Young Adult with Cleft Lip and Palate
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In: ETSU Faculty Works (2017)
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| 15 |
Patient-centred advanced cancer care: a systemic functional linguistic analysis of oncology consultations with advanced cancer patients
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Karimi, Neda. - : Sydney, Australia : Macquarie University, 2017
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| 16 |
Agenda-setting revisited: When and how do primary-care physicians solicit patients' additional concerns?
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In: Patient education and counseling, vol 99, iss 5 (2016)
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Medical students' creative projects on a third year pediatrics clerkship: a qualitative analysis of patient-centeredness and emotional connection.
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In: BMC medical education, vol 16, iss 1 (2016)
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| 18 |
Clinician-Patient Small Talk: Comparing Fourth-Year Dental Students and Practicing Dentists in a Standardized Patient Encounter
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In: Publisher (2016)
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