CPXP Flash Cards
Cultural Competence BAP
A set of congruent behaviors, attitudes, and policies that come together in a system, agency or among professionals that enables effective work in cross-cultural situations
Culture
Integrated patterns of behavior that include the language, thoughts, communications, actions, customs, beliefs, values and institutions of racial, ethnic, religious or social groups
Competence
Capacity to function effectively as an individual and an organization within the context of the cultural beliefs, behaviors, and needs of the community
How does cultural competency impact healthcare
- Enables positive and constructive dynamics between patient and provider.
- Improves communication
- Promotes trust
Characteristics of a culturally competent provider
Views patient as a unique individual
Realizes their experiences, beliefs, values and language affect their perceptions of clinical care
Cultural Sensitivity
- Recognition that there are differences between cultures
- Reflected in the ways that different groups communicate, relate to one another and interact with healthcare professionals.
Areas of cultural sensitivity
Communication, personal space, touching, eye contact, social orientation, time, family organization, language, relation to nature, ethnicity, values, beliefs, customs, spirituality, religion
Diversity includes (REGARDS)
Race, Ethnicity, gender, age, religion, disability, sexual orientation
What is PFCC (Patient & Family Centered Care) for?
Promote the health & well-being of individuals and families
Patient Family Care Model (RIPC)
Respect, Information Sharing, Participation, Collaboration
Equipping Caregiver for a Patient & Family Centered Care Model DDCC
- Definition of Patient Experience
- Definition PFCC
- Cultural Competence
- Communication and Empathy
PFCC Strategies for an Exceptional Experience
- Bedside shift reporting
- Calming and healing techniques
- Communication tools: Pearls, AIDET, Heart-Head-Heart
- Communication frameworks: scripting, storytelling, huddles, patient rounding
- Conversation strategies
- Experience Mapping
- Room Service Food on Demand
- Rounding
- Relationship Building
Health Literacy
The degree to which an individual has the capacity to obtain, communicate, process, and understand basic health information and services to make appropriate health decisions
Impact of health literacy limitations
- Preventative services
- Medical condition and treatment
- Rate of hospitalization
- Health status
- Healthcare costs
- Stigma & Shame
Promoting health literacy
- Clear & Simple
- Cultural respect
- offer and confirm understanding through teach back
What are patients rights?
- Receive accurate, easily understood information
- A choice of health care providers
- Access emergency health care services
- Fully participate in all decisions related to their health (if able)
- Considerate, respectful care
- Communicate with health ar eproviders in confidence
Strengths/limitations of CAHPS Survery
Strength - Standard actionable questions; scientifically sound
Limitations - timeliness, rater fatique
This is not a patient satisfaction survey
Strengths/limitations of rounding
Strength - most reliable - real time, engages leaders
Limitations - time intensive
Strengths/limitations focus groups
Strength - deeper dive into topics
Limitations - small samples of issues
Strengths/limitations of social media
Strength - instant feedback
Limitations - may be hard to aggregate data
Strengths /limitations of compliments & complaints
Strength - can count, sort and trend
Limitations - dependent on rater actions
Strengths/limitations of PFACs
Strength - builds relationships
Limitations - often infrequent meetings
Strengths/ limitations discharge phone calls
Strength - quick feedback
Limitations - requires consistent resource
Strengths/limitations of employee satisfaction or engagement survey
Strength - informs regarding culture
Limitations - it is a point in time survey (every two years)
What is the “mean”
The mathematical average 7,6,3,3,1 (4) 4,4,4,4,4 (4) 5,5,5,0,5 (4) Smooths data by removing peaks and valleys
What is the “median”
The number that divides the sample - middle value
- If middle has two numbers - add two numbers and divide by 2
- Sort numbers lowest to highest
What is the “mode”
The most common (frequently occurring) value
50, 55 ,58 ,70 ,70, 90, 93, 99 (70)
What is the “range”
The highest minus the lowest 50, 55, 58, 70, 70, 90, 93, 99 (99-50= 49)
Spread of the data set
What is “variability”
Reflects how scores differ from one another
What is “variance”
The average squared difference from the mean
Measure the amount of variability in a set of scores
What is “inclusive range”
The highest score minus the lowest score plus 1
What is “histogram”
A graph
What is “standard deviation”
The average deviation from the mean. The lower the number, the less the variation, the closer to the mean
What is “correlation”
The degree that two factors are related
What is “positive correlation” - direct correlation
the values change in the same direction (graph heading upward)
What is “indirect correlation”
a negative. The values change in opposite directions. (when one goes up and the other goes down)
99.7% of data in normal distribution is within how many deviations of the mean?
3
95% of data in normal distribution is within how many deviations of the mean?
2