Module three: Experiences of bias
Summary
TLDRThis module delves into the experiences of bias in healthcare, highlighting the importance of cultural sensitivity for Māori and Pacific communities. It underscores the significance of understanding equity versus equality, recognizing one's privilege, and the impact of implicit biases on patient care. Personal narratives reveal the need for clinicians to engage empathetically, pronounce names correctly, and value cultural nuances to foster trust and improve health outcomes.
Takeaways
- 🌟 The module emphasizes the importance of understanding and addressing both implicit and explicit bias in healthcare to ensure culturally safe care for Māori and other minority groups.
- 🌐 Learning a few words in te reo Māori and understanding different worldviews can significantly contribute to providing culturally safe care.
- 🔑 It's crucial to recognize the difference between equity and equality in healthcare, acknowledging that not everyone starts from an equal position.
- 🤔 Clinicians should be aware of their own privileges and biases, as this awareness can improve the quality of care provided to all patients.
- 👩⚕️ Patients from minority cultures sometimes feel they receive inadequate care and may choose to only see doctors from their own cultural background for a sense of understanding and trust.
- 🕰️ Allocating more time to listen and engage with patients, especially those from Pacific cultures, can lead to better healthcare outcomes.
- 😃 A warm and compassionate approach during initial patient contact can significantly impact how patients perceive their care.
- 🗣️ Clinicians are encouraged to make an effort to pronounce patients' names correctly, as it shows respect and can enhance patient/provider relationships.
- 🧠 The script suggests techniques like focusing on breathing to manage biases, promoting a more mindful approach to patient care.
- 📚 The module is part of a series, and viewers are encouraged to explore additional resources for a deeper understanding of bias in healthcare.
Q & A
What is the focus of the third module in the series on understanding bias in healthcare?
-The focus is on consumers' and clinicians' real-life experiences of bias, both implicit and explicit.
What does the journey to providing culturally safe care for Māori entail?
-It involves using a small amount of te reo, understanding other people's worldviews, and the difference between equity and equality.
Why is it important for healthcare providers to understand their privilege?
-Understanding one's privilege helps in providing equitable care to all patients, acknowledging that not everyone has the same advantages.
How does the speaker suggest healthcare providers can improve their connection with patients?
-By being aware of their biases and understanding that they may have different worldviews from their patients.
What is the impact of bias on the patient's experience, as described by the speaker?
-Bias can lead to different treatment, as the speaker felt they were treated differently due to not being pākehā, and received inadequate care and advice.
Why does the speaker choose to only visit Pacific doctors or clinicians?
-The speaker feels more confident that Pacific doctors will take the time to listen and understand their condition and cultural background.
What is the significance of the clinic atmosphere described by the speaker?
-The family-like atmosphere helps create a sense of belonging and trust, which is crucial for effective healthcare interactions.
What simple changes can Pākehā doctors make to better engage with Pacific patients?
-They can give more time, show compassion, and ensure the initial contact is warm and engaging.
How does the speaker's name, Tonumaipe’a, reflect the challenges of cultural identity in healthcare?
-The speaker's name was shortened to 'Pe’a', which means 'bat' in Samoan, altering its original meaning and sacredness, illustrating how cultural identity can be unintentionally diminished.
What recommendations does the speaker have for clinicians to improve their practice with Pacific patients?
-Clinicians should make an effort to pronounce names correctly, learn Pacific vowels, and ask questions to understand the patient's values and priorities.
What is the final advice given to healthcare providers to help them combat bias?
-To focus on their breathing, exhale bias, and inhale mindfulness, suggesting a moment of reflection and intention to approach patients without bias.
Outlines
🌟 Understanding Bias in Healthcare
This paragraph introduces the third module of a series focusing on bias in healthcare. It emphasizes the importance of understanding both implicit and explicit biases from the perspectives of consumers and clinicians. The module highlights the journey towards culturally safe care for Māori, suggesting that it requires minimal effort but can significantly improve patient care. It touches on the use of te reo (Māori language), understanding different worldviews, and the distinction between equity and equality. The paragraph also addresses the concept of privilege and the impact of biases on patient care. Personal experiences of patients are shared, illustrating the raw emotions and the critical nature of the issue. The narrative suggests that clinicians can improve care by being more compassionate, taking time to understand patients, and creating a familial atmosphere in clinics.
🌱 Prioritizing Cultural Engagement in Healthcare
The second paragraph discusses the benefits of prioritizing cultural engagement in healthcare practices, particularly with Pacific communities. It suggests that making an effort to pronounce names correctly and learning about Pacific vowels can significantly enhance patient interactions. The paragraph also recommends asking questions to understand the values and priorities of Pacific patients. It concludes with a call to action for healthcare professionals to engage in mindful practices to exhale bias and inhale mindfulness. The module encourages viewers to continue their learning about bias in healthcare by watching the other modules in the series and visiting the Health Quality & Safety Commission's website for more information. The paragraph ends with a Māori blessing, emphasizing the importance of unity and well-being.
Mindmap
Keywords
💡Culturally safe care
💡Implicit and explicit bias
💡Te reo
💡Equity vs. Equality
💡Privilege
💡Pacific doctors
💡Cultural aspect
💡Compassion
💡Pronouncing names
💡Bias brain vs. Mindful brain
Highlights
The module explores real-life experiences of bias in healthcare, both implicit and explicit.
Culturally safe care for Māori is a rewarding journey that requires minimal effort.
Using te reo and understanding different worldviews can improve healthcare equity.
Clinicians should understand the difference between equity and equality in healthcare.
Awareness of one's privilege can enhance patient care across different cultures.
Being aware of biases can improve the care provided to all patients.
Personal experiences of feeling treated differently due to not being pākehā.
The impact of a critical healthcare situation and the perceived lack of comprehensive advice.
Preference for Pacific doctors due to perceived cultural understanding and attentiveness.
The importance of the initial contact and engagement with Pacific patients.
Recommendations for Pākehā doctors to give more time and show compassion.
The significance of a name and the impact of its pronunciation on cultural identity.
The health system's structure and its potential unfriendliness towards the Pacific community.
The importance of clinicians making an effort to engage with Pacific people for better health outcomes.
Simple recommendations for clinicians include pronouncing names correctly and asking questions to understand patient values.
Encouragement to continue learning about bias in healthcare through further modules and resources.
The module concludes with a Māori blessing, emphasizing the importance of unity and mindfulness in healthcare.
Transcripts
Tēnā koutou.
Welcome to the third module in this series on understanding bias in health care.
This module looks at consumers' and clinicians' real-life experiences of bias, both implicit and explicit.
The journey to providing culturally safe care for Māori
is a rewarding journey that takes very little effort.
To start using a small amount of te reo,
understanding other people's world views,
understanding the difference between equity and equality.
And to those that say 'I treat everyone equally'
there are people that aren't on equal footing.
Understanding your privilege that you have
and that other people don't necessarily have that privilege.
And just the connection that you can make with patients
across all different areas.
Being aware of your biases and realising that there are
many other people there that have a different world view to you
will actually improve the care you provide to all patients, not just Māori.
Yes.
I believe I am treated differently
because I'm not pākehā.
And for this particular incident that happened to me
is still very raw.
And I can still...
When I reflect on it
the experience was horrendous.
It's a situation that is very critical and it
impacts on your life.
And yet I believe that I did not receive the
comprehensive advice from the clinician
in terms of my care
and in terms of the course of action
that was prescribed for me to take.
I only go to Pacific doctors now or clinicians.
That has been a conscious decision on my part
and that of my family and whānau.
Primarily because one, I feel the confidence that they are
able to sit and take time to hear me out,
to talk about my condition.
There's the cultural aspect because they know who I am
and where I've come from.
They've taken the time to listen.
And there's a...
it's like a family.
A family atmosphere that is created in this clinic.
Some of the things that Pākehā doctors could do is as
basic as giving a little bit more time.
Ensuring that the person before them is not just any person.
That they must show some compassion
when dealing with people, particularly of Pacifika cultures.
Pacific people when we engage, your initial contact is very important.
It's how we would.
If you come out and meet and greet the patient and you're smiling
and you look that you're wanting to engage.
So immediately we respond.
We know that you care.
Being Samoan, and I was born in Invercargill.
And, um...
I was raised up Samoan but you go out leaving
being educated and socialising in a very
white environment.
My name, my maiden name, is Tonumaipe’a.
There is a legend behind this name and
for a lot of people it was very hard for them to pronounce.
And so they shortened it to ‘Pe’a’.
So what I recognised is that
unconsciously they were shortening a name
to suit them.
And I know that wasn't intentional
but when you shorten someone's name
and that they shortened it to ‘Pe’a’
and ‘Pe’a’ means bat in Samoan.
And it totally gives a different meaning to a name
that has a lot of legacy to it, a lot of sacredness to it.
And it can sort of take someone's identity away.
The health system is structured in a way where
sometimes it's not so friendly towards our Pacific community.
I think a lot of clinicians are very busy
and taking time out to engage with our Pacific people
can take a big toll on them.
But making this a priority in their practice
can make a big difference in the long-term of
engaging well with Pacific people
and gaining better health outcomes.
So some of the simple things that I could recommend
for our clinicians is to
pronounce names.
Make an effort to learn the Pacific vowels.
Make an effort to pronounce the names well.
And this really helps.
It lifts a person knowing that someone's made an effort to get to know their name
or even pronounce the name.
And I think one of the other tips that I'd also suggest is
is to, is to do some...
is ask questions.
Ask questions to the Pacific patient of
and gain clarity of what's important to them, what's their values.
So when you're working, focus on your breathing.
Slow down your breathing.
Exhale bias brain.
and inhale mindful brain.
Now you've watched this module we invite you to make
this just the start of your learning about bias in health care.
To find out more make sure you have watched the other two modules in the series of three
and see the Health Quality & Safety Commission's website for further information.
Kia ora tātou.
Unuhia, unuhia, unuhia te uru tapu nui.
Kia māmā, kia wātea te ngākau, te hinengaro, te wairua i te ara takatū.
Koia rā e Rongo, whakairia ki runga.
Āe rā, kua wātea.
Haumi e, hui e, tāiki e.
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