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Enhancing Patient-Centered Care in Diverse Communities

presented by Helen L. Masin, PT, PhD

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Disclosure Statement:

Financial— Helen Masin receives compensation from MedBridge for the production of this course. There are no other relevant financial relationships. Nonfinancial— No relevant nonfinancial relationship exists.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 46 Minutes; Learning Assessment Time: 29 Minutes

This course introduces students to the clinical challenges of providing patient-centered care to patients and families from diverse communities. The course describes the broad aspects of cultural diversity in patients seeking pediatric PT and OT services. The course explains culture, cultural competence, the cultural continuum, census data, and the role of culture in beliefs, attitudes, and behaviors. The importance of understanding one’s own culture as well as the culture of one’s profession and one’s clients is clarified. Differences between ethnocentrism and cultural pluralism are explained. Variables impacting family responses to therapy are discussed, high- and low-context cultural assumptions are compared and contrasted, and individualistic and collectivistic value orientations are explained. Tools for bridging cultural differences are examined, including rapport building when using medical translators during family interviews. The applicable audience is pediatric PT and OT clinicians working in hospitals, clinics, schools, or home-based settings with children and their families/caregivers.

Meet Your Instructor

Helen L. Masin, PT, PhD

Dr. Masin is a physical therapist, faculty member (retired), and researcher. She began her career in 1970. She has worked in a wide variety of settings, including the VA hospital in Bedford, Massachusetts; Easterseals Rehabilitation in Ft. Lauderdale, Florida; St Bartholomew's Hospital in London, England; Hope Center in Temple Hills, Maryland; Prince George's County Public…

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Chapters & Learning Objectives

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1. Understanding Culture and the Cultural Continuum

This chapter defines culture, cultural competence, and the stages of the cultural continuum. It explains common cultural challenges affecting families receiving pediatric PT and OT. It describes culture as communication, and communication as culture in the broadest sense.

2. How Cultural Beliefs, Attitudes, and Behaviors May Impact Your Understanding of the Patient Perspective

This chapter discusses how cultural beliefs, attitudes, and behaviors impact patient-centered care. Issues of ethnocentrism are contrasted with cultural pluralism. Changes in the demographics of the USA are explained, and the need for developing culturally competent care is summarized.

3. High-Context and Low-Context Cultural Assumptions With Collectivistic and Individualistic Value Orientations in Diverse Communities

This chapter discusses the concepts of high-context and low-context cultural assumptions and compares them with collectivistic and individualistic value assumptions. The chapter provides tools for bridging cross-cultural differences. The importance of clinicians understanding Kleinman’s explanatory model and Kleinman’s Eight Questions is described.

4. Tools for Bridging Cross-Cultural Differences

This chapter reviews the NLP (neurolinguistic psychology) skill of rapport building when working with medical translators during interviews with families in diverse communities. By matching the body language of the family spokesperson while listening to the translator, the clinician can establish rapport nonverbally with the family spokesperson while actively listening to the translator.

More Courses in this Series

Enhancing Communication and Rapport Through Patient-Centered Care

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Video Runtime: 43 Minutes; Learning Assessment Time: 31 Minutes

This course introduces students to patient-centered communication, knowledge, and applications related to enhancing rapport in pediatric PT and OT settings. The course covers the development of the cognitive, affective, and psychomotor aspects of patient-centered communication, and also addresses the importance of respecting and learning effective patient-centered communication as defined by the American Academy of Pediatrics. Having a knowledge of patient-centered care enables learners to understand and apply helpful interview strategies, active listening, and the “as if other” perspective, as well as problem identification, DESC/DISC statements, and conflict resolution in clinical interactions. The applicable audience is pediatric PT and OT clinicians working in hospitals, clinics, schools, or home-based settings with children and their families/caregivers. There is an educational gap regarding clinicians' understanding of how to apply patient-centered care communication strategies into their practice. This course will address this gap by teaching learners how to develop effective patient-centered communication skills when working with children and their families in pediatric PT and OT settings.

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Rapport and Neurolinguistic Psychology in Patient-Centered Care

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This course addresses techniques for clinicians to develop rapport verbally and nonverbally in order to promote patient-centered care. Throughout this course, we will be building an understanding of neurolinguistic psychology/programming (NLP) presuppositions; verbal, cultural and behavioral rapport; eye accessing skills; acknowledgment validation and empathy practices (AVE); well-formed outcomes, and pacing and leading strategies. The applicable audience is pediatric PT and OT clinicians working with children and their families/caregivers in hospitals, clinics, schools, or home-based settings. By the end of this course, the learner will be able to incorporate NLP strategies to develop rapport in patient-centered communication.

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Patient-Centered Care, Education Tools, and Perceptual Awareness

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Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 39 Minutes; Learning Assessment Time: 29 Minutes

This course aims to improve clinician interaction with patients and families by addressing differences due to generational assumptions and differing perceptions of events. We will also discuss qualitative methods for learning more about the patient’s worldview, and culturally competent methods for patient education. Generational issues are discussed to understand the values of different generations involved in patient-centered care. Perception is discussed as it relates to one’s social role, cultural background, personal needs, age, and prior life experiences. Qualitative methods are explained to examine the multiple constructed realities of each patient in order to better understand the worldview of the patient and the family. Multiple culturally competent educational tools are summarized for clinicians. The applicable audience is pediatric PT and OT clinicians working in hospitals, clinics, schools, or home-based settings with children and their family/caregivers.

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