Transcript Engaging the patient: J. Tigchelaar

Engaging the Person
James Tigchelaar RN, MEd
Problem:
• Socially marginalized people get sick and
die at high rates
• Historic, challenged relationship
between some socially marginalized
people and health care services
Health care providers are challenged to
find a resolution to this tension.
Our Approach
Use four lenses:
• Professional standards
• Nursing Education
• Health promotion
• Change theory
Professional Standards
Specialized
Body of
Knowledge
CRNBC Professional Standards:
Specialized Body of Knowledge
Clinical Practice
• … uses current evidence from research and other
credible sources to make practice decisions.
• … (provides) safe, appropriate and ethical client care.
•“Capacity
of the
individual
to
imagineabout
thetheory
other”
Ralston
• • Uses
relationship
and I
communication
How
does
what
believe
know
feel
a John
person
Saul
appropriately
in interactions with clients, colleagues
affect
and
others.the care I provide?
•“Judging conduct… as it relates to the interest of others”
Selman
Health Education
• Why do some people:
–
–
–
–
use drugs?
share drug using equipment?
trade sex for money?
have unprotected sex with someone who
might have HIV?
• How do we design health services that
are responsive to these issues?
Health Promotion Framework
Implementation
Strategies
Fostering
Public
Participation
• Engage and consult
people
• Listen to what they
have to say
• Client-centered care
• Relational care
Strengthening
Community
Health Services
• See beyond the
medical “fix”
• Understand and be
responsive to health
determinates.
Culturally Competent Care
Coordinating
Healthy
Public Policy
• Be Brave.
• Speak
truth to
power!
Change Theory
• Relates to:
–
–
–
–
–
Our clients
Us
Our institutions
Society
Government
“Specialized Body of
Knowledge”