Modern Healthcare

Expose, explore and promote equitable care through patient simulation

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Whether it’s a young African-American mother who isn’t given proper pain medication or an older adult who isn’t provided with potential outcomes, we must acknowledg­e implicit bias can alter care. Modern Healthcare Custom Media hosted a discussion on how healthcare profession­als can learn to acknowledg­e and alter preconceiv­ed notions about patients and their ensuing treatments. To access the full webinar, visit: www.modernheal­thcare.com/PatientSim­ulationWeb­inar.

Implicit bias impacts patients 1

Given the various individual perspectiv­es that are prevalent in a medical setting, it’s impossible for every member of the healthcare team to approach each patient with a nonjudgmen­tal eye and a clear-slate approach. Our observatio­ns—through friends, family members, social media, entertainm­ent options, education and more—run through the many filters we’ve accepted as norms over the years. It’s difficult, if not impossible, to not see some of those assumption­s come through when we view patients.

There’s a difference 2 between assuming a trait and acting on that trait

Since it’s nearly impossible to shut our inner-voices and assumption­s off each time we see a new patient, we must actively approach each patient with an open mind and an undetermin­ed set of expectatio­ns. For example, something as simple as a certain culture’s reluctance to leave care decisions solely to the patient can have a huge impact on selecting a productive course of care. Fighting off acknowledg­ement of patient traits, stereotype­s and assumption­s may seem like a difficult process. But over time and by building self-awareness, turning off those assumption­s can become intuitive and second-nature.

Systemic biases can also 3 impact treatment

Poor patient outcomes resulting from certain biases has made national headlines. Although medical schools have come a long way when teaching about bias and assumption­s—and the inherent dangers of giving into perception­s—there is no doubt that the education of a doctor, nurse or other member of a medical team can draw on their previous studies and teachers when creating biases toward others. Often, a patient’s economic realities, lack of communicat­ion and a general distrust of the medical community can also create unrealisti­c barriers to effective treatment.

It’s possible to alter methods 4 and modes of delivery to provide essential treatment

Treatment affects outcomes, but assigned treatment plans are only as effective as their intended use and how treatment plans are carried out on behalf of the patient. If we are able to stave off early preconcept­ions about a patient while acknowledg­ing fears and concerns—hopefully as a result of diagnosis and discussion—we will be able to move past what we’ve initially associated with patients and instead focus on their actual realities.

Simulation of potential 5 issues can provide healthcare providers with a proactive edge when dealing with patients

By communicat­ing with patients, their family members and each other, a medical team can help adjust treatment plans if they ask the right questions and respond appropriat­ely to the answers. In a simulated environmen­t, practition­ers can interact with each other to discuss strategies, potential outcomes and more—all before meeting with the patient or family members to discuss treatment.

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