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Bias in Healthcare
All healthcare professionals must be aware of bias and the challenges that bias can create in healthcare. This includes knowing some of the challenges people face with the healthcare system. In this course, you will learn best practices to help recognize and manage bias.
Define bias.
Identify how biases can affect healthcare.
Describe steps that can help decrease barriers created by bias.
Boundary Risks for Behavioral Health Paraprofessionals
Boundaries are important in guiding acceptable and unacceptable interactions. People working in service or care professions are often in situations where the lines between a professional and social relationship become blurred. Setting and keeping professional boundaries are key to protecting your clients, yourself, and the service or care process. The goal of this course is to provide paraprofessionals in health and human services settings with information about professional boundaries, boundary crossings and violations, and situations when crossing a boundary may be acceptable.
Define professional boundaries.
Differentiate between a social relationship and professional relationship.
Explain three differences between a boundary crossing and a boundary violation.
Identify three considerations when deciding whether it is appropriate to intentionally cross a professional boundary.
Communicating with Patients
Effective communication with patients and families is the foundation for a therapeutic, safe, and positive patient experience. The patient‘s experience of care is greatly influenced by what is communicated and observed. It is also a vital component of obtaining an accurate history and physical assessment, providing informed, comprehensive care, and educating patients and families to achieve optimal outcomes. The goal of this course is to provide information about how to effectively communicate with patients in healthcare settings.
Identify at least three specific elements of effective communication and how communication affects the patient and family experience.
Recall important components of cultural competence and inclusivity when communicating with patients and families.
Communicating with Patients with Limited English Proficiency
Within healthcare, a patient with limited English proficiency (LEP) is an individual whose primary means of communication is not English and who has a limited command of the language in reading, writing, speaking, or understanding (Office for Civil Rights, 2016). These patients need the careful attention of healthcare personnel to ensure the safety and quality of care. Healthcare professionals should understand regulations and standards related to patients with LEP, such as the use of an interpreter for communication.
The goal of this educational program is to improve the ability of the healthcare team to provide quality care and better outcomes for patients with limited English proficiency (LEP).
Recall the importance of medical interpretation services for patients with LEP.
Identify regulatory, accreditation, and evidence-based standards related to patients with LEP and linguistic services.
Choose strategies for effectively communicating with patients with LEP, including best practices when using an interpreter.
Cultural Competence and Healthcare
Cultural competence in healthcare refers to the delivery of quality care. It refers to meeting the needs of people with disabilities, members of the LGBTQ+ community, and those from diverse socioeconomic and cultural backgrounds. Cultural competence must be a two-way system to benefit people with differing beliefs, attitudes, values, and behaviors. This course discusses cultural competence and how organizations can use cultural competency to create an atmosphere of inclusion.
Define cultural competency.
Describe the role of cultural competency in healthcare.
Cultural Perspectives in Childbearing
As the population of the U.S. soars in diversity, healthcare professionals must be prepared to care for childbearing families from many different cultures. All cultures and families should be given the same respect, be assured of the highest quality of care, have their religious, ethnic, and cultural values respected and integrated into their care, and have their physical and educational needs met in a way that honors their spiritual beliefs and individuality. Knowledge of the cultures one is serving and the influence they have on women’s perceptions of childbirth are important for achieving positive outcomes. Equally and perhaps more important is applying the principles of cultural humility to nursing care.
The goal of this continuing education course is to improve the ability of nurses and health educators in acute care settings to assess and meet the sociocultural needs of childbearing families of diverse cultural and social groups.
Recall the relationship of culture, subculture, acculturation, assimilation, ethnocentrism, cultural relativism, and cultural humility to healthcare practice.
Recognize elements of cultural assessment and respectful maternity care that can improve quality of care and meet the unique needs of culturally diverse families.
Culture and Pain Management: Cultural Competence
Health inequities in pain management are prevalent across different healthcare settings. The cultural, ethnic, and social differences influence patients’ and providers’ perceptions and responses to pain. Several studies report higher incidences of pain, disability, and suffering in women and people of color compared to non-Hispanic White people. This course covers influential sociocultural factors grouped into the patient, the provider, and systemic factors. This course helps healthcare professionals become familiar with cultural differences associated with pain perceptions and management. Pain variables such as culture, religion or ethnicity are not part of standardized pain scales. Healthcare workers need to provide culturally competent care to their patients by asking about specific practices, beliefs, and values regarding pain that impacts the patient’s quality of life.
The goal of this course is to provide nurses, physicians, and social workers with an overview of cultural sensitivity in the management of pain.
Identify cultural factors influencing the patient’s perception and expression of pain.
Recall strategies for reducing barriers in pain assessment and promoting management decisions to respond to a patient’s pain in a culturally sensitive manner.
Introduction to Multicultural Care
Multicultural care helps reduce behavioral health disparities, build trust, and improve outcomes for marginalized clients. This course explains key concepts that support multicultural care and core components of culturally responsive care. It also indicates how to address personal and institutional bias in healthcare settings.
Define at least four key concepts that support multicultural care.
Indicate how to address personal and institutional bias in healthcare settings.
Identify at least three core components of culturally responsive care.
Diversity and the Healthcare Employee
Diversity presents both challenges and opportunities. This course discusses the benefits and challenges of diversity. It also discusses how to avoid discrimination toward those you work with and provide care for. This course provides healthcare employees with education on diversity.
Discuss the benefits of a diverse workforce.
Identify at least two ways to avoid workplace discrimination.
Economic Stability: Social Determinants of Health
Economic stability is defined as a domain of social determinants of health in the Healthy People 2030 campaign. It relates to an individual’s ability to access resources such as food, adequate housing, and healthcare. Each component of economic stability, including poverty, employment, food security, and housing stability, is linked to individual health outcomes.
Describe the four components of economic stability.
Explain how economic stability affects health and health outcomes.
Identify strategies for helping patients overcome barriers to economic stability and how they positively impact health outcomes.
Health Disparities in the LGBTQIA+ Community
Healthcare practitioners greet, assess, screen, treat, and refer LGBTQIA+ individuals every day. Some may understand the unique needs of this population. However, more information and education are needed to ensure that people are represented in research and are treated with respect and dignity when receiving healthcare. This course discusses barriers LGBTQIA+ people face in accessing healthcare, along with the physical, mental, psychosocial, and cultural factors that affect their health. It provides practical strategies for providing sensitive, informed, and inclusive care. The goal of this course is to provide healthcare professionals with education on health disparities in the LGBTQIA+ community.
Recognize social determinants of health and health disparities among LGBTQIA+ populations.
Identify at least three barriers faced by LGBTQIA+ people in accessing healthcare.
Identify LGBTQIA+ health risk factors, including physical, mental, psychosocial, and cultural.
Recall strategies for providing sensitive and informed healthcare for the LGBTQIA+ community.
Recognize the lifespan health considerations of LGBTQIA+ individuals, including coming out and family systems.
Maternal Outcomes Advocacy Initiatives
Almost 95% of all maternal mortalities happen in low and lower middle-income countries (World Health Organization, 2023). However, the U.S. has the highest maternal mortality rate among all developed countries. Approximately 700 patients die each year in the U.S. due to pregnancy complications and nearly 85% of those deaths are preventable (Hill et al., 2022). Furthermore, the AMA and CDC state that Black and AIAN patients are 3 to 5 times more likely to die from maternal complications than White patients (AMA, 2023). Indigenous, immigrant, refugee, and low-income populations are also at significantly greater risk of poorer maternal outcomes. However, in the past few years, global and national advocacy initiatives have set their philanthropic and financial radar on improving maternal outcomes in these vulnerable communities.
Identify the most vulnerable populations at greatest risk for poor maternal outcomes and the various health disparities and factors putting them at risk.
Recall global and national advocacy initiatives, including healthcare policy reform, and their focus on improving maternal outcomes in these vulnerable populations.
Medical Risk Factors and Lifestyle Risks for Stroke
This course is designed to deepen understanding of stroke risk factors and stroke prevention strategies. Learners will explore key medical and lifestyle risk factors that increase the likelihood of stroke. The course emphasizes the importance of prevention and guides healthcare professionals in implementing practical strategies tailored to diverse patient needs.
Identify key medical and lifestyle risk factors for stroke.
Recognize strategies for prevention to reduce the likelihood of stroke.
Guiding Lifestyle Changes with Motivational Interviewing
Healthcare professionals in acute care settings frequently observe how lifestyle-related choices contribute to health crises and reduced quality of life for their patients. Changing behaviors, such as taking a new medication, quitting smoking, or eating healthier, to improve well-being is a difficult process for many patients. Motivational interviewing (MI) is a person-centered way to support individuals in changing their behavior. MI centers on what matters most to the patient and encourages a curious, accepting, and compassionate stance by the provider. The spirit of MI is demonstrated in the language and way a provider responds to the patient’s uncertainty about change. The provider helps the patient explore their own goals, barriers, and potential impact of making a change. When MI is embedded into the practice of healthcare, the results can be positive for the patient and practitioners.
Identify how the spirit and the four processes of Motivational Interviewing help patients consider their own reasons for change.
Recall at least three specific Motivational Interviewing skills you can use to help patients resolve ambivalence in favor of making change.
Motivational Interviewing: An Introduction
In this course, you will learn about Motivational Interviewing, an intervention to help people discover their own desire and ability to make difficult changes. Motivational Interviewing (MI) is a way of communicating that draws out people’s own thoughts and beliefs in order to help them address their ambivalence about making a change.
The course uses a blend of instructive information and interactive exercises to help you understand and apply its core concepts. The goal of this course is to provide addictions, behavioral health counseling, marriage and family therapy, nursing, psychology, and social work professionals in health and human service settings with the skills to define and demonstrate the core concepts of Motivational Interviewing.
Describe the overall purpose of Motivational Interviewing and how it impacts the change process.
Recall the key elements of the MI spirit and how these can support clients in the change process.
Define ambivalence, change talk, and sustain talk, and how these concepts relate to MI.
Patient Education for Poor Readers
Many patients do not understand information that healthcare providers give them. Inadequate health literacy can put patients’ lives at risk, and it is a major driver of healthcare costs due to preventable complications. Health literacy is not limited to the ability to read letters and numbers. It requires integration of many skills, including reading, listening, analytical and decision-making abilities, and the proficiency to apply these skills to health situations. This course provides information to help nurses present information in a manner that helps their patients understand vital healthcare instructions.
Review methods for testing a patient’s reading level and health outcomes associated with low health literacy.
Discuss methods for assessing the reading level of printed patient teaching material and making material more user friendly.
Social and Community Context as Social Determinants of Health
Health outcomes are influenced in myriad ways by an individual’s social environment and their community. For example, community is linked to such outcomes as body mass index, homicide rates, and suicidal behavior (Diez Roux & Mair, 2010; Bharmal et al., 2015; Centers for Disease Control and Prevention [CDC], n.d.). Due to these strong influences on health outcomes, the U.S. Department Health and Human Services Healthy People 2030 campaign identifies social and community context as a domain of the social determinants of health. Social determinants of health are external conditions which exist with the potential to affect a patient’s current and future health, often beyond a patient’s direct control. Of particular importance, however, is how this domain fits into the larger picture of the social determinants of health. The elements in the social and community context have been shown to help negate potentially negative consequences of the other social determinants of health (Bharmal et al., 2015).
Define the components of social and community context in the social determinants of health.
Recognize how components in the social and community context affects overall health outcomes.
Identify problems related to the social and community context in the social determinants of health.
Social Determinants of Health: Healthcare Access and Quality
Nearly 10% of U.S. population does not have health insurance (U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion [ODPHP], n.d.a). Healthy People 2030 is a national population and public health initiative endorsed by top U.S. government health agencies, setting health goals for the U.S. healthcare system to improve the overall wellbeing of patients in their communities. This course provides an in-depth and interactive analysis of one of the five Healthy People 2030’s domains of social determinants of health (SDOH), healthcare access and quality, and its impact on patient outcomes.
Review what SDOH are and how they impact both healthcare access and quality of care.
Identify barriers to healthcare access and care quality, how these barriers negatively impact patient outcomes, and some strategic interventions to improve these patient outcomes.
Social Determinants of Health: Impact and Quality of Education
Education access and quality is a pillar of the social determinants of health for Healthy People 2030 (U.S. Department of Health and Human Services, n.d.). This course outlines the effects of education on an individual’s health. The four components of education access and quality include early childhood education and development, high school graduation, enrollment in higher education, and language and literacy.
Identify the components of education access and quality and their effects on health.
Recall patient care and education related to education access and quality.