Engaging the Person

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Engaging the Person

• James Tigchelaar RN, MEd

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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.

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Our Approach

• Use four lenses
• Professional standards
• Nursing Education
• Health promotion
• Change theory

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Professional Standards
Specialized Body of Knowledge
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CRNBC Professional StandardsSpecialized 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.
• Uses relationship and communication theory
  appropriately in interactions with clients,
  colleagues and others.

• Capacity of the individual to imagine the other
  John Ralston Saul
• Judging conduct as it relates to the interest
  of others Selman

• How does what I about a person affect the
  care I provide?

know
feel
believe
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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?

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Health Promotion Framework
Fostering Public Participation
Strengthening Community Health Services
Coordinating Healthy Public Policy
Implementation Strategies

• Engage and consult people
• Listen to what they have to say
• Client-centered care
• Relational care

• See beyond the medical fix
• Understand and be responsive to health
  determinates.

• Be Brave.
• Speak truth to power!

Culturally Competent Care
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Change Theory

• Relates to
• Our clients
• Us
• Our institutions
• Society
• Government

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Specialized Body of Knowledge