Surgeons’ Perceptions Toward Providing Care for Diverse Patients

Changoor, Navin R.; Udyavar, N. Rhea; Morris, Megan A.; Torain, Maya; Mullen, John; Kent, Tara S.; Smink, Douglas S.; Green, Alexander L.; Haider, Adil H.

doi:10.1097/sla.0000000000002560

Cited by 29 publications

(15 citation statements)

References 28 publications

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“…Results also highlight the necessity for patients to be able to opt out of reporting SOGI information, and for nurses and registrars to receive cultural sensitivity and dexterity training on caring for patients who disclose that they identify as SGM. 26 Sexual and gender minorities patients deserve to be recognized, be acknowledged, and feel comfortable in the health care setting. The EQUALITY Study shows that nonverbal self-report of SOGI is the clear patient-centered method associated with higher SGM patient satisfaction in the ED.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Patient-Centered Approaches to Collect Sexual Orientation and Gender Identity Information in the Emergency Department

et al. 2018

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Key Points Question What is the optimal patient-centered approach to collecting sexual orientation and gender identity information in the emergency department? Findings In this matched cohort study of 540 adults, sexual and gender minority patients reported significantly higher patient satisfaction with registrar form collection compared with nurse verbal collection. Non–sexual and gender minority patients, in addition to those for whom sexual orientation and gender identity information was not collected, reported no worse outcomes with registrar form collection. Meaning Registrar form collection is the optimal patient-centered approach to collecting sexual orientation and gender identity information in the emergency department.

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Section: Discussionmentioning

confidence: 99%

Assessment of Patient-Centered Approaches to Collect Sexual Orientation and Gender Identity Information in the Emergency Department

et al. 2018

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“…All studies retrieved were written in English. All included studies were comprised of national audits (n = 6), 22‐27 organisational audits (n = 4), 28‐31 consensus methodology (n = 1), 32 narrative reviews (n = 7), 8,30,33‐37 university audits (n = 3), 34,37,38 project audits (n = 7), 33,37,39‐43 viewpoints (n = 8), 2,3,18,44‐48 simulation experiments (n = 3), 49‐51 case surveys (n = 5) 52‐56 and a position paper (n = 1) 15 . Studies centred on ethnic minorities in the United States of America, 2,3,15,22,24‐28,30‐34,36,37,41‐59 China, 24 Switzerland 60 and United Kingdom 18 ; women who identified as an ethnic minority 25,28,38 ; Indigenous peoples 14,35,40,61 ; both ethnic minorities and Indigenous peoples 2,57 ; and people with low socio‐economic status 23,48 …”

Section: Resultsmentioning

confidence: 99%

“…The American College of Physicians has recommended that every effort should be made to improve matriculation and graduation rates of minority students, recruit and retain minority faculty member, and hire and promote minorities in leadership positions in all areas of health care 15 . Similarly, Changoor et al 53 have shown that there is a need for surgeons to provide better cross‐cultural care and that specialised cultural dexterity training should become part of the surgical syllabus for all surgeons regardless of culture or ethnicity. Training in cultural safety has been shown to result in improved communication, patient satisfaction and a larger patient base in health care organisations 46 …”

Section: Resultsmentioning

confidence: 99%

Affirmative action programmes in postgraduate medical and surgical training—A narrative review

2020

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Objective This review aims to identify and summarise the literature pertaining to the implementation of affirmative action programmes (AAP) for selection of ethnic minorities and Indigenous peoples into selective specialist medical and surgical training programmes. Methods A systematic literature search was conducted to identify relevant studies reporting on the background, implementation and results of AAP for ethnic minorities and Indigenous peoples into medical and surgical training. MEDLINE, EMBASE, PubMed, Scopus and Google Scholar databases were queried from inception through to 1 February 2020. All included studies were subjected to inductive thematic analysis in order to systematically collate study findings. Articles were read through several times in an iterative manner to allow the identification of themes across the included studies. The themes were cross‐compared among the authors to establish their interconnectedness. Results Forty‐five articles described AAP pertaining to ethnic minorities in the United States of America (African‐Americans and Hispanic Americans), women and ethnic minorities, Indigenous peoples (New Zealand Māori) and people with low socio‐economic status. Four themes were identified. These included the need for social responsiveness in clinical training organisations, justification and criticism of AAP, how clinical training agencies should participate in AAP and what constitutes an effective AAP for specialist medical and surgical training. Conclusions Affirmative action programmes have been effective at increasing numbers of ethnic minority medical school graduates but have not been used for specialist medical or surgical training selection. AAP achieve the best results when they are associated with a comprehensive programme of candidate preparation, support and mentorship beginning prior to application, and support and mentorship extending through training and subsequently into the post‐training period as an independent professional. The overall aim of any AAP in medical or surgical training must be graduation of significant numbers of minority and Indigenous trainees into successful practice with appointment to faculty member and leadership positions.

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“…All members of staff had been treating patients wearing a wearable sensor in the wearable patch at West Middlesex University Hospital—a busy hospital located in northwest London that serves an ethnically diverse population. Interviews were conducted starting in March 2018 and were discontinued once preliminary thematic saturation had been attained [ 9 , 10 ].…”

Section: Methodsmentioning

confidence: 99%

Perceptions on the Use of Wearable Sensors and Continuous Monitoring in Surgical Patients: Interview Study Among Surgical Staff

et al. 2022

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Background Continuous vital sign monitoring by using wearable sensors may result in the earlier detection of patient deterioration and sepsis. Few studies have explored the perspectives of surgical team members on the use of such sensors in surgical patients. Objective This study aims to understand the views of surgical team members regarding novel wearable sensors for surgical patients. Methods Wearable sensors that monitor vital signs (heart rate, respiratory rate, and temperature) continuously were used by acute surgical patients. The opinions of surgical staff who were treating patients with these sensors were collated through in-depth semistructured interviews to thematic saturation. Interviews were audio recorded, transcribed, and analyzed via thematic analysis. Results A total of 48 interviews were performed with senior and junior surgeons and senior and junior nurses. The main themes of interest that emerged from the interviews were (1) problems with current monitoring, (2) the anticipated impact of wearables on patient safety, (3) the impact on staff, (4) the impact on patients overall, (5) potential new changes, and (6) the future and views on technology. Conclusions Overall, the feedback from staff who were continuously monitoring surgical patients via wearable sensors was positive, and relatively few concerns were raised. Surgical staff members identify problems with current monitoring and anticipate that sensors will both improve patient safety and be the future of monitoring.

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Surgeons’ Perceptions Toward Providing Care for Diverse Patients

Cited by 29 publications

References 28 publications

Assessment of Patient-Centered Approaches to Collect Sexual Orientation and Gender Identity Information in the Emergency Department

Assessment of Patient-Centered Approaches to Collect Sexual Orientation and Gender Identity Information in the Emergency Department

Affirmative action programmes in postgraduate medical and surgical training—A narrative review

Perceptions on the Use of Wearable Sensors and Continuous Monitoring in Surgical Patients: Interview Study Among Surgical Staff

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