Extending Cultural Competence to (Mid-Level) Leadership

Dr. Rani H. SrivastavaDr. Rani H. Srivastava Chief of Nursing & Professional Chief of Nursing & Professional

PracticePractice Centre for Addiction & Mental Centre for Addiction & Mental

Health, Toronto, OntarioHealth, Toronto, Ontario

Rani_Srivastava@camh.net

Ann Vanderbijl, MA Director, Diversity ServicesDirector, Diversity Services Providence Health Care Providence Health Care

Vancouver, British ColumbiaVancouver, British Columbia

avanderbijl@providencehealth.bc.ca

Key Question -

What does ‘cultural competence’ look like for mid-level leaders in healthcare?

Leaders who are accountable for -- Quality of patient care - Staff ‘management’

Overview of session

Review key premises Invite your experience and ideas Identify key themes and domains for a

leadership competencies framework

Resources Summary Ongoing dialogue

Key Premises…

Biomedical practice - A ‘culture’ in its own right

Professional practice - sub-cultures

Individualism – ‘western’

Primacy of science

Built-environment

Communication styles

Culture As An Invisible Backpack – Our ‘Common’ Sense

Quality, Equitable Patient Care…

Depends on- Trust between providers as well as

between patients and providers Clear and effective communication Respectful relationships Understanding of, and skills in,

addressing differences

Multicultural Workplaces

Invisible barriers?

Competing values?

Unaddressed conflict?

Discussion - 1

Think of a leader who you would say is culturally competent, someone who manages well within a diverse healthcare environment.

What is happening? How can you tell things are working well?

What do you see? What works well? What makes this work well?

Discussion – 2a

Think about your experience with a diverse healthcare team.

What are the positive opportunities that can be experienced?

How does the leader support or enhance the positive contributions of its diverse healthcare teams?

Discussion - 2bThink about your experience with

a diverse healthcare team. What are the potential challenges

that are experienced? How does the leader address the

challenges?

Discussion 3

What areas or issues do leaders need to be competent in with respect to the delivery of quality care to diverse patient populations?

Identifying Themes in Leadership Competencies

What competency domains have we identified as necessary for culturally competent healthcare leadership?

Resources – Dialogue - Summary