My patient/client speaks French, and I...Title of Presentation: My patient/client speaks French, and...
Transcript of My patient/client speaks French, and I...Title of Presentation: My patient/client speaks French, and...
My patient/client
speaks French, and I
don’t
Northern Health Research Conference
June 6, 2014
Lee Rysdale, MEd, RD
Assistant Professor, Clinical Sciences, NOSM
Danielle Barbeau-Rodrigue, Director
Francophone Affairs Unit, NOSM
Conflict Disclosure Information:
Presenters: Lee Rysdale and Danielle Barbeau-
Rodrigue
Title of Presentation: My patient/client speaks French,
and I don’t: Evaluation of a NOSM Preceptor Training
Series
We have no financial or personal relationships to
disclose
Francophone
Competency
• 22% of Franco-Ontarians in Northern
Ontario
• Ensure all NOSM activities
– sensitive to cultural and linguistic
needs
• All NOSM learners
– develop knowledge and
understanding
– history, tradition and culture
– health concerns and needs
Needs Assessment
• Non-medical preceptors from NW and NE ON (RD, OT, PT, SLP, Audiology) – To gauge attitudes, perceived
importance and professional development needs
– As a practitioner and as a preceptor
• 43-item online survey (Fluid Surveys©) during March 2013
• Approval from Lakehead & Laurentian University REBs
Results
• ≥ 50% ill-prepared to integrate
– as a practitioner and as a preceptor
• Top barriers
– lack of exposure to Francophones
– insufficient language skills
– insufficient training opportunities
• Many interested in further training
– in person
– distance education • workshops and/or lunch and learns
Webinar Series
• Thursday, January 23, 2014
– Francophone Context in Northern Ontario
• Thursday, February 27, 2014
– The Health Status of Francophones
• Thursday, March 27, 2014
– Francophone Stakeholders in Northern Ontario
• Thursday, April 24, 2014
– Tools for Making it Work
http://www.nosm.ca/education/general.aspx?id=17825
Promotion
• NOSM CEPD and Faculty Affairs
– Faculty, students and staff
• NOSM Francophone Affairs
– Community Partners
– NOSM Pulse weekly newsletter
• NOSM Health Sciences Unit
– 500+ preceptors
Study Objectives
• To formally evaluate the series and
inform the design and
implementation of curriculum,
resources and processes towards
the integration of these
competencies within the Health
Sciences Unit for all present and
future preceptors and learners.
Methods
• 22-item online survey (Qualtrics™)– overall webinar content, facilitation,
delivery mode, etc.
– pre and post training knowledge and skills
– level of agreement with the proposed learning outcomes of each webinar.
• Data analysis using Microsoft® Excel®
and frequencies
• Webinar polls
• Approval from Lakehead & Laurentian University REBs
Results-Participation
Webinar Registration Webinar
Participation*
Survey
Participation**
Webinar #1 53 31
(58.5%)
21
(67.7%)
Webinar #2 53 23
(43.4%)
7
(30.4%)
Webinar #3 50 14
(28.0%)
7
(50.0%)
Webinar #4 55 21
(38.2%)
8
(38.1%)
Average 52.8 22.3
(42.1%)
43
(46.6%)
*May include multiple participants, including those not registered from one site
**Unregistered participants may have completed the survey
Results-Demographics
Discipline* Responses (%)
Webinar Poll
(n=63)
Online
Survey
(n= 42)
Total
(n= 105)
OT 6 (9.5%) 3 (7.4%) 9 (8.6%)
PT 5 (7.9%) 6 (14.3%) 11 (10.5%)
RD 10 (15.9%) 8 (19.0%) 18 (17.1%)
SLP 8 (12.7%) 3 (7.4%) 11 (10.5%)
Audiology -- -- --
MD -- -- --
RN 3 (4.5%) 1 (2.4%) 4 (3.8%)
Other 31 (49.2%) 21 (50.0%) 52 (49.5%)
*Polling question in 4 webinars
Results-Demographics
Characteristic (%)
Age (years) (n=43) 20-39 34.9
40-49 30.2
50-69 34.8
Years of Practice (n=41) 1-2 years 26.8
3-5 years 14.6
6-15 years 12.2
16-25 years 22.0
26 + years 24.4
Practice Setting (n=42) Hospital inpatients/outpatients 11.9
CCAC 9.5
CHC, including First Nation 7.1
Public Health Unit 9.5
Education 21.4
Private Practice 7.1
Research 4.8
Other, please specify 28.6
Results-Demographics
*Polling question in 3 of 4 webinars **Polling question in 4 webinars
Level of French*
Work with Francophones**
0 5 10 15 20 25 30 35 40
Total n=84
Bilingual
Speak/understandcomfortably
Speak/understand alittle
None
0 10 20 30 40 50 60 70
Total n=107
Always
Often
Sometimes
Never
Results-AwarenessFranco-Ontarians
(Webinar #1)
Health Status (Webinar #2)
0 5 10 15 20 25
Total n=45
Very aware
Aware
Somewhat aware
Not aware
0 2 4 6 8 10 12 14
Total n=24
Very aware
Aware
Somewhat aware
Not aware
Results-Awareness
Stakeholders(Webinar #3)
Tools(Webinar #4)
0 1 2 3 4 5 6 7
Total n=17Very aware
Aware
Somewhat aware
Not aware
0 1 2 3 4 5 6 7 8 9
Total n=22Very aware
Aware
Somewhat aware
Not aware
Post Knowledge & Skills
QuestionAgree/Strongly
agree (%)
Provided ideas, tools, techniques,
resources (n= 41)87.8
Provided better awareness/ knowledge of
issues (n=43)97.7
Increased confidence (n=36) 80.6
Increased awareness of connections and/
or organizations (n=41)85.4
Confirmed/ reaffirmed work (n=37) 89.2
Learning Outcomes
Webinar Outcomes Good/Excellent
Webinar #1 (n= 22)Historical milestonesSocio-demographic profilesLiving in minority situation
90.7%
Webinar #2 (n=7)Health status factorsHealth status differencesImpact on health service delivery
100.0%
Webinar #3 (n= 7)Elements to engage Francophones
Key FLS organizations/agenciesWays to improve regardless of first language
83.3%
Webinar #4 (n=8)HEIA ToolNOSM HS Competency ChecklistIncorporate into practice and teaching
83.3%
Overall Impressions
Question Agree/Strongly Agree
Clear objectives (n=43) 92.9%
Met objectives (n=43) 90.7%
Excellent facilitation (n=42) 97.6%
25% interactive (n=41) 85.4%
Webinar appropriate (n= 42) 95.2%
Convenient date & time (n=42) 97.6%
Recommend to others (n=43) 95.3%
Limitations
• Small sample size
– Variety of disciplines participated
• Low response rate
– Survey overload?
• Survey functionality and confidentiality
– Challenges with question and response design of program
– REB issues re: US provider
Implications
• Use polling surveys with webinars/online learning
• Reaching our target audience?– Majority bilingual
• Other cultural competency training strategies that are more effective?– Reach and impact
• Continue to evaluate progress with measurable indicators– Education content and commitment
• A process to track and report what is working and not working
Acknowledgements
• NOSM CEPD and Communications
• NOSM Francophone PPC
• Health Nexus
– Estelle Duchon, Andrea Bodkin , Gillian Kranias
• Webinar Speakers
– Alain Gauthier, Patrick Timony, Cindy Davis-Maille, Renée St Onge, Angèle Brunelle, Suzanne Davidson-Noël, Stéfanie Middleton, and Christiane Fontaine
• Webinar Participants