HSCI 305 Lecture Notes - Lecture 6: Health Human Resources, Chevrolet Hhr, Internalized Racism

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HSCI 305
October 12th, 2017
Health Human Resources
Racism and Cultural Safety in Health Care
1. Institutionalized racism: the structure of society and the codified institutions of practice,
law, and governmental inaction in the face of need
2. Personally mediated racism: the prejudice and discrimination that can manifest itself as a
lack of respect, suspicion, devaluation, scapegoating, as de-humanization
a. Most people do not consider themselves (or do not want to imagine) that they can
be racist or guilt or racist behaviour
b. However, underlying biases and beliefs may persist and show up in subtle ways in
how we treat one another
c. This carries forward in how likely we are to help one another, take different kinds
of patients as seriously and make sure they get the care they deserve
3. Internalized racism: when those who are stigmatized believe it. This leads to resignation,
helplessness, and the lack of hope
Culture and health care
- Cultural awareness acknowledgement of difference
- Cultural sensitivity respecting difference
- Cultural competency focuses on the skills, knowledge, and attitudes of practitioners
- Cultural safety
o Analyzes power imbalances and institutional discrimination within health care
o Requires self-reflection we are all bearers of culture and our own culture
impacts our behaviour, including health care practitioners
o Patients define what cultural safety means to them
Health human resources
- Chiropractors
- Dentists
- Midwives
- Opticians
- Optometrists
- Pharmacists
- Physicians
- RN
Issues in HHR “Doctor shortage”
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