Activities and Videos

Note: These activities may be used at the discretion of faculty along with the person-centered care slide deck. 

Reflection:

Think of some examples at work where there were more than two people involved in decision making for clinical care:

  • What are the challenges this creates for people when they have different expectations about a similar process?
  • How did the patient’s experience inform the dialogue?
  • How did beliefs and values of yourself and/or the patient inform the PCDM process?

Reflection 2: 

  • How do you encourage autonomy and facilitate dialogue around responsibility for your healthcare?
  • What are points of access to resources that you have, that others might not?
  • Can you track the privileges that have affirmed and supported/diminished the quality of your healthcare?
  • Are there parts of your self-identity that have informed the quality of care you have received?

Reflection 3:

  • Have you observed a clinician include a third person in the clinical care partnership?
  • What was particularly effective when the third person was present?
  • What was unhelpful?
  • How could you reconcile differences between a clinician and a third person, or enlist them in the partnership?

Reflection 4: 

  • What are some examples of priorities and concepts of risk and safety that might differ between clients/patients and providers?
  • Have there been instances when your bias or opinion affected how you communicated risk?

Reflection 5: 

  • On a piece of paper or electronic notepad, make a list of 5 words that describe your first thoughts when you hear “home birth”. 
  • List and describe 2 differences between a planned home birth and an unplanned home birth. Base your comments on your own life experience and education, not from online resources.

Reflection 6: 

  • What are some examples of priorities and concepts of risk and safety with respect to birth place that might differ between patients/clients and providers?

Reflection 7: 

  • What items (equipment, personnel, care processes, or resource utilization) might drive the differences in costs between settings?

Activity:

Watch this short video that models the use of many of the elements that support person-centered decision making.  As you watch the video you will see prompts that identify the key elements.  You may wish to stop and replay the labeled sections; this will allow you to learn from a best practice model, about each technique within a real conversation with parents. 

NOTE: This video was designed and filmed in British Columbia, Canada.  Some content related to delivery of care is specific to Canada, but the person-centered decision making content is clearly applicable to a US audience. 

Participants, please discuss ways that the midwife utilized these techniques in this interview.  

Activity: Implicit Bias

There is an embedded Link behind Image for Project Implicit is a non-profit organization and international collaboration between researchers who are interested in implicit social cognition – thoughts and feelings outside of conscious awareness and control. The goal of the organization is to educate the public about hidden biases and to provide a “virtual laboratory” for collecting data on the Internet.

Project Implicit was founded in 1998 by three scientists – Tony Greenwald (University of Washington), Mahzarin Banaji (Harvard University), and Brian Nosek (University of Virginia). Project Implicit Mental Health launched in 2011, led by Bethany Teachman (University of Virginia) and Matt Nock (Harvard University).

Video:  https://youtu.be/YbqNqPTZx5c (no activity linked)

Presentations