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DiversityNursing Blog

Solving the Diversity Puzzle

Posted by Pat Magrath

Tue, Oct 11, 2011 @ 09:46 AM

By Todd Henneman
Workforce.com

Lecturing employees about diversity is one thing, but some companies are taking training a step further. Strategies include engaging employees in teamwork exercises and having workers simulate disabilities.

In July, Jennifer Vena decided to talk with colleagues about Tourette’s syndrome after watching video clips of American Idol contestant James Durbin and public speaker Marc Elliot, both of whom have the neurological disorder known for causing motor and vocal tics.

It’s the latest in a string of topics advanced by Vena since she decided a year ago to add one item about diversity to her team’s monthly meeting agenda. “It is really each individual making a commitment to demonstrate inclusiveness in his or her daily actions that will make a difference,” says Vena, a senior consultant at Bright Horizons Family Solutions, a private company that manages employer-provided child care centers.

Vena’s self-imposed monthly commitment is part of an initiative known as One Thing introduced last year by Bright Horizons. The brainchild of the company’s diversity council, One Thing challenges employees to take one action that fosters workplace diversity and inclusion. More than 600 employees have submitted One Thing commitments. Other employees have vowed to take new co-workers to lunch so they feel welcomed or to read books to learn about other dimensions of diversity.

“It’s an evolution of the way we’re doing the work,” says Dan Henry, Bright Horizons’ chief human resources officer and co-chair of the diversity council. “There is only so much training you can do in this space. At some point, it has to come down to what people do.”

Bright Horizons isn’t the only company whose diversity practices are evolving. Increasingly, companies are supplementing lectures with activities ranging from simulating deafness to using case studies that hone skills for navigating complex situations. The goal: to create better managers, not simply more sensitive ones.

“Companies are offering courses on how to be an effective team member, conflict resolution, cultural agility,” says Quinetta Roberson, a management professor at Villanova University’s School of Business who has researched diversity trends. “They’re giving people an openness to experience where people can deal in various contexts with various people, where people have the tools to navigate in any context.”

Beyond guilt trips

The National Training Laboratories of Bethel, Maine, which is now called the NTL Institute, determined more than a decade ago that “practice by doing” is second only to “teaching others” as the most effective way of learning. But only in recent years has diversity training transitioned away from side shows and guilt trips to skill-building, such as resolving conflict and providing developmental feedback to subordinates with whom managers have little in common.

“People learn more by doing,” says Ondra Berry, co-founder of training firm Guardian Quest. “We can recite experiences from our lives blow-by-blow because we remember more when we’re actively involved, especially when it has made an impact on us.” NV Energy Inc., which provides electricity to 2.4 million customers throughout Nevada, hired Guardian Quest for three days of training four times per year.

The sessions are about teamwork as much as they are about diversity. In one, a line of people must navigate under chairs and around other obstacles, communicating only through taps and touches. In another, the group must figure out how to pass everyone through a spider web of ropes.

Carolyne Sharp attended the training after changing jobs involuntarily as part of a reorganization at NV Energy. She was unhappy because she had been transferred from a power plant, where she liked her co-workers, to the corporate office, where she would be working in purchasing and contracts.

“After I took the training, I was fired up,” Sharp says. “I found my voice. I wasn’t afraid to say something anymore. The true me came out again.”

Since, she has won five awards for her efforts to expand the number of minority suppliers, holds regular reunions for her training cohorts and organizes an annual companywide event to honor veterans.

The earliest forms of diversity education arose soon after President John F. Kennedy signed an executive order in 1961 that required federal contractors to “take affirmative action” to avert discrimination based on race or national origin. By 1963, government contractors such as Western Electric provided two days of lectures and discussions about prejudice to leaders of all their locations.

During the 1970s when the U.S. Equal Employment Opportunity Commission gained the power to bring lawsuits against private companies, training sessions proliferated to help employers avoid litigation. These compliance sessions evolved in the 1990s into training that used broader definitions of diversity, including factors such as sexual orientation, religion, communication styles and tenure.

Now, companies are increasingly looking for quantifiable returns on their investment. They’re tracking employee engagement to see whether the training translates into higher scores and looking at 360-degree evaluations to see whether managers gained skills.

“The expectation is more than a good experience,” says Michael Hyter, president of diversity consultant Global Novations. “It’s real, measurable learning. It’s a measurable outcome. There is a specific skill that ought to be obvious for the investment that we’re making in this person’s development experience.”

Hyter says that he holds his firm to a different standard than he did a decade ago, emphasizing to clients how his firm’s training builds competencies and enhances employee engagement.

In one instance, a client had become alarmed about turnover among women of color. Hyter’s firm conducted a cultural audit, which suggested managers were weak at providing developmental feedback across the board, not only to women of color. The firm identified competencies, trained managers and embedded behavior into 360-degree evaluations every 90 days. Within 18 months, turnover decreased and more women and minorities had risen within the organization.

“If we talked 10 years ago, I would have said we gave 5,000 people diversity training and left, and they loved it,” Hyter says. “But nothing much would have changed. There was no real measurable change in behavior or skills.” Nowadays, he asks specifically what outcome clients seek and looks at what skills drive those results.

In 2010, 68 percent of the member organizations surveyed by the Society for Human Resource Management indicated that they have practices in place to address workplace diversity compared with 76 percent of organizations surveyed in 2005. But of companies with diversity practices, 71 percent say they provide training compared with 67 percent in 2005.

“The organizations that were really invested in diversity and inclusion work before the recession hit remain so,” says Eric Peterson, SHRM’s manager of diversity and inclusion. “Those who were getting started, it was an easy cut to make when they needed to cut back.”

Making an investment

Sodexo Inc. is among the companies that have invested years of time and money into diversity strategy. The food and facilities-management services company offers multiple diversity workshops available to everyone from cashiers to members of the C-suite, invites outside speakers to lead sessions at its annual diversity conference and offers webinars available anytime from any location.

“We use every opportunity we can to spark people’s interest and seed a desire to learn more,” says Betsy Silva Hernandez, Sodexo’s senior director of diversity, learning and consulting.

Managers attend a full-day diversity workshop, facilitated by a cohort of external trainers, within six month of joining the company. There, managers learn about their role in building an inclusive workplace, reflect on their own views of diversity and explore situations that they may encounter. One scenario presents a white male voicing resentment based on his perception of reverse discrimination.

“It gives them an opportunity to talk about the issues in a safe place—what they feel are going to be their challenges—and an opportunity to talk about what they can better do to lead in this space,” Hernandez says.

Managers can opt to attend 15 Diversity Learning Labs, follow-up sessions that range from 90 minutes to three hours offered throughout the year. Topics include gender, sexual orientation, cross-cultural communication and disabilities. A recent lab simulated working with disabilities. For one hour, participants lived with a disability. One employee wore special earplugs that blocked all sound, another temporarily lost vision, while someone else spent time in a wheelchair.

“We want it to be interactive,” Hernandez says. “We look at 90 percent interaction and 10 percent sharing information and raising awareness.”

John Friedman, director of public relations for Sodexo, gave up his sense of hearing during the lab. He went with a colleague to a place that was “100 percent familiar, where we’d been to 100 times in our own building,” he says. “It was a markedly different experience and profoundly humbling.”

Eight years ago, Sodexo also began conducting an annual diversity and business summit, a place where it tests new learning labs on such topics as generational differences. Each year, the full-day event is held in a different region, with area managers invited to attend with North American president and CEO George Chavel and his executive team.

As diversity has become ingrained into business strategies, Chavel and other chief executives are immersing themselves in their companies’ initiatives. Their involvement underscores the organizational commitment to diversity.

Consider, for example, Mark Wagar, president and CEO of Empire Blue Cross and Blue Shield, the New York City-based subsidiary of WellPoint Inc. In 2008, the company introduced the Empire Diversity Council to serve as an advisory body to its senior-management team. Wagar then launched a “community ambassador program” in which members of employee resource groups help identify ways of better serving their own demographic.

When Asian employees formed a resource group last year, they asked Wagar to serve as executive sponsor because, he says, “of my activism.” A self-described “giant Dutchman,” Wagar agreed and is working with members on a business plan detailing employee education and customer research goals.

“If it’s a business reality that there’s lots of old white men running companies, if you don’t have old white men who are willing to speak out about this and about how it [diversity] makes richer lives and better business,” Wagar says, “it’s not going to go as fast as it otherwise would.”

Some companies also are linking diversity education to performance evaluations. Bright Horizons evaluates employees against the company’s values, known as the Heart Principles. Employees learn about this connection in diversity training they attend during their first 90 days. Among those principles: “We strengthen our organization by embracing diversity and never allowing acts of nonacceptance.”

Sodexo goes further. It ties managers’ bonuses to training, recruitment and other diversity goals. This connection provides an incentive for managers to attend additional training sessions and to encourage subordinates to do so, as well. The strategy appears to be working: In fiscal 2009, 2,900 employees participated in 85 learning labs, and the next year 6,900 attended 243 labs. Through June, Sodexo already had exceeded its 2010 attendance.

Discussions about business cases for diversity—reducing turnover-related expenses, tapping new market niches, better understanding customers—still dominate conferences.

But Caesars Entertainment Corp. is taking a novel approach. Fred Keeton, chief diversity officer of the casino operator based in Las Vegas, has developed a concept that he calls “Diverse by Design.” Many organizations assume that having a diverse workforce naturally creates better teams, but Keeton handpicks team members to ensure that the teams have what he considers to be the relevant mix.

He applies the hospitality industry’s concept of yield management to diversity, creating teams with what he considers the best mix of cognitive styles and experiences to solve thorny business problems or drive revenue.

“Every dimension is not always important to what you want to do,” says Keeton who is also vice president of finance for external affairs. “You’ve got to manage your diversity like you manage so many other things.”

He mines employee data, picking the most relevant attributes using a matrix that considers everything from thinking styles to job function, geography, cultural style and the traits traditionally thought of as diversity: race, gender or ethnicity.

Insight into cognitive styles, for example, comes from the Herrmann Brain Dominance Instrument survey, collected and shared with employees in diversity training conducted during their first 90 days.

Caesars uses Diverse by Design teams for only its toughest tasks. “If you have a problem that’s a really easy problem, having a lot of diversity doesn’t necessarily help you answer that problem,” Keeton says. “If you’ve got a really hairy, nasty, dirty problem that’s hard to solve, diversity becomes most potent. We call it creating the capacity to call the baby ugly because the people who created the baby aren’t going to call it ugly.”

The company piloted the first two teams in 2009 and has since formed eight other teams. One looked at ways of improving buffets. The team didn’t review the food itself, but rather proposed ways to increase the efficiency and effectiveness of buffet operations. A second team looked at the revenue-management systems of hotels, while another focused on whether to buy new or retain existing slot machines and what mix of games to offer.

Keeton says the results are proprietary information but the strategy is working.

Yet even after 50 years, diversity programs continue to spark debate. Sociologist Frederick Lynch, an associate professor of government at Claremont McKenna College in California, argues that diversity programs promote the notion of hiring people because of their skin color, gender or other demographic traits. He considers this tokenism.

“As I see it, we have gone from trying to make up for past discrimination to affirmative discriminations,” says Lynch, author of The Diversity Machine: The Drive to Change the “White Male Workplace.” Changing demographics may lead to a “natural affirmative action,” he says.

But other experts believe diversity won’t just happen without a lot of hard work. Patti Digh, a former vice president of international and diversity programs for SHRM and co-founder of the training firm the Circle Project, voices her frustration that companies insist on developing business cases before advancing diversity, saying this demand amounts to a stalling tactic. Diversity programs no longer need to be justified, Digh says.

They’re core business tools that should be integrated across product development, marketing and communication, not thought of as a separate silo.

“In the year 2011, continuing to say, ‘We have to build a business case for diversity’ is like saying, ‘We should really look into this new Internet fad,’ ” Digh says.

Topics: diversity, Workforce, employment, diverse

With diversity, everyone is relevant

Posted by Pat Magrath

Tue, Oct 11, 2011 @ 08:46 AM

By MICHELLE T. JOHNSON
http://michelletjohnson.com

Special writer to The Kansas City Star

Through the end of the year I will be looking a little more deeply into the definition of common terms that come up when discussing workplace diversity. Let’s start with “diversity” itself.

Although I’ve written about it in this column for several years and directly and indirectly defined it, people still seem confused. Or rather, my definition goes against the common, comfortable, self-centered way that people are used to thinking about diversity.

Most people think of diversity as a synonym for “race relations.” If they are particularly cynical or hate the very idea of it, then they think of diversity as another way of saying “affirmative action,” which really makes a negative in their minds.

My definition of diversity that I train with is layered and involved, and provides a great starting point for discussions in my workshops and longer writings.

But in a nutshell, it’s about difference — the difference between two people that can or does affect how they approach their jobs. Everything from the small difference of a person who has an assigned parking space to the person who has to circle the lot to find a decent space.

Diversity is also about the differences that are large and societal, such as race or sex. Recently I visited the International Civil Rights Museum in Greensboro, N.C., and trust me, there is nothing small in seeing film footage and photos of the horrific things that Americans have done to Americans in the name of racial superiority.

Though the remnants of that legacy still leave their mark and have mutated into new dynamics of discrimination, it’s not just the big differences that count.

One of the difficulties of dealing with diversity is that it requires one to look at comparisons. That’s why the common definition of diversity is often self-centered.

People have a tendency to look at it through the lens that either supports who they are or potentially harms them.

But when diversity serves to simply determine difference as a measure of bringing several viewpoints or frames of reference into a working situation, it can be seen as a positive and not a threat.

Or to paraphrase something I recently read, if two people think exactly the same when trying to solve a problem or address a challenge, one of those people is completely irrelevant.

Diversity is about making everyone relevant.

Read more: http://www.kansascity.com/2011/09/19/3153953/with-diversity-everyone-is-relevant.html

Topics: diversity, Workforce, employment, diverse, hispanic, Articles, Employment & Residency, black nurse, black

Assumptions hurt Hispanic workforce

Posted by Pat Magrath

Tue, Oct 11, 2011 @ 08:39 AM

By MICHELLE T. JOHNSON
http://michelletjohnson.com

Special writer to The Kansas City Star

September is Hispanic Heritage Month, which makes me realize how little reliable information — vs. stereotypes and inaccuracies — there is about Hispanics in the workplace.

Unfortunately, what pops into the minds of many when they think about Hispanics in the workplace is “illegal immigrants.” I’ve heard far too many people who should know better make that assumption.

This in part comes about because of what people see on television and the Internet, and because we tend to turn bits of anecdotal evidence into something we “know.”

In truth, Americans of Hispanic descent grapple with the same issues as any other group in the workforce — and like many groups battling stereotypes, their challenges are often greater than average.

For example, a recent study found that Hispanic workers were twice as likely to hold administrative or clerical entry-level jobs as “nondiverse workers,” which the study defined as white males who were not disabled, gay or transgender.

The study also found that 51 percent of the Hispanic workers surveyed were likely to be making less than $50,000 a year, compared with 31 percent for the non-diverse workers.

In terms of demographics, Hispanics have long since passed African-Americans as the largest U.S. ethnic minority, with 50 percent population growth in the last decade alone. And the most recent news is that Hispanics are the largest ethnic minority enrolled in college.

My longtime friend Mary D. Padilla says that one of the biggest misconceptions she thinks people have about Hispanics, especially in the workforce, is that they are all Mexican or of Mexican descent.

An estimated 63 percent of U.S. Hispanics are of Mexican descent, so that leaves more than a third who are not.

Diversity is about the distinctions and not just the differences. Details matter. Different groups have different cultural norms, different histories and different worldviews.

Hispanic Heritage Month is meant to remind us of that — it’s more than just having a fiesta with a feast in the lunchroom. We should recognize, celebrate and become educated about a big segment of our workforce.

Read more: http://www.kansascity.com/2011/09/05/3122994/assumptions-hurt-hispanic-workforce.html

Topics: diversity, hispanic nurse, ethnic, diverse, hispanic

The Hausman Diversity Program at Mass General Hospital

Posted by Pat Magrath

Thu, Sep 22, 2011 @ 08:46 PM

by Alicia Williams-Hyman

Staff Assistant
Hausman Diversity Program at Mass General Hospital

 

hausman fellowshipThe Hausman Student Nurse Fellowship was created when MGH patient Margaretta Hausman, a social worker and graduate of Brown University, recognized the need for diversity among the top-level nursing staff. The Hausman Student Nurse Fellowship provides an opportunity for minority nursing students enrolled in an undergraduate baccalaureate nursing program to gain experience in patient care across the continuum.

The fellowship allows student nurses between the summer of their junior and senior year in college to experience care at the bedside in both inpatient and outpatient settings.  Under the mentorship of Deborah Washington, R.N., Director of Diversity for Patient Care Services and Bernice McField-Avila MD, Co-Chair of the Fellowship, the recipients have an opportunity to further develop skills required to thrive in a workplace where unique challenge to the minority nurse must be managed.

The first fellowship was awarded to Stevenson Morency in 2007.  The program flourished significantly and in 2011, the fellowship was awarded to 8 minority student nurses, the largest group in the history of the program. The Student Nurses worked on various units such as Endoscopy, Orthopedics, General Medicine, Thoracic Surgery, Cardiac Unit, Neurosurgery Unit, Wang Wound Care, Cancer Center and the Grey IV department.

At the graduation ceremony on August 19, 2011, the Hausman Student Nurses provided feedback about their time in the program. Vicky Yu, a student of UMass and a 2011 recipient, felt honored to be part of the fellowship. She stated she saw many procedures she had only read about in her textbooks: colonoscopy, hip/knee replacements and urinary catheterization. “I got to work with a nurse 1-on-1. I don't get this attention on my school clinical and I loved it!” stated Vicky.   

Jennifer Etienne of Boston College stated: “As a minority nurse, it will be my mission to eliminate health care disparities and use my skills and knowledge to eliminate language barriers and become more culturally competent.”

Marthe Pierre shared: “The Hausman Fellowship is a ladder that provided a stepping-stone to my success. It allowed me to acquire skills, knowledge and confidence. It has also ignited my desire to one day become an extraordinary nurse who is culturally competent and compassionate.”

Jeffrey Jean of UMass Boston expressed that the program has reaffirmed his knowledge and his clinical experience. “Being able to walk in the shoes of a different RN has allowed me to re-invent myself. I have learned an abundance of new skills and techniques and have acquired a vast amount of knowledge. I believe that an important component of being an effective caregiver is to know what my strengths are.”

Sedina Giaff of Simmons College declared “It is with great pride that I introduce myself as a Hausman Fellow. This has been the best summer of my life. My experience as a Hausman Fellow has made me a better nursing student both clinically and intellectually. I have a better understanding and greater interest in the nursing profession. I am confidently looking forward to the coming school year and sharing my experiences with my classmates.”

Lauren Kang-Kim of Linfield College in Oregon had this to say: “Now I am reborn as a Hausman Fellow. For the last 5 weeks I found my own powerful voice and I am now proud of my minority identity. The Fellowship has opened the doors for me to become not just a better nurse, but a better person with a deeper understanding and respect for human beings.

Rosalee Tayag and Anna Diane of UMass Boston and Boston College respectively, stated that the Fellowship enhanced their leadership, critical thinking, assessment and communication skills; and  taught them to be more culturally sensitive. They also emphasized that they learned to work as members of a team more effectively.

Former 2010 Hausman awardees, Jason Villarreal and Penina Marengue, congratulated the Student Nurses on their graduation and cautioned them to use their new-found knowledge to provide competent care to their patients and uphold the good name of the Hausman Fellows.

Former Hausman Fellows include: Frew Fikru, Alexis Seggalye, and Christopher Uyiguosa Isibor 2008.  Chantel Watson and Stephanie Poon 2009.

The Hausman Fellowship is posted by Spring of each year at www.mghcareers.org. Qualified minority candidates should be in good academic standing (3.0 GPA or higher) and entering their senior year of a BSN program in the Fall.


Topics: scholarship, asian nurse, fellowship, diversity, employment, hispanic nurse, diverse, hispanic, Employment & Residency, black nurse, black, health, nurse, nurses, diverse african-american

Helping patients to reduce medication errors

Posted by Pat Magrath

Fri, Sep 09, 2011 @ 11:40 AM

Mr. W had a heart attack and was in the ICU last week.  While reviewing his discharge medication list, you realize Mr. W unintentionally discontinued his medication for hypertension and dyslipidemia.  Unfortunately, these medications were not on the discharge medication list.  

Jay has been a well controlled diabetic for many years.  Today his A1C is 10.5.  He insists he is taking his medication regularly.  

A medication error is any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. 1   Efforts to decrease or prevent medication errors often focus on improving systems and procedures utilized by nurses, physicians and pharmacists during the multistep process of medication administration.  Decreasing medication errors by patients must also be addressed.  

According to the landmark 2006 report "Preventing Medication Errors" from the Institute of Medicine, medication errors injure 1.5 million Americans each year and cost 3.5 billion in lost productivity, wages and additional medical expenses.​2 1/3 of medication errors occur in outpatient settings.  Patients often unintentionally discontinue medications after a hospitalization or transfer of care.  Numerous studies have shown that patients with chronic conditions adhere only to 50% to 60% of medications as prescribed despite evidence that medical therapy prevents death and improves quality of life.3   Knowledge deficits and poor understanding of drug label directions often result in medication errors initiated by patients. 

How to reduce medication errors by patients:

  1. Decrease medication knowledge deficits.  Review with patients in plain language what medications were prescribed, how to take them, discuss side effects and address concerns regarding drug interactions and cost.  Use visuals and show me techniques to ensure patient understanding.  Enlist the help of the PCP and pharmacist for additional education.
  2. 2.   An accurate medication list that includes discharge medications and/or chronic care medications is essential.  Learn how to take an accurate medication history.    Use clear communication techniques during conversations with patients.  Provide patient and PCP with discharge medication list.   
  3. Monitor for medication adherence.  Ask patients to bring in all of their medications or contact pharmacies for information on most recent refill dates.  Evaluate and address medication knowledge deficits.  Medication reminders, automatic med refills, medication home delivery, assistance of family members or home care services can be utilized to improve adherence.  Call recently discharged patients to ensure they are taking prescribed medications and chronic care medications. 

Stephanie Wilborne, APRN

HealthLit.com:  Clear & Simple Patient Education/ Tools for Chronic Disease Management


1 National Coordinating Council for Medication Error Reporting and Prevention: http://www.nccmerp.org/aboutMedErrors.html

2Anderson, Pamela, and Terri Townsend. "Medication errors: Don't let them happen to you." American Nurse Today 5.3 (2010): 23-27: http://www.nursingworld.org/mods/mod494/MedErrors.pdf

3 Bosworth, Hayden, Bradi Granger, Stephen Kimmel, Larry Liu, John Musaus, William Shrank, Elizabeth Buono, Karen Weiss, Christopher Granger, Phill Mendys, Ralph Brindis, Rebecca Burkholder, Susan Czajkowski, Jodi Daniel, Inger Ekman, Michael Ho, and Mimi Johnson. "Medication adherence: A call for action." American Heart Journal 162.3 (2011): 412-424. Print.

4 Preventing Medication Errors: Quality Chasm Series Committee on Identifying and Preventing Medication Errors, Philip Aspden, Julie Wolcott, J. Lyle Bootman, Linda R. Cronenwett, Editors

Topics: reduce medication errors, medication errors, employment, hispanic nurse, ethnic, diverse, hispanic, black nurse, nurse, nurses, medication

Federal projections for job openings through 2016. Registered Nurses lead the way.

Posted by Pat Magrath

Fri, Aug 26, 2011 @ 08:25 AM

The U.S. workforce is expected to become more diverse by 2018. Among racial groups, Whites are expected to make up a decreasing share of the labor force, while Blacks, Asians, and all other groups will increase their share (Chart 2). Among ethnic groups, persons of Hispanic origin are projected to increase their share of the labor force from 14.3 percent to 17.6 percent, reflecting 33.1 percent growth.

overview chart 02 small resized 600

July - August 2011. Largest Listings Out of 5,400,000 American Jobs Listed Across the Internet

• Physical Therapists
• Occupational Therapists
• Assistant Managers
• Registered Nurses - Licensed RNs
• Crew Positions - Casual Dining and Fast Food
• Salespeople
• Shift Supervisors - Food and Other Industries
• Cashiers/Sales Clerks
• Customer Service Jobs
• Pharmacy Technicians
• Merchandisers
• Event Specialists
• General Managers
• Photo Lab Supervisors
• Project Managers - IT

Federal Projections for "Most Job Openings" Expected through 2016

• Registered Nurses (RNs)
• Retail Salespersons
• Customer Service Representatives
• All Food Preparation & Service
• Office Clerks
• Personal & Home Care Aides
• Home Health Aides (HHAs)
• Postsecondary Teachers
• Janitors and Cleaners, except Housekeepers
• Nursing Aides & Orderlies
• Bookkeeping, Accounting, And Auditing Clerks
• Waitstaff
• Child Care Workers
• Executive Secretaries & Administrative Assistants
• Computer Software Applications Engineers

Topics: diversity, Workforce, employment, diverse, Articles, nurse, nurses

The CAN (Chinese American Nurses) Sisters

Posted by Pat Magrath

Tue, Aug 23, 2011 @ 10:18 AM

In 2003, a small group of Chinese-American nurses, all working in the Kansas City area, came together to share experiences, learn from one another and encourage each other. Today, the CAN (Chinese American Nurses) Sisters meet twice a month as we continue to share our nursing and American life experiences. Our common denominator is that English is our second language. We feverishly try to improve our listening, writing, and speaking skills in English. We especially want to reduce our translation and response time during conversations. We also have in common that we all work extremely hard; we are reliable, friendly, caring, and happy at work.
  Recently, we met for one of our regular meetings. We sat in a circle in my living room and began with introductions. On that particular night we had three overseas visitors from China who were part of an exchange program at Children’s Mercy Hospitals and Clinics in Kansas City. The evening turned out to be an especially moving night for all of us. We each told the story of our life’s challenges and triumphs. We all talked of our struggles to memorize the names of cells, medications, and tiny germs in English! It was fun night.

After my guests left, I started cleaning the dishes. As I did, I suddenly was struck with the thought: How could I ever take these amazing, beautiful nurses for granted? I am so lucky to know them! At the end of every meeting, we feel charged and ready to face the world together. CAN nurses only need opportunities to prove themselves as great nurses. Here are a few of their stories:

SS – She was a nurse in China. After arriving in the United States, she started studying for the nursing board while also raising a child and working at local restaurants to help support her family. She studied hard and passed the nursing board. She then enrolled at Johnson County Community College for an RN refresher course. She completed her clinical RN training at a local specialty hospital. Her clinical instructor noticed how hard she worked and her solid knowledge of nursing. The instructor’s immediate supervisor then hired her as soon as she completed her clinical training practice. SS has being doing very well at that local specialty hospital for more than five years. Doctors trust her and her nursing judgment. She consistently receives praise from the doctors and other staff members.

FF – She also was a nurse in China. She studied and passed the nursing board soon after SS passed the board. FF went on and studied many more nursing specialties, and earned herself national certification in infusion nursing and wound care. She was a supervisor at a local nursing home with multiple certified nursing skills. She was doing an outstanding job in nursing.

GG – She practiced medicine in China. As soon as she arrived in the United States, she went to nursing school, studied extremely hard, and she passed the nursing board. She does not practice nursing yet; she is still waiting for her green card and permission to work. She is ready to serve.

HH – She was a nursing instructor in China. Right after arriving in the United States, HH started studying for the nursing board, even while she was caring for her premature baby. She passed the nursing board exam, and then went to work at a hospital. For many years, she has been a well liked and well respected weekend night nurse. She turned down a promotion opportunity, as her nurse manager suggested, to become a night charge nurse.

MM – When she arrived in Kansas City, MM was hired as a nurse technician even though she was a RN in China. She was living in an empty apartment so learning English was difficult. A phone book became her best tool to learn conversational English. For eight to 10 hours a day, she would turn the pages and randomly pick a person or a store from the phone book, call them and ask questions;  when she flapped on “W” section and saw a water bed shop, she would ask  “what is water bed? How much cost for a water bed” --- etc. She listened attentively and tried to learn as much as possible. Alone in her apartment, the phone book connected her to her new world; this is how she learned and improved. She wanted to work as a nurse as soon as possible. Eventually, she passed her nursing board, and earned two master degrees and four national nursing and nurse management certifications. She is working at a hospital today as a Hospital Shift Supervisor.

ZZ – She was a nurse in China. Months of hard studies for boards, she passed her nursing board a few months ago. She sent out many applications to many hospitals. She received only one reply, requesting a phone interview. After the phone interview, she never heard from the hospital again. Personally, I believe a telephone interview can be a form of discrimination, especially for a nurse for whom English is her second language. We loss over 50% of effective communication tools in a telephone interviewing. Phone interviews don’t always allow us the opportunity to show how much we can do and how well we can be as a great nurse.

KK – She was an experienced nurse in China. She is now taking care of a child with multiple allergies. She would like to work as a nurse in United States.

DD – In China, DD majored in English. She worked in a non-nursing field in the United States for a while and then decided she wanted to be a nurse. She went to LPN school, and then to an RN bridge program. Soon she became a RN. In her nursing student training, she worked at a telemetry unit. She was well-liked in her nursing practice and she was hired by that unit as soon as she completed her clinical training. The staff in that unit love her, and she loves nursing.

WW – She came to the United States with her husband. At that time, her husband was an owner of a local restaurant. WW did not want to work in the restaurant, she went on to study nursing as a new fresh beginning foreign student, and passed the nursing board. She worked as a nurse at a large local hospital for a few years, and then she earned her advanced nursing degree to become a nurse practitioner. She works as a nurse practitioner as soon as she completed school. She was alone and struggled for a long time in learning what was the nursing about, but she made it.

One of our visitors, Janice, asked, “Was there anyone who did not make it? Did anyone go back China?” Without pause and without knowing who else was going to respond, the CAN sisters answered in one voice in the spirit of our sisterhood:

“No, that  was not an option for us.”

They continued:

“Nobody said it was not hard.”

“We were determined to make it in this world together.”

“We were not going to quit.”

“We appreciate each other.”

“We learn from each other.”

“We are going to be strong, stand up straight, and shine.”

Our visitors were very impressed and encouraged. They also said they were very proud of their countrymen who are “making a difference in their new world.”

CAN, yes we can. CAN, yes we can.

This article was written for DiversityNursing.com by:

Mai Tseng RN, BSN, MPA, EMBA, NE-BC, LNC, CRNI.
Hospital Shift Supervisor
Children's Mercy Hospitals & Clinics
2401 Gillham Road
Kansas City, MO 64108

Topics: asian nurse, women, chinese nurse, diversity, diverse, nurse, nurses

A Day in the Life of A Patient

Posted by Pat Magrath

Wed, Aug 10, 2011 @ 09:43 AM

​A Day in the Life of A Patient

By Stephanie Wilborne, APRN FNP
Contributing author to DiversityNursing.com

            John takes five pills every day.  He does not know the names of all his medications, but he recognizes each pill by its shape and color. Taking medications every day is a struggle for John.  Sometimes he forgets to take his pills.  Frequently, he has problems paying for his prescriptions. John missed two appointments to see the eye doctor.  He forgot about the first appointment and was so late for the second, they refused to see him.    He's been told in the past that people with diabetes have a "higher risk" of eye problems.  John still does not understand why he needs to see an eye doctor.

            John is your patient today.  His blood pressure reading is high again.  And unfortunately, his hemoglobin A1c readings are still too high.  His diabetes and hypertension are poorly controlled.    You ask what pills he takes.  He can’t remember.  Reading in his chart, you see at his last visit he was given a list of all his medications.  Trying to figure out why his high blood pressure and diabetes are uncontrolled, you ask tons of questions. "Are you taking your medication every day?  Why did you miss the second eye appointment,” you ask him?  Frustration sets in.

            The term health literacy refers to a set of skills people need to effectively manage their health.   More than two decades of research has associated poorer health literacy skills with less frequent screening for diseases such as cancer, higher rates of disease, mortality and worse health outcomes.  It is important for health care providers to understand that patients with poorer health literacy skills may struggle at times with health related tasks.

Taking Medications: May have difficulty reading prescription bottles and understanding when, how and how often to properly take medications.

Disease Self Management Skills:  May have less knowledge concerning their disease or condition resulting in poorer disease and self management skills.  For example, diabetic patients with poorer math skills are more likely to have problems interpreting glucometer readings and therefore miss that blood sugars are too high, low or normal.

Risk:  May have difficulty understanding the concept of risk and how it may impact their health.

Navigation:  Patients with poorer reading skills may have difficulty reading a bus schedule, following directions and other hospital or healthcare signage.

Communication:  Patients with poorer health literacy skills are more likely to report problems understanding and following conversations and verbal instructions of health care providers.

  In 2003 the National Assessment of Adult Literacy for the first time measured the health literacy level of more than 26, 000 American adults.  Only 12% of Americans were found to have proficient health literacy skills.  Based on this data, the majority of adults may have problems functioning in our current healthcare system at different times of their life.  Unfortunately, health information that patient's receive from health care professionals is often too complex for them to understand.  The United States government, American Medical Association, Joint Commission and many other agencies are advocating that all health care professionals incorporate clear communication techniques and strategies into clinical practice with ALL patients.

John’s nurse turned her frustration into action.   How many times a day he needs to take his medication was reduced to once a day.  His prescriptions are now written for a 90 day supply.  To help John manage his diabetes and hypertension better, John sees a nurse or clinician more often.    His health care team has completed training on utilizing clear communication techniques and strategies into clinical practice.   John now receives verbal and print instruction that incorporates plain language principles with less medical jargon. Teach back is used to confirm understanding.  Brief conversations with John revealed he didn’t know that much at all about diabetes or hypertension.  His clinician and nurse devised a plan to provide short bursts of education for future appointments.  They are also trying to coax John into attending diabetes self management classes   And yes, John finally had an eye appointment.  His nurse arranged for a family member to take him to his appointment.

All of the interventions mentioned above are based on more than two decades of research on how to improve the health care delivery and health outcomes for patients with poorer health literacy skills.  How health care providers communicate and deliver care can improve the ability of patients with poorer health literacy skills to manage their own health.  Nurses, we have the power to transform our healthcare system.  Learn more about health literacy and incorporate clear communication into your clinical practice.

Stephanie Wilborne, APRN FNP

www.health-lit.com/

Topics: women, literacy, diversity, ethnic, diverse, hispanic, Articles, black, health, nurse, nurses

Breaking the Barriers of Nursing

Posted by Pat Magrath

Fri, Jul 22, 2011 @ 03:16 PM

Thank you to Pilar De La Cruz-Reyes, MSN, RN from the California Institute for Nursing and Healthcare for the content of this video.

Breaking the Barriers is a great compilation of nursing stories put together by the California Institute for Nursing & Health Care that show how everyday people can overcome adversity to follow the career of their dreams. The nurses in this video will inspire you and show to our young people how you really can achieve if you have the desire and passion for a career in nursing.

Once you watch this video, we would love to hear your feedback. Please comment here on our blog when you have a minute.

Topics: asian nurse, women, diversity, hispanic nurse, ethnic, diverse, Employment & Residency, black nurse, health, nurse, nurses

Four Innovative Initiatives to Attract and Retain Diverse Women

Posted by Pat Magrath

Tue, Jul 19, 2011 @ 01:44 PM

Four Innovative Initiatives to Attract and Retain Diverse Women

By Tina Vasquez for Evolved Employer

Recently, Working Mother Magazine released its 2011 list of the best places to work for multicultural women – essentially, a survey of the availability and usage of diversity programs, as well as the accountability of the managers who oversee them at top corporations. For the fifth year in a row, Pepsico has been named number one, along with with 23 other companies, all of which are committed to supporting women of color with strong diversity, leadership, and education programs. Here are four of the most innovative initiatives included on 2011 list, that help advance and retain diverse women.

IBM
IBM’s cutting edge Reverse Mentoring pilot program turned mentoring on its head. Ten senior executives were given the opportunity to choose a culture they wanted to learn more about and for 10 months, and multicultural women (who were primarily non-executives) from these cultures acted as their mentors, helping them better understand cultural differences. The need for the program was identified as a key initiative of the Multicultural Women’s Group at the company, whose mission it is to attract, retain, and develop women through mentoring, networking, fostering a sense of community, and exchanging information.

According to Angela Archon, IBM’s VP of systems and technology, the program promoted cultural sensitivity and adaptability and demonstrated the impact of globalization and why culture matters.

“The hallmark of the program was to increase knowledge and sensitivity around cultural differences and continuously improve global collaboration. It helped dispel myths; it provided clarity to issues related to stereotyping; and it increased cultural awareness,” Archon said. “Executive mentees gained knowledge about their mentor’s culture and how business is done in that culture and the multicultural women who served as mentors had the opportunity to build a relationship with an IBM executive and enhance their leadership capabilities.”

Deloitte
It should come as no surprise that the ever impressive Deloitte was featured on Mother’s list for the sixth year in a row.

This year, two of Deloitte’s programs were spotlighted on the list: Navigation to Excellence and the Leadership Acceleration Program. After an internal survey of almost 4,000 multicultural employees, the firm found that multicultural women desired more formal sponsorship, so Deloitte launched its Navigation to Excellence pilot program, a one-year program that matches female managers and senior managers of color with leaders who help them orchestrate a career plan, gain access to key assignments, and enhance their knowledge of what it takes to advance. The 18-month Leadership Acceleration Program even allows female partners and principals to shadow their sponsors on the job, receiving intensive mentoring and coaching.

To continue moving these types of initiatives forward, the firm has quietly invested $300 million towards the creation of a state-of-the-art learning and leadership development center that will open its doors this fall after two years of construction.

According to Barbara Adachi, the National Managing Principal for Deloitte’s award-winning Women’s Initiative, it was never the firm’s intention to be a leader, but awards and recognition such as those given by Working Mother, inspires them to keep moving forward.

“We’re our biggest critics and we’re our biggest motivators. We don’t do this for the publicity. Diversity is a business imperative here. I recently read that half the population will be comprised of minorities in 2050 and I strongly believe that by being diverse, we attract the top talent in the market and we better serve our clients,” Adachi said. “We’re not doing this because it’s the right thing to do, but because this is the way business should be done.”

Chubb Group of Insurance Companies
This is the third time Chubb has been featured on Working Mother’s list, but the company has a long-standing commitment to promoting diversity with decades old programs and initiatives in place. According to Trevor Gandy, Chubb’s chief diversity officer, in order to form lasting business relationships with customers and become a true global leader in the industry, the company must understand its customer’s “diverse cultures and decisional processes- and not merely their languages.” To do so, the company strives to create a diverse workplace through programs such as their Count Me In: A Culture of Inclusion micro inequities program. The program began over 10 years ago and aims to help the company educate their workforce on the often small details and behaviors that help build an atmosphere in which all employees feel they have a voice.

Chubb also has a 29-year-old Minority Development Council whose mission is to advance the company’s business objectives by fostering the career development of people of color into leadership roles. Even more impressive, the company’s Women of Color strategy strengthens the bonds between women of color and their managers by providing them with meaningful feedback and structured development plans. The overriding goal, according to Gandy, is to prepare the company’s female multicultural employees to compete for leadership positions.

CA Technologies
Like Chubb, CA Technologies firmly believes that their business relationships in more than 140 countries drives their commitment to workplace diversity and it enables them to create, support, and sell the best IT management software.

The company’s Women in Technology Mentoring program is geared towards female employees that are in technical and quasi-technical roles within the company’s technology and development organization. The program was established to ensure that female employees are provided with the appropriate environment, knowledge, and sponsorship to achieve their full potential within the company. The company also supports the pursuit of higher education and provides up to $5,250 a year in financial assistance to eligible employees completing undergraduate and graduate level courses. CA Technologies also offers 15,000 online courses that employees can access. An adoption assistance program includes reimbursement of adoption-related expenses up to a maximum of $5,000 per child and $10,000 per family within a two-year period.

CA Technologies also aims to help working parents, so nearly 30 percent of the company’s North American employees participate in a full-time telecommuting or work from home program. The company also has Global Marketing and Finance associate rotation programs that were developed as a way to attract and develop entry level candidates and enable them to jump start their professional career with structured training programs, job shadowing, and access to mentors.

According to CA Technology’s VP of human resources, Beth Conway, the company is focused on fostering diversity both inside and outside the company.

“In addition to our efforts within the company, we’re also an active partner of the Anita Borg Institute for Women and Technology, a nonprofit organization dedicated to increasing the impact of women on all aspects of technology,” Conway said. “We also sponsor ABI’s annual Grace Hopper Celebration of Women in Computing conference in the U.S. and India. We’re dedicated to helping the leaders of tomorrow develop their talents and career paths by providing and encouraging a collaborative working environment.”

Topics: asian nurse, women, wellness, diversity, hispanic nurse, ethnic, diverse, black nurse, health, nurse, nurses, disability, disabilities, retain

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