James Tigchelaar RN, MEd Engaging the Person James Tigchelaar RN, MEd

Problem: Socially marginalized people get sick and die at high rates Historic, challenged relationship between some socially marginalized people and health care services Health care providers are challenged to find a resolution to this tension.

Our Approach Use four lenses: Professional standards Nursing Education Health promotion Change theory

Specialized Body of Knowledge Professional Standards Specialized Body of Knowledge

CRNBC Professional Standards: Specialized Body of Knowledge Clinical Practice   … uses current evidence from research and other credible sources to make practice decisions.  … (provides) safe, appropriate and ethical client care. Uses relationship and communication theory appropriately in interactions with clients, colleagues and others. How does what I about a person affect the care I provide? “Capacity of the individual to imagine the other” John Ralston Saul “Judging conduct… as it relates to the interest of others” Selman believe know feel

Health Education Why do some people: use drugs? share drug using equipment? trade sex for money? have unprotected sex with someone who might have HIV? How do we design health services that are responsive to these issues?

Health Promotion Framework Fostering Public Participation Strengthening Community Health Services Coordinating Healthy Public Policy Implementation Strategies Engage and consult people Listen to what they have to say Client-centered care Relational care See beyond the medical “fix” Understand and be responsive to health determinates. Be Brave. Speak truth to power! Culturally Competent Care

Change Theory Relates to: Our clients Us Our institutions Society Government

“Specialized Body of Knowledge”