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

2. 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.

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

4. Specialized Body of Knowledge
Professional Standards
Specialized Body of Knowledge

5. 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

6. 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?

8. 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

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

10. “Specialized Body of Knowledge”