Sunday, October 28, 2012

Experiencing bias, prejudice and inequity


Experiencing bias, prejudice and inequity
            Three and a half weeks ago I was in a car accident in which I experienced a couple of severe injuries.  The EMT asked if I would like to go to VCU/MCV Health Systems to be treated.  At first, I was hesitant as this is a teaching hospital and one which takes patients without health insurance.  My local hospital was so much more convenient but not acquainted with severe trauma.  For the most part, I was treated with the utmost respect and care.  There were some African Americans who did not want to have anything to do with me as a Caucasian.  Examples included taking 45 minutes to one hour to come after I had said that I needed to go to the bathroom.  I remember thinking how angry they would be if I wet the bed.  I did try to wait patiently.  One care partner was willing to do anything for the African American patient across the hall but ignored any requests that I made.  This made me feel marginalized.  While in the hospital I tried to be positive and encouraging to all staff.  Attitude does make a difference in the care that is received.  My roommate called the nurses’ station about every half hour.  I could tell that the nursing staff and care partners were tired of her constant needs.
            We were required to go to the café for breakfast and lunch in order to socialize.  There I met several patients who had been in the hospital for months instead of weeks.  They complained about the food and the service in the hospital.  I can understand their displeasure, however, they were getting three square meals a day of their choice, not having to cook the meal or clean up afterwards.  In talking with some of the other patients, I was able to offer resources that I knew about because of my work.  Some of the patients did not want to do physical therapy not realizing that the one hurt the most was them.  I always said that I would try.  I was not always successful at every task, but the staff appreciated my willingness to try.  I felt for some of the patients.  I have had zero pain since my accident.  That was not the case for many of the patients.  I spoke with one physical therapist when she was disappointed in a patient’s progress. I reminded her that the patient might have several other obstacles with which to deal which might reflect the patient’s lack of progress.  When there are several obstacles in one’s way, the patient must choose where to distribute their energy.  What they may deem important, others may not agree.  However it is important to respect people for the choices that they make even if they are different from the choice we might make.
            When I left the hospital, I had the opportunity to write “Kudos” notes to staff that were particularly helpful.  I wrote eight notes!  When I got home, I wrote a letter to the administrator of the hospital telling him of specific incidences that were especially meaningful for me.  I hope that he will acknowledge them in some way.  By recognizing those who are doing well, others may follow suit.  As an administrator myself, I like to recognize those doing the right thing as opposed to pointing out wrongs.  When a staff member comes into my office that has made a poor choice, we talk about it as an opportunity to learn instead of dwelling on the mistake.  Being kind instead of hurtful makes each opportunity a win-win situation.

No comments:

Post a Comment