Diana Lyn Baptiste

Bio: Diana Lyn Baptiste is an academic researcher from Johns Hopkins University. The author has contributed to research in topics: Medicine & Health care. The author has an hindex of 10, co-authored 46 publications receiving 522 citations. Previous affiliations of Diana Lyn Baptiste include University of Miami & Greater Baltimore Medical Center.

Cultural Humility: A Concept Analysis

Abstract: Diversity is being increasingly recognized as an area of emphasis in health care. The term cultural humility is used frequently but society's understanding of the term is unclear. The aim of this article was to provide a concept analysis and a current definition for the term cultural humility. Cultural humility was used in a variety of contexts from individuals having ethnic and racial differences, to differences in sexual preference, social status, interprofessional roles, to health care provider/patient relationships. The attributes were openness, self-awareness, egoless, supportive interactions, and self-reflection and critique. The antecedents were diversity and power imbalance. The consequences were mutual empowerment, partnerships, respect, optimal care, and lifelong learning. Cultural humility was described as a lifelong process. With a firm understanding of the term, individuals and communities will be better equipped to understand and accomplish an inclusive environment with mutual benefit and optimal care.

Cultural Humility: A Concept Analysis

Abstract: 210 © 2016 Springer Publishing Company http://dx.doi.org/10.1891/1078-4535.22.3.210 A t a national health care conference I recently attended, a psychologist, Dr. Smith, shared a patient encounter with Mr. Thomas (names changed to protect confidentiality). “When Mr. Thomas, an inmate sentenced for murder told me that he would be going home soon, I was pleased to hear it.” After serving 13 years of his sentence, Thomas was a model prisoner. “Finally, the penal system is doing something right: allowing a rehabilitated man to start over,” I thought. “After my return from a few days off, I walked into the prison to be met with a custody officer’s remarks: ‘Did you hear that Mr. Thomas hung himself?’ Initially I was stunned by the news, then I slowly began to realize that I had not really heard what the inmate had told me during our last visit. ‘Going home’ meant different things to each of us. Why didn’t I listen to him?” Smith admonished himself. “Filled with my own cultural ideas, I assumed he was speaking my language.” The psychologist’s remorse opened his eyes to cultural humility, a concept analyzed by Foronda, Baptiste, Reinholdt, and Ousman in an article published in the Journal of Transcultural Nursing. According to the authors, the term cultural humility is frequently used, but society’s understanding is unclear about the concept— hence their study. In their review of 12 articles that met their search criteria, they uncovered attributes, antecedents, and consequences of cultural humility used in a variety of contexts, from differences in ethnicity, race, gender orientation, and social status to interprofessional roles and health care provider–patient relationships.

COVID-19: Shedding light on racial and health inequities in the USA.

Abstract: The sudden and rapid advancement of the novel Coronavirus (COVID-19) pandemic has led to an unanticipated and unprecedented global crisis. Since its emergence in the United States, there is increasing discussion surrounding the impact of the virus among vulnerable populations. Older adults, young children, and persons with chronic medical or mental health conditions, persons with disabilities, pregnant women, immunocompromised persons and those who are institutionalized or homeless are considered most vulnerable to death and lost quality of life (World Health Organization, 2020).

A quasi-experimental study examining a nurse-led education program to improve knowledge, self-care, and reduce readmission for individuals with heart failure

Abstract: Background: Heart failure affects more than 6 million Americans and an estimated 23 million people worldwide. Inadequate self-care is associated with readmissions and are identified as a marker for...

Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study

Abstract: Summary Background Since December, 2019, Wuhan, China, has experienced an outbreak of coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Epidemiological and clinical characteristics of patients with COVID-19 have been reported but risk factors for mortality and a detailed clinical course of illness, including viral shedding, have not been well described. Methods In this retrospective, multicentre cohort study, we included all adult inpatients (≥18 years old) with laboratory-confirmed COVID-19 from Jinyintan Hospital and Wuhan Pulmonary Hospital (Wuhan, China) who had been discharged or had died by Jan 31, 2020. Demographic, clinical, treatment, and laboratory data, including serial samples for viral RNA detection, were extracted from electronic medical records and compared between survivors and non-survivors. We used univariable and multivariable logistic regression methods to explore the risk factors associated with in-hospital death. Findings 191 patients (135 from Jinyintan Hospital and 56 from Wuhan Pulmonary Hospital) were included in this study, of whom 137 were discharged and 54 died in hospital. 91 (48%) patients had a comorbidity, with hypertension being the most common (58 [30%] patients), followed by diabetes (36 [19%] patients) and coronary heart disease (15 [8%] patients). Multivariable regression showed increasing odds of in-hospital death associated with older age (odds ratio 1·10, 95% CI 1·03–1·17, per year increase; p=0·0043), higher Sequential Organ Failure Assessment (SOFA) score (5·65, 2·61–12·23; p Interpretation The potential risk factors of older age, high SOFA score, and d-dimer greater than 1 μg/mL could help clinicians to identify patients with poor prognosis at an early stage. Prolonged viral shedding provides the rationale for a strategy of isolation of infected patients and optimal antiviral interventions in the future. Funding Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences; National Science Grant for Distinguished Young Scholars; National Key Research and Development Program of China; The Beijing Science and Technology Project; and Major Projects of National Science and Technology on New Drug Creation and Development.

The effectiveness of the teach-back method on adherence and self-management in health education for people with chronic disease: A systematic review

Abstract: BACKGROUND Chronic diseases are increasing worldwide and have become a significant burden to those affected by those diseases. Disease-specific education programs have demonstrated improved outcomes, although people do forget information quickly or memorize it incorrectly. The teach-back method was introduced in an attempt to reinforce education to patients. To date, the evidence regarding the effectiveness of health education employing the teach-back method in improved care has not yet been reviewed systematically. OBJECTIVES This systematic review examined the evidence on using the teach-back method in health education programs for improving adherence and self-management of people with chronic disease. INCLUSION CRITERIA Types of participants: Adults aged 18 years and over with one or more than one chronic disease. Types of intervention: All types of interventions which included the teach-back method in an education program for people with chronic diseases. The comparator was chronic disease education programs that did not involve the teach-back method. Types of studies: Randomized and non-randomized controlled trials, cohort studies, before-after studies and case-control studies. Types of outcomes: The outcomes of interest were adherence, self-management, disease-specific knowledge, readmission, knowledge retention, self-efficacy and quality of life. SEARCH STRATEGY Searches were conducted in CINAHL, MEDLINE, EMBASE, Cochrane CENTRAL, Web of Science, ProQuest Nursing and Allied Health Source, and Google Scholar databases. Search terms were combined by AND or OR in search strings. Reference lists of included articles were also searched for further potential references. METHODOLOGICAL QUALITY Two reviewers conducted quality appraisal of papers using the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument. DATA EXTRACTION Data were extracted using the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument data extraction instruments. DATA SYNTHESIS There was significant heterogeneity in selected studies, hence a meta-analysis was not possible and the results were presented in narrative form. RESULTS Of the 21 articles retrieved in full, 12 on the use of the teach-back method met the inclusion criteria and were selected for analysis. Four studies confirmed improved disease-specific knowledge in intervention participants. One study showed a statistically significant improvement in adherence to medication and diet among type 2 diabetics patients in the intervention group compared to the control group (p < 0.001). Two studies found statistically significant improvements in self-efficacy (p = 0.0026 and p < 0.001) in the intervention groups. One study examined quality of life in heart failure patients but the results did not improve from the intervention (p = 0.59). Five studies found a reduction in readmission rates and hospitalization but these were not always statistically significant. Two studies showed improvement in daily weighing among heart failure participants, and in adherence to diet, exercise and foot care among those with type 2 diabetes. CONCLUSION Overall, the teach-back method showed positive effects in a wide range of health care outcomes although these were not always statistically significant. Studies in this systematic review revealed improved outcomes in disease-specific knowledge, adherence, self-efficacy and the inhaler technique. There was a positive but inconsistent trend also seen in improved self-care and reduction of hospital readmission rates. There was limited evidence on improvement in quality of life or disease related knowledge retention.

Cultural competence and cultural humility: A critical reflection on key cultural diversity concepts:

Abstract: SummaryCultural competence has commanded respectable attention since its introduction in cross-cultural discourse. Cultural competence has been presented as a framework capable of promoting cultura...

Cultural Humility: A Concept Analysis

Abstract: 210 © 2016 Springer Publishing Company http://dx.doi.org/10.1891/1078-4535.22.3.210 A t a national health care conference I recently attended, a psychologist, Dr. Smith, shared a patient encounter with Mr. Thomas (names changed to protect confidentiality). “When Mr. Thomas, an inmate sentenced for murder told me that he would be going home soon, I was pleased to hear it.” After serving 13 years of his sentence, Thomas was a model prisoner. “Finally, the penal system is doing something right: allowing a rehabilitated man to start over,” I thought. “After my return from a few days off, I walked into the prison to be met with a custody officer’s remarks: ‘Did you hear that Mr. Thomas hung himself?’ Initially I was stunned by the news, then I slowly began to realize that I had not really heard what the inmate had told me during our last visit. ‘Going home’ meant different things to each of us. Why didn’t I listen to him?” Smith admonished himself. “Filled with my own cultural ideas, I assumed he was speaking my language.” The psychologist’s remorse opened his eyes to cultural humility, a concept analyzed by Foronda, Baptiste, Reinholdt, and Ousman in an article published in the Journal of Transcultural Nursing. According to the authors, the term cultural humility is frequently used, but society’s understanding is unclear about the concept— hence their study. In their review of 12 articles that met their search criteria, they uncovered attributes, antecedents, and consequences of cultural humility used in a variety of contexts, from differences in ethnicity, race, gender orientation, and social status to interprofessional roles and health care provider–patient relationships.

The multicultural orientation framework: A narrative review.

Abstract: After several decades of slow progress, researchers are beginning to make advances in linking constructs based on the multicultural competencies tradition-especially those focused on qualities of the therapist-to therapy outcomes. The multicultural orientation framework was developed in response to several trends within the multicultural competencies tradition, with a particular emphasis on integrating the multicultural competencies tradition into research on psychotherapy process. We provide a narrative review of studies that include one of the three constructs (i.e., cultural humility, cultural opportunities, and cultural comfort) articulated by the multicultural orientation framework. Results indicate initial evidence linking multicultural orientation constructs to therapy outcomes (e.g., perceived improvement, racial/ethnic disparities in termination, and therapy alliance). Results also supported the social bond and social oil hypotheses from theorizing on humility. Implications for future research and therapy practice are discussed. (PsycINFO Database Record