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CASE 7: Implementation Research: A Strategy for Developing Indigenous-Specific Intercultural Competency Training Programs (Part B)
Get PDFNia Singh is an intercultural education specialist and leads the Intercultural Safety Training Program (ISTP) at the Southwestern Ontario Intercultural Education Centre (SOIEC). She has undertaken significant work with the ISTP developing and implementing training sessions and webinars to help clients make their workplace more culturally competent. Nia has recently observed that the ISTP could greatly benefit from including training materials to help health care practitioners provide improved health care to Indigenous patients. Indigenous people face numerous social, political, historical barriers while accessing healthcare services in Canada. Cultural differences can also lead healthcare practitioners to discriminate against their Indigenous patients and consequently, lead to worsening health outcomes (Harfield et al., 2018). Therefore, seeing the need for an Indigenous-specific program aimed at improving the intercultural competence and awareness of health care professionals, Nia contacted relevant stakeholders to help her research and develop a training module. With the background research and stakeholder input complete, Nia is finalizing the training module and delivery plan. She is now faced with the task of optimally implementing the training and assessing the challenges that may arise as the training is disseminated to its intended audience. During the implementation phase of the process, Nia collaborates with prospective clients to ensure the training module is used effectively and successfully fosters important dialogue about health equity and patientcentred care among health care professionals. At the end of the case, Nia decides to collaborate with the Middlesex-London Public Health Unit’s Indigenous Health Coordinator, Vanessa Anderson, to draft an implementation research proposal so she can assess the impact of the new training program and evaluate it as it is disseminated in a practical, real-world setting.
This case is intended to provide students practice with contextualizing an implementation research plan so they can assess an Indigenous-specific cultural safety training program through an Indigenous lens. In addition, it will help students consider the value of multiple stakeholder perspectives while implementing these types of programs
CASE 11: Evaluating a Public Health Program for Continuous Quality Improvement: Options and Methods in a Time of Pandemic
Get PDFIn 2018, a review of the public health inspection program by the Middlesex-London Health Unit (MLHU) identified a gap in how its Environmental Health and Infectious Disease division evaluated mandatory public health services. To meet the requirements of the Ontario Public Health Standards, the MLHU must implement important recommendations from the review to ensure the most effective and efficient service model is delivered. One recommendation under consideration is to initiate activities that will entrench quality assurance and promote continuous quality improvement through monitoring and integration of findings from client experience into MLHU’s mandatory public health services. Rex Paul, the Manager of the Food Safety and Healthy Environment team at the MLHU, wants to initiate an evaluation framework for mandatory public health inspection programs. He is interested in exploring best practices and/or approaches for evaluating experiences of public pool and spa operators. This will serve as a pilot to assess client experiences with other mandatory public health services. Additionally, Rex wants to know the best data collection methods for the assessment of mandatory public health services in the context of COVID-19 pandemic. This will take a different approach as it is focused on improving the performance of staff who conduct regulatory work that enforces rules as opposed to previous client experience surveys where clients seek services from Public Health (vaccines, sexual health checks, smoking cessation, etc.).
This case outlines the procedures and approaches for the evaluation of a public health program. It discusses relevant tools including logic models useful for clarifying the purpose of evaluation, mapping out an evaluation plan, identifying data collection tools, and collecting important information to address evaluation needs. The case also describes the importance of organizational standards and stakeholder consultations towards effective data collection and analysis for overall improvement in the program outcome.
This process will help Paul’s team understand best approaches for collecting client feedback and incorporating findings to improve delivery of mandatory public health services. It will eventually provide baseline information for the planned monitoring of all regulated clients’ experiences of the MLHU’s mandatory programs
