Patient perspectives of the climate of diversity, equity, and inclusion in the emergency department

Abstract Objective Assessing the diversity, equity, and inclusion (DEI) climate of emergency departments (EDs) can inform organizational change to provide equitable, inclusive, and high‐quality care to their diverse patient populations. The purpose of this project was to investigate patient perspect...

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Main Authors: Kavya Davuluri, Nikhil Goyal, Harold Gomez Acevedo, Jason Folt, Namita Jayaprakash, Michelle Slezak, Martina T. Caldwell
Format: Article
Language:English
Published: Wiley 2022-10-01
Series:Journal of the American College of Emergency Physicians Open
Online Access:https://doi.org/10.1002/emp2.12798
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author Kavya Davuluri
Nikhil Goyal
Harold Gomez Acevedo
Jason Folt
Namita Jayaprakash
Michelle Slezak
Martina T. Caldwell
author_facet Kavya Davuluri
Nikhil Goyal
Harold Gomez Acevedo
Jason Folt
Namita Jayaprakash
Michelle Slezak
Martina T. Caldwell
author_sort Kavya Davuluri
collection DOAJ
description Abstract Objective Assessing the diversity, equity, and inclusion (DEI) climate of emergency departments (EDs) can inform organizational change to provide equitable, inclusive, and high‐quality care to their diverse patient populations. The purpose of this project was to investigate patient perspectives on the climate of DEI in an urban ED. Methods This was a cross‐sectional survey study conducted in a large‐volume, urban ED in Detroit, MI, from November 2018 to January 2019. The survey was developed by an experienced ED DEI committee via an iterative process and broad consensus. Results During their care in the ED, 849 patients completed an anonymous survey about their perspectives and experiences of DEI in that ED. Overall, the responses were favorable as most respondents reported that the ED staff treated patients from all races equally (75.8%) and made patients feel accepted (86%). However, some respondents felt that the ED staff's treatment of populations with greater complexity, such as patients who are mentally ill (16.8%) or lower income (14.3%), needs the most improvement. Conclusions This DEI climate assessment survey of ED patients’ perspectives revealed important insights that could guide strategic initiatives to advance DEI in the ED. This assessment may serve as a model for continuous evaluation of DEI over time and in multiple healthcare settings to help guide organizational change efforts.
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spelling doaj.art-44d30904d67e4e02b47a514ac9a4828a2022-12-22T03:27:34ZengWileyJournal of the American College of Emergency Physicians Open2688-11522022-10-0135n/an/a10.1002/emp2.12798Patient perspectives of the climate of diversity, equity, and inclusion in the emergency departmentKavya Davuluri0Nikhil Goyal1Harold Gomez Acevedo2Jason Folt3Namita Jayaprakash4Michelle Slezak5Martina T. Caldwell6University of Michigan Medical School Ann Arbor Michigan USADepartment of Emergency Medicine Henry Ford Health System Detroit Michigan USADepartment of Emergency Medicine Kendall Regional Medical Center Miami Florida USADepartment of Emergency Medicine Henry Ford Health System Detroit Michigan USADepartment of Emergency Medicine Henry Ford Health System Detroit Michigan USADepartment of Emergency Medicine Henry Ford Health System Detroit Michigan USADepartment of Emergency Medicine Henry Ford Health System Detroit Michigan USAAbstract Objective Assessing the diversity, equity, and inclusion (DEI) climate of emergency departments (EDs) can inform organizational change to provide equitable, inclusive, and high‐quality care to their diverse patient populations. The purpose of this project was to investigate patient perspectives on the climate of DEI in an urban ED. Methods This was a cross‐sectional survey study conducted in a large‐volume, urban ED in Detroit, MI, from November 2018 to January 2019. The survey was developed by an experienced ED DEI committee via an iterative process and broad consensus. Results During their care in the ED, 849 patients completed an anonymous survey about their perspectives and experiences of DEI in that ED. Overall, the responses were favorable as most respondents reported that the ED staff treated patients from all races equally (75.8%) and made patients feel accepted (86%). However, some respondents felt that the ED staff's treatment of populations with greater complexity, such as patients who are mentally ill (16.8%) or lower income (14.3%), needs the most improvement. Conclusions This DEI climate assessment survey of ED patients’ perspectives revealed important insights that could guide strategic initiatives to advance DEI in the ED. This assessment may serve as a model for continuous evaluation of DEI over time and in multiple healthcare settings to help guide organizational change efforts.https://doi.org/10.1002/emp2.12798
spellingShingle Kavya Davuluri
Nikhil Goyal
Harold Gomez Acevedo
Jason Folt
Namita Jayaprakash
Michelle Slezak
Martina T. Caldwell
Patient perspectives of the climate of diversity, equity, and inclusion in the emergency department
Journal of the American College of Emergency Physicians Open
title Patient perspectives of the climate of diversity, equity, and inclusion in the emergency department
title_full Patient perspectives of the climate of diversity, equity, and inclusion in the emergency department
title_fullStr Patient perspectives of the climate of diversity, equity, and inclusion in the emergency department
title_full_unstemmed Patient perspectives of the climate of diversity, equity, and inclusion in the emergency department
title_short Patient perspectives of the climate of diversity, equity, and inclusion in the emergency department
title_sort patient perspectives of the climate of diversity equity and inclusion in the emergency department
url https://doi.org/10.1002/emp2.12798
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