Keepers of the House: A documentary.
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2022-02
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Abstract
Background
Our documentary, Keepers of the House, highlights ways that hospital housekeepers, typically unnoticed care team members, provide emotional support for patients and their families. This film addresses a gap in education by emphasizing the importance of valuing and reflecting on the unique lived experiences of others.Approach
We created this documentary to expose students to the experiences and perceptions of hospital housekeepers. A focus group with six hospital housekeepers informed an interview script for the film's creation. Nine additional housekeepers were then interviewed, which developed into a 15-min documentary. Healthcare students and educators from five disciplines viewed the documentary during their institution's Medical Education Day.Evaluation
To expose students and educators to housekeepers' experiences, we designed our post-viewing survey to address whether the housekeepers' stories impacted their understanding of the role and value of these workers. Viewers were surprised by the depth and breadth of patient-housekeeper interactions, the trauma housekeepers experienced from patient loss and the pride housekeepers take in their work. The stories that touched the viewers varied but centred on connections between housekeepers and patients. Lessons learned focused on recognizing the contributions of unseen team members.Implications
This innovative documentary amplifies the perspectives of voices rarely heard in healthcare. We aim to use this film, alongside its associated learning session, in education and grand round settings to foster discussion around empathy, valuing underrecognised team members and applying these insights in practice. This work can be disseminated to other institutions, further amplifying underrepresented narratives in healthcare.Type
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Publication Info
Alexopoulos, Evangelia A, Emily P Guinee, Kearsley A Stewart, Candace S Brown, Deborah T Gold, Deborah Engle, Francesca Talenti, Rhonda Klevansky, et al. (2022). Keepers of the House: A documentary. The clinical teacher, 19(1). pp. 36–41. 10.1111/tct.13439 Retrieved from https://hdl.handle.net/10161/26104.
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Scholars@Duke
Kearsley A Stewart
Deborah T. Gold
My research has centered on the psychosocial consequences of chronic illness for older adults. Although I have studied breast cancer, syncope, head and neck cancer, Parkinson's disease and Paget's disease of bone, my primary interest and focus has been on osteoporosis and its psychological and social impact on those who suffer from it.
In particular, my current research focuses on compliance and persistence with osteoporosis medications. One current study focuses on the impact of race/ethnicity on medication decision making. We are trying to determine the relative weight of cost, convenience, dosing interval, efficacy, and safety in making medication decisions and taking medication on a regular basis as prescribed by a health care provider. I am also on the Steering Committees of two major observational studies with different osteoporosis medications.
Finally, I have worked with voluntary health organizations to translate our research findings into positive real-world outcomes for people with chronic illness. I serve on the Board of Trustees of the National Osteoporosis Foundation and am Chair of its Education Committee. I have also chaired the International Symposium on Osteoporosis (ISO) for the last 8 years.
Neil Stuart Prose
Research interests:
My overall area of clinical interest is pediatric dermatology. I have a passion for teaching, a deep commitment to empathic communication between health care providers and patients, and an intense interest in working with people from different countries and cultural backgrounds.
I have given seminars and lectures on communication skills to residents and fellows in numerous specialties, and to physicians and nurses in medical centers around the U.S. I am the author of numerous articles on this topic and developed a national curriculum in doctor-patient communication for residents in neurosurgery in the United States. More recently, I have completed work on “Keepers of the House,” a documentary film and curriculum that documents the deep human relationships between housekeepers at Duke Hospital, and patients and their families.
In addition, I have consulted on developing curricula in doctor-patient communication in medical schools and clinics in Chile, South Africa, Botswana, and Kenya . I helped to create a curriculum in respectful maternity car for midwives and health extension workers in Ethiopia, and for midwifery students in Chilean Patagonia.
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