Disrupting Bias and the P.A.U.S.E. Model Apply the P.A.U.S.E. Model (cookross, inc.)
Execute your action plan. Elements of the P.A.U.S.E. Model in Action
Our ability to increase the consciousness of our decision making begins with recognizing that we all have bias and having a willingness to identify ours. The P.A.U.S.E. model is a copyrighted approach by Cook Ross, Inc. This is a five- step process that provides users with the tools to disrupt bias. The concept of the Cook Ross model is to stop and pay close attention to what is happening. The intent is that if you P.A.U.S.E., you will have the opportunity to identify and bring clarity to the situation. Pay attention to what’s actually happening, beneath the judgments and assessments. Acknowledge your own reactions, interpretations and judgments. Understand the other possible reactions, interpretations, and judgments that may be possible. Search for the most empowering, productive way to deal with the situation.
Pay attention. Take survey of personal reactions to the situation, such as physical reaction (increased heart rate), emotions (fear), data (unknown man, poorly lit area, no one else close by). What initial judgments are being made? Acknowledge your own assumptions, reactions, interpretations, and judgments. Understand your own perspective. What are the other possible reactions, interpretations, and judgments that may be possible? Search for or seek out a different perspective. What is the most empowering, productive way to deal with the situation? Examine your options to make a decision and execute your action plan 47
SELF-REFLECTION GUIDE
Apply the following questions when looking to discuss equity and bias with individuals. 1. What is your family’s origin story? If you are Indigenous, how has settler colonialism affected your ancestors and you? If you are the descendent of immigrants, how did your ancestors come to this country? 2. How have you been marginalized? 3. Think of a recent accomplishment. What factors, other than your own individual effort, contributed to your success?
4. How do the systems you are in stunt your growth or health? What steps can you take to rectify that? 5. What does empathy mean to you? 6. Do you usually engage in perspective taking or perspective gathering? How can you begin to practice perspective gathering? 7. What culture or subculture outside of your own are you curious to learn more about? How can you learn more about that culture in a respectful way? 8. How representative is the media you consume of the diversity of your country or community?
GROUP REFLECTION GUIDE
● Practice constructive “uncertainty.” ● Explore awkwardness and discomfort.
When working with groups, below are some guidelines to follow. Everyone has bias. What are the best ways to uncover and mitigate the bias? ● Recognize and accept that you have bias ● Develop the capacity to shine a light on yourself.
● Engage with people who are different from you. ● Get feedback about statements made and processes implemented that may enhance or mitigate bias.
STARTING THE CONVERSATION
● What are the risks of these biases? ● What are several initial steps that may be used to address the identified biases?
Once biases within organizations or groups are discovered, begin to openly discuss the following questions. ● What are the biases? ● How are the biases demonstrated or shown?
CONCLUSION
The history of race and racism in America is central to the development of racial implicit bias across various sectors of our society and is a major contributor to racial healthcare inequities. However, we must not lose sight of the intersection of implicit bias and gender, sexual orientation, weight, race, and other individual and group characteristics. Our patients bring their unique physical condition; their intersectional identity; and—in many cases—significant time living within the ingrained structures, attitudes, and beliefs of this nation.
It’s our responsibility to not only engage with what we are consciously aware of but also work to uncover personal and organizational biases that impede our movement toward a healthcare environment and society of true equity and the highest quality care.
WORKS CITED https://qr2.mobi/ImplicitBiasinHC
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Book Code: PCIL1525
EliteLearning.com/Counselor
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