Liz Dzeng
speaker
457 appearances
3 recordings
1 series
first heard Oct 2020
last heard Dec 2023
Liz Dzeng’s voice in public audio — every appearance, attributed to the second.
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And and actually what was also really interesting was that so I did my PhD in Cambridge in the United Kingdom.
And one of the hospitals that I looked at in my PhD was, well, a hospital in the UK, which was an NHS hospital.
And so my initial assumption when I first started this project was well, obviously the NHS hospital is going to be so different from the US hospitals, and it's going to be like two different groupings.
And what I think one of the most like sort of aha moments.
I had was when I went to the last hospital.
I was like, oh my God, this hospital is actually more like the UK hospital than the other two US hospitals.
And so that started making me think, like, actually, it's not just about national differences in cultures.
We need to think about institutional cultures, local cultures.
How are like, you know, all the different like things that are going on in each of the different states, cities, the institution itself, the people in the institution.
even like differences within like units, specialties, those are all different like microcultures that occur in the larger hospital culture, sort of within the larger national culture that all interact with each other.
And I I think the um the the sort of multidisciplinary team is a really important part of that.
Um that's actually something that I touch upon in this this paper that we're talking about right now.
It's like
The clinicians on the, you know, rounding team, yes, but also the the multidisciplinary team is really important how how they support.
the patient, the family, the the the the clin um the doctors, the nurses, um, but also how um the broader institutional structures such as like ethics committees, et cetera, how they support.
So it's like all these different people that are influencing.
Yeah, so um I did a um pretty large scale um ethnography, um ethnographic interviewing of three hospitals in the United States, um three in the West Coast, two in California, and one in uh Washington State.
And what my goal was was to try to get a 360-degree view of the healthcare system by interviewing as many different types of people that will influence care for people who are at the end of life or people with serious illness in the hospital.
And so it's not just about interviewing the people who are interacting with the patient directly, clinicians, you know, social workers, nurses, doctors, but also people who are institutional players.
So people who are in administration, risk managers, patient experience officers, ethics committee people, outpatient geriatricians, and then also thinking about the leadership of the hospital.
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