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Cultural competency in healthcare
Cultural competency in healthcare
Importance of culture in health care settings
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Justine’s case
1. The family is scared as to what might happen with the heart surgery. Justine’s mother is also afraid that her family might blame her for going ahead with the heart surgery if anything bad were to happen to Justine in the hospital during the surgery. The family is hoping that the healing or the praying ceremony scheduled at the temple might work and cure Justine, and hopefully surgery might not be needed after all.
2. The family chose to do the healing ceremony at the temple instead of going ahead with the recommended surgery. People might choose or prefer to adhere to healing traditions of their communities and country of origin. Coordinating care with traditional healers and family members increase compliance and consent
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Cultural misunderstanding and failure to communicate between Dr. Brown and Arturo’s mother led to his overdose and almost led to his death. Arturo’s medical issues was clouded by cultural misunderstanding and miscommunication by Dr. Brown, by writing the medical prescription which means one thing in English and totally a thing in Spanish, which led to Arturo’s mother to make him take more pills than necessary, in order to make up for the days he missed taking the pills.
2. Two cultural competencies in this care, are negotiations, to allow and expand our outlook to see different options and different approaches and action, by adapting practice skills to fit cultural context of the client. Dr. Brown should have thought about different options of treatment and medications instead of just continuing the care treating physician was pursuing because the circumstances might have been different and adapting practice skills to fit the cultural context of Arturo and his mother.
3. Aspect of quality care in this case is care must be safe. Patient safety is very important to providing high quality care and it should be provided in a manner which minimizes risks and harm to the patient. Dr. Brown should have used a qualified interpreter to communicate with Arturo’s mother. In this case, safe quality care was not delivered due to lack of communication between the provider and the patient’s mother, which lead to the drug overdose of the
Douglas, Rosenkoetter, Pacquiao, Callister, Hattar-Pollara, Lauderdale, Milstead, Nardi, & Purnell (2014) outline ten guidelines for implementing culturally competent care; knowledge of cultures, education and training in culturally competent care, critical reflection, cross-cultural communication, culturally competent practice, cultural competence in health care systems and organizations, patient advocacy and empowerment, multicultural workforce, cross-cultural leadership, and evidence-based practice and research. One specific suggestion I will incorporate is to engage in critical reflection. This is mentioned both by Douglas, et al. (2014) and Trentham, et al. (2007) as an important part of cultural competency. I will do this by looking at my own culture, beliefs, and values and examining how they affect my actions. I will use this information to better inform my day to day practice when working with patients with a different culture than my
...uals, even if they don't agree with them. It really falls to nurses to address the situation properly, and effectively ensure that the cultural communication between the doctor and the patient does not break down. Nurses most of all have to communicate with patients in a healing way, even if they do not agree with mystical remedies because the nurse has to recognize that there is nonetheless a function that mystical ritual remedies do serve, even to western medicine: to comfort the patients and their families. Ancient rituals or customs, retained to some extent or respected by western caregivers, can serve to maintain a healing and positive attitude, and as a psycholgocial support which the nurse can provide through respect and symbolic use of non-western cultural myths as a psychological stimulant to assist the healing process and inspire the patient thereof.
Cultural competency is a very significant necessity in health care today and the lack of it in leadership and in the health workforce, is quite pressing. The lack of cultural competency can bring about dire consequences such as racial and ethnic disparities in health care. It may not be the sole reason for these disparities, but it certainly places a significant role. A patient and health care provider relationship is very significant and can make or break the quality of care that is given. The lack of cultural competency leads to poor communication which then leads to those of diverse backgrounds to feel either unheard or just plain misunderstood. As an East African
The most important component of the story is Abuelo. Arturo is forced by his mother to visit Abuelo in Golden Years nursing home and figures his time will be slow, dull, and stodgy. Arturo complains that he needs time to study to get into AP English due to his declining grades. In addition to that, he hates the place as expressed in the statement, "Besides, I hate the place, the old people's home, especially the way it smells like industrial-strength ammonia and other stuff I won't mention, since it turns my stomach." However, Arturo eventually gives into his mother's request and goes into the building. He then sees Abuelo writing in a notebook and waits until time passes.
Another thing noticed by the viewer is the veiled woman crying next to the doctor. She is very involved in this operation by letting her emotions freely show themselves. This woman could be the mother or siblings of the patient, and while she knows that the surgery was necessary to save or improve the life of her beloved, it is difficult to watch. By putting emotions out into the open, as the woman has done, makes them easier to deal with. Keeping feelings bottled up inside can cause breakdowns and emotional instability. This adds another layer of complexity to the surgery. Performing the task would require enough of the doctor's skill, but mix emotion into the equation, and the work, mentally as well as physically, is doubled.
Going to a different country or area of the world can open up anybody’s eyes to see that culture makes a huge impact on the understanding and practices of healthcare that seem to be so common to other areas of the world. When a person lives in one country their whole life, that person may not realize how different the life they live is from someone in a foreign country. If a person is going to receive treatment from someone with a different cultural background, they should be expected to get treatment to respects their own culture. Massachusetts College of Pharmacy and Health Sciences having such a diverse variety of students has their own cultural competency definition that states “effectively and comfortably communicate across cultures with patients of differing backgrounds, taking into account aspects of trust in order to adopt mutually acceptable objectives and measures”. In the book Dancing Skeletons: Life and Death in West Africa by Katherine Dettwyler, the issue of culture and healthcare are greatly prevalent. Katherine Dettwyler herself goes to West Africa as an anthropologist and her horizons are broadened when during her research she comes in contact with how much culture has an impact on healthcare and everyday life.
Cultural Competence is important for many reasons. First, it can help develop culturally sensitive practices which can in turn help reduce barriers that affect treatment in health care settings. Second, it can help build understanding, which is critical in competence, in order wards knowing whom the person recognizes as a health care professional and whom they views as traditional healer, can aid the development of trust and improve the individual’s investment and participation in treatment. Third, our population in the United States is not only growing quickly but also changing, cultural competence will allow us as educators and healthcare workers keep up wi...
Advocating for diverse patients is important. In this paper I will be discuss a personal ethical dilemma in which I have encountered. I will give an objective interpretation of both my side as well as my patient’s side of the dilemma. Then I will describe the conflicting values and beliefs that I and the patient had. Then I will give the information I was lacking concerning the patient’s culture. Lastly, I will define culturally congruent care.
An individual’s culture and belief may significantly impact the type of services they require. In addition, it may affect the time, place, and method in the delivery of health care
Thus, it is imperative that evidence-based practice is conducted to provide the best current, valid and reliable evidence in an aim to close the gap between non-conformity and coincide with the professional obligation of providing the patient with the best possible care (Liamputtong, 2013).... ... middle of paper ... ... Patient safety and quality of care. Rockville, MD: Agency For Healthcare Research And Quality, U.S. Dept. of Health.
The cultural competence seen in the health care system enables the ability of an organization to accommodate people with diverse languages, beliefs and values, and still work with harmony under the same system.
Cultural competence like so many other social constructs has been defined in various ways. One particular definition as determined by the Office of Minority Health states cultural competence is a set of behaviors, attitudes, and policies that are systematically exercised by health care professionals which enables the ability to effectively work among and within cross-cultural situations (Harris, 2010). Betancourt (2005) implied cultural competence is starting to be seen as a real strategy to help with improving healthcare quality and eliminating the injustices pertaining to healthcare delivery and healthcare access. This appeal is gaining favor from healthcare policy makers, providers, insurers and
...healing process of the patient. Healthcare professionals should frequently ask questions in order to fully understand if certain needs are to be met because of religious practices or beliefs. For example, a fresh bed sheet can be offered to a Muslim in order for a clean space for their daily prayers (pg. 21, Singh, 2009). Certain medical decisions can be difficult to finalize since religion must be taken into consideration. Healthcare providers will come into contact with people of different faiths, nationalities and cultures. All patients should be treated with the same amount of respect and acceptance in order for their medical needs to be fairly met.
Miller, Leininger, Leuning, Pacquiao, Andrews, and Ludwig-Beyer, (2008) support that the skill of cultural competency in nursing is the ability to gather relevant cultural data on the presenting problem of the patient. This cultural assessment is defined as a "...
As a nurse strive to provide culturally sensitive care, they must recognize how their client's and their perceptions are similiar as well as different. Nurse enhance their ability to provide client-centered care by reflecting on how their beliefs and values impact the nurse-patient relationship. To provide appropriate patient care, the nurse must understand her/his culture and that of the nurse profession. Cultural biases can be particularly difficult to identify when the nurse and client are of a similar cultural backgroup. When we recognize and know a culture, we will know what is right for our patient, and thus may impose our own values on the client by assuming our values are their values. Recognizing differences a present an opportunity not only to know the other, but also to help gain a greater sense of self. In this paper, I will explain more about diversity and cultural competence in case study.