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A Proposed Model for Addressing Cultural Competence in Health Care The Greater Lowell Health Alliance (GLHA) conducted a needs assessment of health disparities affecting those who identify as Lesbian, Gay or Bisexual (LGB), for the Greater Lowell area. The needs assessment highlighted several factors that are at the root cause of such disparities, which included, culturally competent care and linguistic competence. As a result of the needs assessment, the GLHA adopted several medical policies to support their cultural competence initiative, such as collection of patients’ sexual orientation data, and identifying training modules on health equity. As part of its new initiative, the GLHA plans to provide cultural competence training to healthcare …show more content…
These studies highlight disparities in healthcare utilization, perceived quality of healthcare treatment, willingness to seek care, and treatment adherence among the LGB population (Agénor, Muzny, Schick, Austin, & Potter, 2017; Ard & Makadon, 2012; Betancourt, Green, Carrillo, & Park, 2005; Bostwick, Boyd, Hughes, & McCabe, 2010; Brach & Fraser, 2000; Burgess, Warren, Phelan, Dovidio, & Ryn, 2010; Mays, Yancey, Cochran, Weber, & Fielding, 2002). The cross-cultural health-related disparities highlighted by various research studies suggest a need to implement solutions to address these health inequities. One such solution is through cultural competence …show more content…
Hence, cultural competence describes the integration of cultural knowledge, respect, policies and practices in the healthcare setting (Kodjo, 2009). Cultural competence aims to minimize the effect of cross-cultural health disparities and bias, as well as increase patients’ overall satisfaction (Kodjo, 2009), treatment adherence and willingness to seek care (Beach et al., 2005; Brach & Fraserirector,
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
Being culturally aware and knowledgeable is a must when working in any type of healthcare field. In our society today, we have an array of different cultures and making patients feel comfortable and at easy is our primary goal. Diversity training is something that is a must for each healthcare professional and should be the basis of our healthcare education.
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
Working as a research nurse at the Ohio State University, I often encounter patients that
Perez, M. A. & Luquis, R.R. (2009). Cultural competence in health education and health promotion. Jossey-Bass: San Francisco, CA.
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...
Despite the substantial developments in diagnostic and treatment processes, there is convincing evidence that ethnic and racial minorities normally access and receive low quality services compared to the majority communities (Lum, 2011). As such, minority groups have higher mortality and morbidity rates arising from both preventable and treatable diseases judged against the majority groups. Elimination of both racial and ethnic disparities is mainly politically sensitive, but plays an important role in the equitable access of services, including the health care ones without discrimination. In addition, accountability, accessibility, and availability of equitable health care services are crucial for the continually growing
Cultural competence has a variety of definitions and, in health care, basically refers to the act of developing an awareness of yourself, your existence, your thoughts, and your environment and making sure that those elements do not unjustly affect the clients you serve (Giger, 2013). In this paper, I will share my total score and what I learned about myself after taking the Cultural Diversity Self Assessment (IllinoisCTE, n.d.), discuss two weaknesses or areas with lower scores, and review two strengths with higher scores. I will reflect on my findings and examine the impact that my strengths and weaknesses may have on my nursing care. In addition, I will discuss improving cultural competence and two strategies
Towson University, posted a video referring to Cultural Competent Healthcare. Assistant Professor of Nursing Nancy Hannafin, Ph.D., asserts in this video the benefits of having health care providers who are aware of other cultures, and the positive impact it has on its patients. This type of healthcare does not require the healthcare provider to be familiar with the heath care techniques from the country of origin, but should have a familiarly with the country of origin and different cues in the setting. She states that in in 2001, the US Department of Health and Human Services under the division of the Office of Minority Health created the CLAS standard. This standard stood for Culturally and Linguistically Appropriate Services. CLAS consisted
Providing culturally competent care is a vital responsibility of a nurse’s role in healthcare. “Culturally competent care means conveying acceptance of the patient’s health beliefs while sharing information, encouraging self-efficiency, and strengthening the patients coping resources” (Giddens, 2013). Competence is achieved through and ongoing process of understanding another culture and learning to accept and respect the differences.
Cultural competence is a skill essential to acquire for healthcare providers, especially nurses. Cooperating effectively and understanding individuals with different backgrounds and traditions enhances the quality of health care provided by hospitals and other medical facilities. One of the many cultures that nurses and other health care providers encounter is the American Indian or Native American culture. There are hundreds of different American Indian Tribes, but their beliefs and values only differ slightly. The culture itself embodies nature. To American Indians, “The Earth is considered to be a living organism- the body of a higher individual, with a will and desire to be well. The Earth is periodically healthy and less healthy, just as human beings are” (Spector, 2009, p. 208). This is why their way of healing and symbolic items are holistic and from nature.
It is my opinion that all health care professionals need to become culturally knowledgeable and proficiently trained for competency. It is the rational objective that health care providers to engage in active pursuit and commitment to achieve cultural competency in humility. Unassuming meekness in dealing with our patients and other professionals, with a genuine desire to provide excellent services is critical in working with the clients, understand what they are feeling and thinking, especially when they do not feel at ease. Also of critical importance is seeing each individual as a distinctive and well-meaning person to be treated with dignity, fair-mindedness, and deserving of excellence of care. WE must become more attentive, sensitive
Cultural Competency is essential in a country, especially like the United States of America where diversity is the new majority. Yes, I agree that it is important for an individual to learn the language (English) when immigrating to a new country (America). However, it does not mean that it is simply justifiable to neglect all those people that are not proficient in English. In a healthcare setting, it is perhaps more critical to be culturally competent. Medical practice, in my belief, is more effective with a combination of both technical and soft skills. It is not like a machine or a computer where it shoots out an error code when broken. According to our textbook, health care providers in the US spend numerous years studying the technical; yet, little of that time is focused on skills to effectively communicate such valuable information. (Food and Nutrition)
In order for healthcare staff to remain culturally competent, they should be required to participate in further training to extend their knowledge of healthcare to different cultures. Since cultures view health, illness, and medical assistance differently it is important for the clinicians to understand how to properly portray the information to each patient for each scenario (Brown & Closser, 2016). Many professionals seem to be unwilling to further their education for their patients and seem to be focused on the paycheck instead of quality treatment. Subjects in the study conducted by Taber, Leyva, and Persoskie of the Journal of General Internal Medicine were quoted saying they felt the “doctors care more about the money than patients” (Leyva et al, 2014). This mindset is a major part of the problem with the failure of worldwide cultural competency in the healthcare field. The doctors or
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 "...