Cultural competence in healthcare facilities
Introduction
The world is becoming a global village and with this development, people of different cultures have interacted. Even in the healthcare sector, caregivers are finding themselves in an environment with cultural diversity. This has necessitated the need to embrace multicultural competence, which has been suggested to improve the quality of care offered. This work focusses on multicultural competence and transcultural medical practices, with an emphasis on the Chinese culture and how it would be a factor if such a population seeks medical services in US health facilities.
Major demographics in China
Commonly called the People’s Republic of China (PRC) and with its capital in Beijing, China has 23 provinces. The country is ranked as an
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upper-middle country and its rapid development in the last few decades, has seen the country reduce poverty levels significantly (Xing et al. 2012). There are approximately 56 ethnic groups in China, although Han Chinese are the majority because they make close to 91.51% of the entire population (Xing et al. 2012). Among the 55 remaining groups, the Zhang is the majority making more than 1% of the population. The Chinese language has a number of dialects, including Mandarin (the most spoken), Hakka, Yue, Min, Xiang and many others. As noted by Wang et al. (2017), there have been demographic changes in the Chinese population, because progressively, the country has been considered to have an aging population. There are no definite statistics on the religions of the Chinese, because the country is recognized as an atheist state. However, it is hypothesized that 30% of the Chinese believe in their local folk religions, close to 10% are Buddhists, 5% is Christian while 3% Islamic (Xing, Lu, K., Yumiyi & Liu, 2012). Factors that may impact the health of the Chinese One of the factors that may impact the health of the Chinese is political goodwill and the political economy. As noted by Daemmrich (2013), the government has been instrumental in the expansion of health insurance services, increase of government expenditure on hospitals as well as introduction of health insurance for private for-profit clinics. Further, the government has sought to institute the right institutional framework in the country’s health system and undertake health reforms (Daemmrich, 2013). These aspects could positively impact the health of the Chinese people. References Daemmrich, A. (2013). The political economy of healthcare reform in China: negotiating public and private. Springerplus, 2(1), 448. http://dx.doi.org/10.1186/2193-1801-2-448 Fang, H.
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227-252. W.H.O. (2005). China: Health, Poverty and Economic Development. WHO. Retrieved 19 November 2017, from http://www.who.int/macrohealth/action/CMH_China.pdf Wu, F., Guo, Y., Kowal, P., Jiang, Y., Yu, M., & Li, X. (2013). Prevalence of Major Chronic Conditions among Older Chinese Adults: The Study on Global AGEing and Adult Health (SAGE) Wave 1. Plos ONE, 8(9), e74176. http://dx.doi.org/10.1371/journal.pone.0074176 Xing, L., Lu, K., Yumiyi, N., & Liu, F. (2012). Introduction And Impact Of Preferential Policies On Ethnic Minority Groups In China. In 2012 Conference, August 18-24, 2012, Foz do Iguacu, Brazil (No. 126633). International Association of Agricultural Economists. Zhang, J., Mauzerall, D., Zhu, T., Liang, S., Ezzati, M., & Remais, J. (2010). Environmental health in China: progress towards clean air and safe water. The Lancet, 375(9720), 1110-1119. http://dx.doi.org/10.1016/s0140-6736(10)60062-1
Larsen, P. D., & Hardin, S. R. (2013). Culture and cultural competence. In I. M. Lubkin & P. D. Larsen (Eds.), Chronic Illness Impact and Intervention (8 ed., pp. 343-367). Burlington, MA: Jones & Bartlett Learning.
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
China is a large country, located beside the Pacific Ocean, and also rests on the Tropics of Cancer. China also has 14 border countries including Afghanistan and India as well as the Yellow Sea, and the South China Sea. While Australia is smaller, but on its own continent, it rests between the Indian Ocean and the South Pacific Ocean, and fortunately does not have any border line countries. The population of China sits on a large 1,393,783,836, while Australia is on 23 688 377. Both the countries share several common factors, one being the fact that most of the population lives near the coastline, due to the climate. The climate of China is extremely diverse, and more tropical towards the South. While Australia is generally arid, meaning little
Cobb, Torry Grantham, DHSc, MPH,M.H.S., P.A.-C. (2010). STRATEGIES FOR PROVIDING CULTURAL COMPETENT HEALTH CARE FOR HMONG AMERICANS. Journal of Cultural Diversity, 17(3), 79-83. Retrieved from http://search.proquest.com.ezp-01.lirn.net/docview/750318474?accountid=158556
The absence of cultural competency in some health care providers, lack of community perspective integration in health care facilities, and low quality health care received by women in developing countries.These are the three most pressing health care concerns that need to be addressed in our ever changing world. The first of the issues I’ll be discussing is the lack of cultural competency amongst health care providers, as well as the shortage of education and training in cultural competency. As we all know and see the United States is a racially and ethnically diverse nation which means our health care providers need to be equipped with the necessary education and training to be able to provide for diverse populations. As an East African
... L. D., & Paulanka, B. J. (2008). Transcultural health care: a culturally competent approach (3rd ed.). Philadelphia: F.A. Davis.
Introduction Cultural Competency is fundamentally linked to the principles of social justice and human rights because it provides the nurses with the opportunity to develop interpersonal skills to provide equal care despite one’s cultural background. However, using the principles of social justice and human rights to educate nurses allows them to learn how to negotiate cultural differences. Removing their own cultural filters, and seeing events through the eyes of those who are culturally different, accomplish this. An embedded experience, in which nurses interact with various cultures, would encourage them to adopt cultural competency knowledge (Office of the High Commissioner for Human Rights, 2008). Environmental justice can affect the population’s health.
The theoretical framework that I used for this paper is Leininger's Sunrise Model. It describes the factors that have to be assessed in order to provide competent trans cultural care for a culture. These include educational factors, economic factors, political and legal factors, cultural values and life ways, kinship and social factors, religious and philosophical factors, technological factors, generic or folk systems within a cultural care worldview (Leininger's, 1991).
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...
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
Cultural competence can be defined as using the ability of one’s awareness, attitude, knowledge and skill to effectively interact with a patient’s many cultural differences. Madeline Leininger, a pioneer on transcultural nursing describes it this way; “a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs, values and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people” (Barker, 2009, p. 498). The importance of cultural diversity in healthcare allows for the delivery of appropriate cultural autonomy. Showing respect for others will lead to trust between nurse and patient which in turn improves healing and health.
Transcultural nursing requires us to care for our patients by providing culturally sensitive care over a broad spectrum of patients. The purpose of this post is to describe cultural baggage, ethnocentrism, cultural imposition, prejudice, discrimination, and cultural congruence. I will also give an example of each term to help you understand the terminology related to nursing care. I will definite cultural self-assessment and explain why it is valuable for nurses to understand what their own self-assessment means. Finally, I will describe the five steps to delivering culturally congruent nursing care and how I have applied these concepts in my nursing practice.
This case study espouses a conflict between scientific/conventional medicine and the diverse cultural beliefs. Admittedly, cultural beliefs affect the administration of treatment and care in the healthcare system because more often than not conservative people would disregard conventional medicine in preference for the traditional healing. The case study enumerates how Mrs. Thor is torn between conventional medicine and cultural healing as advised by her father. Eventually, pregnancy complications and emergency force her to sign for the caesarian section procedure against her fathers’ will. However, to address the sociocultural mismatch between the health care providers and the patient as witnessed in the case, I would incorporate multicultural trainings of physicians. In fact, according to Douglas, Rossenkoether, Pacquiao, Callister, Pollara, Lauderdale, Milstead, Nardi, and Parnell (2006), familiarity with cultural context is essential for the nurses to provide culturally competent communication. Further, a strategy to influence this intervention would be the acquisition of specialized training on transcultural nursing practice.
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
The diversity of impact that globalization is having on the healthcare sector is rapidly growing resulting in a variety of initiatives seeking more details understanding of these impact and designing effect policy responses to them (Lee, Buse & Fustukian, 2002). As a result of globalization, we now live in a very diverse society that entails patient population from different ethnic, race and religious groups. The healthcare system has been faced with challenges in providing quality health care to a diverse group of patients due to language barrier, cultural dissimilarities and gap in health literacy. However, in order to tailor a healthcare system that can deliver the cultural, social and linguistic needs of patients their needs to be cultural competency and that starts with health