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Cultural competency in healthcare
Cultural competency in healthcare
Cultural Competency in the Promotion of Health
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1- Why is cultural and linguistic competence an essential component in the work towards addressing and eliminating health disparities? Eliminating health disparities is an extremely difficult and complex task. There are many steps that come together to make changes in these areas, but they wax and wane, regardless of their pressing importance. To eliminate anything, it must first be addressed. Addressing health disparities is plainly important, but without competence in the populations and cultures we are examining, it is difficult to open up pathways of communication, decreasing efficiency and efficacy in the elimination of health disparities. Increasing linguistic and cultural competence allows lines of communication to open and information …show more content…
to be passed. When people are able to accurately understand each other, barriers are removed, support and empathy increase, and the overall connection increases in quality. Implementing cultural and linguistic competence in our racialized society, particularly in healthcare settings, has been shown to be a direct predictor of increasing quality of health outcomes and has been shown to predict a decrease in health disparities. We want to help reduce health disparities, increasing cultural and linguistic competence has demonstrated effectiveness in this area, as such, more resources need to be allocated to these areas. 2- Please share two or three things you learned from the two articles and why you think this is relevant to understanding cultural competency.
Be sure to specifically cite the source. In the article, Toward a Fourth Generation of Disparities Research to Achieve Health Equity, I believe that the authors wanted their readers to understand the importance of implementing a fourth generation, hence altering their current three phase paradigm of research. Allowing there to be further exploration in the fourth generation provides an extra step in decreasing disparities, increasing the reflection and abilities of those trying to decrease disparities increases their cultural competence. In the article, Continuing the Conversation in Nursing on Race and Racism, the authors indicate that decreasing disparities needs to be done by those in power, we will have the biggest impact. I agree. People who hold power and privilege have the luxury to educate themselves if they wish. The authors make the point to say that black individuals often feel the need to educate whites on race and racism, however, it is not and should need be their responsibility. Which goes back to the need for those with privilege to take action and address these issues of race, racism and their related disparities. White people have the ability, opportunities and resources to learn about these issues, to understand cultural and linguistic competence and can start the important conversations that need to happen in order for these racial health disparities to be addressed and
combated.
Annette Dula would suggest that the need for dialogue with African Americans should be recognized as a serious bioethical problem. I would suggest that health care providers should have a different dialogue to get a better understanding of their patients. I agree with the three health disparities: institutional racism, economic equality, and attitudinal barriers to access. Having language signs so that staff can identify language preferences to obtain the appropriate language services. Your practice should have basic instructions for patients to follow.
Cultural Competence is a substantiated body of knowledge based of cultural “values held by a particular cultural group and the ability to cohesively adapt to individualized skills that fit the cultural context, thus, increasing relationships between employees, managements, and stakeholders, including patience and research subjects. Cultural competency is critical to reducing disparities and improving access to high-quality services, respectful of and responsive to the needs of diverse working conditions and individualized characteristics. The main focus emphasizes the understanding of cultural competence provide internal resources with skills and perceptions to thoroughly comprehend ones cultural attitude, increase the ability to multicultural diversity, and the ability to effectively interact with other cultures (Shelley Taylor, 2006, pp. 382-383), which is absent within the case study of Joe and Jill. Essentially speaking, principles of cultural competence are acknowledgement to the importance of culture in people's lives, respect for cultural differences, an...
Health Disparities and Racism is an ongoing problem that is reflected among society. Health is when an individual is physically, mentally and social well being is complete. However health disparities seems to be a social injustice within various ethnicities. Health disparities range from age, race, income, education and many other things. Even though we realize health disparities are more noticeable depending on the region of country where they live in. Racism is one of the most popular factors, for why it’s known that people struggle with health.
Health disparity is one of the burdens that contributes to our healthcare system in providing equal healthcare to everyone regarding of race, age, race, sexual orientation, and socioeconomic status to achieve good health. Research reveals that racial and ethnic minorities are likely to receive lower quality of healthcare services than white Americans.
The United States’ population is currently rising exponentially and with growth comes demographic shifts. Some of the demographics shifts include the population growth of Hispanics, increase in senior citizens especially minority elderly, increase in number of residents who do not speak English, increase in foreign-born residents, population trends of people from different sexual orientation, and trends of people with disabilities (Perez & Luquis, 2009). As a public health practitioner, the only way to effectively eliminate health disparities among Americans, one must explore and embrace the demographic shifts of the United States population because differences exist among ethnic groups (Perez, 2009). We must be cognizant of the adverse health conditions for each population and the types of socioeconomic factors that affect them. Culture helps shape an individual’s health related beliefs, values, and behaviors. It is more than ethnicity and race; culture involves economic, political, religious, psychological, and biological aspects (Kleinman & Benson, 2006). All of these conditions take on an emotional tone and moral meaning for participants (Kleinman & Benson, 2006). As a health professional, it is one’s duty to have adequate knowledge and awareness of various cultures to effectively promote health behavior change. Cultural and linguistic competencies through cultural humility are two important aspects of working in the field of public health. Cultural competency is having a sense of understanding and respect for different cultural groups, while linguistic competency is the complete awareness of the language barriers that impact the health of individuals. These concepts are used to then work effectively work with various pop...
The public needs to address racial disparities in health which is achievable by changing policy addressing the major components of socioeconomic status (income, education, and occupation) as well as the pathways by which these affect health. To modify these risk factors, one needs to look even further to consider the factors. Socioeconomic status is a key underlying factor. Several components need to be identified to offer more options for those working on policy making. Because the issue is so big, I believe that not a single policy can eliminate health disparities in the United States. One possible pathway can be education, like the campaign to decrease tobacco usage, which is still a big problem, but the health issue has decreased in severity. The other pathway can be by addressing the income, by giving low-income individuals the same quality of care as an individual who has a high
"Eliminating Racial and Ethnic Disparities in Health." Public Health Reports. July/August 1998: 372 EBSCOhost. Available <http://www.epnet.com/ehost/login.html>. (11 February 1999)
Williams, D. R., & Jackson, P. (2014, April 1). Health Affairs. Social Sources Of Racial Disparities In Health. Retrieved April 29, 2014, from http://content.healthaffairs.org/content/24/2/325.short
Therefore, considering these issues is an impediment when discussing the disparities in health. Some minorities are disadvantaged in the current healthcare while some are not. However, it is complicated to identify reasons for inequalities because health outcome is a result of numerous interactions with factors including the individual’s access to care, the quality of care provided, health behaviors such as tobacco and alcohol consumption, the presence or absence of complicating conditions, and personal attitudes toward health and medicine. Therefore, Examining existing racial and ethnic issues, developing potential solutions for current disparities, and preparing for future challenges as shifts in trends emerge are essential aspects of health care improvements” (Boslaugh,
No citizen shale ever be ignored no matter their race, state of health, or class. In the US “barriers generally stem from forces within the organizational environment of the health care delivery system or within the broader social system itself” (Barr, 2011, p. 273). This is why health policy scholars need to study health disparities so that equal care can ultimately be reached. Currently some disparities that are obvious in society are unequal dispersion and quality of care between racial groups, genders, and those with low middle class income. The health care system needs to be fixed and in order for that to happen health scholars must study better procedures so that the best possible outcome can be reached for the American
Cultural competence has to do with one’s culture. Culture affects among other factors, how children are raised, how families communicate, what is considered normal or abnormal, ways of coping with issues, the way we dress, when and where we seek medical treatment, and so forth. I should know because I come from a very cultural home where it is considered bad to talk to a male doctor about anything gynecological.
There is a lack of conceptual clarity with cultural competence in the field and the research community. Cultural competence is seen as encompassing only racial and ethnic differences, and omitting other population groups who are ethnically and racially similar to providers, but are stigmatized or discriminated against, who are different in other identities, and have some differences in their health care needs that have resulted in health disparities. (Agency for Healthcare Research and Quality,
The framework of racism has enhanced the understanding of racial inequalities in health. By racism, an ideology of inferiority that is used to justify unequal treatment (discrimination) of members of groups defined as inferior, by both individuals and societal institutions. This idea of inferiority has led to the development of negative attitudes and beliefs towards raci...
Cultural proficiency is seeing the difference and responding effectively in a variety of environments. Learning about organizational and individual culture, in which one can effectively interact in a variety of cultural environments (p. 3). In simple terms in which educators are not only able to effectively work with diverse populations, but also believe that diversity adds positive value to the educational enterprise (Landa, 2011, p. 12).
...on, race, and political belief, economic or social condition. Improving the poor health of disadvantaged individuals and reducing health gaps is important but not enough to level up health through socioeconomic groups. The objective of tackling health inequalities can be changed to local needs and priorities of a community allowing wide-ranging partnerships of support to be organised. However it needs to be made clear that what can be done to help improve the life chances and health prospects of individuals living in poverty may not come close to bringing their health prospects closer to the average of the rest of the population or prevent the gap living on throughout the generations. Being clear about what is trying to be overcome and achieved needs upmost importance in the development and delivery of policies that will promote health equality across the population.