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Differences in ethnicities/cultures regarding healthcare
Differences in ethnicities/cultures regarding healthcare
Differences in ethnicities/cultures regarding healthcare
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In any healthcare field, communication is essential to assure that patients understand what is going on, and so they can effectively communicate what they need their doctors to know about their health. In healthcare, doctors and nurses will often see many people of different ethnicities and cultures, and they need to have some sort of cultures sensitivity in order to communicate with their patients on a level they will better understand. In order for them to communicate effectively, they will need to acknowledge that a patient may have a different culture with a different language and beliefs, which can act as barriers to effective communication. Without proper communication methods, doctors and nurses may be unable to provide the proper healthcare …show more content…
It has 5 different components that serve as its framework: normative cultural values, language issues, folk illnesses, patient/parent beliefs, and provider practices (Flores, 2000). One specific aspect of this model that would have been helpful to the Lees and their situation would have been the part of the model that states that physicians should acknowledge the cultural remedies suggested by the patient, then “suggest alternatives to harmful folk remedies, accommodate (nonjudgmentally) the folk illness beliefs and practices, and integrate the use of harmless folk remedies into the treatment plan (Flores, pg. 22).” Had this been implemented at MCMC, then the Lee’s may have had an easier time dealing with nurses and doctors when discussing the treatment of their daughter. This model was first developed after examining healthcare workers and their interactions with Latino patients (Flores, 2000), but when comparing it to other ethnic groups, such as the Hmong, it is clear that it could work across cultures, and would be helpful to healthcare works in cultural sensitivity …show more content…
These bias’s lead certain ethnic groups to feel as if they are not getting the same amount of respect and support from their healthcare providers as other people, which can be seen throughout Anne Fadiman’s novel in the way the Lee’s are treated as if they were second class citizens (Fadiman, 1997). In an article that discusses this topic of bias, the idea of unconscious biases are explained to be things that develop based on one’s culture (as well as race and ethnicity) and lack of exposure to other cultures and understandings. It is said in this article that this leads to a lack of cultural sensitivity because one cannot easily understand the differences in a culture that is not their own (Burgess, et al., 2004). This article suggests that “Structural changes [in the healthcare industry] are critical so that providers who are motivated to go beyond social categories and stereotypes have sufficient resources to do so (Burgess, et al., pg. 1158).” These suggested changes would include new training methods on cultural sensitivity and biases, as well as a shift in how workers deal with different ethnic groups and how they can develop the skills to be more conscious of unconscious biases. This solution could result in more self-conscious medial staff that could learn how to look
The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures shares the journey of cultural illiteracy from the Hmong and American side. Fadiman states, “In 1995, for the first time, the national guidelines for training psychiatry residents stipulated that they learn to assess cultural influences on their patients’ problems,” (Fadiman 270). Though the unfortunate events that occurred were definitely able to avoid now, at the time, there was no standard set of actions and procedures to take in order to provide the best health care to different cultures. Fadiman truly succeeded in showing the reader that good intentions and compassion must be weighed more heavily when analyzing events and the consequences must be met with an objective eye.
The importance of making yourself aware of a new culture when they step into your office is evident. As professionals we are ethically bond to provide the best care we can and that includes care to people outside our own culture. Lia’s doctors and other staff should have been working since the beginning to try and better understand Hmong culture and what possible implications could have been for Lia’s care. As counselors, we should check our own thoughts and beliefs at the doors to our office. Our own thoughts and opinions should not affect our
Kodjo, C. (2009, February,2009). Cultural competence in clinician communication [Pediatr Rev]. Pub Med Central, 30(2), 57-64. doi:10.1542/pir.30-2-57
According to Dreachslin, Gilbert, and Malone (2013), the hallmark of cultural competence rests on the healthcare providers’ readiness for personal growth and willingness to engage in self reflections, including acknowledging their own personal implicit and explicit biases. individual bias consists of attitudes, beliefs, and behaviors that reinforce the presumed superiority of the majority and inferiority of the minority. Self awareness can be use as a guide to understand an individual’s hidden and exposed gifts and challenges. Self awareness is a critical component of cultural competence (Rani, 2007).
Culture as described by Brislin [1], as the totality of learned behaviors of people that emerges from their interpersonal interactions.
Culture care is grounded within one’s worldview, which is shape by social structure factors such as religion, economics, cultural values, environmental context, ethnohistory, and language (Alligood, 2014; Sitzman & Eichelberger, 2015). Moreover, culture care share similarities and differences related to health and well-being, how individual deal with disability and death, as well as, when to seek relief from illnesses or distress. As culture plays a vital role in health care seeking habits and decision making, it is imperative for nurses to fully understand cultural knowledge. With increase cultural knowledge, nurses are better able to implement care plans that are beneficial to the patient with respect to their beliefs, values, and cultural
research on healthcare practices in a culturally diverse setting has established the importance of cultural awareness, competence, and diversity for healthcare workers.
“Cultural awareness is the foundation of communication and it involves the ability of standing back from ourselves and becoming aware of our cultural values, beliefs and perceptions (Quappe, 2007). It is important to be aware of what culture your patient is from because than the nurse can give the patient and family the care that is not offensive o their beliefs. Cultural sensitivity Cultural sensitivity is experienced when neutral language–both verbal and nonverbal–is used in a way that reflects sensitivity and appreciation for the diversity of another. It is conveyed when words, phrases, categorizations, etc. are intentionally avoided, especially when referring to any individual who may interpret them as impolite or offensive (Giger, 2006). Being sensitivity to ones cultural is imperative, this allows the patient and or family to feel more comfortable and have their personal beliefs be respected. Different forms of cultural sensitivity include choice of words and language used while talking to a patient, the use of space while communicating, as well as who in the family to talk to and how to address patients and family. Cultural competence is a combination of the skills, knowledge and attitudes that are needed to deliver the proper excellent care to a diverse population. Cultural competence is relevant in order to be able to give
Minnesota is a state with a rich, diverse, and evolving cultural landscape. In the past two decades, Minnesota has seen a significant increase in the number of children and families from culturally and linguistically diverse communities. Each of these communities is unique in their culture, values, and perceptions of child development and disabilities. A growing body of research reveals that significant health disparities exist across racial groups in early screening, identification, and diagnosis of developmental delays (CDC, 2014; Mandell et al, 2002; Shattuck et al, 2009; Zuckerman et al., 2014).
Discrimination in health care is an ethical issue focused on age, gender, income, chronic illness, and ethnic disparities. Discrimination occurs when a group of individuals are highly favored above another, either consciously or not. In Carolyn Clancy’s speech, she addresses this issue of “It makes a difference in people’s lives when breast cancer is diagnosed early with timely mammography; when a patient suffering from a heart attack is given the correct lifesaving treatment in a timely fashion; when medications are correctly administered; and when doctors listen to their patients and their families, show them respect, and answer their questions” (Clancy, pp. 3). It is very interesting to see that knowing is able to cure treatment, but minorities especially blacks face breasts cancer in the worse manner due to not having the right resources for treatment. Whether the issues of direct or indirect discrimination occurs, these actions affect the lives of working Americans and their right to receive quality healthcare. In a the research article it mentioned that, healthcare providers’ assessment and treatment decisions are based off their feelings about patients, which is usually influenced by patients’ race or ethnicity. (Nelson, pp. 5) Relationships between race or ethnicity and treatment decisions are complex, they are usually influenced by
Bentancourt et al. (2005) allows asserts that there are three distinctive reasons why cultural competency is so very important for the American healthcare system. American is composed of a very diverse population, which mean healthcare providers will continual be exposed to treating individuals from various backgrounds and from various cultures; their beliefs regarding their health or healthcare may range widely. When patients have a deficiency in the English language, proper healthcare delivery becomes increasingly more difficult as they will present symptoms in the syntax of their culture and their first language. Also, research shows the communication between the patient and their provider directly correlates to their satisfaction as well as their responsiveness or willingness to follow the health provider medical instructions; this ultimately affects the patient’s health outcome (Bentancourt et al., 2005). It’s fair to say that a successful health outcome is also contingent upon the interaction of the health provider and patient. Reports generated by the Institute of Medicine (IOM) – “Crossing the Quality Chasm and Unequal Treatment, confirms that cultural competence that focuses on the care of patient through
In the clinical setting, nurses are believed to spend the most time with patients. This involves regularly dealing with people coming from different ethnicities and with different cultural practices and beliefs (Brown & Edwards, 2012). Given this cultural diversity, every patient may have his/her own cultural beliefs and practices regarding his/her own health and its treatment which can be similar or different to those ... ... middle of paper ... ... nternational Journal for Quality in Health Care, 8(5), 491-497.
This causes problems about the diagnosis as well as how nurses may tell patients about issues with their care. A way a nurse can overcome this is by having an interpreter when they know that a patient doesn’t know English, but this is not always the case for most nurses as there are not a lot of interpreters around. In health practice language isn’t always to do with culture but it can be the way a nurse or doctor speaks to the patients so they may adopt certain types of jargon and the patients may feel intimidated. Madeleine Leininger, who is the founder of transcultural nursing, says that providing competent care across all cultures and to be customized to fit patient’s different beliefs and traditions and different languages that a patient may speak. Divi et al (2007) claims that language barriers increase the risk of patient care and safety as they will find it difficult to understand what is going on with their care, so it is important for patients to have access to language services such as an
Cultural blindness can lead to misconceptions and the inability to treat patients efficiently. Culture, religion, beliefs, values, social economic standings, education, mentality, morals, and treatment are all different from person to person, community, and groups. These barriers can be overcome by treating each patient as a unique individual and seeking to learn about cultural beliefs and differences, without reservations or pre-judgments but with an open and willing mind. These inhibiting barriers can be crossed through acceptance and commonality can be established. Through Patient-centered communication and attentiveness to the patients’ interpretation, discussion of lifestyle and treatment choices in an open and non-judgmental manner, and understanding of patient views, concerns and information needs can lead to cultural sensitivity and appreciation (Dean, R,
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.