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Pros and cons of cultural diversity in health care
Cultural considerations in healthcare
Cultural considerations in healthcare
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The United States of America is the “Land of Opportunity”, home to people from all corners of the earth, all sharing various values, belief, and practices regarding health and healing. Immigrants to the United States represent a sizable and rapidly growing group that totaled approximately thirty-six million people, or 12 percent of the U.S. population, in 2005 (Derose, ). With so much U.S population foreign born varying beliefs and views on health pose unique challenges to health care professional, especially those in public health across the country. The importance of respect and cultural sensitivity cannot be stressed enough. Cultural pluralism is a mutual appreciation and understanding of various cultures and subcultures in society (Maurer. …show more content…
In the Emergency Department we use interpreter phones to communicate with patients that speak a language other than English, and utilize English speaking family and live translators working for various organization. This population is especially vulnerable due to socioeconomic factors, immigration status, health care accessibility, and limited English proficiency. Clinical prevention services are a target on the Healthy People 2020 initiative, which this population underutilizes (Healthy). Although preventative services are available for those that are enrolled in the Medicaid program, many in this population visit the emergency Department for routine care; including but not limited to ‘check-up’s’, prescription refills, and minor complaints. The push has been made by several of the ER providers to educate this population on the proper use of emergency services and the difference in care available to them (primary care versus urgent care versus emergent care). We have yet to see a change in the thinking regarding this group, but local clinics have been notified regarding this issue. The two community clinics that provide care to a majority of the foreign born residents struggle with long wait times for appointments and limited funding for supplies and staffing to care for this populations needs. As my community continues to struggle with this vulnerable group we also understand their needs and right
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
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
Culturally competent cares in the medical field can make a huge difference in the satisfaction and the healing of patients who are guests in the facilities that we will be at. In central Minnesota we have the privilege of having many different cultures in a small area. With many people immigrating here from their homeland it is important, as health care professionals, to have an understanding of the many different beliefs and traditions that we may come across in our personal and professional lives.
According to Penner et al. (2013), there are various causes of healthcare disparities, such as socioeconomic status; this results to poor healthcare services for people with low socioeconomic status, as people with low pay find it difficult to leave their work to seek healthcare help, or to afford healthcare insurance (p.4). The second cause is language proficiency. The language barriers faced by the immigrant plays a role in the healthcare disparities among the racial or ethnic minority patients. Another cause is health literacy. The levels of the health literacy among the foreign born individuals can be influenced by their higher level of distrust of the healthcare providers and healthcare system than they have towards Caucasian people. This, in turn, leads them to seek healthcare information less often than their Caucasian counterparts, thus hindering the provision of quality services, as well as limiting the foreign patients’ ability to manage their health conditions effectively. The foreigners’ failure to easily accept the information provided to them by healthcare providers puts them at risk. Disentangling the role of health literacy in racial healthcare disparities from the effects of racial attitudes and beliefs is often hard (Penner et al,
The goal of this lesson is to explore how we can improve communication to eliminate language barriers between healthcare providers and patients in our organization and to establish culturally and linguistically appropriate goals, that provide safe, equal, and quality care to all our clients regardless of race, ethnic, or socioeconomic status. At the end of this lesson we should be
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...
Environmental justice can influence the population’s health. This environmental justice is relevant to nursing, because awareness brings changes and can save and improve many lives. When a person in a hospital or in a community setting is affected by a health problem, the entire community is at risk, knowing the population is lack of knowledge and have limited access to understand health care system. Therefore, a solution to eliminating cultural disparities is optimal for immigrant communities. In conformity with the Journal of Transcultural Nursing journal, nurses need to follow 12 steps to have a successful result when integrating cultural competence in the health care environment: social justice, critical reflection, knowledge of cultures, culturally competent practice, cultural competence in the health care systems and organizations, patient advocacy and empowerment, multicultural workforce, education and training in culturally competent care, cross-cultural communication, cross-cultural leadership, policy development, a...
Throughout the Think Culturally assignment, I realized the impact I will have as a healthcare provider. The scenarios that were provided throughout each course assignment gave me insight on the negative health outcomes that can occur when cultural competence is not present. In order to have cultural competence, I must acknowledge that some patient’s health beliefs will be different from my own. This can be distinguished by having open communication and asking pertinent questions. Treating patients that are not proficient in English, can become overwhelming. As a future nurse practitioner, I want to utilize all the necessary recourses to ensure my patient’s fully understand the plan of care and treatment regimen.
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...
Multicultural health issues can present challenges to providing quality primary care and practitioners are in a strong position to improve the health of people from culturally and linguistically diverse backgrounds. Health care organizations have made intense progresses and revolutions during the last few decades, resulting in rapid growth of technology and theory. Some of the changes are introduction of new health based technology, meeting consumer demand for quality care, increased patient acuity and increases the burden of escalating healthcare expenditure. It focuses on primary health care which is the basic entry level of health care. The principle of primary health care is equity, acceptability, cultural competence, affordability, and
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
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 plays an important in medicine. It allows for smooth interaction with patients and their families. “Culture is often described as the combination of a body of knowledge, a body of belief and a body of behavior. It involves a number of elements, including personal identification, language, thoughts, communications, actions, customs, beliefs, values, and institutions that are often specific to ethnic, racial, religious, geographic, or social groups.” ("Cultural Respect", 2017) Many providers and healthcare staff still struggle with cultural competence because they don’t take the time and effort to learn about the different backgrounds that flow in and out of hospital around the country. In the case of Dr. Brent Williams,
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 the world past, present, and future, there will always be culture. Culture is something that people believe in and use as guidelines to dictate their lives. Culture is what brings people back to their roots, back to where they are from, and who their ancestors were. People all over the world have many different backgrounds. Some have only one culture they practice, while others have several cultures they believe in and practice. These differences cause problems in the health care work place when health care members must put aside their beliefs and morals, and attend to the patient as they wish, and as they believe. According to Choi (2015, 593), “culture is a matrix of beliefs, values, and norms that inform, give meaning to, and regulate