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Formulation for health care policy process
The concepts and definition of diversity in relation to health care
The concepts and definition of diversity in relation to health care
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Our nation has diverse people from different cultures and backgrounds. To achieve appropriate health policies’ integration, subsequent actions at the policy level, and cultural competence must be a part of an organization’s efforts to achieve and deliver healthcare to those who seek healthcare services that can meet their social, cultural, and linguistic needs. The importance of culturally appropriate health policies is that it ensures sensitivity and cultural competence, which means being aware of cultural differences and appreciating and understanding those differences and accepting them. Culturally appropriate health policies have a need across borders that deal with health disparities of people from different cultures, and availability …show more content…
Second, I would volunteer my time and put forth my efforts to reach out to many community members to discuss, understand, and answer questions about the policy. Third, I would invite other leaders to come and speak to residents about the issues or concerns before moving on to the next step. Fourth, I will conduct interviews and have a focus group to determine the best strategy to hear the voices of the community. Last, have a blueprint that engages the community perspective, needs, and livelihood. All of these activities to reflect the community voice will be a part of my approach to the development of the policy. Clearly outlined participation with the importance of taking responsibility for their actions can be beneficial to me if the community involvement is transparent with clear communication of messages about health or health care that does not make them mistrust me. Another point to mention about developing a policy to send out to a community is that the community wants an understanding of their values and beliefs that something good will come from their participation. I will include in the development of my policy another perspective that contains information about myself and why I trust the policy is going to work. Campbell (2011) said policy development has four …show more content…
At an early age, we were taught that if we are sick, go the doctor for help. Health care is not only going to the doctor for visits and being told how to lower your blood pressure, even though some of us presume that. In the United States, we tend to focus our attention on health care instead of health like most other countries. The information about Native Americans and diabetes triggered an emphasis that cultural, social, and behavioral beliefs are more common among this medical group’s needs. Moreover, the communities’ members should be used as role models to reflect a lack for dealing with illnesses like diabetes. Furthermore, the healthcare system in the United States is in need of improvement that has cost us lots of money to fix. However, a sense of ownership was said to help a community of Native Americans build pride after they were removed and placed in bordering schools. This week’s Learning Resource contains valuable forth telling stories of how healthcare among different cultures takes place first with their belief and customs about their
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
As part of my Culture, Health and Illness class, I undertook a critical analysis of the book “The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures” by Anne Fadiman. This book was published in 1997, and documents the struggle of a Hmong family from Laos in communicating with and understanding the American health system.
This book addresses one of the common characteristics, and challenges, of health care today: the need to achieve a working knowledge of as many cultures as possible in health care. The Hmong population of Merced, California addresses the collision between Western medicine and holistic healing traditions of the Hmong immigrants, which plays out a common dilemma in western medical centers: the need to integrate modern western medicinal remedies with aspects of cultural that are good for the well-being of the patient, and the belief of the patient’s ability to recuperate. What we see is a clash, or lack of integration in the example of the story thereof. Lia, a Hmong child with a rare form of epilepsy, must enter the western hospital instead of the Laotian forest. In the forest she would seek out herbs to remedy the problems that beset her, but in the west she is forced to enter the western medical hospital without access to those remedies, which provided not only physical but spiritual comfort to those members of the Hmong culture. The herbs that are supposed to fix her spirit in the forest are not available in the western hospital. The Merced County hospital system clashes with Hmong animist traditions.
The Hmong people, an Asian ethnic group from the mountainous regions of China, Vietnam and Laos, greatly value their culture and traditions. The film “The Split Horn: Life of a Hmong Shaman in America” documents the seventeen year journey of the Hmong Shaman, Paja Thao and his family from the mountains of Laos to the heartland of America. This film shows the struggle of Paja Thao to maintain their 5000 year-old shamanic traditions as his children embrace the American culture. Moreover, the film shows that one of the major problems refugees like Paja Thao and his family face upon their arrival to the United States is conflict with the American medical system. Despite the dominant biomedical model of health, the film “The Split Horn” shows that
To gain trust in this community and help them, it is important to use some of their own culture and change small pieces at a time, rather than introducing westernized ideas right away and asking them to forget about their heritage. This approach stood out to me as crucial. By focusing on the highest risk factors for mortality or morbidity, the problems in their communities can be eradicated. Native Americans can enjoy their heritage and culture while also utilizing some of the benefits of westernized medicine. This will help them gain trust in people trying to help them, rather than feeling neglected and forgotten.
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
American Indians have had health disparities as result of unmet needs and historical traumatic experiences that have lasted over 500 hundred years.1(p99) Since first contact American Indians have been exposed to infectious disease and death2(p19), more importantly, a legacy of genocide, legislated forcible removal, reservation, termination, allotment, and assimilation3. This catastrophic history had led to generational historical traumas and contributes to the worst health in the United States.2 American Indians and Alaska Natives (AI/AN) represent 0.9 percent of the United States population4(p3) or 1.9 million AI/AN of 566 federally recognized tribes/nations.5 American Indians/Alaska Natives have significantly higher mortality rates of intentional and unintentional injuries, chronic liver disease and cirrhosis, diabetes mellitus, cardiovascular disease and coronary heart disease and chronic lower respiratory disease than other American.6
Appalachian culture covers thirteen states in Northern America. It is beneficial to medical staff to be familiar with this culture’s beliefs in order to successfully treat their patients. Without knowledge and education of their social status, environment, nutrition, beliefs, and unhealthy habits, the medical staff can fail in treatment and can misdiagnose their patients.
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...
A major problem facing people of the United States is the increase in diabetes rates, with some of the highest rates fall upon people of Native American origin. Food, language, and traditions are three big components that define the Native American culture, but could alterations to the very components that define these indigenous people also be contributing to their demise? Many factors have contributed to the declining health of Native Americans, but most notably, changes in eating habits and inactive lifestyles are the two of the main culprits leading to the high diabetes rates among the Native American population.
Through showing the different definitions of health, the authors explain how those different understandings affect patterns of behavior on health depend on different cultures. In addition, an analysis of the models of health demonstrates even western medical approaches to health have different cognitions, same as the Indigenous health beliefs. The most remarkable aspect is a balance, a corresponding core element in most cultures which is an important consideration in Indigenous health as well. From an Indigenous perspective, health is considered as being linked, and keeping the connection is a priority to preserve their health. Consequently, health is a very much culturally determined. Health practitioners should anticipate and respect the cultural differences when they encounter a patient from various cultures. In particular, this article is good to understand why the Indigenous health beliefs are not that different than western medicine views using appropriate examples and comparative composition, even though the implementation the authors indicated is a bit abstract, not
Since the arrival of Columbus in 1492, American Indians have been in a continuous struggle with diseases. It may not be small pox anymore, but illnesses are still haunting the native population. According to statistics, Native Americans have much higher rates of disease than the overall population. This includes a higher death rate from alcoholism, tuberculosis, and diabetes than any other racial or ethnic group. Recent studies by Indian health experts show that diabetes among Indian youth ages 15-19 has increased 54% since 1996 and 40% of Indian children are overweight. Even though diabetes rates vary considerably among the Native American population, deaths caused from diabetes are 230 percent greater than the United States population as a whole. Diabetes is an increasing crisis among the Native American population.
The diversity among the U.S. population is very large and continue to grow, especially the Hispanic group. More so, health promotion can be defined or perceived in many ways depends on the minority group and their culture beliefs. As health care provider, recognizing and providing cultural competent is very important. In addition, assessing the health disparities among the minority group and teaching them how to promote good health will benefit along the way. Furthermore, health care providers have the role to promote good health but without proper education and acknowledge cultural awareness will be impossible to accomplish.
Cultural competence in health care provision refers to the capacity of health care systems to offer good care to patients and accommodate employees, who have diverse beliefs, behaviors, and values to meet their cultural, linguistic, and social needs. It comprises of policies, attitudes, and behaviors that integrate to form a system that can operate efficiently in cross cultural conditions. Healthcare organizations look at cultural competence from two major viewpoints. Firstly, it is a tool to enhance patient care from all backgrounds, social groups, languages, religions, and beliefs. Secondly, it is a tool that strategically attracts potential clients to their organizations and, hence, expands
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.