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Cultural diversity in healthcare 1
Factors that affect communication in health care
Factors that affect communication in health care
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A) Explain what the barriers preventing immigrants to access health care and social services are? Explain at least three barriers.
Immigrants who are seeking health care and social services can encounter a number of barriers in regards to finding treatment or help. A barrier restricts the use of health and social services. It is seen by many immigrants as a limitation that prevents them from moving forward or receiving the treatment they are in need of (Scheppersa, et al, 2006). Three barriers that can affect the immigrant population in regards to health care and social services are: cultural differences, limitation to speak the local language, and perceptions about the health care system.
Cultural differences – Minority/Immigrant patients have altered cultural perceptions about physical symptoms or family issues which they may be struggling with, resulting in them not seeking the care of a physician or social services. Cultural perceptions and description of physical symptoms to the physician can cause the health care provider difficulty in knowing what the patient is struggling with as well as having trouble finding a diagnosis (Scheppersa, et al, 2006). This is a barrier which occurs frequently in health care as well as with social services causing immigrant patients stress with communicating with their health care provider.
Limitation in speaking the local language – This barrier is one of the major factors in minorities/immigrants not using health services or social services because this barrier creates chaos between the immigrant and the health care provider/social worker. Most health care instructions are given in the local language, and immigrants may feel embarrassment or ashamed to seek help in understand the instruct...
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...more work needs to be applied to the macro level of these conflicts. New strategies for resolving ethnic conflicts and barriers on a larger scale means more immigrant populations can be offered social services and there could be an increase in ethnic harmony and ethnic justice (Healy, 2008).
Another way social workers can minimize these barriers is to listen to their clients they are working with. Many health care/social service clients want their health care/social service provider to respect their culturally based beliefs and practices (Scheppersa, et al, 2006). Health care providers and social workers can ask their clients directly about their health or family beliefs so that they can help them more effectively. By using this approach, the social worker/health care provider can prevent any stereotyping and assumptions about the culture (Scheppersa, et al, 2006).
I know numerous East Africans and other minorities who fear and put off going to the hospital or clinic simply because they feel no one truly understands them on a more personal level and that their needs can’t and won’t be met entirely. According to the American Medical Association over 55% of health care providers agreed that, “minority patients generally receive lower quality health care” due to the lack of cultural competence. Those of different cultural backgrounds feel uneasy due to communication barriers and the lack of cultural competency amongst some health care providers. As a Somali-speaking nurse, I feel Somali patients, along with those of varying cultural backgrounds would be able to establish that sense of ease that’s needed when entering a health care facility or without having to feel the shame of having an interpreter hear about their personal health issues. According to Hospitals in Pursuit of Excellence,
The data provides culturally competent guidelines for social workers. The social worker must understand and appreciate diversity among and within cultures. They should be aware of the history, culture, and contemporary realities. They also must have good skills in patience, listening, and tolerance of silence. A social worker needs to be aware of their own biases and need for wellness and display humility and a willingness to learn. They need to be respectful, nonjudgemental, and openminded. However, researchers must find a way to measure cultural competence with studies that examine beliefs and evaluate actions of social workers. It should include several cultural groups.This will be highly important in building a knowledge base. Doing these studies there can be a better plan to include cultural competence and serve clients from different backgrounds a lot better.
There are an estimated 11.1 million undocumented immigrants currently residing in the United States. The current healthcare model pertains to all U.S citizens, but what are the parameters and regulations regarding those who live here illegally? The purpose of this paper is to not only answer this question, but also to address concerns regarding the provision of health care benefits, rights, and our ethical responsibilities to this population.
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
Goode, T. D., Dunne, M. C., & Bronheim, S. M. (2006). The evidence base for cultural and linguisitc competence in healthcare. The Commonweatlh Fund , 1-46.
In the National Association for Social Workers (NASW) Code of Ethics, there are many standards a social worker should uphold in order to promote a healthy and helpful relationship with the client. One such aptitude is Cultural Competence and Social Diversity, which is in section 1.05 of the NASW code of ethics (National Association of Social Workers, 2008). There are three sections associated with this competency “Social workers should understand culture and its function in human behavior and society, recognizing the strengths of all cultures”. It is assumed that “social workers should have a knowledge base of their clients’ cultures and be able to demonstrate competence in the provision of services that are sensitive to clients”. As a final point “Social workers should obtain education” in order to understand cultural diversity and oppression in people (NASW, 2008, p. 9).
These services are provided by medical professionals serving U.S. citizens striving to provide the best possible care, but just as we have had a growth of medical knowledge the U.S. population has changed drastically. Minorities should no longer be overlooked as they are the new prospering culture in this day and age, especially for the Hispanic/ Latino people. As a result there has been a shift, a blend, and a creation of new cultures. It is imperative that medical professionals learn to understand culture. Failure to understand this thriving ethnic group can lead to complications such as ineffective communication, loss of trust between patient and medical personnel, and failure to provide proper treatment. That is why it is important to find ways to help Hispanics feel at ease when visiting any medical facility for service.
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
A client may expect a social worker of the same gender to agree with their own perspective. For example, in a couple going to marriage counseling with a female social worker, the wife may expect the social worker to take her side, while the husband may expect to receive little support. A social worker could also push how they feel about their gender on a client. For example, a female social worker may not approve of how a female client dresses and expect the client to dress the way she does or did at that client’s age. A client who is from the same culture as the social worker may expect the social worker to follow cultural norms, even if those norms are not in line with the NASW’s Code of Ethics. A social worker with a similar cultural background as a client may only offer certain resources, assuming the client will only accept resources that fit into the culture. Clients in the same age bracket as a social worker may feel the social worker is more of a friend and the social worker may find it difficult to earn the respect of a
Difference in cultures is another reason for health disparities between the Somali Americans and other non-minority population groups. The majority of healthcare professionals are from the non- minority groups who have cultures that are different from those of the Somali Americans (Centers for Disease Control and Prevention, 2015). As a result, there are differences in the cultural aspects like language, which limit their access to and utilization of healthcare services
The United States of America’s national immigration problem has sparked many bitter altercations and deliberations among the political spectrum of the United States government. Approximately thirteen million illegal immigrants are currently residing within United States borders. The processes involved in both legal and illegal immigration needs to be reformed and become more restrictive towards those illegal immigrants.
A social worker must present themselves as a learner and understand clients from all experts of their own experiences. To show your respect to the clients as a social worker you must be able to show that you understand complexity of cultural identity. Cultural competence targets social workers knowledge of development, focusing on culturally specific demographics, characteristics, values, and intravenous technique. When dealing with cultural sensitivity a worker’s genuine appreciation of the client’s uniqueness and universalistic respect for the client’s humanness is needed. To have success in multicultural practice, cultural responsiveness come in to play, which means to be culturally responsive, social workers use dialogue skills that place the client’s construction of reality at the center of the
It is imperative that social workers become knowledgeable about their clients’ cultures and are culturally sensitive. In learning about their clients’ cultures, social workers need to be aware of how powerful and significant culture is in relating to clients’ behavior, values, and beliefs. Becoming culturally competent requires the ability to integrate awareness, knowledge, and skills while maintaining a positive working relationship with the client (Sue and Zane, 1987). Today, the concerns regarding cultural competency continue to accentuate the importance of preparing social workers for a diversified society.
In social work, a social worker has to come to the client’s level and start from there. The client does not have to come to the social workers level. In order for this to happen the social worker has to know the importance of culture, race, gender, sexual, diversity and other forms of diversity to make the best decision for choosing a type of intervention. Understanding the client’s culture, race, gender, sexual diversity and other form of diversity is important because they affect each person differently. An example, Roberto is Latino and in their culture they believe in machomism, so this is something his social worker needs to know when addressing Roberto or someone of the Latino culture. Hispanic women bring machomism