The united states, where attract people to immigrate into, is a free and democratic country and plus other advantageous conditions, economic benefits, career opportunities, political status and so on. Hence, these elements formulate America to become a multicultural nation. Edelman, Kudzma, & Mandle (2010) states, "As a nation of diverse peoples faces the challenges of the twenty-first century, will there be a unified quest to address the basic needs of every individual? Increasing awareness and understanding are key elements to achieving this goal" (p. 29-30). For that reason, as an educator and advocates nurse, it is sine qua non to not only recognize the health status of the minority group but also compare and contrast the health status …show more content…
"Many Asian Americans who are not proficient in English experience barriers in help-seeking, including making an appointment, locking a health facility, communicating with health professionals, and acquiring knowledge on illness " (Kim, & Keefe, 2010). Even under the interpreters, the majority of non-English or limited English speaker Asian Americans are shy to share their personal information to third person and sometimes they feel shame to utilize the translator so they try to refrain asking questions. Moreover, language ability also affects the health literacy. " Health literacy is the ability to acquire and understand information about medical and health issues and to make appropriate decisions based on that information" (Boslaugh, 2013). Hence, language issue make Asian Americans are afraid to particulate, maintain and monitor their health due to invalid health literacy. In addition, the income status, health insurance and immigrant status are also obstacles for them to access health care (Kim, & Keefe, 2010). Even though the new law makes American people have their own health insurance, but low or middle income family still cannot afford the copay and some uncovered medications or procedure which make they hesitate to seek care. On the other hand, illegal Asian immigrants do not qualify for government-sponsored insurance and also not allow to purchase health insurance or hold a job which offer health insurance (Kim, & Keefe, 2010). Compare to Asian country, the medical expense is an astronomical price without insurance covered in America. Undocumented immigrants and refugee are usually in low socioeconomic and sociopolitical position, which are difficult for them to acquire the appropriate social resources and well education. As the result, Asian population are sometimes unable to comply with regular medical exam and nursing
Racial and ethnic inequalities in healthcare results in non-white patients receiving lower quality care that White patients. Additionally, people who speak limited English encounter more communication issues with doctors and nurses that people whose primary language is English. (AHRQ, 2011). Consequently, as people with chronic conditions utilize more healthcare services, they are more likely to complain of issues with the doctor-patient relationship. They feel as though they are not able to participate in their care, their doctors do not allow them to contribute to their medical decisions and they feel like doctors are not disclosing all information related to care. People who encounter this type of cultural ignorance become dissatisfied with their treatment and overall healthcare experience and are at high risk for negative
Immigration and the minority population is increasing each and every year. With a growing ethnically diverse population, it is vital that nurses are sufficiently equipped for and able to work with patients in a way that identifies and respects their diversity.
Gaining access to health care can be rather difficult for immigrants. There always seem to be some sort of obstacle in the way. For example, the cost of health care is skyrocketing. Immigrants whether they are legal aliens or illegal aliens are impacted the most by high health care costs. Each year the numbers for health care change but they never seem to get lower. Immigrants lack health care insurance due to the high cost of health care.
America has been thought of as a place represented by fairness, mixed culture, power and the dream of having a better life for everyone, whether a person is white, black, brown, and yellow. However, the truth is that racial groups have been segregated by the white-centric media or government of the American society, and that has widened the psychological and geographical distances between the two groups, Asian and black, and has encouraged ignorance and hatred. On the other hand, there are many conflicts between Asian and Black, due to their different cultures, experiences, and educational backgrounds. From the book Native Speaker, we can see how these different cultures, powers and identities deepen Asian-black mistrust, misunderstanding and ignorance, and sometimes these irreconcilable conflicts develop into hate-crimes.
Provision 8 also states, “The nurse also recognizes that health care is provided to culturally diverse populations in this country and in all parts of the world. In providing care, the nurse should avoid imposition of the nurse’s own cultural values upon others.” (Nursing World, 2001). The ANA Code of Ethics does not explicitly define diversity. However, in clinical settings, I strongly believe that I am continually being exposed to people of diverse backgrounds – socioeconomic status, gender, race, ethnicity, religion, age, sexual orientation, etc. As a student nurse and a future nurse, I will set aside my own bias and view my world through a panoramic lens in order to provide quality care with sensitivity to others. As a student ...
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 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...
Large disparities exist between minorities and the rest of Americans in major areas of health. Even though the overall health of the nation is improving, minorities suffer from certain diseases up to five times more than the rest of the nation. President Clinton has committed the nation to eliminating the disparities in six areas of health by the Year 2010, and the Department of Health and Human Services (HHS) will be jumping in on this huge battle. The six areas are: Infant Mortality, Cancer Screening and Management, Cardiovascular Disease, Diabetes, HIV Infection and AIDS, and Child and Adult Immunizations.
Racial disparities in The United States health care system are widespread and well documented. Social and economic inequalities between racial minorities and their white counter parts have lead to lower life expectancy rates, higher infant mortality rates, and overall poorer health for people of color. As the nation’s population continues to become increasingly diverse, these disparities are likely to grow if left unaddressed. The Affordable Care Act includes various provisions that specifically aim to reduce inequalities for racially and ethnically marginalized groups. These include provisions in the Senate bill and House bill that aim to expand coverage, boost outreach and education programs, establish standards for culturally and linguistically appropriate practices, and diversify the health care workforce. The ACA, while not a perfect solution for eliminating health disparities, serves as an important first step and an unprecedented opportunity to improve health equity in the United States.
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.
Health care establishments have an obligation to ensure that every individual obtaining care from them will get the best and most valuable treatment regardless of their race, culture, or economic status. The term diversity can be defined as “the quality or state of having different forms, types, ideas, etc, or the state of having people of different races or different cultures in a group or organization”, according to the Webster’s dictionary (2015). The changing demographics due to migration have led to diversity in many cities and states in the U.S. as well as other countries in the world. These changes in the U.S. have today led to the government encouraging health care organizations to explore ways numerous ways
Over the last several weeks we have learned that we live in a culturally diverse world. We have learned that it is important to acknowledge our own cultural values and beliefs while also realizing that others around us have their own beliefs. In order to provide culturally sensitive care, we must also realize the meaning of diversity and how it can also relate to the health care workforce. The purpose of this post is to define what diversity means to me. I will describe what some of the benefits of having a diverse health care workforce is while acknowledging that this could also provide some barriers in the nursing profession. I will conclude by considering my own diverse cultural background and experiences and how it might relate to the
The purpose of this essay is to firstly give an overview of the existence of inequalities of health related to ethnicity, by providing some evidence that ethnic inequality in health is a reality in the society and include definitions of keywords. Secondly, I will bring forward arguments for and against on the major sociological explanations (racial discrimination, arefact, access to and quality of care) for the existence of health inequalities related to ethnicity. Thirdly, I would also like to take the knowledge learnt for this topic and brief outline how this may help me in future nursing practice.
Characteristics can be as diverse as ethnic background, language spoken, gender status, physical appearance, race, and religion to name a few. Migration from various countries is creating a diverse population with different cultures and languages within the United States. Due to these cultural differences and lack of knowledge, disparities are increasing. Studies have shown that both language barriers and lack of cultural customs can hinder the services provided to the patient by the healthcare worker (Renzaho, Romios, Crock, & Sonderlund, 2013). This study provided a positive outcome when communication and cultural mutual understanding took place and patients had a more positive health outcome. It is very important that nurses are diversified in various cultures in order to better care for our patients. According to Mareno and Hart (2014), cultural competency has become one of the core values being taught in nursing programs. Their study showed that the perceived level of cultural awareness and skills among the nurses provided was low. Awareness and knowledge levels increased with higher education. It was highly recommended that self-awareness exercises be incorporated into the nursing course and continued to be addressed during the remaining curriculum until