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Aspects of workforce diversity literature review
Aspects of workforce diversity literature review
Managing workforce diversity - dissertation
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This essay will explore the concept and definition of equality, diversity and human right in relation to mental health settings. It will focus on potential barriers on poor engagement of Black, Asian, and Minority Ethnic (BAME) groups with mental health care settings. Joint Commissioning Panel for Mental Health (JCPMH), (2014) described BAME groups as people who are residents in United Kingdom but are nominated as being part of a non-white group. This essay will also explore on bridging the language barriers, issues in providing an interpreter for individual who are non-English speaker accessing the mental health services. The application of relevant legislation guidelines provided for healthcare professionals to improve and promote the effective …show more content…
For the purpose of maintaining confidentiality, pseudonyms will be used with regards to patients name, staff, families, service users, carers, trust, areas, and locality as required by the Nursing and Midwifery Code of Conduct (NMC) 2015.
Equality is a legal framework that can be used to protect individual against discrimination, it nurtures moral relations and supports equality of prospects among individuals with protected characteristics. Department of health (DH), (2009) also defined equality as being able to have equal access, equal treatment, equal outcomes and equal opportunities. While diversity is respecting of our individual differences and abilities, by forming a culture where everybody can add, thrive and participate (Homan et al
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The Institute of Medicine (IOM) also analyse some inequalities in the unequal treatment challenging ethnic and racial differences in health care which revealed that BAME of different backgrounds often experienced different levels of care even when all other factors such as wellbeing, salary, and insurance protection remained equal (Harmsen et al,2008). Improving high quality service user care could lessen the gaps in the quality of care of patient - centred health care is dependent on health providers ability by understanding patients’ needs, be an active listener and ensuring the service user understand the health professionals advise
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
In reference to the Nursing and Midwifery Council (NMC)’s the Code of Conduct (2008), a pseudonym will be used to preserve the patient’s identity and confidentiality. The patient will therefore be referred to as ‘William’.
In conclusion, It it is very necessary that our health care officials try harder to gain trust with minorities so that medicine can be focused more on equality. We all know that for decades our country was very diverse and everyone was treated differently. Although things have changed and it is sometimes important to preserve our past, past actions should not still be carried out. Even today, racism still occurs and it hard for minorities to feel safe when visiting hospitals and doctor’s offices. Minorities should be given equal medical opportunities, be given the honest truth on their diagnosis and treatments and most importantly be given some sort of health care so they can be treated.
... 8 of the ANA’s Code of Ethics explains the importance of nurses’ recognizing diversity and barriers to health, CNA’s Code of Ethics provides a more extensive list of what defines diversity and barriers to health (phrased as determinants of health in CNA’s Code of Ethics). According to CNA’s Code of ethics, diversity comprises, “ethnicity, national origin, race, gender, ability, age, physical characteristics, religion, values, beliefs, sexual orientation, socioeconomic class, or life experiences” (2008). The CNA’s Code of Ethics also clearly defines that determinants of health include, “income, social status, social support, education and literacy, employment and working conditions, physical and social environments, biolgy, genetic endowment, personal health practices, and coping skills, healthy child development, health services, gender, and culture” (CNA, 2008).
Due to the persistent ethnic or racial healthcare disparities in the United States, the utilization and access to quality healthcare services are crucial to exploring distinctions in the perception of the patient’s healthcare quality across the ethnically diverse population. In this research, the role of race and acculturation in the perceptions of the patients of healthcare quality was critically analyzed to determine the role of race in the provision of quality health care (Pai & Chary,
Health disparity is one of the burdens that contributes to our healthcare system in providing equal healthcare to everyone regarding of race, age, race, sexual orientation, and socioeconomic status to achieve good health. Research reveals that racial and ethnic minorities are likely to receive lower quality of healthcare services than white Americans.
Although ethnic minorities have access to Health Care’s such as GP’s and Hospitals, it does not mean that they get equal care to the White British groups. Pilgrim and Rogers have noted “Black People have different perceptions of services from white users, whether one of mistrust or of cynicism about the quality of treatment they might receive” (Barry,A.M and Yuill, C: 2012) Afro- Caribbean group tend to not see GP’s or other healthcare professions, men tend to just let things health and women tend to use home remedies. In Donovan’s research with Black People’s Health, Men say they do not go to GP’s because they do not like doctors and because of the waiting times. Carlton “I don’t like waitin when I’m sick, I’d rather just go home, sleep it off” (Donovan, J: 1986) Black minorities having a high percentage in mental illnesses, Black people are both over represented in admissions to psychiatric hospitals (Bhui et al. 2003), more likely to be admitted compulsorily and placed in secure units, and more likely to have been in conflict with the police (Barry, A.M and Yuill, C: 2012) Because they are seen as threatening and aggressive. As a result, ethnic minorities not just Black Minorities make less use of psychiatric services than white people. (Donovan, J:
Healthcare disparities are when there are inequalities or differences of the conditions of health and the quality of care that is received among specific groups of people such as African Americans, Caucasians, Asians, or Hispanics. Not only does it occur between racial and ethnic groups, health disparities can happen between males and females as well. Minorities have the worst healthcare outcomes, higher death rates, and are more prone to terminal diseases. For African American men and women, some of the most common health disparities are diabetes, cancer, hypertension, cardiovascular disease, and HIV infections. Some factors that can contribute to disparities are healthcare access, transportation, specialist referrals, and non-effective communication with patients. There is also much racism that still occurs today, which can be another reason African Americans may be mistreated with their healthcare. “Although both black and white patients tended not to endorse the existence of racism in the medical system, African Americans patients were more likely to perceive racism” (Laveist, Nickerson, Bowie, 2000). Over the years, the health care system has made improvements but some Americans, such as African Americans, are still being treating unequally when wanting the same care they desire as everyone else.
The elimination of disparities in mental health care among ethnic, racial and underprivileged populations, specifically minorities remains a challenge amongst mental health care workers and medical professionals. Many minority areas are more impoverished, rely on government assistance and have a higher incidence of sexually transmitted diseases, chronic diseases, and injuries compare to any other ethnicity. In recent studies there are strategies to help eliminate disparities in mental health care, such as improving health care access, quality, offering diverse mental health workforce, providers, and patient education. These are just several strategies that can help assist in disparities. The goal is to reduce or eliminate racial, ethnic and socioeconomic health inequalities that affect minorities.
Health disparity is one of the major concerns in the provision of quality care and access to healthcare which directly the life expectancy of the nation as about ethnicity and race. However, describing the health outcomes or status of an ethnic group in the population would help in a better evaluation of the disparities that occur within minority groups in our society. “Racial/ethnic disparities in health and quality of and access to health care are a well-documented and persistent problem. Across many indicators of health, access to care, and health care quality, racial/ethnic minorities fare worse than whites, and each population faces specific challenges”(James et al., 2017, p. 1).
No citizen shale ever be ignored no matter their race, state of health, or class. In the US “barriers generally stem from forces within the organizational environment of the health care delivery system or within the broader social system itself” (Barr, 2011, p. 273). This is why health policy scholars need to study health disparities so that equal care can ultimately be reached. Currently some disparities that are obvious in society are unequal dispersion and quality of care between racial groups, genders, and those with low middle class income. The health care system needs to be fixed and in order for that to happen health scholars must study better procedures so that the best possible outcome can be reached for the American
In recent discussions of health care disparities, a controversial issue has been whether racism is the cause of health care disparities or not. On one hand, some argue that racism is a serious problem in the health care system. From this perspective, the Institute of Medicine (IOM) states that there is a big gap between the health care quality received by minorities, and the quality of health care received by non-minorities, and the reason is due to racism. On the other hand, however, others argue that health care disparities are not due to racism. In the words of Sally Satel, one of this view’s main proponents, “White and black patients, on average don’t even visit the same population of physicians” (Satel 1), hence this reduces the chances of racism being the cause of health care disparities. According to this view, racism is not a serious problem in the health care system. In sum, then, the issue is whether racism is a major cause of health care disparities as the Institute of Medicine argues or racism is not really an issue in the health care system as suggested by Sally Satel.
Despite the substantial developments in diagnostic and treatment processes, there is convincing evidence that ethnic and racial minorities normally access and receive low quality services compared to the majority communities (Lum, 2011). As such, minority groups have higher mortality and morbidity rates arising from both preventable and treatable diseases judged against the majority groups. Elimination of both racial and ethnic disparities is mainly politically sensitive, but plays an important role in the equitable access of services, including the health care ones without discrimination. In addition, accountability, accessibility, and availability of equitable health care services are crucial for the continually growing
Seeking to position lower socioeconomic status above racial/ethnic biases or vice versa is irresponsible to the goal of eliminating healthcare delivery differences at large. Both these are realities of a group of people who are not receiving the same level of care from the healthcare professionals although they exist within one of the most resource rich countries in the world, the United States. According to House & Williams (2000), “racism restricts and truncates socioeconomic attainment” (page, 106). This alone will hinder good health and spur on disparities as racism reduces the level of education and income as well as the prospect of better jobs. Blacksher (2008) cites the nation’s institutionalized racism as one of the leading factors
People with serious socio-emotional and emotional disturbances are challenged in many aspects of life. Historically people of color with serious mental health related issues had little assistance and chances to having their needs met equally to Whites. In order to properly or adequately address the emotional and mental wellbeing of everyone on an equal basis, the stigma association must be removed from people of color.