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Cultural diversity in the healthcare field
How to promote communication in health care
How to promote communication in health care
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Recommended: Cultural diversity in the healthcare field
Overview: 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. 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 …show more content…
• Illustrate cultural bias, generalization and cultural Stereotype. Show the medical staff some pictures and have the class address bias, stereotyping, generalization: o Picture of a Kenyan male and woman winning the Chicago Marathon: “Some Kenyans are good at running Marathons” vs “All Kenyans are good at runners.” • Share the Danger of a single story by Chimamanda Ngozi Adichie. • Share the story of The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures. • Learn about the language barrier in this case and be able to see the situation from Lia Lee parent’s point of view and the medical staff at Merced Community Medical Center point of view. • Define language barrier and give an example of language barrier • Ways to improve communication and reduce language barrier. Example, use of qualified medical interpreters. • Show the 3 minute video of the story Arturo Gonzalez drug overdose and how using a qualified medical interpreter could have prevented the overdose. • Ask each person what they learned about themselves and how it will help them communicate with patients and improve quality care.
What would it be like to come to a country and not understand anything about its health care system? To many this would be a very daunting task. Unfortunately, this is the scenario that the Lee family has to deal with in the book The Spirit Catches You and You Fall Down by Anne Fadiman. The Lee family, and the other thousands of Hmong immigrants, try to understand and navigate the complex and sometimes confusing health care system of the United States. As the book points out, the values and ideals of the Hmong culture and the United States health care system are not always the same and sometimes come into great conflict with each other. Lia Lee was unfortunately the person stuck in the middle of this great conflict.
Fadiman, Anne. The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures. New York: Farrar, Straus and Giroux, 1998. Print.
Anthropological studies on language and communication would be directly related to Lia’s case for a few reasons: Lia and her family were Hmong, her parents could not read or write, they didn’t give her enough medication. Also, Lia was taken away from her parents because of language and communication barriers that led to her parents not administering her medication at all, as well as interpreters not being clear about what to give her.
...ulture is changing, Hmong are not all the same, importance of family, privacy issues, mental health issues, and small talk is important (Barrett et al., 1998, 181-182) . Overall, Barrett and others concluded that in order to improve interaction between patient and doctor all they have to do is follow these easy steps. First, is to be kind and have a positive attitude towards the patient and interpreter. Second, learn about each other’s cultures prior to meeting, to better understand each other. Third, better explain diagnosis and treatment options to patients. Fourth, improve translation providers need to get better interpreters who could concisely explain the consultation. Fifth, involve the family to make more thorough decisions. Sixth, respect patient’s decisions and there are still other alternatives to improve interaction (Barrett et al., 1998, 182-183).
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.
Anne, Fadiman. The Spirit Catches You And You Fall Down: A Hmong Child, Her American Doctors, And The Collision Of Two Cultures. New York: Noonday Press, 1994. Print.
(pg 271) She also spent some time interviewing the different physicians who took care of Lia, asking them if there was anything that would have been done differently to provide a better outcome. Fadiman evidently wants the reader to understand how cultural difference can become a barrier in providing medical care. Bruce Thowpaou Bliatout who was a Hmong medical administrator provides some measures to improve Hmong healthcare including minimizing blood drawing, allowing shamanic ceremonies in the hospital, involving family and encouraging traditional arts. As difficult as it many be, it is important for providers to understand the cultural difference and try to embrace them. One can only imagine the challenges that the Lee family encourntered from being in a foreign country, speaking a foreign language, having a different perspective of life in general and having a severely sick
The Spirit Catches You and You Fall Down by Anne Fadiman is a nonfiction book that brings to light the clash of Hmong culture and Western medicine in Merced, California. Anne Fadiman tells the story of a Hmong immigrant family, the Lees, and the unfortunate condition of epilepsy that their daughter Lia suffers from. Throughout the book the reader sees great conflict inflicted on medical practitioners due to the Lee’s own cultural beliefs and the frustration suffered by the family due to miscommunication. Anne develops the story by giving a detailed background of the Hmong peoples’ lifestyle in their indigenous land of Lao, how it contributes to their beliefs, and their struggle to understand and accept Western practices.
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.
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 cultural barrier between the Lee’s and the doctors was result of their negatives assumptions about each other. Both parties believed that their own treatment was the best way to help Lia deal with her epilepsy. As a result of their inability to look past their own perspectives and remain in their own spheres they moved further away towards a mutual understanding. It is usually harder to trust someone when you already have negative assumptions about them, making the trusting each other near to impossible. If the doctors and parents look passed these assumptions and looked at the situation through an untainted perspective then they would have had better chances of having respect for each other in the beginning.
A health disparity is a term used to show that there are inequalities that occur in the healthcare system. Race, sex, age, disability, and socioeconomic status can all attribute to a person 's health outcome. According to Healthy People 2020, health disparity is defined as “a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion.” In the United States, many ethnic minorities experience the effects of health disparities. African American, Asian American, Latinos, and Native Americans have a higher occurrence of poor health outcomes compared to the white population. Some examples of health disparities include: African American men, for instance, are more likely to die from cancer than white men. White women are more likely to develop breast cancer than African-American women. African-American men are more likely than white men to develop prostate
Therefore, considering these issues is an impediment when discussing the disparities in health. Some minorities are disadvantaged in the current healthcare while some are not. However, it is complicated to identify reasons for inequalities because health outcome is a result of numerous interactions with factors including the individual’s access to care, the quality of care provided, health behaviors such as tobacco and alcohol consumption, the presence or absence of complicating conditions, and personal attitudes toward health and medicine. Therefore, Examining existing racial and ethnic issues, developing potential solutions for current disparities, and preparing for future challenges as shifts in trends emerge are essential aspects of health care improvements” (Boslaugh,
Pashley, H.(2012). Overcoming barriers when caring for patients with limited english proficiency. Association of Operating Room Nurses.AORN Journal, 96(3), C10-C11. doi:http://dx.doi.org/10.1016/S0001-2092(12)00833-2