Communication With Patients Can Bridge The Divide Between Medicine And The Beliefs And / Or Practices That Make Up

Cultural competency aids in closing the “disparities gap” in health care. ("OMH," 2012, para. 2) In doing so, health professionals and their clients are better able to discuss concerns without cultural differences getting in the way of effective communication and problem solving. Being respectful of and sensitive to the client’s health beliefs, culture, values, and diverse needs can bring positive outcomes within treatment and patient care. After all, is it not the main job of the health care provider to ensure patient trust? Open forms of communication when dealing with client issues can only be provided if the patient is comfortable with his provider and believes his

Cultural competency is becoming essential in American healthcare with the increasing and diversification of immigration. The Department of Homeland Security, 2014 statistics indicates over 750,000 immigrants received naturalization in the US. These naturalized citizens represent over 20 countries varying from Hispanic, Indian, Asian, African, and Middle Eastern cultures. A change in the way American healthcare treats these cultures is necessitated to provide efficient care and achieve positive outcomes. Douglas et al. (2014) guidelines are to empower patients to help diminish the inequities of their own healthcare. The guidelines for culturally competent care are meant to guide the nurse, nurse educators, and nurse managers in their competent treatment of persons of other cultures. These guidelines mandate a nurse use education, self-assessment and reflection, and diversification of the workforce to meet the demands. The ten guidelines are knowledge of culture, 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.

“The only thing that stops a bad guy with a gun is a good guy with a gun,” declares National Rifle Association 's President Wayne LaPierre. But, does this statement really hold true on college campuses? Considerations of allowing a student or others to conceal and carry a firearm on college campuses causes a tremendous amount of controversy in the U.S.. The heated debate surrounding campus carry began after the 2007 shooting at Virginia Tech reported Dennis A. Henigan, former Vice-President of the Brady Campaign and Brady Center to Prevent Gun Violence.

Miscommunication, medication errors, and lack of compliance commonly occur in the healthcare field. These are just a few of the errors that occur due to the patient being from a different culture than the physician or healthcare worker. Those three errors alone have a huge impact on our healthcare today. If we could have a better understanding of other cultures that are different from our own we could have a dramatic decrease in errors and a great increase in healthcare participation. Training must be completed and must be done in more than one way. The first step is to make sure that all physicians and health care workers get the same nationwide training that focuses on improving cultural competence. How this is completed must be done in more than one way (Horwitz, 2001).

Patient centered care is a core component of nursing practice. Understanding and practicing cultural competence is a central element of delivering patient centered care. One approach to understanding other cultures is by utilizing the Purnell Model for Cultural Competence. According to Larry Purnell (2002), cultural competence is defined as “the adaptation of care in a manner that is consistent with the culture of the client and is…a conscious process and nonlinear” (p. 193). In the model, culture is divided into 12 different domains: overview/heritage, communication, family roles and organization, workforce issues, biocultural ecology, high-risk behaviors, nutrition, pregnancy and childbearing practices, death rituals, spirituality, health care practices, and health care practitioner (Purnell, 2002). This model is an excellent framework for assessing and interpreting the cultural complexities of each patient so the best individualized care can be provided. I have used this model and each of its domains in an interview with my friend, Surbhi Patel, in an attempt to further understand her culture.

Cultural competency has increasingly been recognized as an important part of healthcare. Cultural competency is more than being ‘politically correct.’ It is an important part of ensuring that care is effective. Healthcare advice cannot be disseminated in a cookie-cutter fashion but rather must be conveyed in a way so that patients understand care instructions and genuinely understand the need to fulfill them. With this in mind, diversity awareness and education must be integrated into the education of all healthcare professionals from bottomof their careers. “A consistent body of research indicates a lack of culturally competent care directly contributes to poor patient outcomes, reduced patient compliance, and increased health disparities,

There is a clear evidence that links Clinician-patient communication to patient satisfaction, treatment adherence and health outcomes. The understanding and the appreciation of cultural differences highly influence the communication and the plan of treatment (6, 7). Failure of physicians in understanding sociocultural differences between themselves and their patients might results in lower quality of health care (8).

Respect, effective communication, empathy, and morality are the cornerstones of cultural competency. Healthcare professionals are advocates for patients and learning the beliefs, behaviors, and being sensitive to other’s way of life is critical in patient care. Obstacles for culturally competent care include xenophobia, prejudice, bigotry, stereotyping, as well as an aversion or misunderstanding of western medicine within the US healthcare system due to an unfamiliarity or a lack of knowledge of practices. It is imperative that one puts their own judgements and assumptions aside, a positive rapport is built, and effective communication is always achieved when caring for patients to ensure the best possible care is given. It is a healthcare

Culture and values are standards that influence and shape human behaviors, decision making processes, personal relationships, and status of health and happiness. The United States has become a symbol of a multicultural society representing many different ethnicities and minority groups. As our culture continues to grow rapidly so is the necessity to increase awareness, understanding, and tolerance of these diverse groups. As health care providers we must understand the basic needs of our patients,

As a health care professional, we are faced with caring for patients of different cultural and ethnic background. Researching and learning about the patient’s culture values, beliefs and practices is essential and remarks the ability to provide quality health care for the patient. “Organizations and individuals who understand their clients’ cultural values, beliefs, and practices are in a better position to be coparticipants with their clients in providing culturally acceptable care” (Purnell & Paulanka, 2008, p. 2). After completing the cultural competence checklist, I was able to identify some of my responses to the patient cultural values and belief practices. I will describe a summary of my assessment results, analyze

Cultural competence is the knowledge, skills and attitudes of the individual health care professionals when they treat individual patients who are from different race, ethnicity, and religion and diverse backgrounds. In the U.S, some patients receive equal treatment in the health care facilities, but others receive unequal treatment because they are from diverse backgrounds. In the article, “Cultural Clues” Melissa Hansen focuses on the importance of culturally competent workforce- (nurses, technicians, and doctors) who can recognize cultural differences to allow effective communication with patients. The culturally competent health care workers also include the community health workers- (community health promoters, village health workers, and lay health advisers). In fact, the lack of understanding between the healthcare workers and patients is results in an estimated one-third of patients who do not adhere to prescribed medication regimens. This condition leads not only to serious complication and more hospitalizations, but also is costing the U.S. health system an estimated $100 billion to $290 billion every year (Hansen 22). Necessarily, the health care workforce needs to improve this state to reduce disparities.

In order to fully grasp an understanding of the importance of cultural competency in healthcare, it is vital to be aware of the demographic shifts in the United States alone, as it is rapidly growing and increasingly becoming more diverse. In 2006, about one in three Americans was a minority (U.S. Census Bureau, 2007) and Hispanics have surpassed African Americans as the largest minority group, comprising 15% of the population. The demographic shifts are changing so rapidly that the U.S. Census Bureau predicts that by 2042, no single ethnic group will comprise the majority percentage of the population. In turn, this would make more than half of Americans a member of a minority group. With these changing demographics, every healthcare worker will care for culturally diverse clients and need to know how to provide culturally relevant care.

In March of 2010, two pieces of legislation were enacted, the Patient Protection and Affordable Care Act (ACA) and the Health Care and Education Reconciliation Act (HCERA). The ACA’s intent is to expand Medicaid coverage to millions of low-income Americans previously uninsured or underinsured. HCERA was passed after the ACA as a way to make provisions for penalties and payment programs to physicians to name a few. Some of the provisions outlined in the ACA on Affordable Care Act | Medicaid.gov include:

As the United States population continues to follow the trend of increasing diversity, the need for more culturally competent healthcare professionals increases as well. According to some of the leading experts in health care policy, cultural competency in health care can be described as the ability of systems and/or healthcare professionals to provide care to patients with diverse values, beliefs, and behaviors, including tailoring delivery to meet patients’ social, cultural, and linguistic needs (Betancourt, J.R., Green, A.R., & Carrillo, J.E., 2002). These researchers assert that there are essentially three specific barriers to cultural competency in the health care setting: lack of diversity in health care’s leadership and workforce, poorly designed systems of care that fall short of meeting the needs of diverse patient populations, and poor communication between providers

Adapting to different cultural beliefs and practices requires flexibility and a respect for others view points. Cultural competence means to really listen to the patient, to find out and learn about the patient's beliefs of health and illness. To provide culturally appropriate care we need to know and to understand culturally influenced health behaviors. However, becoming culturally competent is a much more daunting task. Culture (and ethnicity) often influences a patient’s perceptions of health and illness. Therefore, if healthcare providers appear insensitive to cultural diversity, their actions may negatively affect the quality of the healthcare that they provide.