Cultural Aversion And American Medicine

The increasing population of immigrants in the United States has contributed to health disparities in the health care system. Cultural competence can remove health disparities by eliminating personal biases, and treating every person with respect. Simply recognizing and accepting different cultures is not enough, one must be able to consistently recognize and understand the differences in order to be culturally competent. Knowledge and culturally competent practices are a must for nurses to deliver quality care in our rapidly changing multicultural world (Edelman, 2014 p. 25).

“Health is influenced by culture and beliefs” (NRS-429V, 2011, p. 1). In order for the nurse to properly care for the patient, she must know and understand the patient’s culture. “Cultural care is a comprehensive model that includes the assessment of a client’s cultural needs, beliefs, and health care practices” (NRS-429V, 2011, p. 1). It is not enough to just know where the patient lives or where he came from. The nurse must embrace the concept of cultural competence and cultural awareness. This requires not only the awareness of the cultural beliefs and values of their patients, but also

“Americans can take come pride in the fact that attaining what the medical profession calls “cultural competency” is a goal of most health care institutions. However, achieving this goal in today’s health care environment, filled with diverse patient and provider populations, is no easy task. American hospitals are increasingly being staffed by and serving diverse populations. This creates the ideal breeding ground for conflict and misunderstanding among the staff and inferior patient care” (Galanti, 2011). To gain a more thorough understanding of this concept, I will be giving four examples or viewpoints that are completely different, when looking at the Hispanic belief against the Native American point of view.

The nursing profession has a long history of assessing and placing patient needs first when giving care. The tenets of nursing practice include meeting those needs using individualized care by collaborating with the patient, family, and health care team members. (American Nurses Association, 2010). The concept of transcultural nursing aligns with these tenets because it calls on nurses to provide patient-centered care by taking into account the patient’s background, beliefs, culture and values. In this paper, I will identify the factors that made it necessary to develop the transcultural nursing theory, describe the meaning of diversity and its relationship to the field of nursing, and explain three ways that I provide culturally sensitive care to my patients.

The term culture is defined as “the thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups” (Potter & Perry, 2013). With the increase of culturally diverse populations in the United States, it is important for nurses to practice cultural competence. Cultural competence is the ability to acquire specific behaviors, skills, attitudes, and policies in a system that permits “effective work in a cross-cultural setting” (OMH, 2013). Being culturally competent is essential because nurses who acknowledges and respects a patient’s health beliefs and practices are more likely to have positive health outcomes (OMH, 2012). Every culture has certain views and attitudes concerning

Cultural competence can be defined as using the ability of one’s awareness, attitude, knowledge and skill to effectively interact with a patient’s many cultural differences. Madeline Leininger, a pioneer on transcultural nursing describes it this way; “a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs, values and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people” (Barker, 2009, p. 498). The importance of cultural diversity in healthcare allows for the delivery of appropriate cultural autonomy. Showing respect for others will lead to trust between nurse and

In order to deliver nursing care to different cultures, nurses are expected to understand and provide culturally competent health care to diverse individuals. Culturally competent care is tailored to the specific needs of each client, while incorporating the individual’s beliefs and values (Stanhope & Lancaster, 2006, p. 90). By being culturally competent, nurses are able to help improve health outcomes by using cultural knowledge and specific skills in selecting interventions that are specific to each client (Stanhope & Lancaster). Therefore, nurses “should perform a cultural assessment on every client with whom they interact with” (Stanhope &

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.

an American Indian male with diabetes who receives care at a non-tribal clinic. He reports that he does not feel much of a connection with his provider or his clinic, and says that he feels misunderstood when he tells his provider about his traditional healing practices.  He struggles to remember to take his medications and sometimes does not take them because he feels that they don’t work.

With the large increase multicultural population in the United States, nurses encounter patients with differences in healthcare beliefs, values and customs. To provide adequate nursing care, nurses must be aware of these differences. They must respect and acknowledge the patient’s culture. To do this, nurses need education on cultural competence to ensure patient satisfaction and better patient outcomes.

Cultural competence in health care describes the ability to provide care to patients with diverse values, beliefs and behaviors, including tailoring health care delivery to meet patients’ social, cultural and linguistic needs. The need for healthcare systems to increase cultural competence and personalize care for ethnic patient minorities should not be ignored. Healthcare systems should promote better understanding and communication between diverse ethnic patients and caregivers. Hospitals should design a system that caters to the needs of all the populations they serve and not just apply a one-size-fits-all approach. Becoming a culturally competent health care organization is a critical component in reducing health care disparities.

The United States is a diverse accumulation of cultural backgrounds which can often set the stage for feelings of confusion, anger, mistrust, and a host of other emotions when dissimilar cultures disagree. Cultural competence in nursing can help eliminate these barriers and provide a platform for nursing to follow in the quest to understand a patient's culture and background. When a nurse takes the time to learn about a given culture prior to providing care, it conveys she respects the patient's right to their beliefs, customs, and culture. It does not necessarily mean the nurse agrees with their practices but

If one was to determine a nadir of culture and medicine, Lia Lee could be the hallmark. The case study shares a history of the Hmong to create an understanding of the cultural aversion to American medicine. The study involves a cultural belief that America abandoned the Hmong in war, in immigration, and in medical care. The Hmong were an expatriated people from a number of countries in which they tried to settle. Disease was a scourge on the younger generation and the physical strain left the elderly on roadsides to die, effectively decimating much of the Hmong population. The incident of Lia was not the birth of the distrust between the Hmong culture and the United States. During the Vietnam War the Hmong were part of a CIA operation that created enmity between them and Laos. The people became the victims of extermination orders and deserted by the United States after the treaty was signed and troops withdrew. This division in cultures held true in the actions of Foua and Nao Kao. The Lee family did not trust the doctors to have in mind the best interest of Lia, nor did they believe the U.S. doctors understood the real cause of Lia’s condition. The seizures considered to be due to a scaring of the spirit out of Lia resulted from the slamming of a door, and to the Hmong, this meant she was a special child. To American doctors she was another case of seizures, and part of a family with non-compliant parents. The ending of the book was foreseeable yet sad, but intriguing as to

Unfortunately, the lack of culturally competent healthcare providers such as nurses, leads to negative patient outcomes and low quality healthcare. Culturally competent nurses are required to adequately treat our culturally diverse population. Nurses are frontline patient advocates and education and training in cultural competence is an intervention that will implement positive changes in healthcare delivery in the U.S.

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 resulting 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.