Cultural Barriers In Health Care

Cultural diversity in the health care setting is increasing each year. Knowing how to care for patients of different religious and spiritual faiths is essential to providing high-quality, patient-centered care. The author of this paper will research three lesser-known religions; Taoism, Sikhism and Shamanism. Through this paper, she will provide a brief background on each of the three religions and present information regarding spiritual perspectives on healing, critical components of healing and health care considerations associated with each religion.

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.

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.

Culture has more than one definition. It can be defined as the language spoken throughout a group of people or even the beliefs practiced. In the professional field of nursing, nurses are required to do more than administer medication or change bandages on a patient. To be able to fulfill a nurse’s job requirements, a nurse must learn to be culturally competent. Cultural competency in the professional field of nursing means to care and respect the patient whether or not the health care provider is in agreement with the patient’s decisions.

Anne Fadiman wrote this book to document the conflict between cultural barriers and how they affect medical issues. In this book, Lia Lee is a Hmong child was has epilepsy and battles cultural medical differences. The main struggle in this story is the conflict between the doctors and parents because they cannot seem to get on the same page. While writing the book, Fadiman stated that there was a “clash of cultures”. (Fadiman, preface) Meaning, there are two different sides to the story and the problem has not be solved.

The text list several factors that contribute to healthcare disparities, social, economic status, access to medical care, lack of insurance, unemployment, lack of knowledge of healthcare processes and procedures within society, transportation issues and many other factors that contribute to healthcare disparities. Being knowledgeable of cultural competency has several advantages, cultural competence provides relief to the patient when the patient feels comfortable with their physician a bond is developed and patients are less likely to file malpractice claims. Displaying cultural competency increases the quality of services and patient satisfaction.

Health care disparities in the United States occur on the provider level. The implicit biases providers are susceptible to help shape physician behavior and produce differences in medical treatment across a host of demographic characteristics but mainly along the lines of race and ethnicity. This paper focuses mainly on the relationship between providers and Black Americans. There is a complex and historical relationship between providers and Black Americans which dates back to the 16th century that is the basis for the biases physicians exhibit towards this particular minority group in today’s healthcare system. Contrary to popular belief, the Tuskegee Syphilis Study in 1932 is not the forerunner to a host of medical abuses committed against

Cultural Competency can be described as one’s ability to learn about cultures other than their own. It speaks to the value one places on diversity and their desire to foster an open exchange of ideas between dissimilar cultures. While in a perfect world, cultural competency would be of heightened importance in all aspects of life, there are certain industries where cultural competency factor more heavily; one of those being health care. This is especially true in areas with increased diversities of cultures, ethnic groups and a variety of languages.

The United States Census Bureau has predicted that the minorities will become the majority by 2042. Unfortunately, the minorities collectively live below poverty level and are uninsured for healthcare, even though there have been many attempts to improve as mentioned in the above post. Some studies have also proved that the minorities have a tendency to live a shorter life, which in turn means that they have a higher percentage of loss of life, and have little knowledge about health care and available resources.

Cultural Competency, widely known as the ability to understand the differences between cultures and how one can assess and effectively respond to each patient’s cultural diversity. Cultural competency is something that can be applied far and wide to many different professions, but its importance is strongly present in the healthcare industry.

There is nothing worse than being in physical pain or being ill. There are many diseases that often go untreated and this is due to people not going to the doctor. In the video Cultural Competence in Healthcare For Providers the patients interviewed knew little to no english. When they seek healthcare professionals it is because they feel ill or were hurt. When asked to reschedule some may not come back due to fear of the same situation. Cultural competency is not an optional skill to learn, it is a necessity for all dietitians and health care professional, regardless of their specialty (Curry, 2000; Sindler, 2001). When working with diverse populations we need to be able to help each and every single person when they are their most vulnerable

What is cultural competence? When reading our book and looking at scholarly articles for me to sum up what I think cultural competence is, I found myself rereading each definition over and over. To me cultural competence is understanding that each person is unique and their care should be as well. Truong, Paradies, & Priest (2014) state “cultural competency is a broad concept used to describe a variety of interventions that aim to improve the accessibility and effectiveness of health care services for people from racial/ethnic minorities”. It is important for a healthcare worker to not stereotype a person based on their appearance or race. Not all people that appear alike believe in the same things. In their article Patient-centered care:

Before one can discuss the importance of cultural competency, we must first understand what it is. But is culture? Furthermore, what is competence? To answer the first question - culture is, “the customary beliefs, social forms, and material traits of a racial, religious, or social group; also: the characteristic features of everyday existence (such as diversions or a way of life) shared by people in a place or time” (Merriam-Webster dictionary). With that understanding, what is competence? Also, according to the same source, competence is “a sufficiency of means for the necessities and conveniences of life. Now that we have broken down these two words, I will be utilizing them together to introduce the importance and downfalls of its effects on the world's (more specifically America’s) healthcare system.

Going to a different country or area of the world can open up anybody’s eyes to see that culture makes a huge impact on the understanding and practices of healthcare that seem to be so common to other areas of the world. When a person lives in one country their whole life, that person may not realize how different the life they live is from someone in a foreign country. If a person is going to receive treatment from someone with a different cultural background, they should be expected to get treatment to respects their own culture. Massachusetts College of Pharmacy and Health Sciences having such a diverse variety of students has their own cultural competency definition that states “effectively and comfortably communicate across cultures

That was an insightful analysis of how cultural differences can be an issue in providing the correct and appropriate medical care when bridging two distinct viewpoints of treatment. Your mention of deciding on keeping someone on life support or not is very powerful; I cannot imagine how that circumstance may feel. But I can see how this can be a conflict for the medical staff and on the patient’s family especially if they hold firm cultural beliefs. Such is the case of Hassan Rasouli, a man who was on vegetative state, where doctors believed it was time to keep him off life support. Hassan's wife refused “ citing the couple's Shia Muslim religion and a belief that her brain-damaged husband's movements indicate some level of minimal consciousness”(2013,