Cultural Competence In Health Care Essay

The health of Aboriginal people in Canada is both a tragedy and a crisis (Aboriginal Affairs and North Development Canada, 2010). Aboriginals have a higher rate of death among aboriginal babies, twice the national average, higher rate of Infectious diseases example gastrointestinal infections to tuberculosis, and chronic and degenerative diseases such as cancer and heart disease are affecting more aboriginal people than they once did (AANDC, 2010). Availability of important medical facility is not enough to accommodate the growing medical needs of Aboriginals. A socioeconomic and cultural issue also hinders the access of aboriginals to access health care in the community.

In general, Aboriginal health services are ineffective. This is due to a wide variety of factors, but mainly due to a lack of trust/cultural miscommunication which is a catalyst for many other factors. This lack of engagement is due to a variety of factors, such as lack of access to health care, lack of aboriginal representation in the health workforce, ect. Overall, the difference in mortality rates between indigenous and non-indogneous peoples proves to highlight the need in the health community to provide effective services for Aboriginal people.

As a people, our rate of chronic disease is still 2.5 times higher than that of other Australians, and Indigenous people in this country die 15 to 20 years younger than those in mainstream Australia. More than half of

The Assimilation policy (1961) has impacted on Indigenous Australians within their physical and mental state and identity present in today’s society. Australia is commonly considered to be free and fair in their culturally diverse societies, but when the Indigenous population is closer looked into, it is clear that from a social and economical view their health needs are disadvantaged compared to non-Indigenous equals. In relation to this, the present Indigenous health is being impacted by disadvantages of education, employment, income and health status. Even urban Indigenous residents are being affected just as much as those residing in remote and rural areas of Australia.

Cultural Competence is important for many reasons. First, it can help develop culturally sensitive practices which can in turn help reduce barriers that affect treatment in health care settings. Second, it can help build understanding, which is critical in competence, in order wards knowing whom the person

The poor health position of Indigenous Australians is a contemporary reflection of their historical treatment as Australia’s traditional owners. This treatment has led to Indigenous Australians experiencing social disadvantages, significantly low socio-economic status, dispossession, poverty and powerlessness as a direct result of the institutionalised racism inherent in contemporary Australian society.

Further, low income, unemployment, racism, lack of education further deteriorate their quality-of-life and well-being (Carson, Dunbar, Chenhall, & Bailie, 2007). Therefore “closing the gap” on indigenous disadvantage is crucial for archive equality in life expectancy, health status, education and employment between indigenous and non-indigenous Australians (Black & Richards, 2009).

This paper will examine the healthcare of Indigenous Australian peoples compared to non-indigenous Australians. The life expectancy gaps between the two are a cause for alarm when statistics show Indigenous Australian peoples die on average 17 years earlier than non-indigenous Australians (Dick 2017). This paper will examine the social determinants of health to explore these factors and what interventions are in place to improve health status and life expectancy gaps for equality. The Federal Government has seen the implementation of the Northern Territory Intervention and the Closing the Gap Initiative. This essay will examine these two strategies and discuss the effectiveness of both policies. It will explain the differences, similarities and look at the success so far to

The social determinants of health are described as the condition of daily living in which determines the individual’s chances of maintaining optimum health (Department of Health and Human Services 2015). In Australia, the health inequality between indigenous and non-indigenous Australians is noted by the World Health Organization (WHO) to have the largest disparity in the world (Markwick et al. 2014). Statistically, the life expectancy for indigenous Australians who are born in 2010-2012 is estimated to be 10.6 years lower when compared to non-indigenous Australians (Markwick et al. 2014). Social determinants such as employment and social exclusion may contribute to the major difference in the health status between the indigenous and non-indigenous Australians (Markwick et al. 2014). This essay will focus on discussing how having employment and social exclusion has led to the health inequalities between indigenous and non-indigenous Australians, and how indigenous healthcare nurses can address these determinants in the care they provide in the indigenous community setting.

The inequalities in today’s indigenous communities are still strongly evident. Heard, Khoo & Birrell (2009), argued that while there has been an attempt in narrowing the gap between Indigenous and non Indigenous Australians, a barrier still exists in appropriate health care reaching indigenous people. The Indigenous people believe, health is more than the individual, it is

Social and Cultural Determinants of Indigenous Health - Australian Government Department of Health - Citizen Space . 2018. Social and Cultural Determinants of Indigenous Health - Australian Government Department of Health - Citizen Space . [ONLINE] Available at: https://consultations.health.gov.au/indigenous-health/determinants/. [Accessed 14 April

There are various politico-economic elements and policies; environmental and employment conditions; social and cultural influences and lifestyle of indigenous Australians which affect their health. Above all, there is poverty which contributes towards their poor health circumstances (Australian Indigenous Health InfoNet, 2014). The Indigenous Australians are powerless and generally face various kinds of deprivation that includes exclusion, material deprivation and unavailability of opportunities for study and employment. They are not capable enough to take part in society: socially, politically and culturally (Public Health Association of Australia, 2001). It is a general concept that when a person does not feel secure, is unemployed, not connected to his/her friends

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).

Australia’s Indigenous population is made up of Aboriginal and Torres Strait Islander peoples, each of whom, have discernible and diverse language, customs and cultures, spanning time immemorial (Reynolds, 2005). Aboriginal Australians maintain symbiotic interrelationships to Country, culture and kin (Sherwood, 2013), engaging in a worldview which holistically connects the wellbeing of individuals to their community and also, to place and the land. This sense of wellbeing includes varying aspects of physical, social, emotional, cultural and spiritual education (Malin & Maidment, 2003); and in determining the propagation of Country, care and sustenance of the land is imperative for maintaining its wellness, in addition to the reciprocity that this wellness provides by return, to the people (Yunupingu, 1997). The encompassing health of individuals, community and Country, is dictated through the education passed down by the Law of The Dreaming and Ancestors, ensuring balance between the aspects of wellbeing (Sherwood, 2013). It is a markedly different framework to that of Western cultures (Reynolds, 2005); and one that was interrupted, maligned and denigrated, by invasion.

Achieving Indigenous health equality will require investment in ATSI primary healthcare, health education, improved nutrition, maternal and child health and the prevention and management of disease. This could be done by funding for and encouraging young Indigenous people to go and study health areas and then return back and supply their home communities with health clinics and education on health areas. This will be an effective method as many Indigenous people still have lots of mistrust towards other Australians [CreativeSpirits, 2016]. Doing this will also inspire young ATSI people to look past their communities and into the bigger world. It opens the doors for many more life opportunities for them and will give them knowledge on many important aspects such as food and nutrition, prevention of disease and physical