Critically analyse one of the main challenges, barriers, and enablers for cultural competence in health care when working in a cross-cultural environment.
The United States is a nation of immigrants; they have virtually every culture of the world within its borders. Due to this reason, there must be a certain level of cultural competency within its people. A comparison and contrast will be made to compare the Hispanic cultural views on medical care to the American cultural views toward medical care. I chose to explore Hispanic culture because of my background but most importantly due to its richness of unique characteristics. I will provide an overview on how heredity, culture, and environment can influence behavior in the medical office. Furthermore, I will express my opinion about why a medical assistant,
We live in a very diverse nation and overcoming challenges related to cultural beliefs and preferences is a very common obstacle for health care workers today. In an article in The Online Journal of Issues in Nursing cultural diversity is defined as being more than just race,
The unavoidable assortment in traditions, attitudes, practices, and conduct that exists among gatherings of individuals from various ethnic, racial, or national foundations who come into contact is defined as diversity.
Health in all cultures is an important aspect of life. A person’s cultural background, religion and/or beliefs, greatly influences a person’s health and their response to medical care (Spector, 2004). These diverse cultures guide decisions made in daily life; what food eaten, living arrangements made, medications taken and medical advice listened to. A nurse must be knowledgeable and respectful of these diverse cultures and understand their importance when providing care. This understanding helps to build a strong nurse/patient relationship, increasing patient compliance, which ensures positive outcomes are met. Patients who are satisfied
The face of nursing has evolved and changed since it’s inception. Today’s nurse is faced with cultural, ethical and technological issues that didn’t exist even twenty years ago. As such, nurses have had to continuously evolve to continue to provide the quality, selfless care that patients have always relied on them for, and expected, since the very beginning of nursing. From pediatrics to gerontology, nurses are serving a culturally, religiously and financially diverse population with challenging needs. In the face of this, nursing itself is becoming ever more diverse in it’s culture and skill set, which is helping the profession stay in the race, and continue to advance the practice of nursing.
Healthcare diversities among healthcare professionals have been a challenge within the healthcare system. There are various publications that state that the underrepresented minorities have a higher chance of not graduating medical school, accruing high student loans, and ultimately were unsatisfied with their jobs (Pololi et al., 2013). This is not only disturbing, but this represents the individuals who are or will be servicing the public on a daily basis. As the population increases, racial differences increase, so to combat these disparities cultural competencies have to come into play within the health-professions workforce. For instance, although African Americans constitute to 13% of the population, in the physician workforce they only account for 4%, also women who are part of the workforce outweigh the amount of men by at least 4%, respectively (U.S. Census Bureau, 2014). Coincidentally, whites make up to 49% (both men and women) of the total U.S. MD active physicians based on the labor workforce statistics of 2013.
Haynes (2016) article, The Road to Cultural Competency Are We There yet? Stated that the key to decreasing health disparities in the workforce could be done by increasing diversity. Health disparities as indicated by Turk (2014), Issue: Nursing Workforce, can result in a more complicated societal problem. It was further stated, health disparities have received much attention and is currently identified as a priority issue in our nation. According to Haynes (2016), strategies which were recommended by the Sullivan Commission were done to increase the workforces of nursing should begin with education. Cultural competency as stated here should be a vital component of the nursing curriculum. Turk (2014) reported health disparities result in a more multifaceted societal burden. According to Turk (2014), decreasing health disparities has received significant attention. Individuals, including policymakers, academicians, and researchers are concerned about the diversification of the healthcare workforce of which strategies are being implemented by decreasing health disparities and increasing the availability of culturally competent among health care providers.
With a growing and diverse United States population, pursuing the goal of cultural competence in the workforce and health-care system emerges as a leading strategy in reducing disparities. Cultural competency, is defined as the ability of health-care providers to function effectively in the context of cultural differences (IOM, 2001). As a healthcare administrator it is important to employ several initiatives to increase the cultural competency within the workforce including the recruitment and retention of minority staff as well as providing training to increase cultural awareness, knowledge and skills. Another strategy to employ in strengthening the relationship between the patient and provider is to create buy-in from community leaders and stakeholders when launching initiatives geared toward the reduction of health disparities. One example of this type of approach is the Racial and Ethnic Approaches to Community Health (REACH) projects funded by the Centers for Disease Control and Prevention (CDC). REACH projects aim to reduce racial and ethnic health disparities in minority communities. For example, a 2010 study by Liao et. al., documented overall decreasing trends in the prevalence of smoking among men in Asian communities served by the REACH project. By engaging the communities that they serve and forming community partnerships, projects such as REACH can be been successful in targeting health behaviors and consequently reducing health disparities in communities of
Understanding the hierarchy of the family is imperative in understanding the functions of the family unit. With some familiarity with the different cultures in a given community, a medical professional will be able to ascertain who the head of the household is. The head of the household differs from culture to culture, as such, “misunderstandings which include but are not limited to the involvement of the male in all aspects of health care
The concept of diversity is one that individuals may not think of when they think of nursing. Diversity is a major component to nursing and the care that is provided to patients. In this concept analysis, antecedent, attributes and consequences of diversity are identified. The following antecedents are: race, social economy, knowledge, gender, and education level. The attributes of diversity are individual, variety, perception, difference and civilization. The consequences of diversity are as follows; acceptance, decision making, cultural competency qualifications, respect, degrading, trusts
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.
One of the greatest things about nursing is that we have the opportunity to share with different cultures and learn about them. Our patients are complex; they each have their religion, culture, and life choices. Delivering health advice and not knowing much about a patient’s cultural background will influence how the patient may perceive the nurses’ advice. The article that I did my research on was published in 2011, by Perez-Avila, Sobralske and Katz; the name of the article is “No Comprendo: Practice Considerations When Caring for Latinos With Limited English Proficiency in the United States Health Care System”. In the United States, Hispanics form the largest minority. Most of this community has limited English
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.
Today when people move across continents with the help of technology their culture and heritage moves along with them. Almost each and every continent is populated with people from different nations who have diverse traditions and cultures. Thus knowledge of health traditions and culture plays a vital role in nursing. People from different cultures have a unique view on health and illness. Culture-specific care is a vital skill to the modern nurse, as the United States continues to consist of many immigrants who have become assimilated into one culture. I interviewed three families of different cultures: - Indian (my culture), Hispanic and Chinese. Let us see the differences in health traditions between these cultures.