Direct Patient Experience

There has been much study into how culture can impact the quality of health care, but not enough education on what can specifically be changed or how to change it. In The Spirit Catches You And You Fall Down, a comprehensive example is presented using the implications of culture on the healthcare of a little girl named Lia Lee. Through evaluation, I have identified five major areas and examples of each that exemplify the clash of cultures presented in this book: Environmental Controls, Social Organization, Communication, Space, and

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

Throughout my clinical experiences, there have been quite a few circumstances I have been placed in that have remained with me whether good or bad. All of them have been learning experiences for me whether it is how to improve and to do better next time from a mistake, for me to learn that this is or is not how a patient should be treated, how to handle family situations, and many others. One experience that I was able to participate in that will remain with me because I had not experienced this before was during my critical care rotation in the fall of 2015. This patient was dying and we were implementing comfort care for him.

In order to provide culturally safe and effective primary health care for all we must address the social determinants of health that result in health inequities across our population. Some of the key determinants of health inequities that are seen across most cultures are language, education, lack of appropriate health infrastructure, employment and racism.

Critically analyse one of the main challenges, barriers, and enablers for cultural competence in health care when working in a cross-cultural environment.

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.

Cultural competency is the capacity of people or services to include ethnic/cultural considerations into all aspects of their work related to health promotion, disease prevention and other and other healthcare interventions (Cultural competence is important for several reasons, (Purnell, 2008a).First, it can contribute in the development of culturally sensitive practices which can reduce barriers that effect treatment in healthcare settings. Second, it can promote understanding, which is detrimental in cultural competence assessment, to know whom, the individuals known as the primary care provider and whom they view as the primary healer, can attribute to the promotion of trust and increase the person’s interest in participating

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 purpose of this paper is to inform readers on the culturally competent strategies that ameliorate health disparities in this country. Over the years health issues have increase rapidly. There are different ethnic backgrounds shows that their health plays a big role culturally and also diversity.

Prior to walking in, my expectations for what I was about to partake in and experience were all over the place. I didn’t know whether to expect the absolute worst types of situations going on such as people being rushed into medical rooms or the most basic situations such as patients waiting for a strep throat test. I did expect to see a wide range of patients in terms of race, class, age, and gender. Contrary to the patients, I didn’t expect to see a wide range of race, class, age, and gender within the staff. I expected to see mostly female nurses, and male doctors, majority being Caucasian and middle age. I didn’t expect there to be that much security or any type of possible crime that could go on within a medical facility. I expected the waiting area and facility to be very large, large enough to accommodate a lot of patients at once. Lastly, I expected that taking our field notes would be a challenge because writing notes down in front of patients would be awkward and during interviews it would be hard to conduct a good interview while writing the whole time.

It was stark contrast to the patients I saw in the ER at Riley Hospital or in my hometown with so many cases of bedbugs, drug overdoses or drug seeking behavior. The divide of socioeconomic status was clear in the types of patients that presented, but I was inspired by how many of the doctors and nurses provided quality and equal treatment to everyone. Of course there were instances for a particularly uncooperative patient made the treatment process difficult, but overall the reception of the staff was always inviting with nothing but the best of care

Patient care provider might spend more time with patients than other healthcare providers in a hospital, according to Education Portal assist and help patients with grooming activities such as bathing, hair washing and brushing. Technicians might wash and dry patients and assist individuals in and out of the shower. Assistants change and clean patients with incontinence garments and bedpans. Patients may require assistance walking, getting out of bed, changing clothing and eating. Assistants bring patients to other areas of the hospital for testing or procedures. Some assistants tidy the patient’s room and change bed linens in hospitals. Bosman et al., (2003) patient care, documentation, unit related, personal. Bradshaw et al., (1989) direct patient care, charting(documentation), obtaining supplies, planning nursing care, reporting, transferring patients, data review, checking medication schedules, non-nursing activities. France et al, (2003), documentation and Hinson et al (1994) direct patient care, documentation, verbal communication, data review, miscellaneous forms. Coventry, et al(1977) & Marasovic et al, review patient information, home visit, telephone call documentation, other (in nursing) care of a patient provided personally by a staff member.

Theorists are known to develop theories and models for healthcare professionals to follow as a framework in the medical field. Madeliene Leininger specifically implemented the transcultural theory addressing cultural dynamics. In the health care setting cultural diversity plays a big role because we have a variety of patients of all types of cultural backgrounds that are admitted into the hospital. In order to provide quality care to patients one must be culturally competent. Being culturally competent demonstrates that one can effectively communicate with patients of different cultural backgrounds. Alternatively, Nola Pender introduces a health promotion model that encourages the community to be involved and knowledgeable regarding health care decisions. The use of health promotion allows nurses to identify factors in certain neighborhoods that hinder a healthy lifestyle. When factors are identified and analyzed, programs can be implemented to further educate the community members so they are empowered. This comparative essay will discuss similarities and difference amongst Leininger and Pender while incorporating the six QSEN competencies.

On Thursday the 9th, I worked with a patient who is a 74 years old male, with general weakness. His admitting diagnosis was caused by the metastasis of prostate cancer to the bone. Talking to the patient was an amazing experience for me because we liked the same thing such as the NBA. He told me that he was a lawyer and that all of his children are grown up and successful. He does a wife, who I did not see during my rotation. But, it was easy to talk to communicate with him. I have always had social anxiety growing up. Talking to people had always been my weakness because I was always worried about how people would perceive me when I talked. However, now that I have grown up, I learned to look past my social anxiety. I learned that from shutting my brain off that caused me overthink, facilitated me to

India is a nation of many different individuals, each with their own beliefs and way of life. The different beliefs that are held by these people and the traditions they follow can have a significant impact on how they view modern healthcare. The beliefs and moral values which are a part of human nature can have positive impacts on an individual, but can also bind them and cause negative impacts on mental and physical health (Worthington & Gogne, 2011). It is necessary for health professionals to be aware of the cultural beliefs and influences so that they can effectively provide healthcare services. A lack of cultural competence in care leads to poor patient outcomes, low compliance, and higher disparities regardless of the services and systems available ("Diversity & Cultural Competency in Health Care Settings").