I have worked as a nurse in obstetrics for over 20 years. I was not surprised by the findings revealed in the Milligan article. The article provided barriers and motivations for women to receive prenatal care. The first barrier identified was drug abuse. Many of these women choose to not get any prenatal care or enter prenatal care very late in their pregnancy because they are scared they will have their baby taken from them. Some of these women will attempt to “get clean” themselves. They are unaware that detoxing during pregnancy is extremely dangerous. The risk for intrauterine fetal death is very high and they need to be monitored very closely while being detoxed. This article also reveals that a supportive partner is seen as an important motivator for the patient (Milligan, 2002). I completely agree! No one wants to feel alone when they are pregnant. These patients need a support person because they are at an increase risk of noncompliance. They need daily encouragement and they need someone who will help hold them accountable. …show more content…
It saddens me to read how so many patients have limited access to services due to their ethnic background. While our nation is known for its diversity, we still have so many patients being denied access to services because they are not proficient in the English language. This article reinforces how culture and beliefs play a large role in establishing what is normal for a particular ethnic group. Each culture may view and deal with a situation differently or find certain means more acceptable than others. As providers, it is essential that we understand these variances to help minimize inequalities between cultures. This article highlights how every patient deserves to be treated equally and have equal access to services and
Discriminatory practice in health and social care happens for many reasons including some important factors that are normally the cause of discriminatory practice for example a person may be discriminated against because on the basis of their diversity. One important discriminatory practice is because of culture. A person’s Culture is important to them and identifies who they are in the world. It is developed within the social group they are raised in, and can change when they are mature enough to decide for their selves what culture best suit them. In addition respecting a person’s culture is
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
With the increasing immigrant population a third barrier affecting access to health care is a cultural barrier. Culture barriers can include values and beliefs, language and race and ethnicity. Health beliefs and behavior can become a barrier when patients decide not to seek medical treatment and instead turn to home remedies and healers when treating illnesses. Approximately 10% of Americans speak a language other than English and can be classified ad being limited in their proficiency. For these patients language becomes a barrier and they are less likely to receive optimal medical treatment (Flores, 2006). Horton and Johnson (2010) stress the importance of communication in reducing disparities and increasing the trust of patients in the health care system. As reported by the American College of Physicians, evidence reveals that racial and ethnic minorities are more likely to receive inferior care when compared with non-minorities. This occurs even when minorities have access to insurance and adequate income (Racial and ethnic disparities in health care, 2010).
It is important for policy makers to create services that are culturally sensitive since the United States is a culturally diverse country; moreover, Healthcare professionals needs to be culturally competent so that they can guide policy makers in making sustainable systems for individual communities. “Efforts to improve cultural competence among health care professionals and organizations would contribute to improving the quality of health care for all consumers” (GeorgeTown Health Policy Institutes, 2004, para 31). Language barrier is another culture issue that prevents the community from getting the care that they deserve. “Cultural and language differences and socioeconomic status interact with and contribute to low health literacy, defined as the inability to understand or act on medical/therapeutic instructions” (Shaw, Huebner, Armin, Orzech, & Vivian, 2009, p.1). There should be health policy addressing this issue because of the confusion and inappropriate treatment that many
I am a Brazilian black male with military experience and diplomatic knowledge who grew up in a low-income household in a developing country. In addition, I have traveled to about 35 countries and am acquainted with people from different socioeconomic backgrounds, religions, ethnic groups and nationalities. These characteristics and experiences allow me to see the world from perspectives that are unusual for most people. Besides being open-minded and non- judgemental toward all my future patients, I personally understand the difficulties faced by people of color, immigrants and individuals from low-income families. In sum, my background and my cultural literacy will allow me to be a sensitive and culturally aware patient-centered care.
The Spirit Catches You and You Fall Down, by Anne Fadiman, is the story of two very different cultures lacking understanding for one another leading to a tragedy due to cultural incompetence. Today in America there are very many different cultures. Health care providers need to be aware of cultural diversity and sensitivity when caring for patients. If a health care provider is not sensitive towards a patient’s culture it can cause a relationship of mistrust to form, lead to barriers in the plan of care, and increase health care cost. The current guidelines to promote cultural competence in the clinical setting include completing a cultural diversity self-assessment, identify the need of the population served, evaluate barriers in the community and practice, educate staff to cultural diversities, schedule longer appointments, clarify limitations, and identify alternatives offered (Cash & Glass, 2014).
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.
A vital foundation for a high-quality care delivery is an efficacious communication between the patient and the healthcare providers (Gengler & Jarrell, 2015). Fadiman (1997) recounted the conflict between a refugee family from Laos and a small hospital in California over the care of Lia Lee, a Hmong girl with severe epilepsy, in her book The Spirit Catches You and You Fall Down. Despite both sides wanting the best care for Lia, the lack of cross-cultural communication between her Hmong family and her American doctors, lead to her tragedy (Fadiman, 1997). Awareness regarding the disparities in culture and language of our patient with ours and how to address them should be taken into account when providing healthcare since the life of a
Immediately after birth, the newborn has an identification band put on. One band is put on the ankle, one on the wrist. The newborn has footprints done immediately. Included on the footprint sheet are the newborn’s name, sex, DOB, time of birth, and mother’s health record.
Cultural diversity in the medical field is, at times, greatly hindered because of religious beliefs, language barriers, and the hierarchies of diverse cultures and these have the propensity to affect the continuity of care for the patients. “Every person has different aspects that constitute their identities, according to how they see themselves….This means that seeing an individual in terms of
Racial and ethnic disparities can be a touchy subject when talking among many circle of people, even so with some Caucasian sub-group.US Census reported that 1 in 4 Americans are of a race other than white; 1 in 3 children are African American, Hispanic, or Asian; and 1 in 10 people are of foreign-born. When majority dictated make all decisions and the minorities does not have any power. This cultural diversity can have inferences with our health care. Ethnic culture affects our beliefs, health, illness, and medications, as well as how we interact with our healthcare providers, and even how we comply with our prescribed medications, as well as mental health status (Cultural diversity and Medication Safety , 2003).
When clinically assessing patients in care settings, it is paramount for health professionals to elicit pertinent information that could be crucial for delivery of care. This is particularly important in the United States because the increasing diversity in racial and ethnic composition of the population has presented cultural challenges that care givers must navigate to provide culturally competent service. Cultural competence during delivery of care requires sensitivity to the cultural, social, and linguistic needs of patients (Betancourt, Green, Carrillo, 2002). As a consequence, care providers need cultural assessment tools that will enable them
Recognizing that ethnic identity is only one facet of diversity. My clinical practices involve serving many individuals who have diverse personal and cultural identities. During case conceptualization I routinely ask clients to describe their own values and perspectives to add to my understanding while increasing their comfort. As I serve an increasingly diverse population, keen observation and feedback from clients will continue to illuminate pathways to expanding my awareness and understanding. I see no end to my professional journey to provide culturally responsive
Most young mothers are worried about a number of new changes that will impact them socially, physically and emotionally. Prenatal care can be neglected due to an unexpected pregnancy, not being educated on what to do, or not having resources to get care. Prenatal care is very important to a child’s early development. Prenatal care can mean several things like cutting back on caffeine and stopping smoking. It can also mean soon after conception beginning to care for yourself and the baby as well as starting to schedule regular checkups with a doctor.
Birth of a child can be such a happy time, especially when the little one is very healthy. We all have seen the movies when a new child is born, some of us are lucky to see it first hand. Some of us do get goose bumps, me being one of them. It is just so exciting to see that little life come out of what has been in that big belly for nine months. We sometimes refer to the birth of a child as labor. If only it was as easy as the name sounds. However, it is not. There are three main stages in birth. The first stage is the longest stage that can last 12 to 14 hours with the first birth, and later births are shorter. Dilation and effacement of the cervix take place here. That is when the uterine contractions gradually become more frequent and