Examples Of Cultural Competence In Health Care

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).

Cultural competence is defined as possessing the skills and knowledge necessary to appreciate, respect, and work with individuals from different cultures. It is a concept that requires self-awareness, awareness and understanding of cultural differences, and the ability to adapt to clinical skills and practices as needed

The main ideas that Lisa Bourque Bearskin is stating in this article is that nurses need to be more sensitive to cultural care. They need to be aware of the issues in healthcare and strive to remove any barriers for certain groups, such as the first nations, and they need to disrupt any unequal relations in the social, political and historical aspect of healthcare. The way this can be done is by shifting their thoughts from cultural competence to cultural safety by way of relational ethics. Cultural competence is explained as the knowledge, skills, and attitudes that nurses need to use to care for cultural differences. Another framework described cultural competence as going through the stages of cultural awareness, cultural knowledge, cultural skill, cultural encounter, and cultural desire. Cultural competency works very well when making policies in an agency but this view fosters a view of culture that does not encourage nurses to ask questions. (Bearskin, 2011) Cultural Competence causes different cultures to be put in a box, which cannot be done because cultures are constantly changing and every person’s culture is different. Culture is individual. Lisa Bourque Bearskin goes on to say that cultural safety is what nurses should use for ethical practice. In cultural safety, a nurse must strive to improve health care and its access for all people, while recognizing that there are many different cultures that have a right to be recognized. Bourque

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

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.

Who is the person the nurse is caring for? Where is that person from? Does this person speak English, or understand what the caregiver is saying? What is this person’s cultural background? What are the health beliefs of this person, what are their illness beliefs and practices? These questions are answered differently depending upon the person and their heritage. As healthcare providers it is important to have a broad knowledge base in regards to different cultures and people’s practices to deliver effective health care. In 2006, the population of

Even when access-associated factors, such as insurance and income are considered, minorities continue to have higher rates of disease with shorter life expectancy. They tend to have a poorer quality of health care than non-minorities, increasing the demand and importance of culturally competent health care in the United States. The ability of the healthcare provider to communicate with his or her patient's aides in discouraging barriers to accessing healthcare.

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.

Cultural competence is a group of similar manners, attitudes, and strategies that collaborate in a system, organization or among experts and facilitate that system, organization or those professions to perform efficiently in cross-cultural states. A culturally competent health and wellness program provides services that take action to past inequities, existed realities, varied values, behaviors, and beliefs. It adapts advances to gather the diverse requirements of multicultural populations. Cultural competency can be implemented into our health and wellness programs by training the staff and health care experts of the programs to understand a patient’s diverse values, behaviors, beliefs, and modify treatment to meet the patients' community,

Stage 4 focuses on the rationale for providing culturally competent health care to refugee's. Cultural competence relates to a set of behaviours or attitudes that enable the health care system to provide a high quality of equitable care to all groups within society (Germov, 2014). Based on the United Nations High Commissioner for Refugees (UNHCR) a refugee is defined as someone who

Culture defined as “ an integrated pattern of human behaviour that include the language, thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, or social groups.”1 Competence refers to “the capacity to function effectively as an individual and an organization within the context of the cultural beliefs, behaviours, and needs presented by consumers and their communities.”2

According to research of health care organizations that all employees are required to attend diversity training. Cultural diversity seems to cross ethical guidance and challenges with relationships in health care. Many concerns that are connected with the following areas of the elderly, hospital and mental care. There are fundamentals of ethical values that are analyzed with the context of health care services and cultural competencies. The fundamentals of health care is: health care organizations who has encountered issues of dissatisfaction, and mistrust of health care services due to cultural competency. The addressing of these problems will help health professionals in the rebuilding of confidence and security of patients and patient care. Health care professionals are searching for new and improved patient- based approaches that will help decrease the level of cultural- diversity and health care services. Cultural

In healthcare, virtue ethics (finding the proper end for humans and then seeking that end) is the most prominent theory health care professionals strive for in decision making (Furlong, B., & Morrison, E. E., 2014, p.5). Basically, virtue ethics is seeking the highest good for humans. But, unfortunately in the health care profession there will be some ethical dilemmas. For example, some treatments involve harm (we are to do harm) yet provide benefit (benefit only), health care professionals need to be able to explain the benefits and risk to gain the cooperation of patients for treatment (Furlong, B., & Morrison, E. E., 2014, p.12). Another, is taking away someone’s autonomy (the ability to decide for oneself, being free to make own decisions) due to a health care professional deems one to be incompetent (Furlong, B., & Morrison, E. E., 2014, p.11).

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

Defined as the ability of providers and organizations to effectively deliver health care services that meet the social, cultural and linguistic needs (Georgetown University, 2004) Cultural competence is an ideal that spans across not only healthcare, but also law enforcement. Utilizing the same mindset as the healthcare industry, law enforcement has the dubious task of deciphering how to provide a service meant for all and ensure that the needs of all citizens and businesses are met. According to Terry Cross (1988), culturally competent agencies are characterized by acceptance and respect for difference, continuing self-assessment regarding culture, careful attention to the dynamics of difference, continuous expansion of cultural knowledge and resources, and a variety of adaptations to service models in order to better meet the needs of minority populations. The culturally competent agency works to hire unbiased employees, seeks advice and consultation from the minority community and actively decides what it is and is not capable of providing to minority clients.