The Heritage Assessment Tool Kacey McIntee Grand Canyon University Family Centered Health Promotion NRS-429V Jane Parkman December 21, 2012 The Heritage Assessment Tool The uprising of diversified communications has caused the combination of differing cultures. This suggests that dissimilar cultures are no not restricted to geographical boundaries. The noteworthy social drive worldwide has elevated apprehension over tailored health care. It is vital that the cultural backgrounds of a group have influential influences on dealing with health care concerns. The birth of community consciousness concerning awareness of comprehensive healthiness and illness deterrence has stimulated the formation of system that allows it to be …show more content…
They must refurbish policies and practices that confirm distribution of culturally competent health services to diverse cultures in their community including the peoples who speak little or broken English. Being cognizant of cultural dissimilarities and refining communication decreases risks of negligence, absence of informed consent and failure to comprehend their patients’ health care practices and beliefs. (Diers, 2009) Upon interviewing families from different cultures with the Heritage Assessment Tool, many differences were noted in their interpretations of health maintenance, health restoration and Health protection. For Example… Hispanic American Culture’s Beliefs… Birth - Delivery and postnatal care is usually provided by a Mid-wife. Female family members will deliver care and support to the mother and newborn for the post-natal period, which is around 40-41 days, when customarily during this time the mother and newborn remain at home. In addition the female family members arrange meals and care for the husband and other children as well. Dying – The priest will give the Sacrament of the Sick; this incorporates confession and communion. If the person has expired the priest will come and anoint the deceased. The family wants to protect the patient from knowledge of terminal illness, with a strong belief in mind – body
In evaluating the Heritage Assessment Tool (HAT) two things became immediately obvious. First, the questions provided a fair outline and structure for identifying factors of culture, religion, tradition and environment and how they may influence the subject family’s approach to health maintenance and health restoration. And second, that the medical professional using the HAT must be aware of and sensitive to the scrutinizing nature of the questions and what defensive and evasive responses they may invoke. While conducting these family interviews, I noticed even when asking the questions of my own family that they were not immune to this scrutiny affect. As such, when interviewing the other two families, I was very attentive to them 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
There is a clear evidence that links Clinician-patient communication to patient satisfaction, treatment adherence and health outcomes. The understanding and the appreciation of cultural differences highly influence the communication and the plan of treatment (6, 7). Failure of physicians in understanding sociocultural differences between themselves and their patients might results in lower quality of health care (8).
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
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 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.
Evaluation of how family subscribes to these traditions and practices is offered in detail, while offering insight and/or reflection.It is essential for nurses to provide culturally sensitive care to each and every patient in order to establish repor and maintain a safe working relationship with each individual. To provide culturally sensitive care to a nurses patient’s he or she must first assess their own beliefs, values, and culture at large. The nurse can do this by using the Heritage Assessment Tool. This tool shows the nurse how important their heritage is to them and if they have adopted their ways of life from their family’s history and influence. This gives the nurse a starting point
Multiple family members gather together to give care to the loved one from far and near. The father or the oldest male relative holds the greatest power in most families to make health-related decisions for an ill loved one. Family members feel responsible for bathing, changing, and feeding their loved one daily even during hospital stays (Taxis, 2008). In addition, prayer and ritual are also critical components of the dying process. Family members may pray with the patient at the bedside, at a home altar, or at church. At times, candles are kept lit for 24 hours a day as a symbol of continuous worship. Clergy members may visit to offer spiritual support. As the ill loved one approaches death, the sacrament of anointing of the sick is administered by a priest or lay member (Kemp, 2001). Mexican American families use religious beliefs in the afterlife to help them cope with this emotional process.
Today in society there are many diverse culture and ethnic backgrounds, each with their own habits, traditions, preferences, and of these includes health. Different needs of the whole person should be evaluated in detail. This paper will discuss results from three different cultures through the interviewing of them using the Heritage Assessment Tool. It will also review, compare, and address health traditions between the cultures as well as identify common health traditions based on cultural heritage. The purpose is to evaluate and discuss how families subscribe to these traditions/practices, address health
Knowledge of the individual’s culture provides insight into the complex beliefs and value system of various ethnic groups that make up the United States today. The heritage assessment tool provided an opportunity to view and compare cultures for encouraging incorporation of individual beliefs into a plan for health promotion.
The world is filled with many cultures and it is important for healthcare professionals to understand most of them, therefore understand their patient. The heritage assessment includes the many factors that may influence a patient’s medical decision such as their religious beliefs and cultural background (Spector, 2009). The heritage assessment is very useful in understanding a patient’s preferred health approach to maintain, protect and restore it. Knowing cultural beliefs and values are very significant because in many cases, they are important to the patient and the beliefs and values influence their health choices. By
There is limited healthcare services and literature that is culturally and linguistically appropriate for culturally diverse populations. These barriers have been shown over the years to threaten how effective care is for these populations. The healthcare system depends on nurses to facilitate services, care plans and educate patients on various health issues.
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).
Culture is a pattern of behavior and values shared by an ethnic group. Cultural heritage is a set of traditions within the culture that is hand down from the older generation to the younger generation within the family. These traditions influence the family’s decisions in relation to their diet, education, daily living activities, religious beliefs and practices and also health and illness beliefs. In this paper, the author will focus on the usefulness of applying a heritage assessment in evaluating the needs of a person as a whole. Three different cultures including authors will be discussed about the health maintenance, health promotion, and health restoration. The author will also evaluate health traditions which