Multicultural Communities and Multi-Faith Practices

The field of cross-cultural care mainly focuses on the ability to communicate in an effective way so that proper health care is provided to patients with from diverse sociocultural backgrounds. Unfortunately, there is no empirical literature comparing the effectiveness of different models of cross-cultural care and communication. However, there is a strong empirical evidence which shows that educating health care clinicians in cross-culture care can significantly improve skills, knowledge and attitude. (9, 10)

The Purnell Model for Cultural Competence places communication as one of the dominants (Purnell, 2002). Speaking the language of the patients would be the best tool that healthcare worker can use. It helps avoid many misunderstanding that may arise.

The Faith, Importance and influence, Community, and Address in Care (FICA) Spiritual History Tool provides a way for “the clinician to efficiently integrate open-ended questions into a standard medical history and can be used by any health care professional” (Borneman, Ferrell, & Puchalski, 2010). The FICA tool explores the presence of faith, the importance of spirituality, the influence a person’s spirituality has on their health care decisions, the involvement in a spiritual community, and the interventions to address spiritual needs (Borneman et al., 2010).

The United States has always been the symbol of freedom of religion and health care today has needed to increase its knowledge in incorporating the many different religions/spiritual beliefs in order to provide a more holistic approach to care. As health care providers we should not look in validating our own practice in regards to religion or spirituality but to comprehend and learn to see the patterns of similarities and differences in order to provide holistic care to our patients. As religious and spiritual beliefs are never permanent and are constantly changing and/or influenced by government, thinkers, historical events, technology and the shifting values of cultures the study of religions/spirituality should be continuous for all health care providers. The Native American, Buddhism, and Sikhism have some similar traits and values imbedded in their practiced religions that resemble the Christian Faith and medical providers needs to be aware and able to accommodate them in order to provide holistic care.

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.

In a culture as diverse as the United States it is of utmost importance that individuals in settings such as the health care field learn to communicate with people from different cultures. This type of setting offers many chances for misunderstanding, miscommunication, and mistrust. It is imperative for the health care field to have an effective strategy to minimize these negative consequences of poor intercultural communication. One must also remember when implementing a communication strategy that there are many elements that effect the experience; cultural variations, personal dignity, and interpersonal relationships. An effective intercultural

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

The importance of Cultural Competency when working with a diverse population within health care is extremely important. It’s a major part of health providers jobs to be respectful and mindful of their patients culture and or background. The health provider should acknowledge the patients beliefs, traditions and religion to be sure the patient is as comfortable as she or she can possibly be. After all the patient is seeking help because he or she is not feeling well or needs some sort of medical attention, so of course it should be the health providers best interest to not but more stress on the patient or make them more uncomfortable then what they already are. There can be a few pitfalls if a health provider completely ignores the patient’s

Cultural competence can indicate the differences that exist among various ethnic and cultural groups in our country. As a healthcare provider, it is essential to understand the diverse cultures and their values, traditions and there history, so with all these in mind we can provide high quality patient care. Recognizing these needs can be accomplished with continuous education and training. We are in a culturally diverse society where the healthcare providers need to increase their awareness and sensitivity toward different patient populations and work to understand culturally influenced health behaviors. We are interacting with many people from varied cultural origins and ethnic backgrounds who bring with them values and beliefs that can differ from our expectations. Each patient is unique in their needs so understanding these cultural differences can aid communication and thereby improve patient care. Some cultures may be offended by direct eye contact or asking personal questions that are necessary for the health history may be recognized by them as an inexcusable invasion of privacy. Patient cross-cultural communication with other cultures in a way that minimizes misunderstandings and maximizes trust between the patients and healthcare providers. To avoid any complications and to decrease the likelihood of any liability and malpractice claims, healthcare organizations should follow and meet legislative regulatory and the accreditation

Cultural competency has increasingly been recognized as an important part of healthcare. Cultural competency is more than being ‘politically correct.’ It is an important part of ensuring that care is effective. Healthcare advice cannot be disseminated in a cookie-cutter fashion but rather must be conveyed in a way so that patients understand care instructions and genuinely understand the need to fulfill them. With this in mind, diversity awareness and education must be integrated into the education of all healthcare professionals from bottomof their careers. “A consistent body of research indicates a lack of culturally competent care directly contributes to poor patient outcomes, reduced patient compliance, and increased health disparities,

For health care providers to deliver the best holistic care that patients deserve, a thorough spiritual assessment must be included during their care. With more research showing a relationship between supporting a patient’s spirituality with their health and ability to cope with illness, it is now a requirement of organizations to include a spiritual assessment to maintain accreditation with The Joint Commission. The minimum required of a spiritual assessment by The Joint Commission is to determine the patient’s religion and

Different religious groups have different believe system in the provision of the healthcare. The health personnel such as doctors and nurses should be aware of the religious beliefs of their patients for effectively delivering medical care. In provision of medical care, religious faith and beliefs of the patient is incorporated with the scientific medical care in offering a holistic medical to the patients. The medical personnel should take into the consideration the religious belief of the patient in the course of offering medical care to the patient. The

Spirituality is a delicate topic, and some may not be open to talking about their beliefs. Spirituality is generally understood to be an essential aspect of being human (Lyndo-Lam, 2012). Assessing the spiritual needs of patients is a key component in the nursing process. A compassionate and thoughtful nurse can make a patient feel more secure, making it easier for him to express his spirituality. The participation of both patient and health care provider is vital in promoting spiritual health. The main focus of a spiritual assessment is to gather information regarding the patient’s spiritual needs in order incorporate them into the plan of care, so as to treat

List some approaches the health care professional can use to address religious and cultural diversity.

Based upon one’s belief system a worldview is developed. This is reflective of the religion an individual associates with. This religion, gives meaning to life, allowing one to gain an understanding of the world. Since this understanding can be interpreted in various ways, people develop differing worldviews. Noting the differences between various forms of faith is extremely important in the health care field in order to promote healing within the patient. The health care professionals must be able to ensure that the form of care being provided does not offend or go against the patient’s belief system. Two major religions that exist in the world today are Christianity and Scientology. In Christianity, faith is centered on