Different colors, different faces, diverse cultures and traditions seen in one place- Los Angeles is indeed a “melting pot”. Given this remarkable cultural diversity, issues of unfair treatment still arise. The aim of this journal is to reflect on my experience at the Museum of Tolerance, identify a personal experience where I witnessed unfair treatment of another person, describe the significance of ethics in public health, talk about the relevance of social justice in public health, examine the impact of racism in healthcare, and what can I do as a nurse to stop unfair treatments from happening in healthcare.
I have always heard of the Holocaust, but I honestly was not familiar about its impact until I went to the Museum of Tolerance. I
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The first three went breezily without a problem, however, when it came to the fourth member of the group, the security stopped him and checked his belongings. I remember his friends laughing and saying “Sure, three white guys passed without getting checked and the black guy gets checked.” Another encounter I experienced was during my clinical rotation where one nurse told me to wear a mask because our patient is Black and has HIV. I also witnessed people choosing to stand in the bus rather than sit next to a Black person. Sure, these people I mentioned did not show they care about how other people perceive them, but maybe because they were used to it already. Even though we live in a modern age, primitive attitudes like this makes the world a harder place to live in, especially for those who are targeted by social injustice and racial segregation. Blacks might not have the best reputation, but that does not mean they are all bad. With the election of Barack Obama as the United States president, one would think that racism and social injustice would be over in the community, but 7 years after he first started, it is still rampant (Fofana, 2014).
Ethics in public health is different from ethics in acute care. In the acute care setting, the patient’s decision is followed through informed consent, while in public health, what the patient wants might not always be implemented because the
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They stated that the infection rates are high in this population, accounting for around 5.9% to 12% annually (Matthews et al., 2016). A meta-analysis done by Millett et al. cited in this study found out that there was no difference between risk behaviors between Black men and other groups who are homosexual. But why is it that Black men still have a higher rate than any other groups? Several studies have shown that racism in healthcare is rampant up until now, and constitutes a problem of social justice in public health because of the treatment differences, therefore having no equal distribution of privileges among the entire community.
In a systematic review done by Hall et al. (2015), they found out that most healthcare workers displayed a positive attitude towards Whites compared to negative attitudes shown not just to Blacks but all people of color. This creates a dilemma for it threatens not just the treatment outcomes and the overall health of one patient, but of the entire population as
The Institute of Medicine’s Report on Unequal Treatment: Confronting Racial/Ethical Disparities in Health Care states that cultural bias is one contributor to racial and ethnic minorities having higher rates of poor health outcomes than Whites in the case of disease; even when income, employment
In doing so, he pays particularly close attention to black patients and their relations with health care policies and practices. Smedly maintains that blacks are not only the victims of, inpatient and outpatient treatment, racial policies, and other services but also the victims of its consequences. He argues that many health care administrators are agents to a system of inequality that support provider and administrator biases, geographical inequalities, and racial stereotypes (Smedly 2012).
When attempting to understand health care disparity, one must first also understand race. As race applies to health care inequity, Williams and Sternthal (2010) suggested that race is not purely biological but also a social classification system created by the hegemonic class. As such, favorable traits are those attributable to whites, thus creating an atmosphere predisposed to prejudices. In a health care setting where providers rely on swift judgment and scientific data to arrive at decisions, culturally ingrained norms are bound to influence attitudes
Terminating the medical care inequalities gap is a problematic, multifaceted task. A study that surveyed 14 racial and ethnic minority subgroups determined that health inequalities could be constricted by providing minorities with better health care coverage, more adequate language skills and assistance, and higher incomes. However, the authors noted that other important factors such as biases, uncertainty in the provision of medical care, and stereotyping would also need to be covered. Ending the disparity gap is not only ethically and professionally imperative, it remains an obvious civil rights inequality that must be addressed. Since the 1990s, federal government, health insurers, and other stakeholders have taken an increased interest in addressing health care inequalities among Hispanics groups. For instance, the Healthy People 2010 initiative highlighted the elimination of racial and ethnic health disparities as a prominent public health goal for the next
With such glaring evidence on structural racism within the medical field, it is not surprising that people of color face disparities.
When it comes to healthcare racial disparities continue to be an ongoing issue. In fact racial disparities have been a topic of discussion since desegregation. The US Department of Health and Human Services, in 1984 published a report that called attention to the healthcare disparities. The report was called Heath, United States 1983(Dougher, 2015). Within the context of the report there lies a passage that describes the major disparities that are within the burden of illness and death that is experienced by African Americans and other minorities, “despite significant progress in the overall health of the nation” (Dougher, 2015). It was evident that there was a serious lack of health care minorities.
In science and medicine, advancement and achievement occurs everyday. Unfortunately, this same progressive profession can be a microcosm for the discrimination that happens worldwide daily, and sometimes seems to be exacerbating alongside discoveries in health. It is undeniable, however disappointing, that health disparities exist. Because of biases and adversities based on an endless list of aspects including, but not limited to, location, race, gender, disability, and socioeconomic status, health disparities are extremely harmful to their victims. With a growing number of minority populations in every demographic, combating health disparities is necessary for the wellbeing of the overall population and improving medical care. My interest
In the United States society is well aware that hispanics have been treated with a negative attitude in the health care providing services. Just like anybody else no matter what race they are, they should have the same treatment. This situation needs to be more acknowledged and better controlled. White patients have received better quality of care than any other race including black americans, hispanics, american indians, and asian patients. One might argue that the health care providers are free to express their opinion however they like, but just like any job these health care providers have to treat everyone the same and make them feel comfortable. “ Negative implicit attitudes about people of color may contribute to racial/ethnic disparities in health and health care.” In many cases health care providers have implicit bias in terms of positive attitudes towards whites and negative attitudes towards any other color. “Fifteen relevant studies were identified through searches of bibliographic databases and reference lists of studies that met inclusion criteria.”
The report said “The enquiry believes institutional racism is present throughout the NHS and greater effort is needed to combat it. Until that problem is addressed, people from black and minority ethnic communities will not be treated fairly. The cultural, social and spiritual needs of the patients must be taken into account.
One of the points raised in IOM’s article to prove that racism is a prevalent cause of health care disparity is the way the health care system is set-up, meaning at times, some hospitals and clinics can adopt a policy to contain health care cost, but may pose hindrances to minority patients’ capability to access the care.
Given that new racism masks racial predisposition, current racism restrains the public from addressing ethical issues and from creating social improvements. By “[u]ndermining or disguising the impact of racism on racialized health disparities,” the AJPH editorial on “Black Lives Matter: A Commentary on Racism and Public Health” notes that “the perpetuation of these inequities” (Garcia et al. 27) initiates constant ignorance and does not lessen the problems of racism. Instead, racism falls into institutional categories that globally spreads to cultivate its immoral notion. Persistently oblivious to racism, society adapts to malicious racist dispositions as it denies the presence of racism. On the other hand, the journal article “The Past, Present, and Future of Informed Consent in Research and Translational Medicine” mentions the emerging issues of bioethics from past and future complications (Susan M. Wolf et al. 9). Emphasizing concerns on informed consent, the researchers call on the complex issues by exposing how decision-making affects professionals and their participants. Discussing future innovations, the researchers assert that professionals must carry the participants’ choice in a methodical fashion that aims to protect individual rights. As patient advocates, professionals must respect patient privacy, private ownership, and informed consent. Therefore, affirmative action offers a
The important historical experience of African Americans in our country has been shaped by the institution of slavery, dehumanization of blacks, segregation, pursuit of civil rights, and racism in contemporary American society. Disparities in health care provide compelling evidence that issues of race or skin color for the descendants of slaves and other ethnic minorities persist in the 21st century. Nurses providing care for African Americans must bridge the racial divide and incorporate culturally relevant content in the health history. As
No other culture was segregated or forced against their will to immigrate to the United States. Though the nurse cannot amend the past, one must realize that trust must be built in order to effectively care for the African-American patient. It is also important for the nurse to avoid stereotyping the patient based on race or ethnicity. (Giger, 2013)
Medical ethics and legal issues have been a key topic in medical field for many years now. It is important for medical professionals to understand the importance of the way we care for patients, it is therefore important to be knowledgeable and aware of the medical ethics and legal issues that govern good patient care. Health care professionals must make decisions based on ethical and legal issues to performance their regular duties. However, Medical ethics is not only about avoiding harm to patients. It is rather a norms, values and principles (Ethical theories 2015). Therefore norms, values and principles are intended to govern medical ethical conduct. Ethics is defined as “a standard of behaviour and a concept of right and wrong beyond what the legal consideration is in any given situation”. In another words medical ethics is a discipline that used to handle moral problems coming out the care of patients. Law is another important discipline that often comes together with medical ethics. Law defined as a “rule of conduct or action prescribed or formally recognized as binding or enforced by a controlling authority”. Government imply law to keep the society running smoothly and to control behaviour that could threaten public safety. Medical professionals have to often prioritise these terms before making any clinical decision. The following findings will constructively emphasise on medical ethics, its
Healthcare professionals will be faced with ethical dilemmas throughout their career, particularly in the hospital environment. Having an education regarding professional healthcare ethics will provide some direction in how to best address these dilemmas at a time when either the patient or their family is in need of making decisions for themselves or their family member. It can be difficult for healthcare professionals to weigh professional protocol against their own personal beliefs and ethical understandings when determining critical care for their patient.