My experiences as an African female who recently migrated to the US for graduate studies provide me with some commonalities with my study participants. My inability to understand and navigate the US healthcare system gives me a unique perspective as an insider to my study population. This may be the driving force behind my preference for my research topic.
Being an insider-researcher, I have a greater understanding of the culture being studied. I’m able to establish rapport with participants and facilitate truthful responses relating to the prevailing social interaction within the study population that an outsider may find challenging1. However, this position can introduce a form of bias as I may infer shared meaning from my respondents’ answers due to our similar culture, failing to delve further into responses. This may result in loss of the heterogeneity that exists within any group, as membership in a group does not denote complete sameness within that group as may appear on the surface until properly explored2.
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This may influence me to judge responses that confirm my assumptions about my research question as relevant and reliable while dismissing evidence that contradicts my assumptions3. Hence, this may introduce confirmation bias into my research when conducting interviews and data analysis3.
In conclusion, my experiences, knowledge and beliefs have the potential to compromise my research. It could influence the style, structure and order of my interview questions as well as analysis of my results. However, awareness of my inherent bias affords me the ability to take precautions, from the selection of the study approach, to using processes such as member checking to ensure the credibility and dependability of my
What roles do culture, ethnicity, race, and socioeconomic status play in families' experiences in the healthcare system?
In terms of the anchoring bias, regularly revisit of the original decision based on the newly gathered data needs to be set up within the organization. Additionally, the decision maker should avoid the Confirmation Trap in which Bazerman and Moore (2009) argues that people tend to seek information that confirms their expectations and hypotheses. To recognize the bias, Mike Francis could
When people are growing up, being normal was the way to be cool. Everyone wants to be like everybody else and that’s the way it goes. What children and many adults still don’t understand is that being different and having diversity is a good thing. It is ok to be different, especially in today 's society. Being able to acknowledge that diversity and disability in everyday life and seeing the good in it will help bring together our society. For my next three paragraphs i 'm going to discuss what it was like to be an outsider, when I experienced diversity and an experience I have had with disability
& Breuer, F. [2003]) , since there is none further explanation on the relationship of the participants and the researcher, which means some of the participants may be direct friends of the research which may cause some bias based on the experience they had. For example, if one pair of the participants are an old friend of the researcher, this pair may not willing to open their private issue to this old friend, still, they would like to help for the research, or on the other hand, the researcher may have a subjective opinion based on his perception to this pair old friends, as a result, the result may have false based on 2 way. 1. Hidden information from interviewee to interviewer or 2. Misinterpret the conversation on the interview by the researcher. The research has not enough consideration and explanation.
The purpose of this paper is to exemplify the healthcare crisis of African Americans within the broader context of American healthcare reform. In order for one to appreciate the depth of necessity for healthcare reform in the African American community, he or she must have a general understanding of the history of healthcare for African Americans. As stated by the institute of medicine in a study assessing the health and mental health disparities of African Americans, “The sources of these disparities are complex, are rooted in historic and contemporary inequities, and involve many participants at several levels, including health systems, their administrative and bureaucratic processes, utilization managers, healthcare professionals, and
Though it has been apparent that people of color have been treated as a subclass within the medical field for centuries; as was brought to light in The Tuskegee Syphilis Study, the recognition of forced hysterectomies and sterilizations of African American women in the 20th century and, to “The Negro Project” which worked to reduce the African American population through eugenics (Feagin & Bennefield, 2014). With even these three examples it is clear that the medical field has played a large role in creating both psychological and physical disadvantages and trauma for minority groups in America. Yet, it seems to be a subject that many professionals refuse to address. A meta-analysis conducted by Mayberry, Mili and Ofili found that,
healthcare system (Elchoufani, 2018). Attaining a good health is the ultimate goal for all people and the overall population, so it is important that people study the interactions between race, gender, and socioeconomic status in this matter (ASPPH, n.d.). People in communities with lower socioeconomic status typically encounter fewer options for healthy food and a lack of health education as well as health care. All in all, studying minority health allows us to find methods in making health care more accessible for under-resourced populations, along with determining methods out services and resources can be dispersed to the populations which are more prone to certain illnesses (ASPPH, n.d.). The studying which results in better methods all benefit towards guiding the U.S. population to overall health
Throughout my research, a challenge I encountered was the fact that some of the articles I encountered seemed to included biases within them especially with the primary view of
Healthcare diversities among healthcare professionals have been a challenge within the healthcare system. There are various publications that state that the underrepresented minorities have a higher chance of not graduating medical school, accruing high student loans, and ultimately were unsatisfied with their jobs (Pololi et al., 2013). This is not only disturbing, but this represents the individuals who are or will be servicing the public on a daily basis. As the population increases, racial differences increase, so to combat these disparities cultural competencies have to come into play within the health-professions workforce. For instance, although African Americans constitute to 13% of the population, in the physician workforce they only account for 4%, also women who are part of the workforce outweigh the amount of men by at least 4%, respectively (U.S. Census Bureau, 2014). Coincidentally, whites make up to 49% (both men and women) of the total U.S. MD active physicians based on the labor workforce statistics of 2013.
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.
In a perfect world, race, ethnicity and culture would have no negative effect on the medical care we receive, yet problems do arise and it affects the quality of care the patient receives. Language barrier, poor socioeconomic status, and poor health literacy also contribute to health care disparity. For Lia, it was more than her skin color, it was all of the above, her parents did not speak English and they were illiterate. They had trouble understanding the American healthcare system, had trouble or little interest in adjusting to or understanding the American culture. They didn’t work, which in addition to cross cultural misunderstanding, helped contribute to animosity between the Hmong and the host community, because some in the Merced area did not like or appreciate the fact that some Hmong did not work and relied on welfare to make ends meet. All these factors, contributed to the poor quality of
The health of a nation plays an integral part in the overall success and economic well being of a particular country. The United Stated, while pouring more money into the healthcare system than any other country, still stands as a broken system with inadequate care for many citizens. One of the most marginalized groups of people, African American women, continually score alarmingly low on basic measures of overall health. The healthcare discrepancies between white and black women in the United States are alarming, and they reveal flaws in the American health care system as a whole.
After living in my native country, Nigeria for nearly twenty years of my life, I had the opportunity to relocate to the United States of America to live with my Dad while pursuing a career in Nursing. On getting to the United States of America or the USA as it is commonly called, I discovered how lovely and different the country really is. The USA was a lot different from what I had heard from stories back home in Nigeria. The previous three years, since January 2009 to be precise, has provided me first-hand experience of some major differences between my country of origin and the United States of America. In comparison,
Confirmation bias has some truly terrifying implications. It can make people completely bind to the facts around them. In particular, this has negative implications for any study preformed, and for science in general. When preforming any kind of study, it is essential that you go in with no expectation for what you are going to find. I realize that this is somewhat impossible, but in order to have the best study that you can, it is imperative that you come as close as possible. When you go in thinking that you will find something, you will undoubtedly find some evidence that suggest you are right. If you only focus on that it is possible that you will disregard something that could benefit society. Peoples’ disposition to having confirmation bias is a huge setback to
An ethical limitation to the study may occur if the researcher lacks a commitment in resisting the inclusion of personal thoughts; which could generate biased interview analysis and conclusions (Kelley, 2016). Innate research bias is yet