Professional Communication : Cultural Sensitivity On Asian Americans

It is well known that the United States is made up of several different cultures and the health care system delivers care to a very diverse population. However, depending on ones culture-receiving care may be a challenge at times. In this paper we are going to take a closer look at the culture of Hispanic Americans. The Hispanic population has grown to over 55 million residents with in the United States in 2015, with an estimated growth rate of 2.1% per year (Krogstad & Lopez, 2015). Making this minority group on of the fastest growing populations within the United States (DeNisco & Barker, 2016).

In this discussion, a Hispanic or Latino group is considered. While the statistic is not available for the city of Cleveland, in Ohio this group represents a 3.7% of the total population as of July 1, 2016 (USCB, 2018). The Hispanic/Latino group represents people from Cuba, Latin America, Mexico, Puerto Rico, Caribbean and other Spanish cultures, regardless of race (Juckett, 2013). While a treatment plan in hospitals is the same for all the patients, the perception varies in different ethnic groups or races. Thus, a health care provider need to be aware of Hispanic/Latino cultural beliefs and implement this knowledge into a daily routine.

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 can be defined as using the ability of one’s awareness, attitude, knowledge and skill to effectively interact with a patient’s many cultural differences. Madeline Leininger, a pioneer on transcultural nursing describes it this way; “a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs, values and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people” (Barker, 2009, p. 498). The importance of cultural diversity in healthcare allows for the delivery of appropriate cultural autonomy. Showing respect for others will lead to trust between nurse and

In America, the number of federally identified tribes is 562 with every tribe having its own culture, belief system and practices. That is why there seem diverse type of behaviors among this population related to healthcare seeking and healthcare attitudes. Amongst the most common components that lead to this diversity in healthcare seeking behaviors is the role of culture which affects healthcare intervention, prevention, and care. So, it is very important to understand the diversity of culture in particular

Although the United States is a leader in healthcare innovation and spends more money on health care than any other industrialized nation, not all people in the United State benefit equally from this progress as a health care disparity exists between racial and ethnic minorities and white Americans. Health care disparity is defined as “a particular type of health difference that is closely linked with social or economic disadvantage…adversely affecting groups of people who have systematically experienced greater social and/or economic obstacles to health and/or clean environment based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion” (National Partnership for Action to End Health Disparities [NPAEHD], 2011, p. 3). Overwhelming evidence shows that racial and ethnic minorities receive inferior quality health care compared to white Americans, and multiple factors contribute to these disparities, including geography, lack of access to adequate health coverage, communication difficulties between patients and providers, cultural barriers, and lack of access to providers (American College of Physicians,

The Center for Asian Health (CAH) mission is to reduce health disparities and improve health equity among Asian Americans and under-represented ethnic population through intervention research, training, community engagement through cancer and health programs, partnership, dissemination, and clinical support/patient navigation for culturally and linguistically appropriate comprehensive health studies (Sy, n.d.). Ma clearly addressed that they will continue to emphasize prevention and early detection to help reduce

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

It is know that the patient’s community or cultural group can have significant impact on a person’s health. Therefore, health care practitioners are faced with more challenges that include outside sources and they need to be willing to change their treatments to address the other sources.

In nursing school, we are normally taught that we should respect the dignity and rights of all clients. As the "world becomes reduced" and societies and individuals become more mobile, we are progressively able to network with people that are from other cultures. Cultural respect and competence for others becomes particularly significant for us as nurses and patient supporters. Applying the principles and theories of communication is important for sufficient patient care. A lot of various communication methods are executed and have diverse focuses. Small groups use mechanisms such as objectives, standards, cohesiveness, behaviors, and therapeutic issues. Duty, process and midrange groups are separate categories. Orientation, tension, cohesion, working and dissolution are stages groups go through. Successful personal and professional communication profits the patients and other health professionals; however, the lack of applicable communication can lead to poor patient results and a hostile and fruitless work setting (Doane, 2004). However, the cultural group targeted in this paper is the Native Americans because this group has become a challenge for public health nurses.

Health disparities amongst African-Americans continue to destabilize not just the various communities but the health care system as a whole. Minority groups especially African-Americans are more probable to agonize from certain health illnesses, have higher mortality rates and lower life expectancy than another other race in the nation. Health disparities are complex and incorporate lifestyle choices, socioeconomic factors such as income, education and employment and access to care services. For the elimination of health disparities within the African-American community, there requires a need for equivalent access to health care and cultural suitable health ingenuities.

Department of Health,” 2011). The United States is composed of many different groups of people and diverse cultures. It is unfortunate that even today someone’s culture or race is a factor in determining the health care they receive and the quality of the care they receive (“Eliminating

About 36.6% of the population in the U.S belong to or identifies as one of the 5 ethnic minority groups. These groups are Native Hawaiian, Hispanic or Latino, American Indian or Alaska Native, Asian, African American or Black, or Pacific Islander. The U.S has the most expensive health care system in the world yet many of these minority groups are worse off in regards to socioeconomic and health care status if compared to white Americans. It is plain to see this health disparity when some communities have death rates comparable to 3rd world countries.

The Common Wealth Fund is an organization that encompasses studies on racial and ethnic health disparities amongst blacks, Hispanics, Native Americans, Asians and other ethnic minorities. The main results from the research are that adequate and intensive health care is not as predominant in these ethnic groups as it is for white individuals. Moreover, these conclusions are independent of the patient’s age, income, level of education and insurance membership. In order to pinpoint the upstream causes of these disparities, researchers have examined other factors that may contribute to the quality of treatment, such as the patient-provider relationship and perceptions of Medicaid managed care. The Asian American community is a subject group that has recently gained attention from the scientific community as their experiences in the healthcare setting have not been documented, despite being “one of the fastest-growing ethnic groups” in the United States.

In the United States today cultural diversity is growing more prevalent every day. The report from the Institute of Medicine (IOM: Unequal treatment, 2002) presented information that racial and ethnic minorities of all ages receive lower quality health care compared to their non-minority counterparts. Every effort should be made to stop the disparities surrounding cultural differences while attempting to understand the cultural health behaviors, increase cultural