Summary Of Janit Tervalon And Garcia

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

Critically analyse one of the main challenges, barriers, and enablers for cultural competence in health care when working in a cross-cultural environment.

I have learned that it is important that educators  and health providers be trained on cultural competency to understand the population they are serving. Marks, Sims, and Osher (King, Sims, & Osher, n.d.) define cultural competency  as a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals and enables that system, agency, or those professionals to work effectively in cross–cultural situations" ( as cited in Cross et al., 1989; Isaacs & Benjamin, 1991). Health providers and educators should investigate demographic patterns or trends in the place where they live and work. This brings awareness of the types of cultures that they might come across when they are working with people. Organizations should integrate and implement policies that promote the value of  diversity, self-assessment, manage the dynamics of difference, acquire and institutionalize cultural knowledge, and adapt to diversity and the cultural contexts of communities they serve (Georgetown  University, 2004). Georgetown University (2004) also stresses that culture competency grows gradually and is always open for improvement.

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

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.

The Spirit Catches You and You Fall Down, by Anne Fadiman, is the story of two very different cultures lacking understanding for one another leading to a tragedy due to cultural incompetence. Today in America there are very many different cultures. Health care providers need to be aware of cultural diversity and sensitivity when caring for patients. If a health care provider is not sensitive towards a patient’s culture it can cause a relationship of mistrust to form, lead to barriers in the plan of care, and increase health care cost. The current guidelines to promote cultural competence in the clinical setting include completing a cultural diversity self-assessment, identify the need of the population served, evaluate barriers in the community and practice, educate staff to cultural diversities, schedule longer appointments, clarify limitations, and identify alternatives offered (Cash & Glass, 2014).

Cultural competency is the capacity of people or services to include ethnic/cultural considerations into all aspects of their work related to health promotion, disease prevention and other and other healthcare interventions (Cultural competence is important for several reasons, (Purnell, 2008a).First, it can contribute in the development of culturally sensitive practices which can reduce barriers that effect treatment in healthcare settings. Second, it can promote understanding, which is detrimental in cultural competence assessment, to know whom, the individuals known as the primary care provider and whom they view as the primary healer, can attribute to the promotion of trust and increase the person’s interest in participating

You may not like how the Presidential election turned out, but the victory of the Democrats was won partly by focusing on going after the Hispanic vote. The Hispanic population who voted for President Obama put him over the top to win. Hispanics identified with Obama. Somehow, he made a connection with this culture. Nursing can use that lesson to improve cultural sensitivity and provide respectful care of our numerous cultures. Every American makes up this country regardless of heritage. This country was built from immigrants from all over the

Culture includes the customs, traditions, ideas, and ways of interacting with the environment that often differ in various parts of the world. Over the last several decades in the U.S. there has been a growing awareness and tolerance of cultures other than the traditional western culture in the community. And in healthcare we are expected to provide all patients and families with the same respect and treatment, but at the same time provide individualized care. In order to meet these standards the work place environment has responded with training and education on cultural competence. The term cultural competence can be defined by the ability to respect and understand the beliefs and attitudes of

The first step to achieving complete cultural competency is valuing diversity. It is a process that requires cultural humility. Unlike competency, cultural humility goes beyond simply being knowledgeable of differences, but having a humble desire to ensure a lifelong commitment to intercultural exchange (Tervalon & Murray-Garcia, 1998). I have witnessed some Americans oppose the idea of immigration and strongly believe that American services should not cater to immigrants. They believe that all foreigners should learn English and the United States should not accommodate their linguistic needs. These same people are aware of the cultural differences that exist in America, but lack cultural humility and appreciation for diversity, making it difficult for them to attain complete cultural competency. A public health professional cannot go into a community, assuming that everyone thinks and behaves like them. They must be open-minded, flexible, empathetic, and aware of the differences and similarities that exist. Therefore, cultural humility is a prerequisite in achieving cultural competence.

Cultural diversity has different meaning to each and every one. Some of us considering cultural diversity to be acquired where for the others it’s a skill that they have to learn. It’s very important that the health care providers are knowledgeable and sensitive to cultural differences because they are the ones to deal with the patients of different background on a daily basis. Being cultural savvy will help them to give the best patient care. For that reason, health care workers must be especially aware that addressing cultural diversity goes above the values, beliefs, practices and customs. An outstanding medical professional has a good manner and makes patients feel comfortable and at ease during exams and treatments. Cultural knowledge is the skill to respond appropriately to people of different cultures, ages, races, religions, sexual orientations, abilities, and ethnicities, and embrace on the way that will allow a person to feel respected and valued. The article "Diversity & Cultural Competency in Health Care Settings" discusses diversity in health care environment, "A health care professional who has learned cultural competence engages in assistive, supportive, facilitative, or enabling acts that are tailor-made to fit with individual, group, or institutional, cultural values, beliefs, and life ways in order to provide quality health care. In other words, they demonstrate the attitudes and behaviors that enable them to effectively work with individuals with diverse

Both cultural competence and cultural humility are related to respect and knowledge about other culture. However, cultural humility is more self-reflected to the way that health professionals are able to understand and respect the culture in a long life process; Cultural competency

253). A consequence of not practicing cultural humility is mistrust (Foronda et al., 2015). When healthcare members are close-minded with their patients or outcomes that their patients may desire, that may not be considered the “norm”, patients may develop doubt or resentment towards the healthcare team. On the other hand, positive consequences of cultural humility are optimal care, mutual empowerment, and partnerships (Foronda et al., 2015). Cultural humility can greatly impact patient-care by allowing the patient to feel as though their values and culture are appreciated and understood by the healthcare team. Meanwhile, the patient will feel as though they are receiving optimal care and comfort. Mutual empowerment and partnerships can be formed when individuals are open-minded and willing to learn from those who are different than

Cultural competence is focused on learned behaviors and actions and can be pertain and individual, organization or policy (Oelke, Thurston, & Arthur, 2013). Ideally, a healthcare providers’ practice would only be influenced by the individual patient and/or the community of which the patient resides. But in reality, the healthcare providers’ practice and care is influenced by many entities, such as the

For health care workers, cultural competency is important for obvious reasons. On a daily basis, healthcare professionals work with patients of a variety of cultures, and many work with team members who come from different cultures than their own. Medical and other healthcare professionals spend many years in school learning how and when to treat patients for giving symptoms, but teaching them to interact with patients currently falls on knowing the things that make up a person’s cultural identity. Cultural differences that exist between people, such as language, dress and traditions, and the way societies organize themselves, their conception of morality and religion, attitudes about illness and death and the way they interact with the environment. Cultural competence is important in health care because the patient outcome, patient readmissions, staff retention, and labor relations all determine the outcome of an organizations success. Diversity improves the effectiveness and productivity of the workforce. Disadvantages of ignoring cultural diversity can result in a loss of revenue for the business. Company growth will also be affected by ignoring cultural diversity. Steps an organization should take to face this challenge is to implement training that cover workforce diversities and keep an open dialogue among employees expressing concerns, differences, ideas, etc.