The Purnell Method Theory And Organizational Framework In Transcultural Health

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

Cultural competence in health care describes the ability to provide care to patients with diverse values, beliefs and behaviors, including tailoring health care delivery to meet patients’ social, cultural and linguistic needs. The need for healthcare systems to increase cultural competence and personalize care for ethnic patient minorities should not be ignored. Healthcare systems should promote better understanding and communication between diverse ethnic patients and caregivers. Hospitals should design a system that caters to the needs of all the populations they serve and not just apply a one-size-fits-all approach. Becoming a culturally competent health care organization is a critical component in reducing health care disparities.

Cultural competency is becoming essential in American healthcare with the increasing and diversification of immigration. The Department of Homeland Security, 2014 statistics indicates over 750,000 immigrants received naturalization in the US. These naturalized citizens represent over 20 countries varying from Hispanic, Indian, Asian, African, and Middle Eastern cultures. A change in the way American healthcare treats these cultures is necessitated to provide efficient care and achieve positive outcomes. Douglas et al. (2014) guidelines are to empower patients to help diminish the inequities of their own healthcare. The guidelines for culturally competent care are meant to guide the nurse, nurse educators, and nurse managers in their competent treatment of persons of other cultures. These guidelines mandate a nurse use education, self-assessment and reflection, and diversification of the workforce to meet the demands. The ten guidelines are knowledge of culture, education and training in culturally competent care, critical reflection, cross-cultural communication, culturally competent practice, cultural competence in health care systems and organizations, patient advocacy and empowerment, multicultural workforce, cross-cultural leadership, and evidence-based practice and research.

Miscommunication, medication errors, and lack of compliance commonly occur in the healthcare field. These are just a few of the errors that occur due to the patient being from a different culture than the physician or healthcare worker. Those three errors alone have a huge impact on our healthcare today. If we could have a better understanding of other cultures that are different from our own we could have a dramatic decrease in errors and a great increase in healthcare participation. Training must be completed and must be done in more than one way. The first step is to make sure that all physicians and health care workers get the same nationwide training that focuses on improving cultural competence. How this is completed must be done in more than one way (Horwitz, 2001).

Cultural competence is the knowledge, skills and attitudes of the individual health care professionals when they treat individual patients who are from different race, ethnicity, and religion and diverse backgrounds. In the U.S, some patients receive equal treatment in the health care facilities, but others receive unequal treatment because they are from diverse backgrounds. In the article, “Cultural Clues” Melissa Hansen focuses on the importance of culturally competent workforce- (nurses, technicians, and doctors) who can recognize cultural differences to allow effective communication with patients. The culturally competent health care workers also include the community health workers- (community health promoters, village health workers, and lay health advisers). In fact, the lack of understanding between the healthcare workers and patients is results in an estimated one-third of patients who do not adhere to prescribed medication regimens. This condition leads not only to serious complication and more hospitalizations, but also is costing the U.S. health system an estimated $100 billion to $290 billion every year (Hansen 22). Necessarily, the health care workforce needs to improve this state to reduce disparities.

Cultural Competence is when you bring employees together of various cultural backgrounds as well as those that have different values, beliefs, Attitudes and behaviors to form a system that helps them work together effectively (Ingram, 2012). Cultural Competency is very important in any work environment because it opens up communication between co-workers in conversations so that they can work together without barriers. When health providers and workers can come together to help each other better understand patients and their different beliefs as well as value them it helps in serving each patients unique needs (Campinha-Bacote, 2011). Some of the patient that may fall under cultural competency are those

Campinha- Bacote and colleagues describes the components for cultural competence in healthcare. These includes cultural ; a) knowledge, b) awareness, c) skills, d) encounter and e) desire. Cultural awareness refers to self-examination as well as in-depth exploration of an individual cultural as well as professional background. I am able to explore my own cultural healthcare values and beliefs. This is because understanding another person's does not guarantee that one will become cultural competent. I am now able to use the cultural awareness assessment to assess my personal level of cultural awareness, and to get an insight on the understanding of my cultural values and beliefs

Unfortunately, the lack of culturally competent healthcare providers such as nurses, leads to negative patient outcomes and low quality healthcare. Culturally competent nurses are required to adequately treat our culturally diverse population. Nurses are frontline patient advocates and education and training in cultural competence is an intervention that will implement positive changes in healthcare delivery in the U.S.

On the other hand, although the healthcare provider is able to speak their patient's language, providers often fail to consider the patient's education level and may at times use medical jargons that the patient may not understand, thus resulting in a failure to communicate with their patient. Healthcare provider may lack the skills and knowledge in understanding their patient's culture other than their own. This often results in the medical provider "pushing" their beliefs onto their patient and if the desired results are not realized, this results in mistrust of the healthcare provider and the healthcare system. To increase cultural competence among healthcare workers and increase the amount of minority's access to healthcare, medical schools and medical facilities are incorporating "Clinical Cultural Competence Interventions." The goal of this program is to provide "educational and training interventions to equip healthcare providers with the knowledge, tools, and skills to better understand and manage socio-cultural issues in the clinical encounter," (Betancourt, Green, Carrillo, and Ananeh-Firempong, 2003, p. 298). Again, although the guidebook is an excellent tool, to achieve the desired health outcomes, it is up to the provider or healthcare team to incorporate these evidence based practices into their

Culturally competent care has fast become a byword in health care with the increasing global migration of populations including healthcare providers topmost of whom are nurses. There abound a number of definitions of culture and competence in current literature provided by multiple disciplines and organizations. Lehman, Fenza and Smith (n.d.) refers to culture as “the learned patterns of behavior and range of beliefs” which includes ways of life, norms and values, social institutions attributed to a specific group and passed on through generations . While competence implies capacity to function and translates into behavior appropriate application of knowledge and attitudes. Giger and companions (as cited in Loftin, Hartin, Branson, & Reyes,

Respect, effective communication, empathy, and morality are the cornerstones of cultural competency. Healthcare professionals are advocates for patients and learning the beliefs, behaviors, and being sensitive to other’s way of life is critical in patient care. Obstacles for culturally competent care include xenophobia, prejudice, bigotry, stereotyping, as well as an aversion or misunderstanding of western medicine within the US healthcare system due to an unfamiliarity or a lack of knowledge of practices. It is imperative that one puts their own judgements and assumptions aside, a positive rapport is built, and effective communication is always achieved when caring for patients to ensure the best possible care is given. It is a healthcare

Fostering a culturally sensitive and diverse environment is a crucial part of providing a quality health care service. By making patients of all cultures feel more welcome when

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

Today when people move across continents with the help of technology their culture and heritage moves along with them. Almost each and every continent is populated with people from different nations who have diverse traditions and cultures. Thus knowledge of health traditions and culture plays a vital role in nursing. People from different cultures have a unique view on health and illness. Culture-specific care is a vital skill to the modern nurse, as the United States continues to consist of many immigrants who have become assimilated into one culture. I interviewed three families of different cultures: - Indian (my culture), Hispanic and Chinese. Let us see the differences in health traditions between these cultures.

* A more culturally diverse patient population is requiring providers to establish cultural competency by having improved knowledge of different cultural perspectives