Introduction
The inequalities and disparities in health status that Māori experience have become one of the most significant ongoing issues in New Zealand. Nursing Council of New Zealand expected that nurses are able to understand and analyse the historical and cultural processes that have impacted on the Māori health inequalities, so that they can best deliver and improve Māori health care (Nursing Council of New Zealand [NCNZ], 2011).
This essay will explore and discuss the contemporary Māori health inequalities and cultural diversity in New Zealand using the sociological imagination analysis model. According to Mills (1959), sociological imagination proposes the ability to pull away from the familiar daily routines, and see things from a new point of view. Therefore, this model allows us to see things socially and investigate how they interact and influence each other. The sociological imagination analysis model consists of four interrelated dimensions of society: historical, cultural, structural and critical (Germov, 2014). This essay will focus on the historical dimension, which reveals how the problem has developed and changed over time, and the cultural dimension, which explores how cultural beliefs, practices and customs have an impact on people’s lives (Germov, 2014).
Contemporary Māori Health Inequalities
Land loss/alienation in the 19th century is one of the most significant historical processes that have impacted on contemporary Māori health inequalities.
The United States is a nation of immigrants; they have virtually every culture of the world within its borders. Due to this reason, there must be a certain level of cultural competency within its people. A comparison and contrast will be made to compare the Hispanic cultural views on medical care to the American cultural views toward medical care. I chose to explore Hispanic culture because of my background but most importantly due to its richness of unique characteristics. I will provide an overview on how heredity, culture, and environment can influence behavior in the medical office. Furthermore, I will express my opinion about why a medical assistant,
Cultural diversity in the health care setting is increasing each year. Knowing how to care for patients of different religious and spiritual faiths is essential to providing high-quality, patient-centered care. The author of this paper will research three lesser-known religions; Taoism, Sikhism and Shamanism. Through this paper, she will provide a brief background on each of the three religions and present information regarding spiritual perspectives on healing, critical components of healing and health care considerations associated with each religion.
Nursing Council New Zealand (2011) defines cultural safety as the effective nursing of a person from another culture by a nurse who has undertaken a process of reflection and recognizes the impact of the nurses culture on own nursing. Irihapeti Ramsden (1946-2003) introduced the term ‘cultural safety’ into the education requirements of New Zealand nursing during the year 1990 (Wepa, 2012). As a result of this, Ramsden produced a document named Kawa Whakaruruhau. The document outlined concerns surrounding Maori health within New Zealand. In response to the publication of Kawa Whakaruruhau the Nursing Council of New Zealand amended, in 1990, the standards of nursing and curriculum assessment processes to include cultural safety (Wepa, 2012). Ramsden and Spoonley (1994) discuss that during the
The Assimilation policy (1961) has impacted on Indigenous Australians within their physical and mental state and identity present in today’s society. Australia is commonly considered to be free and fair in their culturally diverse societies, but when the Indigenous population is closer looked into, it is clear that from a social and economical view their health needs are disadvantaged compared to non-Indigenous equals. In relation to this, the present Indigenous health is being impacted by disadvantages of education, employment, income and health status. Even urban Indigenous residents are being affected just as much as those residing in remote and rural areas of Australia.
How we define health differs to how Indigenous Australians define health. The World Health Organisation defines health as “not only the absence of infirmity and disease but also a state of physical, mental and social well-being” (WHO, 1946) However, the National Aboriginal Health Strategy Working Party (1989)
The main ideas that Lisa Bourque Bearskin is stating in this article is that nurses need to be more sensitive to cultural care. They need to be aware of the issues in healthcare and strive to remove any barriers for certain groups, such as the first nations, and they need to disrupt any unequal relations in the social, political and historical aspect of healthcare. The way this can be done is by shifting their thoughts from cultural competence to cultural safety by way of relational ethics. Cultural competence is explained as the knowledge, skills, and attitudes that nurses need to use to care for cultural differences. Another framework described cultural competence as going through the stages of cultural awareness, cultural knowledge, cultural skill, cultural encounter, and cultural desire. Cultural competency works very well when making policies in an agency but this view fosters a view of culture that does not encourage nurses to ask questions. (Bearskin, 2011) Cultural Competence causes different cultures to be put in a box, which cannot be done because cultures are constantly changing and every person’s culture is different. Culture is individual. Lisa Bourque Bearskin goes on to say that cultural safety is what nurses should use for ethical practice. In cultural safety, a nurse must strive to improve health care and its access for all people, while recognizing that there are many different cultures that have a right to be recognized. Bourque
The outcome of cultural awareness and cultural sensitivity is cultural safety (Berg, 2010). In practicing cultural safety, it is not really expected that health care workers will know all cultures; it is acknowledging and respecting people regardless of their differences and beliefs (Hughes & Farrow, 2006). Moreover, nurses and other health professionals create cultural safe practice when the patients feel safe, respected and understood (Skellet, 2012), as well as if there is a shared understanding and acknowledgement of the unique identity and diversity. Health workers should always consider the cultural and historical background of the Aboriginal and Torres Strait Islander Australians, because practicing cultural safety is significant to
What might explain these statistics, or at least serve as correlations, are the determinants of health. If the reader is not familiar with the determinants of health, the World Health Organisation (WHO) provides an explanation of them. In essence, these health determinants are factors that have significant impact upon one’s health. The main determinants for health are: socioeconomic status, where the rich and upper classes tend to be healthier; education, where low education is linked to stress, lower self-esteem and poorer health choices; environment, where purer air, cleaner water, healthier workplaces and better housing contribute to being healthier; health services, where access to services and proper equipment all contribute to health; as well as gender, genetics, culture and social behaviour (WHO, 2016). As there are so health determinants, where essays can be written on one alone, it is not within the scope of this essay to critically analyse each determinant for Indigenous Australians. With this in mind, the Australian Institute of Health and Welfare (2014) documents an extensive list of data for Indigenous health, most of which discusses issues which are out-of-scope for this analysis. What is relevant, however, is outlined next. Across the board, in 2011, the Indigenous population was younger than the non-Indigenous population due to high fertility and mortality rates with those
The inequalities in today’s indigenous communities are still strongly evident. Heard, Khoo & Birrell (2009), argued that while there has been an attempt in narrowing the gap between Indigenous and non Indigenous Australians, a barrier still exists in appropriate health care reaching indigenous people. The Indigenous people believe, health is more than the individual, it is
Understanding the hierarchy of the family is imperative in understanding the functions of the family unit. With some familiarity with the different cultures in a given community, a medical professional will be able to ascertain who the head of the household is. The head of the household differs from culture to culture, as such, “misunderstandings which include but are not limited to the involvement of the male in all aspects of health care
The United States’ population is currently rising exponentially and with growth comes demographic shifts. Some of the demographics shifts include the population growth of Hispanics, increase in senior citizens especially minority elderly, increase in number of residents who do not speak English, increase in foreign-born residents, population trends of people from different sexual orientation, and trends of people with disabilities (Perez & Luquis, 2009). As a public health practitioner, the only way to effectively eliminate health disparities among Americans, one must explore and embrace the demographic shifts of the United States population because differences exist among ethnic groups (Perez, 2009). We must be cognizant of the adverse
There are many people who say that we are living in a post racial society in the United States today and there are aspects of life in which that seems to be true. Yet there are many areas of life however in which race still is an important divider that has a major impact on the experiences of the minority peoples in the United States. In 2010, about 41% of the U.S. population identified themselves as members of racial or ethnic minority groups. According to the Centers for Disease Control, compared to non-minorities, some minorities experience a disproportionate level of preventable disease, death and disability (. http://www.cdc.gov/minorityhealth/populations/remp.html ).
Mortality rates: In gender men generally die earlier than women because of many aspects of their life, for instance in general women tend to take care of them self more physically. A lot of women go on diets and a lot of exercise DVDs and detunes are mainly aimed at women. Women in general do try to eat healthy and go on diets whereas men usually aren't very aware of their diet and don’t have much intention on improving it. Women also tend to go to the doctors and seek medical advice more often and have their illnesses diagnosed and treated more often than men. Because women' generally take more care of themselves and do more to keep themselves healthy.
In the last twenty years, the rising number of disparities in health and healthcare has increased simultaneously with the influx of minorities within the population (Baldwin, 2003) A4. As the size of an ethnically diverse population steadily continues to increase, so will the level of complexities of patients’ health needs, which nurses and other healthcare staff will be expected to address (Black, 2008) A1. The issue of racial, ethnic and health disparities for minorities exists for several complex reasons, however, even with this being widely known, very little action has been taken to try and correct it (Baldwin, 2003) A4. Research findings suggest that without actively implementing cultural diversity within the healthcare workforce, quality in healthcare will decline while health disparities continue to rise (Lowe & Archibald, 2009) A3. So although the shortage of nursing staff should be a high-priority for change in the U.S., the need for more registered nurses with racially
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.