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Cultural diversity in healthcare 1
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Cultural diversity in healthcare 1
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Problem Identification Limited access to health care for Spanish Speaking populations is due to inability to afford services, difficulty with transportation, dissatisfaction with services, language barriers and inability to understand treatment plans. Health indicators of Spanish Speaking populations suggests that health outcomes continue to be behind other population groups, they also remain below goals established by Healthy People 2010 (Butler, Kim-Godwwin, & Fox, 2008). The US Spanish Speaking population represents a particular vulnerable subset of US Hispanics that have lower-income, less education, poor perceived health status and poor access to the health care System (Dubar & Gizlice, 2008). Hospitals still use family members to interpret for limited English speaking patients. Hospitals use language line, a company the nurse calls to find interpreter or they use a trained staff member to interpret. Some hospitals continue to use Spanish speaking staff that is bilingual and not trained for translating in the medical field. There is a need for better trained professional interpreters for both the patient and the health care provider. These are necessary components in providing language access in other areas of the united sates with the increasing Spanish-speaking populations (Martinez-Gibson, & Gibson, 2007). Does staff in Emergency Departments continue to use family members and untrained staff as interpreters? Language line and trained interpreters are the only acceptable interpreters (Martinez-Gibson, & Gibson, 2007). When interpreter is needed in an urgent case there needs to be a trained interpreter on staff 24 hours in the emergency department, language line is not always congruent to life saving care that is needed... ... middle of paper ... ... This will facilitate openness and new insight to the Spanish Speaking population being studied (Burns, & Grove, 2009, p. 546). After the data collector collects the information they will journal any thoughts or feelings about the information received and will reflect on the data collection process. Potential limitations to the study are the fact that this population may not have access to a phone or they may have given a false phone number due to fear of deportation. If they do have a phone they may not answer the phone not recognizing the phone number that is calling them. The plan to communicate research findings is to share the findings with other Hospitals in Wisconsin. This will be done by attending staff meetings at area hospitals. After completion of the research a poster will be produced and presented to area nursing conferences.
The increase and changing demography in the United State today, with the disparities in the health status of people from different cultural backgrounds has been a challenge for health care professionals to consider cultural diversity as a priority. It is impossible for nurses and other healthcare professionals to learn and understand theses diversity in culture, but using other approaches like an interpreter is very helpful for both nurses and patients. In this paper of a culturally appropriate care planning, I will be discussing on the Hispanic American culture because, I had come across a lot of them in my career as a nurse. The Hispanic are very diverse in terms of communication and communities and include countries like Mexico, Cuba, Puerto Rico, South and Central America, and some of them speak and write English very well, some speaks but can’t write while some can’t communicate in English at all but Spanish.
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 health conditions for each population and the types of socioeconomic factors that affect them. Culture helps shape an individual’s health related beliefs, values, and behaviors. It is more than ethnicity and race; culture involves economic, political, religious, psychological, and biological aspects (Kleinman & Benson, 2006). All of these conditions take on an emotional tone and moral meaning for participants (Kleinman & Benson, 2006). As a health professional, it is one’s duty to have adequate knowledge and awareness of various cultures to effectively promote health behavior change. Cultural and linguistic competencies through cultural humility are two important aspects of working in the field of public health. Cultural competency is having a sense of understanding and respect for different cultural groups, while linguistic competency is the complete awareness of the language barriers that impact the health of individuals. These concepts are used to then work effectively work with various pop...
Diabetes is a prevalent health disparity among the Latino population. Diabetes is listed as the fifth leading cause of death among the Latino population in the website for Center for Disease Control and Prevention, CDC, in 2009. According to McBean, “the 2001 prevalence among Hispanics was significantly higher than among blacks.” (2317) In other words among the Hispanic or Latino community, there is a higher occurrence of diabetes as compared to other racial/ethnic groups such as Blacks and Native Americans. The prevalence of diabetes among Latinos is attributed to the social determinants of health such as low socioeconomic status and level of education. Further, this becomes an important public health issue when it costs the United States $174 billion in both direct and indirect costs, based on the 2007 The National Diabetes Fact Sheet released by the CDC. In turn, medical expenses are twice as high for a patient that has diabetes as opposed to one without. Finally, this high cost becomes another barrier to receiving care for Latinos when some are in the low socioeconomic status.
2.) We began our study by interviewing a classmate, then interviewing another PLHS student for homework and recording our data. We then proceeded to fill out a Google form, which aided us in planting the anonymous data in a data table and combining it. Following that, we sorted and graphed the data by gender and ethnicity to see how different groups responded to each inquiry. Upon doing th...
Professional providers of language in medicine or medical interpreters are often portrayed as invisible language facilitators (Angelelli 7). This means that their role is to convey the meaning into the other language between parties in the interaction which is accomplished through a conduit role or message converter role. The incremental intervention model of interpreting lets interpreters use a variety of roles including cultural broker and advocate role. Advocacy is a role that an interpreter takes that moves from interpreting the communication between speakers to acting on behalf of one of the speakers based on the interpreter’s understanding of what the speaker’s intended outcome is (NCIHC). It is challenging for medical interpreters to judge when to switch from their role as message converters to become patient advocates, and speak out in their own voice on behalf of a patient maintaining, at all times, high ethical and professional standards. When interpreters step in the role of patient advocate they become visible in the interaction going beyond the conduit role and becoming co-participants in the triad. What is the ethical role of the medical interpreter as an advocate for the Latino patient?; when is it appropriate to use advocacy?; how to make the decision?; what are the consequences of inappropriate use of advocacy role?; what are the boundaries?
The top priority of the medical interpreters is removing language barrier between the medical practitioners and the patients and helping the patients to treat properly. Indeed, impartiality can be challenged in medical setting. However, some articles are pointed out that the interpreter who is related to the patient is not always harmful to the patients and the medical practitioners. Therefore, when the medical interpreters take an assignment, they should consider what the best is for the patients and the medical practitioners.
Health Promotion Among the Hispanic Minority Health is determined in the nation by the minority health. "Approximately 36 percent of the population belongs to a racial or ethnic minority group" (CDC, 2015).One of these are the "Hispanics or Latinos are the largest racial/ethnic minority population in the United States" (CDC, 2015). "About 1 in 6 people living in the US are Hispanic" (CDC, 2015). Therefore, this student will make the comparison between the status of the health of Hispanic minority and the nations ,barriers of health behavior This paper will compare the health status of the Hispanic minority with the nations, barriers to health seeking behaviors, and methods of promoting health among this population. Status of Health Among Hispanic Minority "Heart disease and cancer in Hispanics are the two leading causes of death, accounting for about 2 of 5 deaths, which is about the same for whites" (CDC, 2015). "Hispanics have more deaths from diabetes and chronic liver disease than whites, and similar numbers of deaths from kidney disease" (CDC, 2015). Even though the percentage of Hispanics suffering from high blood pressure are17% in comparison to 20% of whites. Hispanics are 68% that suffered poorly controlled high blood pressure compare to whites which are 54%. Even though Health risks may vary among Hispanic subgroup and whether they are US born or not. Lower death rate is suffered by the Hispanic than whites .But Hispanic has about 50% higher death rate from diabetes. Many deaths may be prevented within the Hispanic population with an increase in education and health screening . Barriers to Health Promotion in the Hispanic Minority "Social factors may play a major role in Hispanic health" (CDC, 2015). According to the art...
Nandi, A., Galea, S., Lopez, G., Nandi, V., Strongarone, S., & Ompad, D. C. (2008). Access to and use of health services among undocumented mexican immigrants in a US urban area. American Journal of Public Health , 98 (11), 2011-2020.
Notwithstanding cultural diversity, race, ethnicity, or religion, understanding the roles of citizenship status and language is important for developing policies to help reduce disparities in health coverage and access. A person’s citizenship status (e.g., citizen, legal immigrant, or undocumented alien) affects eligibility for benefits like Medicaid or the State Children’s Health Insurance Program (SCHIP) and the ability to obtain a job that offers health insurance benefits. English proficiency affects a person’s ability to communicate in our English-dominant society, and more specifically, to discuss medical problems with a physician or nurse or to complete an insurance application.
According to Penner et al. (2013), there are various causes of healthcare disparities, such as socioeconomic status; this results to poor healthcare services for people with low socioeconomic status, as people with low pay find it difficult to leave their work to seek healthcare help, or to afford healthcare insurance (p.4). The second cause is language proficiency. The language barriers faced by the immigrant plays a role in the healthcare disparities among the racial or ethnic minority patients. Another cause is health literacy. The levels of the health literacy among the foreign born individuals can be influenced by their higher level of distrust of the healthcare providers and healthcare system than they have towards Caucasian people. This, in turn, leads them to seek healthcare information less often than their Caucasian counterparts, thus hindering the provision of quality services, as well as limiting the foreign patients’ ability to manage their health conditions effectively. The foreigners’ failure to easily accept the information provided to them by healthcare providers puts them at risk. Disentangling the role of health literacy in racial healthcare disparities from the effects of racial attitudes and beliefs is often hard (Penner et al,
Purpose of the article Inaccurate Language Interpretation and Its Clinical Significance in the Medical Encounters of Spanish-speaking Latinos, was to discover the consequences of wrongly interpreted information to patients. This is due to a lack of training of the interpreters who help translate medical findings to those who cannot speak English. Population subjects included a total of 32 Spanish-speaking Latino patients and 14 clinicians. The intervention was about how limited English-proficient patients suffer poorer quality of care and outcomes. Comparison was untrained interpreters using in person or video conference skills to professionally trained translators in person or video conference. Outcome proved that accurate interpretation made up 70% of total coded medical records while inaccurate interpretation (errors) made up 30%. This is too large to be occurring when striving to provide quality patient care. (Nápoles & Santoyo & Karliner & Gregorich & Pérez-Stable.
The paper "Language Barriers to Health Care in the United States" written by Flores raises awareness on the shortage of interpreter services in hospital care settings. By presenting vital cases, Flores shows how language barriers lead to medical mistakes and negative clinical consequences. The author purposely discusses how language barriers can compromise a patient's health care, addresses the vague attitude and insufficiency of addressing the problem in the political arena, brings up the lack of reimbursement for interpreter services, and also highlights the need for reliable interpreters (vs. ad hoc interpreters) to communicate medical information for the need of fast growing LEP patients. In reaction to Dr. Flores's concerns, I realize
For nursing, research has played a major role in the way clinical practice is done. Research has allowed nurses to provide appropriate care to patients. It allows them to perform their job by providing them the tools and information they need in order to make the decisions on the concerns for caring the patient (Polit & Beck, 2006). Moreover, research can also take focus on the workers themselves in order to improve the practice both on a professional and personal level. An example of a study conducted by King, Vidourek, and Schweibert of University of Cincinnati created a study to determine if there is a correlation between ...
Although we have been providing training on interpreting skills to bi-lingual staff, this time our efforts focused on students entering or enrolled on the medical services professions. To that end, we contacted all our local Colleges and Universities having medical services programs. They were a key element on attracting these young future professionals. So far we provided two Medical Interpreting trainings (March 29th to April 2nd, June 21st to 25th) and a one-day intensive MI training on March 13th. Out of the 50 participants that passed the post-test, 22 were students from various academic entities (South University, Palm Beach State College, Keiser College, and Lake Worth Medical Magnet HS). These students felt that these skills will enrich their professions and be a nice addition to their resume. Our collaboration with these academic institutions has been a key factor to our success. In light of this effort, we have asked Palm Beach State College to provide CEU’s (Continuing Education Units) for our Medical Interpreting class. We feel that providing CEU’s to the medical services profession will enhance the attractiveness of our program and bring in more bi-lingual professionals to the Medical Interpreting World. We are awaiting feedback from Palm Beach State College in this matter and look forward to partnering ...
Language barriers are a problem that physical therapist are faced with across the nation. In American, over two-fifths of the Spanish-speaking Hispanics report that they experience difficulty understanding their medical provider because of a language barrier. In many cases the weight of this problem that physical therapists are faced with is handed over to the patients. Only half of the patients that report a difficulty understanding and needing an interpreter present are regularly provided one (Uninsured). One study found that only one percent of Hispanics received help from a trained medical interpreter. Most patients relied on the help of family and friends (Bustos). Family members and friends that are used as translators often have a limited under...