Oppression in Health Care Working in an oppressed work environment is challenging not only subjective to oppression by the dominant white workers but witnessed co-workers being victimized. These incidents happened in a health care environment. The staff complement consists of twelve nurses including one Aboriginal native nurse, one black nurse myself, and one male French Canadian nurse. A white female manager completes the complement. The manager who has worked for this heath care for twenty years brought the facility ways how to manage staff and coordinate the facility. One of my manager’s mandates is to have a diverse staff complement.
Reflective assessment is a useful tool to help students and teachers view the signs of oppression through the other person’s eyes (Bond, Evans, & Ellis, 2011). Students and teachers have a joint ownership of the learning experience. Equally important this paper a requirement for CMT-508 Diversity in Service Provision is to analyze and reflect on the experiences of others faced with oppression; and how I can contribute to the anti-racist health care environment.
Health Care
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Knowing the different types of power can be an asset for the nurse manager or leader. Tomey(2004) stated that “informal sources of power are related to one’s personal power rather than position power” (p.112). Nurses are encouraged to empower clients with the evidence-based knowledge to enable clients to formulate informed deisions. Formal power is the power one acquires in one’s position of authority. My manager has the authority to hire and terminate
Healthcare systems are microcosms of the larger society in which they exist. Where there is structural violence or cultural violence in the larger society, so will there be evidence of systematic inequities in the institutions of these societies. The healthcare system in Australia is one example—from a plethora of similarly situated healthcare systems—in which the color of a patient’s skin or the race of his parents may determine the quality of medical received. Life expectancy and infant mortality rates are vastly different for non-Aboriginal, Aboriginal, and Torres Strait Islanders residing in Australia. The life expectancy of Aboriginal men is 21 years shorter than for non-Aboriginal men in Australia. For women, the difference is 19 years. The infant mortality rate of Aboriginal and Torres Strait Islander male infants is 6.8% and the infant mortality rate for female infants is 6.7%. For non-Aboriginal infants, the infant mortality rates are 1% for male infants and 0.8% for female infants. Further, the Aboriginal population is subject to a wide-range of diseases that do not exhibit comparatively high incidence rates in non-Aboriginal Australians.
The word “power” is defined in many ways. There is not a specific statement that defines what power is or what it’s supposed to be. Power can make or break a person or even an entire nation. Power is a measure of an entity’s ability to control the environment around itself, including the behavior of other entities. Ken Kesey, the author of the novel, One Flew Over the Cuckoo’s Nest, shows us the difference in power and control among the strong nurses and the men in the psychiatric ward. The men who are placed in the ward are controlled by Nurse Ratched, who takes control of situations the same way she did when she was an army nurse. Nurse Ratched is used to the men on the ward obeying her until a man named R.P. McMurphy is admitted. McMurphy is a strong man who had power and control in the outside world and continues to show his power and control once he is in admitted which creates a lot of conflicts within the story. In One Flew Over the Cuckoo’s
Throughout American history, relationships between racial and ethnic groups have been marked by antagonism, inequality, and violence. In today’s complex and fast-paced society, historians, social theorists and anthropologists have been known to devote significant amounts of time examining and interrogating not only the interior climate of the institutions that shape human behavior and personalities, but also relations between race and culture. It is difficult to tolerate the notion; America has won its victory over racism. Even though many maintain America is a “color blind nation,” racism and racial conflict remain to be prevalent in the social fabric of American institutions. As a result, one may question if issues and challenges regarding the continuity of institutional racism still exist in America today. If socialization in America is the process by which people of various ethnicities and cultures intertwine, it is vital for one to understand how the race relations shape and influence personalities regarding the perceptions of various groups. Heartbreaking as it is, racism takes a detour in acceptance of its blind side. Further, to better understand racism one must take into account how deeply it entrenched it is, not only in politics, and economics but also Health Care settings. In doing so, one will grasp a decisive understanding of "who gets what and why.” The objective of this paper is to explore and examine the pervasiveness of racism in the health care industry, while at the same time shed light on a specific area of social relations that has remained a silence in the health care setting. The turpitude feeling of ongoing silence has masked the treatment black patients have received from white health care providers...
So, organizations need to educate all nurses of all levels about all forms of discriminatory behaviours occurred in workplaces (Hagey et. al). Moreover, nursing leaders can urge the organizations to develop anti-discrimination policies and support IENs, who face workplace racial discrimination, to report and seek legal justice (CNFU, 2007). It helps enhance patient safety, quality care and also increases inter-professional collaboration. Nursing leaders should take step to ensure that IENs are treated equitably in all health care setting (Franklin et al….). Further, they can promote positive organizational culture to IENs by ensuring equitable treatment in the workplace. Encouraging cultural sharing during formal meetings as well as informal gatherings helps IENs explore Canadian culture also the role of leader in organizational level. Finally, nursing leaders have to sit to talk with the employers to provide sufficient opportunities and resources to help flourish their professional skills then only quality care and patient safety can be
Unlike cultural competence, Anti- racism and the Anti-oppression framework has a clear focus, to directly address oppressive practices, and privilege in large institutions. In the “ More than being against it: Anti– racism and Anti –oppression in mental health services “ the authors Simon Corneau and Vicky Stergiopouls, identify seven strategies of the anti-racism and anti-oppression that should be employed when practicing direct service with clients. These seven strategies are "empowerment, education, alliance building, language, alternative, healing strategies, advocacy, social justice/activism, and fostering reflexivity” (Corneau & Stergiopoulos, 2012). The goal of using these seven strategies with clients is to engage the client in the process of care by recognizing the strengths and knowledge that the client brings to the relationship and honoring the idea that there is a racial feature of oppression that is inherent in the dynamics of the client clinician relationships. For example, the use of this practice in my current job with the Family Drug Courts could have a profound effect on the outcomes for both parents and children involved in the program. One example is the case of a 28-year-old mother of three that was separated from her children because of her drug addiction. This parent had an extensive history of trauma,
Puzan (2003, p. 197) discusses racial stratification being responsible for organizing social relations, meaning that through language and practice, nurses participate in the production and maintenance of patient identities. Nurses are vulnerable to interacting and responding to patients with unconscious biases, relying on embedded and accepted stereotypes. Racial health care inequality is a multidimensional problem, with barriers to health care involving the health care system, the patient, community, and health care providers themselves. A lack of awareness and education pertaining to issues of race, racism, and whiteness contribute to poor perceptions are being addressed within Australian nursing curriculum (Van Den Berg, 2010, p. 2). The relationship between health and racism has been found as the cause of persistent health differences by racial or ethnic classification and racism is identified as the root cause of the extreme socio-economic and health disadvantage experienced by Aboriginal Australians (Larson et al, 2007, p. 26). Possessing a diversity and cross cultural competency is important, as is paying attention to systemic policies and procedures that negatively impact a nurse’s ability to provide adequate care to people of all races.
THE WAYS OF MEETING OPPRESSION IS AN ESSAY WRITTEN BY MARTIN LUTHER KING JR., ADDRESSING SEGREGATION THAT IS SPECIFICALLY DIRECTED TOWARD THE AFRICAN AMERICAN AUDIENCE. King’s primary audience is the African Americans, but also he has secondary audiences that he addresses, which are a combination of Christians or those who know of, or believe in the Christian views, as well as people in the legal system. He gives examples through his text that will demonstrate how he addresses mostly the African Americans, but also the various other audiences he is trying to reach to through his memorable speech. In his writing, he tells of three ways that they deal with oppression, and based on these he sends out a message to all who have read or heard his words. This message states what has been done in the past, as well as what should be done based on these past experiences. King chooses to speak to certain people through certain contexts and key phrases. In choosing certain phrases and also on how he states his words, he is successful in influencing all his audiences that he intended to persuade. The words that he carefully chose will tell how and why he wanted to focus on the primary and secondary audiences of his choice.
In today’s workplace, African Americans continue to be subjected to overt discrimination. This can take the form of ethnic jokes, racial slurs and exclusionary behaviors by Euro-American co-workers and managers. Even more disturbing is the verbal abuse, calculated mistreatment and even physical threats experienced by some African Americans while on the job. African Americans have also faced overt acts such as being reassigned to lower level projects, not receiving a promotion even though they were equally qualified and receiving less wages than other employees, even less qualified new hires. The discrimination can be so pervasive that African Americans feel uneasy and threatened, demotivated and disrespected, eventually feeling forced to leave to search for other employment.
In recent discussions of health care disparities, a controversial issue has been whether racism is the cause of health care disparities or not. On one hand, some argue that racism is a serious problem in the health care system. From this perspective, the Institute of Medicine (IOM) states that there is a big gap between the health care quality received by minorities, and the quality of health care received by non-minorities, and the reason is due to racism. On the other hand, however, others argue that health care disparities are not due to racism. In the words of Sally Satel, one of this view’s main proponents, “White and black patients, on average don’t even visit the same population of physicians” (Satel 1), hence this reduces the chances of racism being the cause of health care disparities. According to this view, racism is not a serious problem in the health care system. In sum, then, the issue is whether racism is a major cause of health care disparities as the Institute of Medicine argues or racism is not really an issue in the health care system as suggested by Sally Satel.
Today’s society protects against discrimination through laws, which have been passed to protect minorities. The persons in a minority can be defined as “a group having little power or representation relative to other groups within a society” (The Free Dictionary). It is not ethical for any person to discriminate based on race or ethnicity in a medical situation, whether it takes place in the private settings of someone’s home or in a public hospital. Racial discrimination, in a medical setting, is not ethical on the grounds of legal statues, moral teachings, and social standings.
Culture plays a key role in the quality of healthcare or health insurance services offered to patients. Disparities are ethnic or racial differences in the quality of healthcare. Ethnic or racial minorities tend to receive poor quality healthcare services compared to the majority ethnic group.
Cognitive objectives covered in this course focused on understanding life experiences of diverse populations across the world as well as being aware of our own prejudices and attitudes towards diverse populations. The objectives focused on understanding institutional racism in both present day societies as well as in the past and focused on understanding oppression and injustice in society that diverse populations face. Cognitive objectives focus on a set of theories that leads to our understanding of cultural diversity in America. Cognitive objectives recognize social workers task in combating oppression and injustice in society as well as learning and understanding cultural diversity and supporting and encouraging strategies for social change.
Equality and diversity by Irwin Wendy address the need for equality in healthcare professions and how it affects the individual. Equality and diversity plays a huge role between patients, families and other healthcare professionals. It takes a unique look distinctive when analysing the support needs of patients in terms of equal opportunities as well as their choices and preferences as the National health service opens to a wide range of people to access the services .
I was aware of these oppressions and have often times struggled with what I can do individually to work towards alleviating these oppressions. The Next Steps portion of the chapter on racism really outlined methods of actions that could be applied to all forms of oppression. One method entitled “FLEXing Cross- cultural Communications,” outlines productive communication, depersonalization, and open- mindedness when it comes to understanding and practicing competency. This model serves as a tool to motivate action to those form other cultures in ways that in the end everyone can
The power of knowledge gives a person the ability to influence other’s actions. In addition, when a person is knowledgeable and skillful in him/her profession, the rest of the team, including the leaders respected his/her decisions, actions or judgments. For example, nurses with years of expertise have the ability to exert power and authority over other staff with less level of knowledge. They may not be managers, but their leadership skills and outstanding competence made them role models in the delivery of quality patient care. They are valuable pieces inside the organization because they can guide the staff’s work toward the organization goals (Whitehead, Weiss, & Tappen,