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Racial and ethnic disparities in healthcare
Racial and ethnic disparities in healthcare
Racial and ethnic disparities in healthcare
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Cultural awareness is imperative in the health care field. Dean suggests “it is important that health care providers become aware of their culture of origin and at the same time enhance their awareness of how patients from other cultures interact with it” (2015). When providing care for patient of difference race or ethnic group such as Karen or Iraqis, considerations for their beliefs is important to have the best outcomes. Karen According to Dreachslin, Gilbert, & Malone, “cultural competence can be explained as the capacity of health care systems, organizations, and personnel to provide high-quality, culturally sensitive care to patients from diverse populations” (2013). Different ethnic or race groups have their own beliefs and different thought process that must be identified to provide the best care for this population. Karen for an example, have little formal education and find the Western educational system and strict attendance requirement difficult and confusion. They avoid confrontations and do not like talking about themselves. They believe Western medicine can cure anything. The Karen prefer warm, yet business-like approach from health care providers. …show more content…
Moreover, it would also be beneficial to repeat instructions and demonstrate treatment routine. During the interview process, special emphasis should be on asking direct questions. Providers should allow plenty of time during the interview process and gather lots and of good quailty of health information and ask questions in a direct manner. Nurses and providers should provide copy’s of their treatment plan and have frequent follow-ups. These actions can be assessed if the patient’s are compliant with their instructions. By providing simple messages and treatment plan, people of Karen can improve their
Douglas, Rosenkoetter, Pacquiao, Callister, Hattar-Pollara, Lauderdale, Milstead, Nardi, & Purnell (2014) outline ten guidelines for implementing culturally competent care; knowledge of cultures, 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. One specific suggestion I will incorporate is to engage in critical reflection. This is mentioned both by Douglas, et al. (2014) and Trentham, et al. (2007) as an important part of cultural competency. I will do this by looking at my own culture, beliefs, and values and examining how they affect my actions. I will use this information to better inform my day to day practice when working with patients with a different culture than my
Cultural competency is a very significant necessity in health care today and the lack of it in leadership and in the health workforce, is quite pressing. The lack of cultural competency can bring about dire consequences such as racial and ethnic disparities in health care. It may not be the sole reason for these disparities, but it certainly places a significant role. A patient and health care provider relationship is very significant and can make or break the quality of care that is given. The lack of cultural competency leads to poor communication which then leads to those of diverse backgrounds to feel either unheard or just plain misunderstood. As an East African
McClimens, A., Brewster, J., & Lewis, R. (2014). Recognising and respecting patients ' cultural diversity. Nursing Standard (2014+), 28(28), 45.
Introduction Cultural Competency is fundamentally linked to the principles of social justice and human rights because it provides the nurses with the opportunity to develop interpersonal skills to provide equal care despite one’s cultural background. However, using the principles of social justice and human rights to educate nurses allows them to learn how to negotiate cultural differences. Removing their own cultural filters, and seeing events through the eyes of those who are culturally different, accomplish this. An embedded experience, in which nurses interact with various cultures, would encourage them to adopt cultural competency knowledge (Office of the High Commissioner for Human Rights, 2008). Environmental justice can affect the population’s health.
Going to a different country or area of the world can open up anybody’s eyes to see that culture makes a huge impact on the understanding and practices of healthcare that seem to be so common to other areas of the world. When a person lives in one country their whole life, that person may not realize how different the life they live is from someone in a foreign country. If a person is going to receive treatment from someone with a different cultural background, they should be expected to get treatment to respects their own culture. Massachusetts College of Pharmacy and Health Sciences having such a diverse variety of students has their own cultural competency definition that states “effectively and comfortably communicate across cultures with patients of differing backgrounds, taking into account aspects of trust in order to adopt mutually acceptable objectives and measures”. In the book Dancing Skeletons: Life and Death in West Africa by Katherine Dettwyler, the issue of culture and healthcare are greatly prevalent. Katherine Dettwyler herself goes to West Africa as an anthropologist and her horizons are broadened when during her research she comes in contact with how much culture has an impact on healthcare and everyday life.
Cultural Competence is important for many reasons. First, it can help develop culturally sensitive practices which can in turn help reduce barriers that affect treatment in health care settings. Second, it can help build understanding, which is critical in competence, in order wards knowing whom the person recognizes as a health care professional and whom they views as traditional healer, can aid the development of trust and improve the individual’s investment and participation in treatment. Third, our population in the United States is not only growing quickly but also changing, cultural competence will allow us as educators and healthcare workers keep up wi...
Providing culturally competent care is a vital responsibility of a nurse’s role in healthcare. “Culturally competent care means conveying acceptance of the patient’s health beliefs while sharing information, encouraging self-efficiency, and strengthening the patients coping resources” (Giddens, 2013). Competence is achieved through and ongoing process of understanding another culture and learning to accept and respect the differences.
research on healthcare practices in a culturally diverse setting has established the importance of cultural awareness, competence, and diversity for healthcare workers.
Minnesota is a state with a rich, diverse, and evolving cultural landscape. In the past two decades, Minnesota has seen a significant increase in the number of children and families from culturally and linguistically diverse communities. Each of these communities is unique in their culture, values, and perceptions of child development and disabilities. A growing body of research reveals that significant health disparities exist across racial groups in early screening, identification, and diagnosis of developmental delays (CDC, 2014; Mandell et al, 2002; Shattuck et al, 2009; Zuckerman et al., 2014).
There is a lack of conceptual clarity with cultural competence in the field and the research community. Cultural competence is seen as encompassing only racial and ethnic differences, and omitting other population groups who are ethnically and racially similar to providers, but are stigmatized or discriminated against, who are different in other identities, and have some differences in their health care needs that have resulted in health disparities. (Agency for Healthcare Research and Quality,
Cultural competence like so many other social constructs has been defined in various ways. One particular definition as determined by the Office of Minority Health states cultural competence is a set of behaviors, attitudes, and policies that are systematically exercised by health care professionals which enables the ability to effectively work among and within cross-cultural situations (Harris, 2010). Betancourt (2005) implied cultural competence is starting to be seen as a real strategy to help with improving healthcare quality and eliminating the injustices pertaining to healthcare delivery and healthcare access. This appeal is gaining favor from healthcare policy makers, providers, insurers and
Cultural blindness can lead to misconceptions and the inability to treat patients efficiently. Culture, religion, beliefs, values, social economic standings, education, mentality, morals, and treatment are all different from person to person, community, and groups. These barriers can be overcome by treating each patient as a unique individual and seeking to learn about cultural beliefs and differences, without reservations or pre-judgments but with an open and willing mind. These inhibiting barriers can be crossed through acceptance and commonality can be established. Through Patient-centered communication and attentiveness to the patients’ interpretation, discussion of lifestyle and treatment choices in an open and non-judgmental manner, and understanding of patient views, concerns and information needs can lead to cultural sensitivity and appreciation (Dean, R,
Cultural competence in health care provision refers to the capacity of health care systems to offer good care to patients and accommodate employees, who have diverse beliefs, behaviors, and values to meet their cultural, linguistic, and social needs. It comprises of policies, attitudes, and behaviors that integrate to form a system that can operate efficiently in cross cultural conditions. Healthcare organizations look at cultural competence from two major viewpoints. Firstly, it is a tool to enhance patient care from all backgrounds, social groups, languages, religions, and beliefs. Secondly, it is a tool that strategically attracts potential clients to their organizations and, hence, expands
The United States of America has been deemed the “Melting Pot” because of the multiculturalism and how the different cultures come together to make one homogenous mixture. The many faces of cultural diversity include racial classification, national origin, religious affiliation, language, physical size, gender, sexual orientation, age, disability, political orientation, socio-economic status, occupational status and geographical location. Diversity is what make us unique, and it is the sole thing that makes America the beautiful country that it is. Although America is recognized as being one of the most diverse places in the world, there are many institutions that don’t recognize or cater to the minorities that live here. Everything from the way that the government is ran to how health care is administered is catered to well-off white people.
Cultural safety is derived from inequalities for Maori; therefore, it has been developed since late 1980 due to some issues around Maori health. In the 1990, the Council amended its standard to incorporate cultural safety into its curriculum assessment process (Richardson & MacGibbon, 2001). In addition, people who work in the health centre need to deal with the patients from many different countries, which lead the societies to become multicultural; therefore, cultural competence has been addressed that can help doctors or nurses to prepare themselves before they meet the patients with a variety of ethnic backgrounds (Flowers, 2004). In this essay, it will outline the definitions and models of cultural safety and cultural competence and explain