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Essay on cultural competence in healthcare
Essay on cultural competence in healthcare
The role of culture in health care delivery
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KOREAN PRENATAL CARE
The field of nursing consists of many aspects in terms of care. The Essentials of Baccalaureate Education for Professional Nursing Practice (AACN, 1998) details the need for culturally competent practice due to changing needs within health care. It describes the nurse's role in providing “care to an increasingly diverse population”. For this assignment we will cover cultural competence of the Korean cultural and prenatal care traditions. According to the University of Hawaii at Hilo, it is important to focus on the comparative study and analysis of different cultures and subcultures in the world, with respect to their caring behavior; nursing care; health-illness values, beliefs and patterns of behavior. In the Korean culture family values tie together heavily with religious beliefs.
Generally Koreans lead a conservative and family-centered life, deeply rooted in Confucianism, which emphasizes harmony within a prescribed hierarchy (Rupnow, 2001). Many Korean Americans, especially older adults, believe practice of religious faith as an effective avenue for prevention and cure. When it comes to forming a family, the Korean culture believes in marriage as a unity of being one. Family welfare is much more important than the needs of the individual. After marriage, the wife moves in with the husband’s family and is responsible to care for his family. After conception, the roles change and the mother of the husband is responsible for the care of the now pregnant wife.
The importance of understanding other cultures has to do a lot with the movement of immigrants into the U.S. It is extremely important for members of the healthcare community to be aware of different aspects of care in other cultures. According...
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... 144. Retrieved March 28, 2011, from the SciVerse database.
Kim-Rupnow, W. S. (2011). An Introduction to Korean Culture for Rehabilitation Service Providers. Center for International Rehabilitation Research Information & Exchange. Retrieved March 27, 2011, from http://cirrie.buffalo.edu
Moore, J. (2005, October 7). Hawai'i Community College. Hawai’i Community College. Retrieved March 26, 2011, from http://www.hawcc.hawaii.edu
Simpson, K. R., & Creehan, P. A. (2008). Integrating cultural Belief and Practice when Caring for Childbearing Women and Families. Perinatal Nursing (pp. 37, 38, 44). Philadelphia: Lippincott Williams & Wilkins.
University of Hawaii at Hilo. (2011). University of Hawaii at Hilo. Retrieved March 26, 2011, from http://www.uhh.hawaii.edu
Welcome to AACN. (2011).Welcome to AACN. Retrieved March 26, 2011, from http://www.aacn.nche.edu
Jean Giddens (2013) defines culture as “a pattern of shared attitudes, beliefs, self-definitions, norms, roles, and values that can occur among those who speak a particular language, or live in a defined geographical region.” (Giddens, 2013). A person’s culture influences every aspect that person’s life. Beliefs affected by culture include how someone interacts within the family, how to raise children, the types of foods eaten, the style of clothes chosen, which religion is practiced, and the style of communication (including verbal, and body language, slang used etc.) (Giddens, 2013). In addition to these beliefs, health care practices are also affected by culture. The cause
These differences in origin accounts for diversity in socio-cultural backgrounds and nurses must develop the knowledge and the skills to engage patients from different cultures and to understand the beliefs and the values of those cultures (Jarvis, 2012). If healthcare professionals focus only on a narrowly defined biomedical approach to the treatment of disease, they will often misunderstand their patients, miss valuable diagnostic cues, and experience higher rates of patient noncompliance with therapies. Thus, it is important for a nurse to know what sociocultural background a patient is coming from in order to deliver safe an effective
In every culture health play an essential part of life but means to achieve that healthy being may vary from one country to another depending on their belief system. It is important that professional healthcare providers obtain a proficiency in different cultures and respect these customs as they may influence patient’s behaviors towards receiving care. Birthing is a very important stage in the life of a Vietnamese woman . the Vietnamese culture is very diverse as many of their cultural practices have been influenced by the country’s’ strategic located between china and India. The Vietnamese people religiously observe their traditions and beliefs especially in pregnancy and during and after delivery.
Leininger’s theory of nursing: Cultural care diversity and universality (1998). Nursing Science Quarterly. 1(152) DOI: 10.1177/089431848800100408
Transcultural nursing is a critical component of the nursing profession in an ever-changing culturally diverse world. The patient’s social and cultural dissimilarities are important for the nurse to recognize and acknowledge. This will help to prevent the imposition of the nurse’s beliefs onto the patient. The Japanese culture beliefs are incommensurable to American cultural beliefs in how they approach the process of labor and delivery. Nursing interventions should therefore be reflective and comprehensible to that of the Japanese cultural beliefs.
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...
There are cultures that have very different views on things such as family dynamics and health care than what I’m used to. For example, there are some cultures that do not believe in seeking healthcare when they are ill or receiving medications or blood if needed. However, my family always believed in taking us to the doctor and taking medications when we were ill. There are also some cultures that have very large families that they are very close to however I always had a small close-knit family. I am able to see how these different scenarios could affect the nursing care provided by assuming that other people and families have the same beliefs that my family had growing up. However, this is why it is important to ask questions and do research about a particular culture before making assumptions. I also believe it is very important to avoid assuming that all cultures are the same just because they are of a certain culture or ethnicity. Beliefs and rituals can differ amongst people of the same community. Therefore, it is essential to get to know your patients and have an understanding of their beliefs as an
..., p.261) With this knowledge of the culture that one works in, the health care worker can better see the differences with the cultures of the patients that they are taking care of. Hopefully this understanding will lead to less conflict and better healing.
Bentancourt et al. (2005) allows asserts that there are three distinctive reasons why cultural competency is so very important for the American healthcare system. American is composed of a very diverse population, which mean healthcare providers will continual be exposed to treating individuals from various backgrounds and from various cultures; their beliefs regarding their health or healthcare may range widely. When patients have a deficiency in the English language, proper healthcare delivery becomes increasingly more difficult as they will present symptoms in the syntax of their culture and their first language. Also, research shows the communication between the patient and their provider directly correlates to their satisfaction as well as their responsiveness or willingness to follow the health provider medical instructions; this ultimately affects the patient’s health outcome (Bentancourt et al., 2005). It’s fair to say that a successful health outcome is also contingent upon the interaction of the health provider and patient. Reports generated by the Institute of Medicine (IOM) – “Crossing the Quality Chasm and Unequal Treatment, confirms that cultural competence that focuses on the care of patient through
As nurses entering the medical field understanding the culture of our patients is crucial to proper care. Each culture has their own set of beliefs and values that are shared among groups of people which influences personality, language, lifestyles, house hold, level modesty, social standings, foods, health treatment and identity. Culture affects how people view health and illness; dictating when, where and what type of medical treatment they will receive and who will be their care provider.
An individual’s culture and belief may significantly impact the type of services they require. In addition, it may affect the time, place, and method in the delivery of health care
Understanding cultural differences not only improves the effectiveness of the treatment the patient receives, it is also help the nurse to prevent negliency of care. It is impostant to maintain a curiosity about each patient no matter how much we know abouth that person's culture.
Characteristics can be as diverse as ethnic background, language spoken, gender status, physical appearance, race, and religion to name a few. Migration from various countries is creating a diverse population with different cultures and languages within the United States. Due to these cultural differences and lack of knowledge, disparities are increasing. Studies have shown that both language barriers and lack of cultural customs can hinder the services provided to the patient by the healthcare worker (Renzaho, Romios, Crock, & Sonderlund, 2013). This study provided a positive outcome when communication and cultural mutual understanding took place and patients had a more positive health outcome. It is very important that nurses are diversified in various cultures in order to better care for our patients. According to Mareno and Hart (2014), cultural competency has become one of the core values being taught in nursing programs. Their study showed that the perceived level of cultural awareness and skills among the nurses provided was low. Awareness and knowledge levels increased with higher education. It was highly recommended that self-awareness exercises be incorporated into the nursing course and continued to be addressed during the remaining curriculum until
Miller, Leininger, Leuning, Pacquiao, Andrews, and Ludwig-Beyer, (2008) support that the skill of cultural competency in nursing is the ability to gather relevant cultural data on the presenting problem of the patient. This cultural assessment is defined as a "...