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
Poverty in mental health prevents patients from seeking out medical attention due to lack of insurance. “insurance coverage disparities make mental health care less accessible than other forms of health care” (Safran, 2011). Due to lack of insurance patients are not receiving adequate care, such as being evaluated, receiving the appropriate treatments, and not going to doctor follow up appointments to ensure proper care. Without receiving proper treatment, it can cause the patient condition to get worse and would not have a chance of a successful outcome. Also, poverty can cause additional stress and anxiety making the mental illness progress.
These nursing shortages, amount of time required for indirect care, and nurses’ lack of recognition for emotional care contribute to less direct contact with patients which negatively impact their care. Social and emotional support from others is an important aspect of humanity that contributes to well-being regardless of health status. Hospital patients are often scared, anxious, unfamiliar with their surroundings, and unsure of their future. These feelings may negatively impact their health if they lack psychosocial support. It is one of the many roles of nurses to provide this much needed support to these vulnerable patients.
What many people are unaware of is just how exhaustive, and potentially brutal, a process life support can be. Despite its potential to sustain an individual’s life, life support should not be permitted for use because it interferes with the quality of life, it is unethical, it is financially and emotionally draining, and it provides its patients with discomfort Those susceptible to being put on life support include “brain dead” and “vegetative” persons. The term “brain dead” is used for individuals who lack activity within the brain, thus why some functions (i.e. swallowing and breathing) are incapable of being performed. However those in a “vegetative” state may be able to perform these tasks, despite being severely, mentally crippled (Doyle 1).
This approach has made it difficult for patients to be able to “shop around” for the best prices when in most cases they are not sure what the cost treatment will be. They were, by no fault of their own, uninformed consumers due to plan designs. The plan design of the health maintenance organization (HMO) for example, “masks the true cost of care” because the consumer only pays the copay (Kongstvedt, 2007, p.474). The copay is only a part of the total cost resulting in the consumer not seeing the value of the health insurance benefit. Consumer driven health plans (CDHP) were created, partly, so the consumer becomes aware of the true cost of health care, an example is the high-deductible health plan (HDHP).
When it alters negatively it creates a negative impact on the implementation. In spite of the feasibility and the useful process, challenges are faced by many health sectors. The health sector has expectations from others sectors which may not be essential to contribute a shared responsibility for health improvement but the public has the expectation of “health” form the health sector. It is a challenge for the health sector to organize all the stakeholders for inter-sectoral collaboration through advocacy and programming. Yet, the health sector rarely takes on initiatives in that direction.
While disruptive behavior is a violation of ethical standards, it goes unnoticed in many health care settings. Presence of Disruptive Behavior in Health Care The presence of specific types of disruptive behavior is unknown, but evidence is clear that disruptive behaviors exist among health care professionals. Nursing and health care in general focuses on patient care. Individuals that demonstrate disruptive behavior can damage the integrity of patient care, and create a hostile work environment. This leads to decrease patient satisfaction, safety issues, and health care providers to seek a more professional work environments (Lachman, 2014).
Problems that many have with these two plans come from the provider and the patient side. Often, providers do not want to spend the amount of time for each patient as a result of financial changes that have caused patient procedures to be less profitable for them. As a result, many patients are sent to lower tiered health care providers that do not have the same efficiency level as a physicians to. The result of this practice is that patients do not receive the health care they justly deserve. In other instances Emergency Rooms are over utilized for because of the lack of patient doctor contact, so patients go to the emergency rooms for non-emergency reasons.
Individuals who fall into the gap between not being eligible for assistance and not being able to afford a lawyer have to result to seeking help from legal centres. These centres fall victim to underfunding and only function on recommendations rather than enduring support which one would receive from a legal aid worker. Although pro bono work is intended to assist all members who cannot access justice, it could misguide legal professionals as it only targets a small range of people who are in dire
A lack of physical and emotional support is a common source of stress for nurses. One of the largest obstacles nurses deal with, is their opinions regarding patients’ plan of care being ignored. A study performed by Davies and Connaughty confirmed that only 20% of the parents were pleased with the communication ability of the health care staff. In order to improve end-of-life communication, nurses should be comfortable talking about death even if they are in a situation where the death of the child is inevitable. Nurses play an important role in the health care team.