According to US Census Bureau, Hispanic is one of largest minority ethnic group in the United States and account for 15.1 % of the population (U.S. Census Bureau, 2012). With an increasing number of diverse cultures within the health care system, it is important for health care professionals to cultivate diversity and cultural awareness when caring for peope from different cultures than theirs. Moreover, providing care that is culturally sensitive can result in improved health status for all patients. Clinicians should keep in mind that everyone has his/her own values, beliefs, and assumptions that influence healthcare. In addition, patients from different race, ethnicity, gender, and religion response to health care services differently. Therefore, they should provide individualized care that meet the needs of their patients. Clinicians’ bias and barriers including different languages, cultural communication styles, and health care literary of patients have severe impact on the treatment and care decisions. It is crucial to understand patients’ backgrounds and be aware of their cultures to ensure patient satisfaction and improve treatment outcomes.
A Situation in Which a Nurse Must Navigate an Encounter That Is Affected by My Own Bias
My patient is a middle age Mexican woman. We have the differences culture and language. My personal thinking is different with hers. I think every one in the family has the own right and authority. Wife and husband, sons and daughters, for example, are treated the same way. We listen and follow directions that benefit everyone in the family regardless of gender or authority level. However, gender and family roles play an important part in Mexican culture (Eggenberger, Grassley & Restrepo, 2006). It...
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...e treatment. Patient and family verbalize understanding of treatment plan.
Conclusion
Cultural views of patients influence the way they respond to health care services. Undersanding a person’s cultural views is important in the delivery of healthcare and eliminating cultural bias will help clinicians work effectively with patient from different cultural groups. Clinicians can only provide quality care and improve patient outcomes when they can understand their own cultures, beliefs, attitudes, and lifestyle practices as well as patients’ ones. Clinicians face barriers including linguistic differences, cultural lifestyles and beliefs, and healthcare perception of the patients. With proper application of cultural competent, clinicians can better address the patients’ needs and meet their health care goals regardless of the patients’ race, ethnicity, gender, age, etc…
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
McClimens, A., Brewster, J., & Lewis, R. (2014). Recognising and respecting patients ' cultural diversity. Nursing Standard (2014+), 28(28), 45.
provide insight in which a nurse found the way to navigate through a patient encounter to
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.
Child rearing and family structure within the Hispanic culture is noticeably different than what is present in the mainstream Western culture of today. One apparent difference is in gender roles. There exists a vastly different expectation in Hispanic culture for males and females. The male is considered to be the independent breadwinner, and the head of the household. Accordingly, the female role is one of submission and provider of childcare. In contrast, it is more than acceptable in Western culture for a female to maintain a non-traditional role. Hispanic culture additionally differs from Western culture in the traditional makeup of the family. Within Hispanic culture the extended family plays a huge role
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...
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.
The diversity among the U.S. population is very large and continue to grow, especially the Hispanic group. More so, health promotion can be defined or perceived in many ways depends on the minority group and their culture beliefs. As health care provider, recognizing and providing cultural competent is very important. In addition, assessing the health disparities among the minority group and teaching them how to promote good health will benefit along the way. Furthermore, health care providers have the role to promote good health but without proper education and acknowledge cultural awareness will be impossible to accomplish.
There has been a rapid growth in minorities in the U.S. particularly the Hispanic/ Latino community. Bureau of Health Professions (2013) studies have shown that with the rapid increase of this culture, Hispanics are not being adequately understood by medical professionals because of underrepresentation within the medical field. The after effects of underrepresentation have caused healthcare issues among this population. U.S. Department of Health and Human Services (2006) there has been a correlation between patient satisfaction and medical professionals of the same culture.
Physicians routinely make crucial decisions about medical care for patients whose lives hang in the balance. In the face of such high stakes, it may be surprising to think that automatic associations can unknowingly bias professional decision-making. One study compared implicit racial bias between White American doctors and Black American doctors and found that “African American doctors, on average, did not show an implicit preference for either Blacks or Whites…” The implicit racial biases of White physicians also seem to play a role in predicting how positively or negatively Black patients respond to the medical interaction (http://www.ncbi.nlm.nih.gov/pubmed/19648715) (Penner, Dovidio, West, Gaertner, Albrecht, Daily, & Markova, 2010), (Penner, L., Dovidio, J., West, T., Gaertner, S., Albrecht, T., Dailey, R., & Markova, T. (2010). Aversive racism and medical interactions with Black patients: A field study- Journal of Experimental Social Psychology, 46, 436-440). Organizations can do many things like providing training implicit bias and diversity; seek to identify consciously the differences between different groups and individuals; and increasing emphasis on the education of social issues such as stereotyping and
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
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,
Latin American society places a great deal of importance on the family as a support network; it is not uncommon for several generations to reside in the same house. This emphasis is called familismo, and the mother in the family is usually the most important figure. She “is seen as the primary nurturer and caregiver in the family…[and] plays a critical role in preservation of the family as a unit, as well as in...
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
Explain who the patient is (Race, Ethnicity, Gender, Sexual Orientation, Age/ Generations, Socioeconomic Status, Language, and Religion) and describe a situation in which a nursing professional must navigate an encounter that is affected by his/her own biases.