...Cultural competence is defined as having “the attitudes, knowledge and skills necessary for providing quality care to diverse populations” (Black, 2014, p. 198). Healthcare professionals who have obtained cultural competency “are prepared to provide patient-centered care with a focus on the patient’s specific needs that are shaped by culture” (Black, 2014, p. 198). I had the opportunity to interview one of my friends, Nawfal Patel. Nawfal has grown up into the Muslim religion his entire life, and has family members that are in the healthcare profession. Having the chance to interview him was very interesting to me since I’m not entirely familiar with his religion. Nawfal educated me on his family’s culture and traditions, and how they are affected in the medical field....
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...K**** I**** Grand Canyon University: Transcultural HealthCare February 28, 2016 Applying Purnell’s Model What is cultural competence? To be culturally competent healthcare provider one needs to understand their own world outlook and those of their patients, at the same time avoiding stereotyping and their own biases. Cultural competence is obtaining cultural data and then relating that knowledge. Cultural competence is a conscious ongoing process. Cultural awareness allows a healthcare provider to see the entire picture and improves the quality of care and health outcomes. Familiarizing ones self to different cultural beliefs and practices requires flexibility and a respect for others view points. Cultural competence requires the ability to listen to the patient, to learn about the patient’s beliefs of health and illness. The Purnell Model for Cultural Competence is a framework having detailed questions and a format that could be used to assess culture in healthcare setting. The Purnell Model for Cultural Competence in a healthcare setting place an importance on effective communication as well as the need to know the cultural views of patients. Purnell’s definition of cultural competence is, the totality of socially transmitted behavioral patterns, arts, beliefs, values, customs, lifeways, and all other products of human work and thought characteristics of a population of people that guide their worldview and decision making (Purnell, 2002,pg6-7). In other words...
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...Cultural Competence Tara Culberson Texas Tech University Healthcare is universal but there are many different views of how healthcare should be administered and given. Different cultures vary in the beliefs surrounding healthcare and the people of those cultures have norms that they believe should be followed when receiving healthcare. Cultural competence can only be administered when the healthcare professionals are educated and value the beliefs of their patients. Joey Guzman is a 19-year-old college student at Tarrant County College who is Hispanic. Both of his parents were born in Mexico and moved to the United States at different periods in their life. Joey’s mom, Sole, has her own views of healthcare and how it should be administered to her and her family. Cultural competence can only occur once healthcare professionals respect and accept cultural differences, and posses different cultural information. Cultural competence is an on-going process and is a learning experience. There should be some things that nurses should be aware of, but cultural competence will gradually be learned as nurses come in contact with different cultures. For example, people of Asian descent belief in acupuncture for healing along with herbal remedies while African Americans also believe in herbal remedies but do not think that acupuncture is a useful measure for healing. The beliefs that Hispanics have surrounding healthcare are very particular and specific and do not really overlap...
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...New Zealand healthcare system. Engendering cultural competence in our physicians is widely recognized as a mechanism to reduce these disparities through culturally sensitive and unbiased healthcare. We define cultural competence in regards to healthcare as ‘care that respects diversity in the patient population and cultural factors that can affect health and health care, such as language, communication styles, beliefs, attitudes, and behaviors’ (Ref). Research has shown that cultural competence training improves the attitudes, knowledge, and skills of clinicians that are related to caring for diverse populations, including facilitating a richer dialogue with the patient which removes barriers to seeking and sharing more information during medical visits. Cultural competence training also has also been demonstrated to improve patient satisfaction. Although there are only a few published...
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...Personal Predjuges and Biases One personal bias I have would be in relationship to some of the beliefs of the Mormons. Although I infrequently come in contact with individuals of this belief, I have had some exposure to them in my work history and have done some reading about their beliefs. In less than 70 years, the number of Mormons has grown from less than a million to more than 6 million in the United States and 14 million worldwide. Their visibility and influence at all levels and walks of life have increased accordingly (Bohlen et al., 2010). The Church of Jesus Christ of Latter-day Saints (LDS), reflects the cultural impact of basic beliefs and traditions of church members practices and activities. The culture is geographically concentrated in the Western North American area, but is present to a lesser extent in many areas of the world where LDS live. Church members are encouraged to marry and have children, and as a result, LDS families tend to be larger than average. All sexual activity, both heterosexual and homosexual, outside of marriage is considered a serious sin. Same-sex marriages are not performed or supported by the LDS Church. When youth are in their late teens to early twenties they must put everything in their life on pause and go out for 18 to 24 months to spread the gospel. At least a tenth of a Mormon’s income must be given to tithing in order to contribute to the church’s growth. Sunday, the Sabbath...
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...and responsibilities in meeting health care needs of the clients in consideration to cultural perspective and diversity are getting more challenging and complicated due to increased number of people from a group of multi-ethnic and multi-cultural society, which, in turn requires health care providers to acknowledge and understand variations of cultural healthcare beliefs, values and practices. Transcultural nursing is essential in the process of nursing care because of the different factors, which includes increasing diversity and multicultural identities, emergent use of health care equipment that occasionally dispute the cultural ethics and beliefs of the clients and a rise in feminism and gender issues (Andrews &ump; Boyle, 2008). Maier-Lorentz (2008) states that the fundamental aspect of healthcare is transcultural nursing since culturally competent nursing care help guarantee patient satisfactions and health beneficial outcome. According to the Royal College of Nursing (2009), providing care with respect to health and illness based on the expectations of the people’s values, beliefs and practices corresponding with culture is the focal point of transcultural care. Influenced by the principles and theories of transcultural nursing, the author defines transcultural nursing as a discipline of culturally care for individuals, families, groups and communities representing different cultural lifestyle, values, habits, life process, beliefs and practices. Furthermore, the author...
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...Eliminating Racial and Ethnic Disparities in the U.S. Healthcare Delivery System Alden Knight Health Services System – HSM541 DeVry University, Keller Graduate School of Management August 10, 2013 According to HHS when it comes to racial and ethnic disparities, they identify the lack of insurance as a significant driver of healthcare disparities. Lack of insurance, more than any other demographic or economic barrier, negatively affects the quality of health care received by minority populations. Racial and ethnic minorities are significantly less likely than the rest of the population to have health insurance. They constitute about one-third of the U.S. population, but make up more than half of the 50 million people who are uninsured (HHS 2011). Unfortunately, it has a negative impact on the U.S. healthcare delivery system. Primary care is the most important part of the health care system. According to the Agency for Healthcare Research and Quality or the AHRQ, about 30 percent of Hispanic and 20 percent of Black Americans lack a usual source of health care compared with less than 16 percent of whites. Also, Black Americans and Hispanic Americans are far more likely to rely on hospitals or clinics for their usual source of care than are White Americans (AHRQ 2013). The American Hospital Association or the AHA has convened the Special Advisory Group on Improving Hospital Care for Minorities as part of ongoing...
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...aware of the diverse needs of many differing cultures. Learning and understanding Leininger’s transcultural nursing theory can assist the nurse in incorprating culturally competent care into their practice. Nursing standards regarding cultural commpetence are changing as more immigrants are entering this country and the health care system. Statistics According the the US Census Bureau in 2000 30% of the US population was an ethnicity other than non-hispanic whites. The projection is that it will reach 50% by the year 2050, while currently 90% of all nurses are caucasian (Maier-Lorentz, 2008). Brought into working terms that means that if a nurse has a six patient assignment, approximately two of the six will be from another culture and have different needs and beliefs. Nursing care revolves around giving holistic care to each patient. In order to provide holistic care to patients the nurse must be aware of the individual needs of that patients. The patients cultural background will determine what those needs are. If a nurse is unaware of the cultural needs, there is no way to provide a plan of care to meet the individual needs. Leininger’s Cultural Care Theory Leininger’s culture care theory is the first theory to be based on the cultural sameness (culture universal) and differences (culture-specific) that determine the plan of care for any patient. Nurses striving to care for patients holistically must understand the differences of many cultures. Leininger describes culture...
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...in population and with views on healthcare, so does the need for continuous change and development in Nursing. The changing demographics and economics of a growing multicultural world and the long-standing disparities in the Health status of people from diverse ethnic and cultural backgrounds has challenged health care providers to consider cultural competence as a priority (Capinha-Bacote, 2002). Patients within the hospitals are of every ethnic group and culture, and at times a mix of each. The term melting pot is used to describe the United States, which also has a tight relation to healthcare as well. For nurses, it is vital to maintain a sense of professionalism and unbiased opinions. Within the culture evaluation, a comparison of beliefs about health maintenance, protection, and restoration will be investigated amongst Asian-American, Caucasian, and Hispanic cultures. Cultural Competence Within such an eclectic amount of cultures, keeping cultural awareness, knowledge, skill, and the way culture is encountered maintains the ability to be culturally competent. Cultural awareness is the self examination and in depth exploration of one’s own cultural and professional background (Capinha-Bacote, 2002). Maintaining a sense of empathy and understanding regarding patient’s culture and beliefs assists in the individuals healing process. Cultural knowledge is the process of seeking and obtaining a sound education foundation about diverse cultural and ethnic groups (Capinha-Bacote...
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...culturally competent healthcare provider is one who ensures that there is an effective interaction with all patients, as it is critical to address the needs of community members where the care is being delivered, regardless of their culture. As such, cultural competence encompasses providing care that is consistent with the culture of the patient. The key point is that developing cultural competence is a continuing process, and by no means an endpoint. The word “culture” does not limit itself to ethnicity or race, but addresses disability, income level, profession, gender, age, sexual orientation, or geographic location. The key to cultural competence is to show the utmost respect and response to beliefs and practices related to health, culture and language, and diverse population groups....
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...Understanding Cultural Competency in Healthcare Settings Define culture It is very difficult to define culture from just one perspective. Culture can never be generalized and categorized into specific groups and subgroups (Bryan, 2014). We can’t say there is one African American culture, or “the Asian American culture”. We have to be careful when categorizing a group of people as being this way or that way due to their culture as that would be stereotyping (Bonder, Martin, Miracle, (2001). However, each group has some general cultural similarities and practices that are common amongst themselves (Bryan, (2014). Definitions of culture therefore depend on the views of the definer (Bryan, 2014). Some say culture is a “common view” of a people and a way of life by others (Campinha-Bacote, (2003). Others claim culture is a “common experience” that shapes similar attitudes, behaviors, and values (AIR, (2002). These values and attitudes are reinforced over time and carried forward from one...
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...changing at a fast pace as every year people from different cultural and ethnic background are immigrating to the United States. By 2020, the number of ethnic minority in the United States will grow up to 35%. Immigration is an ongoing process and has brought a variety of culture and knowledge to the United States. The diversity of population is affecting the healthcare delivery system in the country. Nurses play a major role in the delivery of healthcare. Nurses are the direct caregivers to patients and spend maximum time with the patients and their family. “As the demographic composition of Western industrialized countries continues to diversify, the need for nurses to practice with cultural competence becomes essential” (Canales & Barbara, 2001, p. 103). Culturally Competent care Culturally competent care values diversity and respect individual differences regardless of one’s own race, beliefs, and cultural background. Culture can be defined as beliefs, values, customs and lifeway of a group of people that influence their choices in choosing health care practices. These behaviors are primarily learned in the family and are transmitted in the family. Culture is mostly unconscious and has strong influence on health practices. Subcultures, ethnic groups differ from the dominant culture and may have different values and beliefs. People from a given racial group may not necessarily share the same culture. Healthcare providers must recognize, respect and integrate patients’...
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... The Problem Healthcare leaders acknowledge that workplace diversity and cultural competence are important to providing health services, as cited by (Davis, 1998). Perceptions of nursing managers related to workplace diversity and cultural competences have not been a focus of any research studies. There have been studies done on nurse job satisfaction which have focused on a range of aspects, there have only been a few that have focused on workplace diversity and cultural competence from the nurse managers’ perspectives. Health care settings as an organization commonly accept workplace diversity and cultural competence as a competitive edge, as cited by (Davis, 1998). There has not been many links to nurses eminence of work life and the factors related to workplace diversity and cultural competence. Value of work life is defined here as the individuals estimation of need fulfillment and enjoyment of one’s job and career. Nurses job satisfaction is considered a factor of quality of nurses work life. This paper will portray the need for a study to be done among Nurse Managers perceptions of workplace diversity, cultural competence and job satisfaction. This paper will also show that there is an under representation of racial and ethnic...
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...Cultural Competence The city of Milwaukee in Milwaukee County area is an extremely ethnically and racially diverse city in the state of Wisconsin (Milwaukee Citywide Policy Plan, 2010). According to the American Community Survey (ACS) in 2008 the city residents made up about 63% of Milwaukee County’s total population. However, the city of Milwaukee accounts for almost 88% of the county’s minority population and that number is slightly increasing yearly (Milwaukee Citywide Policy Plan, 2010). There are primarily Blacks, Hispanics, and Asian minorities found living in the area but there are still many more other minorities found in the streets of the city of Milwaukee. Graph 1 and Graph 2 below show the minority population in Milwaukee County compares to the minority population in the city of Milwaukee. Graph 1: Milwaukee County Population 2013 Sources: United States Census Bureau, 2010 Graph 2: City of Milwaukee Population 2010 Sources: United States Census Bureau, 2010 With the continuing rise of minorities, one of Milwaukee’s largest health care facilities, Aurora Health Care, needs to focus more on how they can increase cultural competence. Cultural competence is the ability of a health care system to be able to provide care to their patients of diverse values, behaviors, beliefs (Betancourt, Green, & Carrillo, 2002). It is a continuous attempt and ongoing process to understand the traditions, values, customs, and beliefs of a diverse group and respecting...
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...Running head: ASSIGNMENT 1, WEEK 6 Assignment 1 Teassa Eubanks Cultural Diversity in Health and Illness Mansour Rostami, Instructor November 13, 2010 Minority Population | Health disparities | Native American Indian Native Alaskan | Health disparities are believed to be the result of the complex interaction among genetic variations, environmental factors, and specific health behaviors. Compared with other Americans, Indians experience disproportionately high mortality from alcoholism, tuberculosis, diabetes, injuries, suicide, and homicide. Tribal leaders report that diabetes, unintentional injuries, alcoholism, and substance abuse are rising to crisis proportions in American Indian and Alaska Native communities | Asian | Lack of access to regular care. Asians are least likely to report having a personal doctor compared to other racial and ethnic groups in the US. 19.4 % of Asian adults compared to 12.9% of whites report being without a usual source of health care. Cambodians and Vietnamese are three times more likely to forgo visiting a doctordue to cost compared to all Asians or US residents.• Less satisfaction with care. Compared to other racial and ethnic groups, Asians are least likely to be satisfied with the speed of their care, doctor-patient communication, and office staff.• Fewer preventive services. Asians are less likely to have blood pressure monitoring and pap smears. In fact,cervical cancer screening...
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