...Running head: CULTURAL COMPETENCE AND HEALTH CARE Cultural Competence and Health Care with Hispanic Populations Kristina Hernandez Our Lady of the Lake University Laredo Specialty Hospital (LSH) is the only 60-bed facility designed to provide specialized long-term acute care, including intensive care, for patients who require team to heal from catastrophic injury or illness. LSH believes that any recovery is an emotional experience. Therefore, they strive to provide patients with a healing and nurturing environment through their caring and supportive team to maximize recovery and regain independence. The population served at LSH includes patients who have a medically complex condition and require more intensive services than found in other post-acute settings, such as skilled nursing facilities. The physicians that comprise the clinical team are knowledgeable of the acute care setting of a traditional hospital and, therefore, possess the clinical expertise to treat a variety of medical conditions. The mission of Laredo Specialty Hospital is dedicated to improving the patient’s quality of life for those suffering from injury or chronic illness whereas the vision is to provide state of the art care, thus, being recognized as a center of excellence for acute long term care services. LSH values the following...
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...Community and Cultural Competence The definition of the geopolitical community is a community that have specific boundary such as rivers, mountain as well as highways or jurisdictional boundaries which can be politically or geographically influenced Statistical and epidemiological studies are frequently based on date from specific geopolitical areas (Maurer & Smith, 2013). This is my geopolitical community because it is a geographical location. I may or may not have anything in common with my geopolitical community beside the location of home. My children do not go to the same school as the kids in the neighborhood, but they are still friends and play together at the park. My husband and I work in another area from our neighborhoods. Our recreational activities usually takes place in other communities, but our community is trying to use the education resources that is provided by our community members in order to understand and know how to access the resources our community needs. Per Maurer & Smith (2013), the community ones belongs to, does not necessarily have to be the geographical location, but a community in terms of the members' feeling and emotions of belonging or sense of membership it belongs to. This is a referred to as a phenomenological community. The phenomenological community does not automatically share a geographical location as does the geopolitical community, but may share the same interests and goals. This type of community is a group...
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...opportunities to develop diverse leadership. 4 Beyond representation: Building diverse board leadership teams Maria Gitin OVER THE YEARS , dialogue on board diversification has evolved from focus on the importance of representing constituents, to “doing the right thing,” which is characterized by opponents as “political correctness,” to the current widely held view that a nondiverse board is missing key potential donors and opinion leaders. Diverse leaders can expand knowledge, create new resources, and open doors to partnerships necessary to fulfill an organization’s mission. Recommended strategies for board diversification must be understood in the context of the deeply divided society of the United States. Although North American cultural issues are the result of a unique history, most elements of diversity planning will apply in other countries as well. By the year 2015 the nonwhite portion of the U.S. population is expected to increase to 30 percent NEW DIRECTIONS FOR PHILANTHROPIC FUNDRAISING, NO. 34, WINTER 2001 © WILEY PERIODICALS, INC. 77 78 DIVERSITY IN THE FUNDRAISING PROFESSION (Changing Our World, 2001). In many communities, including large areas of California, the nonwhite population is already at 50 percent (Changing Our World, 2000). Despite heroic efforts on the part of diverse public and nonprofit sector leaders and their allies, gaps between rich and poor, and between people of color and whites, have increased over the past decade: • Poverty...
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...of Care Paper December 15, 2014 Donna Rose Nur/531 Emerging Standards of Care Paper A growing problem in the United States is the increase in health disparities amongst minorities regardless that the United States is a multicultural country. This problem is due to the poor quality and accessibility of health care services. As the population of diversity continues to grow rapidly so does the importance of cultural competence in healthcare. Cultural competence is a set of behaviors, attitudes, and skills that enables nurses to work effectively in cross-cultural situations ("Cultural Competence", 2014). Organizations must have the capacity to value diversity, conduct self-assessment, manage the dynamics of difference, institutionalize cultural knowledge and adapt to the diversity and the cultural context of the communities they serve. The Office of Mental Health and Substance Abuse Services (OMHSAS) stated that inequities in service delivery and care in the health care system are associated with discrimination, and a lack of culturally competent practices, including a lack of cultural awareness and sensitivity by health care providers (Upsher, n.d). Substance abuse is defined as a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences ("The Science Of Drug Abuse And Addiction: The Basics", 2014). This paper will discuss and define the appropriateness of competent care in Substance abuse care and...
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...Cultural Competency Assessment Cultural Competency Assessment Cultural competency is a combination of attitudes, behaviors, and policies that creates a system within an organization or among groups. It allows people to work together effectively in cross-cultural, diverse situations. Culture is the pattern of behaviors that includes a person’s actions, thoughts, communications, beliefs, values, language, and institutions of social, ethnic, racial, and religious groups. Competence determines whether a person can function effectively as an individual, group, or organization within the context of the cultural behaviors, beliefs, and needs of clients and the communities in which he or she resides (Sutton, 2000). America is considered the “the melting pot” because of the culturally diverse communities we live, work, and play in. Importance of Cultural Competence America is a combination of diverse race and cultures, such as White, Asian, Native American, African American, Hispanic, and many others. Although every culture has created a new way of life in the 21st Century, each group has preserved values and beliefs from his or her original culture. Human service professionals need to provide services with objective, nonjudgmental, knowledgeable, open-mindedness, and the williness to understand the needs of each client. For example, a human service professional not aware of the Native American Child Welfare Policies may remove a child from his or her tribal family, and place that...
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...that means something different to each and every person.” (Campinha-Bacote, J., 2003) There are many other faces of cultural diversity besides knowing the values, beliefs and practices of different ethnic groups. A few include religious affiliation, gender, political orientation and socio-economic status. The ball and sock experiment put into perspective how minorities might feel….different. Just trying to get through daily activities like brushing my teeth and eating cereal wasn’t easy and it made me realize that having a handicap was challenging and that a certain disability, strong accent, or a religious belief can make you a target for discrimination. Diversity can be a benefit and not a divider and understanding how to interact with individuals of a different culture teaches you how to see common values and appreciate different perspectives. “Cultural values give an individual a sense of direction as well as meaning to life.” (Campinha-Bacote, J., 2003) Cultural competence plays an important part in helping managers and professionals in a business setting to meet the needs of culturally diverse groups. U.S. Department of Health & Human Services, Office of Minority Health defines cultural competency as “a set of congruent behaviors, attitudes, and policies that come together in a system, agency or among professionals that enables effective work in cross-cultural situations.” (OMH, 2005) In order to bridge the gap between groups whether minority or majority, we have to develop...
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...Heritage Assessment NRS-429V | Culture and Cultural Competency in Health Promotion John Thomas 3/24/13 The Heritage Assessment tool is primarily used as a device to evaluate health maintenance, health protection, and health restoration of a person’s cultural beliefs and values (Spector, 2006). This assessment helps aid in providing quality patient care in that it helps to meet and respect the needs of different types of people and their respective backgrounds (Spector, 2002). This particular paper serves to compare and contrast the ethnicities of Indian, Caucasian, and Arabic families using health maintenance, health protection, and health restoration as evaluation markers. The purpose was to identify and isolate different groups of people and their unique health practices and traditions that were based off their heritage or background. An assessment of these ethnicities led to several discoveries that I believe could truly improve our methods of health care. Cultural awareness is an essential part of life, especially in this country that is considered to be the melting pot of the world. Cultural awareness can be defined as understanding and appreciation the difference between oneself and people of other backgrounds and cultural beliefs (Shen, 2004). Cultural competence is a term used to refer to awareness and skill acquired to be able to care for people of different ethnicities and cultures (Purnell, 2002). The heritage assessment tool serves as a questionnaire of sorts...
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...Multicultural Assessment Norma Garcia Grand Canyon University Family Centered Health Promotion NRS-429V Serina Madden February 25, 2015 Multicultural Assessment The author of this paper is a student at Grand Canyon University who is currently taking Family Centered Health Promotion. The topic discussed in class this week was, Culture and Cultural Competency in Health Promotion. The corresponding assignment to this course was to perform a heritage assessment; three families of the community were interviewed. The Heritage Assessment tool consist of 29 questions about families background, religious and ethnicity practices and current living status. The Interviews where performed via telephone calls. Veronica Navarro is a Hispanic female who migrated to the United States of America (USA) at the age of 12. Her parents and grandparents are Mexicans. She grew up with her six siblings and extended family living with her as a child. She was raised as Catholic and as an adult became a Christian. Veronica is married to a Hispanic male; they practice Christianity at home by praying, and celebrating religious holidays. They also participate in ethnic activities such as dancing, singing, Holiday celebrations and festivals. Veronica and her family currently live in a multicultural neighborhood. Veronicas native language is Spanish; she speaks both English and Spanish equally (V. Navarro, personal communication, February 20, 2015). Sarah Redmond is a single White female raised and...
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...HLTHIR403C. Work effectively with culturally diverse clients and co-workers Author John Bailey Copyright Text copyright © 2008 by John N. Bailey. Illustration, layout and design copyright © 2008 by John N. Bailey. Under Australia's Copyright Act 1968 (the Act), except for any fair dealing for the purposes of study, research, criticism or review, no part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means without prior written permission from John N. Bailey. All inquiries should be directed in the first instance to the publisher at the address below. Copying for Education Purposes The Act allows a maximum of one chapter or 10% of this book, whichever is the greater, to be copied by an educational institution for its educational purposes provided that that educational institution (or the body that administers it) has given a remuneration notice to JNB Publications, Disclaimer All reasonable efforts have been made to ensure the quality and accuracy of this publication. JNB Publications assumes no responsibility for any errors or omissions and no warranties are made with regard to this publication. Neither JNB Publications nor any authorised distributors shall be held responsible for any direct, incidental or consequential damages resulting from the use of this publication. To Order this Publication This publication can be ordered in a wire bound...
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...to my hometown. This essay will discuss several challenges that lay ahead with this project, such as; recruiting and retaining staff; types of services and resources; building rapport with the community and surrounding counties; finances and profitability of the clinic; technology; and compliance with local, state, and federal laws and regulations. These challenges will also be further broken down and explain ways that administration can overcome these challenges so that the project is successful. Lastly, there will be a discussion on specific skills and knowledge that administration needs to utilize when opening the new clinic and to manage staff. The decision to expand the Pediatric Community Care Center has provided other communities the chance to receive quality care close to their home. This decision also poses great risks and challenges. Overcoming these challenges will be no easy feat; however, with careful consideration and implementing the right course, this project should be a success. The new Pediatric Satellite Clinic will be located in Charlotte, North Carolina. This area has a population of around 773 thousand, with around 20% of that population being children between the ages of 0-15. Charlotte is a melting pot of individuals. Around 59% of the population is white, 33% of the population is African American, 4% is Asian, and around 8% is Hispanic or Latino. (n.a., 2012). Now that you are aware of some of Charlotte’s demographics, we are going to discuss...
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...Emerging Standards of Care: Cultural Competence Nur 531 July 29, 2013 Instructor Greg Friensz Emerging Standards of Care: Cultural Competence The current U.S. population exhibits unparalleled sociocultural and ethnic diversity, yet the nursing workforce fails to reflect the current state of the nation’s diversity. According to Clark, Calvillo, Fongwa, Kools, Dela Cruz, Lowe, and Mastel-Smith (2011) non-Hispanic Whites constitute 83.2% of the nursing workforce, although Hispanics, African Americans, American Indians, Asians, and other ethnic groups remain underrepresented. Nursing faces the challenge to meet the health care needs of such a culturally diverse population while promoting diversity in the workforce through educating nurses on cultural sensitivity and competence. Cultural competence in nursing is evolving as the standard of care. Nursing and other health care providers must employ knowledge of various social and cultural influences in the care setting to promote patient-centered care (Mitchell, Fioravanti, Founds, Hoffmann, & Libman, 2010). It is crucial to recognize and appreciate the relevance of diversity in the acute care setting to set standards of culturally competent nursing care, and improve care delivery through meeting and improving these standards. When examining definitions and concepts of cultural competence, it is evident that it not only pertains to race, sex, age, and ethnicity, but encompasses “other inseparable factors of culture...
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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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...Making Excellence Inclusive In Education Student’s Name Institution Abstract This research paper is on cultural diversity and particularly intercultural maturity (Tierney, 2007). The point of discussion zeros into education practices that are being adopted to enhance intercultural maturity and intercultural competence in the current education systems (King & Baxter, 2005). This study also gives an overview of how to make the current education system excellent inclusive. Making education unique, inclusive addresses the adverse impacts on cultural diversity in the education sector (Kuh, 2008). In this research, I have also suggested areas for further research that need critical studies for the fulfillment of those research gaps. This paper is significant as it has identified key areas related to intercultural maturity that require rethink and further analysis. At the very end of my research, I have devised an action plan on how best to tackle and address those problems that are interconnected with intercultural maturity. This paper is of value as it dissects intercultural maturity; it enhances and builds a clear understanding of intercultural competence, excellence inclusive education and cross-cultural maturity. Furthermore, it will lead to the advancement of knowledge or perhaps the discovery of new knowledge as the research gaps are fulfilled (Alvesson & Sandberg, 2013). Making Excellence Inclusive In Education In the modern society...
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...Can companies gain competetive advantage from multicultural differences in their workforce ? As the business world gets ever more connected, it is more critical than ever for global organizations to recruit, develop, and retain multicultural leaders who can navigate the myriad opportunities and challenges their companies face. Multicultural workforce can offer cultural competence or cultural intelligence; this can allow them to work effectively in cross-cultural situations. For example, they may have more than one ethnicity or spent time working abroad, where they likely would have experienced adjusting to a different culture. This can make them more culturally sensitive than a manager who hasn't worked with people from other cultures or regions. Managing diversity is about recognizing the unique contribution each employee can make to the organization. It is about creating an environment in which everyone feels valued, welcomed, and able to make an important contribution toward the attainment of corporate objectives. Additionally, companies facing challenges in competing global marketplace for market share can use diversity as "competitive advantage" in a multicultural environment with a diverse pool of talented and experienced individuals who can bring innovation and creativity to the organization. Diversity is not only associated to limited attributes that can be observed but also to those invisible characteristics such as differences in educational background, creativity...
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...Cultural competence is defined as the capacity to understand an individual coming from different groups and backgrounds. The major measures utilized in the Davis and Cho (2005) article to evaluate the efficiency of the International Leadership in Educational Technology (ILET) project were stated as “evidence of the development of intercultural competence was analyzed from artifacts, self-report, interviews, and surveys” (p.1). The three strategies that were proven are: Sojourn Abroad, Summer Academy, and Online Reading. After such study, these doctoral students showed flexibility, openness and acceptance. Regarding the Sojourn Abroad strategy, the students improved their skills on educational technology, research, and assisted them in improving their dissertation topics. The Summer Academy students stated that the academy helped them in their academic interests and to investigate unfamiliar academic areas and cultures. The Online Reading group students did not improve their academic performance, but they stated that it assisted them in creating new ideas and knowledge to help them in everyday life experiences. Davis and Cho (2005) clearly explained the meaning and the purpose of cultural competence. Although it is a clear definition, they did not provide a valid measure to prevent prejudiced responses. Also, self-reports, interviews, email interviews, and survey questionnaires have been utilized to gather information. “Analyses produced descriptive statistics related...
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