...Kaiser Permanente Cultural Competency The aim of this case study is to show how beneficial the bill AB 1195 was on Kaiser Permanente. Before the bill, healthcare companies faced difficulties with communications with patients since they lacked cultural awareness and proper training, after its passing, healthcare companies required providers to undergo training in the field of cultural awareness to overcome those barriers. The Overview of Cultural Competency in Healthcare Cultural Competency in the career of healthcare has the approach of delivering high quality care to patients who have diverse backgrounds, different ethical values, and beliefs. This practice requires training that can be used to personalize health care based on cultural and...
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...Department of Health and Human Services (2013) “Cultural competency is one of the main ingredients in closing the disparities gap in health care. It’s the way patients and doctors can come together and talk about health concerns without cultural differences hindering the conversation, but enhancing it. Quite simply, health care services that are respectful of and responsive to the health beliefs, practices and cultural and linguistic needs of diverse patients can help bring about positive health outcomes.” Populations Served and Their Vulnerability Healthcare organizations across the United States have been an area where cultural differences have been evident for a long time. With the significant influx of English language challenged immigrants who have not only had the means to secure jobs providing health care plans, but have also been saddled with the fear of deportation if they are considered "illegal" and, therefore, hindering their healthcare options (USDHHS, 2013). Hospitals have had to change their cultural competency to address this populations' immediate healthcare needs. On any given day, healthcare providers in a hospital setting can encounter an astonishing diversity of ethnic groups. Each of these ethnic groups brings with it their own cultural identities including language, beliefs, socioeconomic status (the wealthy, the middle class, the poor and the homeless) and preconceived attitudes towards the American healthcare system (USDHHS, 2013). It is to say the least...
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...Jennifer Heil HLT 05 Healthcare System and Transculture Daisy Savarirajan ,PH.D October 31, 2011 Trust Factor There are many elements that contribute to the specialzed populations’ distrust of the healthcare system. A few of them are trustworthiness, trans cultural communication, and cultural competence. Knowing more about these elements will help to break down the distrust of the healthcare system and help to build up more trust which is extremely important because when there is no trust, patients do not seek preventative care or specialty care. According to Cook, Kosoko-Lasaki, and O’Brien (2009) trust and distrust play significant roles in the interactions with in the healthcare system (p.16). This trust drives the frequency of the interactions between the culture and healthcare professionals. Trust can also be generational deriving from family members past experiences, also from others within the culture and this can affect future relationships within a particular group. Just like distrust can drive down interactions trust and increased understanding can increase a cultures competence. Trustworthiness can go a long way in helping clients and healthcare as a whole. Cultural competency has been attempting to improve starting at the caregiver and institutional levels. Policies have been made to heighten the sensitivity awareness when caring for others. “A big challenge to the adoption of cultural competency education is that no single method or body of knowledge...
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...Throughout my internship at Margaret Tietz Nursing and Rehabilitation Center, I have developed Advanced Generalist Social Work Practice Competency 2 skills, which is to Engage Diversity and Difference in Practice. The purpose of this paper is to evaluate the nursing home with regard to its commitment to supporting equality and challenging oppression in its approach to diversity among its staff. I will include a strategy on how to address cultural differences among staff and residents. Diversity among staff is very important in Margaret Tietz Nursing and Rehabilitation Center that I am interning at this year. The nursing home already understand that bringing diversity of voices in the nursing home from different racial, cultural and economic backgrounds is the right thing to do to meet the needs of all the residents at the nursing home. I have seen that increasing diversity at all staff levels in the nursing home has resulted in better patient outcomes and a deeper connection to the community. A disconnection between staff and the residents that the nursing home serve can present a cultural problem that must be overcome to provide patient-centered care....
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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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...Status of the American Indian The American Indian has long been without adequate healthcare. It was without choice that they were forced trade their land and resources for care and protection offered by the Anglo-Americans ("Barriers," 2016). In 1955 the Indian Health Service was created to provide healthcare to the American Indians. Although the intent was good, this service has lacked the necessary resources to provide proficient care to the American Indian. Unfortunately, little has changed, and the American Indian continues to lack the resources necessary to obtain adequate medical care. Studies show that since the early 1960’s disparity in health status exists between the American Indian and the Anglo American. It consistently documented poorer health, with an increase in diseases such as cardiovascular, diabetes, cancer, and depression. From the report: Invisible Tribes: Urban Indians and Their Health in a Changing World findings were: * 30 percent of American Indians/Alaska Natives adults suffer from depression ("American Indians Urban Needs," 2007). * American Indians/Alaska Natives have higher prevalence of diabetes ("American Indians Urban Needs," 2007). * Cardiovascular disease is the leading cause of death among American Indians and Alaska Natives ("American Indians Urban Needs," 2007). One of the biggest challenges is the inability to access adequate healthcare. Many live in poverty and do not have the means necessary to obtain the medications...
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...“Cultural competency has become quite the buzzword, especially in the workplace. It can loosely be defined as a public health practitioner's knowledge, awareness, and practice with other individuals and populations with diverse cultural backgrounds. The first step to becoming culturally competent is realizing that you bring your own beliefs and worldview to your profession. Acknowledging this will help you minimize the interference that these beliefs may have as you work with others (i.e., patients, clients, colleagues, community, and public). Other steps you can take as a public health professional to become more culturally competent is to listen, have patience, and practice humility when you have limited knowledge regarding something or when...
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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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...The Key to Successful Cultural Competency When working in the healthcare field one should consider cultural competency to be a vital asset with diverse populations in order for one to ensure proper communication, accuracy, and respect towards others. Communication is the key factor to understanding and identifying crucial information when one is in dire need of assistance. Accuracy is the key significance in establishing proper treatment for one to heal, and more importantly for one to heal with little or no complications that may be caused by certain harmful side effects. Respect is the key to treating others as one would expect to be treated. Moreover, proper communication, accuracy, and respect overall helps guide one to being culturally...
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..." (Sanchez, Chapa, Ybarra, & Martinez, Jr., 2012, p. 5 ). In this healthcare model, the patient must be treated not only according to the standards of nursing practice but integrate into the care, respect for the individual's belief system as well as their culture. "Providers that respect the cultures, languages and worldviews of the people they serve are more successful in engaging and activating individuals, families and communities to be an active participant in their own health care," (Sanchez, Chapa, Ybarra, & Martinez, Jr., 2012, p. 5) By integrating into care the individuals beliefs and needs, the professional can create rapport with the individual in such a way that encourages the individual to be active in their own health decisions based on the professional's medical knowledge and the individual's belief system. Culturally competent care is care that is respectful of and responsive to an individual's health beliefs, practices, and needs. This type of care is sensitive to the individual's ethnic and religious beliefs as well as cultural beliefs that have been shown to engage individuals into participating in their healthcare. The skill to deliver culturally competent care is vital for all nurses. For all nurse who work in high-acuity or high-stress healthcare system environment, culturally competent care is particularly significant to patient outcomes. Nurses need to advance their cultural competency in order to be effective in developing bonds with patients, and to...
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...Cultural competency is having the knowledge, abilities, and skills to deliver care congruent with the patient's cultural beliefs and practices. It also allows one the ability to understand, appreciate, and interact with persons from cultures and/or belief systems other than one's own. Being culturally competent allows nurses the ability to comprehend and focus on picture, while being able to provide patients with the best quality and continuity of care. Nurses must have the ability to learn and comprehend different cultures beliefs when it comes to healthcare. The different culture plays a huge role on how people seek for care, but most importantly how they react to the care received. Healthcare professionals should abstain from stereotyping...
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...Cultural Competency and Health Literacy Linda Seyram Agudu, RN-BSN State College of Florida Spring 2014 Cultural competency and health literacy “ To be culturally aware is to understand those aspects of the human condition that differentiate individuals and groups and to understand that these differences sometimes have a significant influence on their health and medical care” (Seidel, 2011). A definition of cultural competency in nursing: “The nurse becomes sensitive to the values, beliefs, lifestyle, and practices of the patient/client, and explores her/his own values, biases and prejudices. Unless the nurse goes through this process in a conscious, deliberate, and reflective manner there is always the risk of the nurse imposing her/his own cultural values during the encounter.” (American Association of Colleges of Nursing, 2008). As cited in the American Association of Colleges of Nursing’s Tool Kit of Resources for Cultural Competent Education for Baccalaureate Nurses, Madeleine Leininger's theory and the Sunrise Model that depicts her theory are perhaps the most well known in nursing literature on culture and health. “Leininger states that the theory of cultural care diversity and universality is holistic. Culture is the specific pattern of behavior that distinguishes any society from others and gives meaning to human expressions of care”. (American Association of Colleges of Nursing, 2008). The Cultural Competence Health Practitioner Assessment (CCHPA)...
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...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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... a newly hired human resource manager to Healthcare, one of the largest European pharmaceuticals based in Germany in charge of global compensations and tasked with reviewing existing policies and practices, and making recommendations for a global pay system. Wolfgang was provided six folders that contained the following: • Healthcare Group • Personnel Structure • Leadership Competence • Corporate Human Resource • Global Performance • Overview of Corporate and HRM Strategy Using current knowledge and best practices from other companies each of these folders can be resolved and still maintain the upward profit margin for the company. It would require some compromising from employees to move forward. Questions or challenges that Wolfgang is facing are communication to other executives on maintaining management competencies set by headquarters? Is a competency-based pay system more flexible or standardization already established? Healthcare’s goal was to have the same compensation system globally, however compensation is extremely complex. Pay systems must conform to local laws for employee compensation while also fitting into global Healthcare’s policies. Leadership Competence of the Healthcare Group Competency has been defined demonstrable characteristics of the employee including knowledge, skills, and behaviors (Jahja & Kleiner, 1997). Competencies outlined for Healthcare are as follows: • Business related competencies include achievement orientation, innovation...
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...journey with managing the condition and the cultural barriers that posed great challenges in Lia’s care. Lia was diagnosed with epilepsy during infancy. Her family’s opinion was that the condition was a spiritual gift. Lia’s parents, Nao Kao and Foua, were wary of the American medical system, preferring to care for Lia in the Hmong way. Throughout the considerable conflict surrounding her care, Lia continued to have seizures; at the age of 4 ½, after a particularly devastating episode of status epilepticus, she slipped into a persistent vegetative state that would last...
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