...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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...provide effective and efficient health services; health care organizations need to develop cultural and linguistic competence (Gordon, 2013). The aim for health care organizations is to achieve cultural competence as evidenced by every patient regardless of race, ethnicity, culture or language receiving the highest-quality care (Betancourt, Green, Carrillo, & Park, 2005). Betancourt, Green, Carillo, and Ananeh-Firempong II (2003) defined a cultural competent health care organization as one that recognizes and integrates the importance of culture, cultural differences, cultural knowledge and services to meet the distinctive needs of the culture. This cultural competence encompasses integration and interaction of beliefs, behaviors, disease prevalence and incidence and treatment outcomes for diverse patient populations (Betancourt et al., 2003). In the case study: Diversity Conflicts in the NICU the manager has identified practices in the NICU that are not representative of a culturally competent organization. While reflecting on the diverse population that her staff comprises of the manager debates changing her hiring practices to avoid the amount of growing conflicts. Gordon (2013) discusses how health care organizations have an obligation to develop policies and practices that will assist in recruiting, retaining, and managing the various cultures represented in the workforce to offer both culturally appropriate care and improved access to care. The Commonwealth Fund indicates...
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...Standards of Care NUR 531 Emerging Standards of Care The impact of the varying demographics and the emergent multicultural humanity emphasizes the significance of cultural competence for the provision of quality care in this diverse society. Identifying and comprehending the beliefs, customs, practices, and values of a culture is essential for nurses and health care providers. Beyond the racial and ethnic group, classification that usually comes to mind with discussion of cultural diversity, other types of cultural diversity such as gender and organization affiliation warrants attention. This paper will discuss cultural competence in home health care/hospice, the people that receive service and issues of community vulnerability. Exploration of standards of cultural competence, potential impacts of delivery of care, and possible solutions to implement where standards are not being met will emerge. Cultural Competence According to Freidman, Bowden, and Jones (2003), people view culture as a model for our way of living, behaving, living, and feeling. An association between culture and heath practices is existent. In fact, culture is the most influential factor in determining health behaviors and beliefs (Campinha-Bacote, 2003). Cultural competence involves being aware of, and conversant on, and sensitive to the diverse cultures that exist in the population. Health care providers should not only embrace cultural diversity but must also strive for cultural competence...
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...Reducing health disparities and achieving equitable health care remains an important goal for the 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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...Investing in healthcare disparities and solutions. INTRO- Healthcare disparities continue to be a major problem in our present-day society, creating uncertainty about access to necessary services and health outcomes. This essay aims to analyze the complicated structure of healthcare disparities while shining a light on the approach to universally fair healthcare outcomes and access. This essay will explore the complicated link between healthcare disparities and how factors such as socioeconomic status, race, location, and differences in cultures affect health outcomes and unequal access to medical treatment. This essay does this by drawing on the information offered by numerous studies. It will address the root causes of healthcare inequality...
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...Emerging Standards of Care NUR/531 August 18, 2014 Emerging Standards of Care According to the U.S. 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...
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...CULTURAL COMPETENCE IN HEALTH CARE: EMERGING FRAMEWORKS AND PRACTICAL APPROACHES Joseph R. Betancourt Massachusetts General Hospital–Harvard Medical School Alexander R. Green and J. Emilio Carrillo New York-Presbyterian Hospital–Weill Medical College of Cornell University FIELD REPORT October 2002 Support for this research was provided by The Commonwealth Fund. The views presented here are those of the authors and should not be attributed to The Commonwealth Fund or its directors, officers, or staff. Copies of this report are available from The Commonwealth Fund by calling our toll-free publications line at 1-888-777-2744 and ordering publication number 576. The report can also be found on the Fund’s website at www.cmwf.org. CONTENTS About the Authors.......................................................................................................... iv Acknowledgments .......................................................................................................... iv Executive Summary......................................................................................................... v Introduction .................................................................................................................... 1 Findings........................................................................................................................... 3 Defining Cultural Competence ..............................................................................
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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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...Standards of Culturally Competent Care NUR/531 University of Phoenix 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. Cultural Competence When examining...
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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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...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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...Health disparities are defined as unequal burdens in disease morbidity and mortality rates which are often experienced by the minority racial/ethnic groups. In today’s population ethnic and racial disparities exist for various and intricate reasons, which has grave impacts on an individual’s access to health care. These disparities have been around for several centuries and continue to be problematic despite the little progression being made with the revisions of preexisting health care laws. Laws and regulations are continually being revised to allow further health insurance expansions in hopes to reduce the ethnic and racial disparities for access to adequate care. Even with the increase in awareness, policymakers and clinicians have...
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...likely to have access to quality care, are more likely to be less educated, and a host of other disparities and factors. Therefore, teenager girls who live in poverty may feel that becoming a mother will give them a purpose in life and feel better about their economic condition. Due to this, poverty is a key factor of teenage pregnancy. In order to decrease the high prevalent of teenage pregnancy...
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...Black/African Americans and Health Care Paula Elizondo Grand Canyon University: NRS-429V November 23, 2014 Black/African Americans and Health Care Americans live in a country that is considered a melting pot of many different ethnic groups and cultures. In fact, the U.S. Census of 2010 reported that 36.3% of the population belongs to a racial or ethnic minority group (Centers for Disease Control and Prevention, 2014). In spite of national goals to improve health care, including the implementation of the Affordable Care Act (U.S. Department of Health and Human Services, 2014), many Americans are still finding it difficult and challenging to maintain good health and having their health care needs addressed. For many Americans, race is a huge issue in healthcare today. Minority and ethnic groups are especially susceptible to race related health issues. One such group with a deep seeded history in the United States is Black or African Americans. Black/African Americans are the second largest minority group in the United States (Edelman, Kudzma, & Mandle, 2014). Because of the history involving slavery and segregation, Black/African Americans still have to deal with inequalities in many aspects of their lives such as health care, regardless of changes over the last 60 years (Edelman, Kudzma, & Mandle, 2014). The health status, barriers to health, and health disparities of Black/African Americans demonstrate a need for improvement in equality and the resources...
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...2012 ELIMINATION OF RACIAL DISPARITY IN HEALTHCARE IN AMERICA Disparity in US Health Care is multifactorial, they reflect the differences in demographics, social-economic as well as environmental factors. The Journal of the American Medical Association identifies race as a significant determinant in the level of quality of care, with ethnic minority groups receiving less intensive and lower quality care. Ethnic minorities receive less preventative care, are seen less by specialists, and have fewer expensive and technical procedures than non-ethnic minorities. Studies have shown that this disparity affects the biological vulnerability to disease, utilization of health system in US and health care interventions. Understanding and intervening in the health disparity in the US is imperative because the US population is changing. According to the American Health Association (AHA), by 2050 Minority groups will compose almost half of the U.S. population by 2050. The biggest increase will occur within the Hispanic population. In December 2007, the American Hospital Association (AHA) created the Special Advisor Group on Improving Hospital Care for Minorities as part of effort to ensure equitable treatment of all patients. This article will discuss the issues related to disparity and how the American Hospital Association is taken several steps in helping aid in eliminating the racial disparity in health care. Health disparities in the quality of care exist and are based on language...
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