...Running Head: CUTURALLY COMPETENT CARE Introduction Globalization has changed the way we live. The population demographic of United States is 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...
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...According to Giger and Davidhizar (2007), diversity has always been represented since the founding of the United States. Even though diversity was prevalent; the demographic profile continues to grow and change (Gordon, 2013). In order 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...
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...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 efforts to ensure equal treatment for all patients. According to Rich Umbdenstock, AHA President, hospital leaders should focus their time, attention and resources around quality, transparency, data collection, governance, public health, wellness and workforce opportunities. The AHA’s Center for Health Care Governance and Institute for Diversity in Health Management has developed trustee...
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...provide the highest quality of care and to support teaching and research. In fulfilling its mission, the Hospital is committed to policies, procedures and professional behavior that express the Hospital's core values, including respect and excellence” (Our Code of Ethics). Upon the decision to provide the care needed the organization wanted to develop the true nature of commitment to their clients. To provide the quality of care they felt the community deserved, the organization wanted to incorporate changes to help the cultural diversity within the company. Diversity is a welcoming of differences, to understand that each person is different. To become welcoming to differences to manage the care of the patient’s diversity needed to be integrated among employees. According to "John Hopkins Medicine" (n.d.), “In spring 2006, Johns Hopkins Medicine launched an ambitious endeavor to recruit and retain the most talented people, to foster a culture in which everyone feels that their contributions are valued, and to provide better medical care through respect for patients’ backgrounds and beliefs” (Diversity and Inclusions at John Hopkins). This change will hopefully make a better organization for the future. According to "John Hopkins Medicine" (n.d.), “To help coordinate our efforts, in January 2009 Brian Gibbs was appointed to the newly created position of associate dean for diversity and cultural competence and leads the Office of Diversity & Cultural Competence. In September of...
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...Healthcare Ecosystems Barnes Jewish Hospital is the combination of The Jewish Hospital of St. Louis built in 1902 and Barnes Hospital built in 1914. The two hospitals were combined in a merger in 1996 becoming Barnes-Jewish Hospital. Barnes-Jewish Hospital is located in St. Louis, Missouri in the Central West End neighborhood. What started off as a small Jewish hospital in 1902 is now one of the best hospitals in Missouri. It is also the largest private employer of St. Louis with 9,215 employees (http://barnesjewish.org/about/fact-sheet). Barnes Jewish is a teaching hospital that has been associated with Washington University College of Medicine since before 1914. This association guaranteed that the hospital would be staffed with university professors and be a learning environment for cutting edge medicine. Impact on Growth Immigration had a large impact on the growth of The Jewish Hospital of St. Louis. The hospital was built with money from the Jewish community and the board of directors consisted of the city’s Jewish leaders but they wanted the hospital to help everyone. The board promised that the hospital would “afford medical and surgical care and nursing to sick or disabled persons of any creed or nationality” (http://barnesjewish.org/about/history). Over 3 million Jews immigrated to the United States from Europe from 1881 to 1920. The immigration was caused by economic conditions and discrimination that radiated throughout Europe (http://en.wikipedia...
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...nurse/secretary asks for injury/illness history and, meanwhile, the person who needs to see the doctor is waiting in pain. The stress mounts and communication becomes harder. Now, take that same scenario when someone in the ER does not speak the language or know the culture of the patient. It not only severely complicates the process, but endangers the person needing the care. The Spirit Catches You and You Fall Down by Anne Fadiman is the tragedy about three-month-old Lia Lee, from Laos, who unfortunately was one of these cultural misunderstandings. This book had a significant impact on educational and healthcare concerns regarding the need for cultural understanding in medical care. Whether the changes will be enough remain open to question. Anne Fadiman, a freelance writer, was introduced by chance to the Hmong community through a friend working at a California hospital. It took her several months to be accepted enough to talk with the Hmong leaders, where she heard Lia Lee’s tragic story. She felt it was necessary to show the point of view of both the patient (and family) and the doctor, since cultural medicine is such a complicated issue. Fadiman succeeds in showing the challenges, frustrations and misunderstandings from these two perspectives. That is what has made her book so well received by educators, literary critics and the medical field: Although becoming emotionally involved with the Lia Lee’ family, she is able to remain an objective writer. In addition, she is...
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...Diversity in the Workplace The aim of this paper is to review literature on the issues of diversity in the workplace. We can ask ourselves why is diversity in the workplace so important? Some arguments suggest that it may benefit to an organization and company success. This topic has been researched and discussed for many years before us and is still current in health care and in general. As I was preparing for this week learning adventure, I can say that, besides our chapters in textbooks, I read so many different articles, but for this paper I have chosen the article written by Maier- Lorentz Transcultural nursing: Its importance in nursing practice. I found this article easy to understand and fallow through and I agree with many things listed and discussed by the author. We can define diversity in many different ways many years ago diversity was defined mainly by gender, race, or color. In today’s world, we can also add on sexual orientation, military experience, education, work experience, marital status and many more. With a diverse workforce health care can compete with the higher achieving global organization. This article is discussing important of diversity in the nursing profession. As we can see from the article increasing culturally diverse workforce creates positive outcome for the hospital or organization, and also helps in delivering better care for patients and families (Maier-Lorentz, 2008). That is why this issue has been incorporated through nursing...
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...Emerging Standards of Care Kassandra Snow NUR 531 May 25th, 2015 Greg Friesz Emerging Standards of Care In the United States, it is no secret that there are many differing cultures, ethnicities, religious and racial in an abundance. In the nursing field, we see many differing cultural diversities on a daily basis. Racial, religious, and ethnic differences are mostly easy to spot in the health care world. These differences are readily discussed in nursing education, and education is given on how to provide culturally competent care for many different backgrounds. While this is an amazing thing to have in the nursing world, my question is what about the culture of military Veterans? Veterans are typically overlooked when it comes to the concept of culturally competent care. They have their own way of thinking, own belief systems and even their own language along with the specific mental and addiction health disparities. It is important that nurses do not overlook the rising number of Veterans, and the specific care they need due to the differing culture. Culturally competent care for veterans, any vulnerabilities of the Veteran culture, standards of culturally competent care in the Veterans Administration, application of nursing theory, and solutions for providing culturally competent care for Veterans will be addressed in this paper. Culturally Competent Care and Standards The United States is widely known as the “melting pot” of the world, and that comes with many...
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...Importance of Understanding Culture Diversity in the Workplace Jennifer Schulz Devry University Cultural Diversity in the Professions SOCS350 William Tutol January 10, 2014 Importance of Understanding Culture Diversity in the Workplace In business today it is important to have a diverse group of employees in the workplace. Our textbook defines diversity as real or perceived differences among people in race, ethnicity, sex, age, physical and mental ability, sexual orientation, religion, work and family status, weight and appearance, and other identity-based attributes that affect their interactions and relationships (Bell, 2012, p. 5). It is very important to understand the cultural, ethnical, and gender differences by professionals and management in the workforce in this day and age. If an organization develops a reputation for valuing all types of employees, it will become known as an employer of choice, in which workers from all backgrounds feel they have the opportunity to work, grow, and be treated fairly (Bell, 2012, p. 4). By being diverse in its employees, a business has a better opportunity for new ideas and growth potential and less likely to be stymied. Despite extraordinary corporate and media attention paid to diversity in the past thirty years, discrimination, inequality, and exclusion persist in organizations (Bell, 2012, p. 4). As discussed this week in class, when the department head turned down the Jamaican friend for the position, even though he seemed...
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...RUNNING HEAD: LEININGER’S THEORY OF CULTURE CARE Critique Paper Theory of Culture Care Diversity and Universality University of Virginia Theoretical Foundation of Nursing Abstract The Cultural Care Diversity and Universality Theory provides a conceptual framework to discover and explain diversities and similarities of care practices, within a cultures context. The theory is highly complex, and has many levels of scope, in relation to human cultures and nursing worldwide. Culture care is applicable to any culture and many diverse settings. The theory is accessible as a guide to research and can lead to empirical precision. The Sunrise Enabler provides a “visual map” that depicts the multi-factoring influences of culture described in the Culture Care Theory. The United States has become a very pluralistic society and continues to grow in international and ethnic diversity daily. In 2006, Louis Kincannon, Census Bureau Director, stated that “about one in three U.S. residents is a minority.” In 2006, of the United States population, 66% were white or European, 15% Hispanic America, 13% African America, 5% Asian American, and 0.4% Native American (United States Census Bureau, 2006). By 2020 they project that only 53% of the U.S. population is going to be white of European descent. In addition, by 2020 the Hispanic Americans and Asian Americans will triple, while the number of African Americans is expected to double (U.S. Census Bureau, 2006). Considering these...
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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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...profession from 19th century till date. New theories are emerging due to advance in health care, as off-shoot of previous theories and also as addition to suit present day application. This paper shall look at the works (theories) of Florence Nightingale; Environmental theory, Jean Watson; Human caring theory, and Madeleine Leininger; Culture care diversity and universality and how it relates with Minot State University’s mission statement and philosophy. In addition, the paper will venture into the merits and demerits of these theories. These nursing theorists viewed nursing differently but, have a common goal in aiming to deliver service to clients using different methods. This adds to the dynamism inherent in nursing profession and provides platform upon which improvements are made. Nightingale focuses on manipulating the environment to cater for health needs of patients and prevention of illnesses. Jean Watson presents a care approach view at nursing. She ultimately support the value of caring relationship in dealing with clients. While Madeleine Leininger stress the importance of cultural understanding and application before, during, and after interacting with clients. Keywords: Nursing, caring, culture, cultural diversity, cultural universality, carative factors. Florence Nightingale’s Environment Theory Nightingale was a major pioneer of nursing as a profession. She observed that hospital environment were dirty during and couldn’t promote health and that observation coupled...
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...Assignment Title: Cultural Diversity Context The unit aims to introduce you to a range of beliefs held by individuals within our society. It will help you to understand and value the ways in which we are different. You will learn what is meant by cultural diversity and about the beliefs of individuals from a wide range of different religious and secular backgrounds. The unit covers the factors that influence the equality of opportunity within our society which will help you to promote the equality of opportunity for service users in health and social care environments if you move to a career in this area of work. Task Overview You are a Learning Disabilities Nurse at the Queens Medical Centre in Nottingham and as an additional responsibility you are responsible for the promotion of Equality and Diversity on the ward in which you work. This involves updating displays and leading staff training exercises related to equality, diversity and non-discriminatory practice. Date of issue: Date of submission: Learning outcomes On completion of this unit, you should: 1. Know diversity of individuals in society. 2. Understand beliefs and practices in different religious or secular groups. 3. Understand factors that influence the equality of opportunity for individuals in society. 4. Know the role of legislation, codes of practice and charters in promoting diversity. Refer to the assignment task sheet and the criteria...
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...The impact of diversity in work place Janevine Onyeanuna Walden University Issues and Trends in Nursing NURS 3000 Section 04 Dr Mary Tan March 15, 2015 The impact of diversity in work place Knowledge of the impact of diversity is nesseccary at all levels of nursing work place because the nursing work place is made up individuals of diverse cultural group and so the ethnocentric approach to nursing practice should be eliminated in providing care. A good nursing care to a patient is clear, accurate communication and understanding of the patient’s values, belief system and family dynamics. The purpose of this paper explains the impact of gender, ethnic, demographic diversity on nursing profession and also the effect of underrepresentation of minorities nursing profession. Importance of Diversity in the Work place Cultural diversity in nursing profession is a cross- cultural health discipline, which encompasses the belief system of a variety of groups; it refers to the differences between individuals based on beliefs, customs, and ideology as evidenced in their way of life. Nurses bring their cultural and philosophical views into nursing profession so there fore its needful for them to understand the nurse- patient relationship, nurse- nurse relationship which includes the culture of the nurse, the culture of the co-worker and the culture of the patient, and the culture of the setting. Patients...
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...end of life care: Outline Gurbani Virk SOC313: Social Implications of Medical Issues (CGF1516A) Instructor: Mark Mussmann Date submitted: May 4, 2015 Introductory Paragraph Miller family is filled with traditions, diversity and cultural values. In the scenario, Grandma Ella has been experiencing various issues with regard to having alternative treatments and medicines. Ella’s decision is hugely influenced by her cultural and traditional expectations that may influence directly or indirectly on the care given to her in her end of life days. In addition to that, there are other systems like micro, mezzo, and macro influences affecting Ella and her family members due to her medical condition of having cancer for more than 10 years and its prognosis. The debate is over whether Grandma Ella would have advantages or disadvantages by receiving end of life care at a hospital setting or hospice and palliative care will be given for her at home. As a social worker, I have a big responsibility for deciding on Ella’s treatment plans which may get affected by her other family members who have to take care of their own medical and personal problems. Outline I. Introduction A. Background Information 1. Grandmother Ella’s condition has significant implications on her life and the lives of other family members 2. Cultural and traditional issues, context of health care setting as well as psychological and social issues affect decisions on privilege of care given 3. Micro...
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