...DeMase Emerging Standards 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...
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...Emerging Standards of Care: Cultural Competence in a Long Term Care / Skilled Nursing Facility Susan Mateo NUR/531 Tracey Lane Emerging Standards of Care: Cultural Competence in a Long Term Care / Skilled Nursing Facility Of the many challenges facing the nursing profession, cultural competence is an area of great need across all settings from educators, to students, bedside nurses, nurse managers, and nursing leadership. Cultural competence for a given entity, be it an educational institution or healthcare facility, is best measured by an appraisal of that entity, with respect to the cultural diversity of its staff and customers, along with its policies, procedures and actual practices. The focus of this paper is the evaluation of the cultural competence of a local long term care / skilled nursing facility (LTC/SNF) located in Harker Heights, Texas. The inability to access numerical or percentage totals of the demographics of either the staff or residents directly resulted in observational assessments by this writer as the basis for this evaluation. The observations took place during the clinical experiences of students from the local public school district’s CNA course. Based on the various readings associated with the nursing 531 course, a definition of cultural competence includes several components. One of the most easily understood and incorporated is Campinha-Bacote's model of cultural competence. This model consists of five concepts, namely: cultural desire...
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...Emerging 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...
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...Emerging Standards of Care Paper Ron Perkins NUR/531 December 23, 2013 Jane Jacks Emerging Standards of Care Paper In nursing, we care for patients from a variety of cultures and backgrounds. This diversity is dependent on location, population, and nursing specialty and may change at any point. In order to properly provide culturally competent care, we must be educated about the individual culture needs and limitations. It's also important to be mentally open to looking beyond our personal norms to care for patients with unique cultural backgrounds and beliefs. As a dialysis nurse, we are seeing the effects of chronic kidney disease affecting a larger, more diverse population of patients. Patients are going into renal failure earlier, family dynamics are uniquely affected, and patients from all walks of life are affected. The paper will look at dialysis at Fresenius Medical Care in St Louis Missouri located in The Hill neighborhood. It will define cultural competency, identify the different cultures served, discuss how the standards of culture competency are being met and what areas are not, and discuss nursing care delivery and possible solutions for areas lacking in cultural competency. Culturally Competent Care at Fresenius Dialysis Centers It is imperative as health care providers that we not only care for a verity of people with different health conditions, but also from different backgrounds. We are given the task of caring for the physical and mental...
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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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...Emerging 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 ...
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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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...Emerging Standards of Care The Office of Minority Health defines the term “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” (“What is Cultural Competency, n.d.). Health care providers have begun focusing on ways to create culturally appropriate and effective health care policies. These policies will lead to culturally sensitive care provided to patients. The diversity within the world’s population is changing hastily and impacting health care globally. Although, many organizations have provided their definitions of cultural competence regarding health care, all organizations, health care providers, and patients have their own vision of what cultural competency entails. It is important that all providers use their individual understanding of the term to analyze ways to meet the standards of nursing care. With standards in place, organizations can develop tools which measure individual patient needs as well as measuring the effectiveness of the organization’s culturally diverse practices. As populations become more diverse, it is imperative that the gap in disparities of health care be closed. To ensure these differences are addressed, health care providers and patients must discuss the concerns without cultural differences hindering the discussion (What is Cultural Competency, n.d.). All categories and specialties within...
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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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...Theory Applied Vulnerable Populations I "Nowhere are the divisions of race, ethnicity and culture more sharply drawn that in the health of the people in the United States. Despite recent progress in overall national health, there are continuing disparities in the incidence of illness and death among African Americans, Latino/Hispanic Americans, Native Americans, Asian Americans, Alaskan Natives and Pacific Islanders as compared with the US population as a whole." --National Center for Cultural Competence Population addressed Population addressed In 1950, U.S.-born whites made up about 90 percent of the U.S. population. By 2000, this number declined to about 75 percent, and by 2050 non-Hispanic whites will be in the numerical minority (U.S. Census Bureau 2001, 2002). This rapid diversification requires healthcare organizations to pay closer attention to cross-cultural issues if they are to meet the healthcare needs of the nation and continue to maintain a high standard of care. Looking at the Country as a whole the current area of discussion for this paper is the area of Western North Carolina and the population of Asheville, which is a melting pot of cultures which the combination they create is unique to no other. According to the 2006 U.S. Census Bureau statistics for Asheville, N.C. the current demographics break down as follows: Asheville [City] Population (current estimate), 70,400. Buncombe County Population (2006), 222,174, county in Western North Carolina...
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...Emerging Standards of Care According to the U.S department of Health and Human services Office of Minority Health, "Integrated health care approaches must respect the whole person, work across the life span, include prevention and early intervention methods, and be person-centered, strength-based and recovery focused," (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...
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...Diversity 1 Running Head: FAITH DIVERSITY Health Care Provider and Faith Diversity Grand Canyon University: HLT-301V March 9, 2012 Diversity 2 Abstract In today’s world of cultural co-habitation, it is more important than ever for the healthcare provider to practice cultural competency. Culture competence is having the knowledge, abilities and skills to deliver care in keeping with the patient’s beliefs and practices (Purnell & Paulanka, 2008). The philosophy of healing, including the spiritual perspective and critical components of healing in the Shamanism, Hinduism, and Confucianism faiths differ vastly from the Christian philosophy. Since the majority of the population in the United States is Christian, an important tool in development of cultural sensitivity is a comparison of Christian healing beliefs with these others. Diversity 3 Health Care Provider and Faith Diversity The United States used to be called the “Melting Pot” because immigrants would acculturate and become “American”. This is no longer the case as more and more immigrants are holding on to their culture and beliefs. This often includes their philosophies on healing and spirituality. In order to compare other “faiths” with the Christian faith, a distinction needs to be drawn between religion and faith. The Free Online Dictionary defines religion as “a belief in and reverence for a supernatural power or powers regarded as creator and governor of the universe” and faith as “a confident...
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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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...end of this module, you should be able to: Describe the concept of Cultural Competence in Research Explain the importance of Cultural Competence in Research Describe ways to enhance the engagement of diverse populations and communities in research Identify cultural competence challenges faced by researchers when working with culturally diverse populations Cultural Competence in Research Culture is fundamental to everyone's perceived identity. It is a mix of one's values, beliefs, standards, norms, behaviors, language, communication styles, and thinking patterns.[1] Cultural competence refers to understanding the importance of social and cultural influence on the beliefs and behaviors of the patient, student, colleague or client.[2] Cultural competence in health care describes the ability of systems and health care professionals to provide high quality care to patients with diverse backgrounds, values, beliefs, and behaviors, including communicating effectively and tailoring delivery to meet patients' social, cultural and linguistic needs and perspectives.[3] By definition, diversity can include differences in race, ethnicity, age, gender, size, religion, sexual orientation, and physical and mental ability.[4] Many terms are used to describe cultural competence: awareness[5], responsiveness, safety[6] and sensitivity. But, unlike cultural responsiveness, sensitivity[7], or appropriateness, cultural competency...
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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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