Cultural Sensitivity and the Health Practices in Dominican Republic Manoucheka Chery Grand Canyon University: NUR-502 May 7, 2014 Cultural Sensitivity and the Health Practices in Dominican Republic The demographics of the United States is changing to one that is multicultural, multiethnic, and multilingual. In healthcare, cultural competence mainly refers to a medical professional’s ability to provide the appropriate care to patients with different cultures that require a special mode of treatment. For example, your teams will know not to schedule Jewish healthcare team members during key holiday such as Passover or Rosh Hashanah. The woman complained of pain to her family but said nothing to her physician. Affordable Nurse Practitioner Programs Online, Family Nurse Practitioner vs Doctorate Nurse Practitioner. For example, the Liaison Committee on Medical Edu-cation (LCME) — the nationally recognized accreditation body for medical schools in the U.S. and Canada — recently mandated higher standards for curriculum material on … The health status of minority groups will never improve if services are not accessible to these patients. Your staff should be educated, armed with resources, and have daily practices that foster a more culturally competent work environment. The number of nurses with advanced degrees has increased, and more minority students are finding a place in healthcare professions. The importance of cultural competence in nursing focuses on health equity through patient-centered care, which requires seeing each patient as a unique person. ... of physicians’ cultural competence in health care interactions . Establishing cultural respect is a collaborative effort that requires all hands on deck. If one group is more at risk of a particular health concern, that should be addressed and presented from that specific cultural perspective. Unaware of this cultural tendency, the physician denied the family’s request to move up the surgery date. For optimal results, these committee members should represent a diverse set of values and perspectives. among professionals that enables effective work in cross-cultural situations Nurses are often the first and last points of contact with a patient. But perhaps more than any other business, diversity impacts healthcare. Perhaps more than any other industry, healthcare needs diversity training in the workplace. Journal of Transcultural. It is also essential for nurses to support healthcare facilities, nursing schools, and professional associations in their programs to improve diversity. Interventions to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, Canada and the USA: a systematic review.International Journal for Quality in Health … How Do Nurse Practitioners Become Certified? Respectful scheduling: When your management staff is empowered with a diversity calendar, they’re able to respect the scheduling needs of all staff based on their culture. Studies have identified limited national efforts to incorporate cultural competency in healthcare. Core to that role is the increased focus on health disparities, health equity, and cultural competence in medical care. The woman’s condition worsened and she died during surgery. They’re also better prepared to understand the unique needs of other cultures. Cultural competence reduces inequities in promotion, retention, service delivery, healthcare delivery, and health risks, as well as protects organizations legally. Some effective strategies for achieving culturally competent care and reducing health disparities include the following: Source:Medical Care Research Review (Brach & Fraser, 2000). Cultural and linguistic competence also represents a challenge to all nurses, even when they begin as students acquiring the basic knowledge to perform well in the profession. Healthcare, Sponsored Post. Despite these developments, the American healthcare system has struggled to establish a universal standard for culturally competent care. Part of the problem is that ethnicities and genders have long been underrepresented in the healthcare workforce. Of course, it’s not enough to solely understand the definition. A routine doctor’s visit involves much more than interacting with the healthcare provider. A more successful approach is to educate healthcare providers on traditional beliefs and behaviors among the cultures most commonly served by that organization. Prayer facilities: Many healthcare facilities are replacing chapels with inter-faith worship spaces to serve the needs of more religious preferences. Alphabet Soup: LPN, RN, APRN, NP – Making Sense of Nursing Roles & Scope of Practice, How to Write the Perfect Nurse Practitioner School Personal Statement, © 2021 NursePractitionerSchools.com, a Red Ventures Company. Recruiting and retaining professionals with minority backgrounds. Diversity is a factor in every part of our society, and every workplace. Culturally competent care in nursing. While 2060 is still decades away, the cultural gap already exists and has proven unfavorable for the health of minorities. Respect is at the heart of cultural competence-patients who feel their healthcare providers respect their beliefs, customs, values, language, and traditions are more likely to communicate freely and honestly, which can, in turn, reduce disparities in healthcare and improve patient outcomes. A diversity awareness training program for health professionals has a clear objective. Cultural competency refers to the ability of healthcare providers to recognize and respect patients with diverse values, beliefs, behaviors and linguistic needs. The first step to building cultural competence at a healthcare organization is to understand community health needs, the American Hospital Association reported in a playbook on the subject. Liz Lotts spent more than six years copywriting for an online health-and-wellness retailer before leaving her corporate job—and the beaches of South Florida—in 2018. Cultural competence is necessary in every aspect of life—personal or professional. To discover more, learn about the 5 key benefits of diversity training in the workplace, benefits of diversity training in the workplace, COVID-19 Anxiety: How to Deal With It – 7 Tips. Not all cultures accept Western medicine as their primary source of healthcare. The goal of cultural competence in health care … By following a diversity calendar, your staff can plan culturally appropriate celebrations for Black History Month, Kwanzaa, Hanukkah, and other inter-faith and religious celebrations. Cultural competency refers to the ability of healthcare providers to recognize and respect patients with diverse values, beliefs, behaviors and linguistic needs. The intersection of knowledge, beliefs, and behavior is where patient care can be affected. Including family and community members in healthcare decision-making. There is much progress yet to be made in ensuring that all p… As the bridge between practitioners and patients, nurses are in a unique position to respond to the growing demand of a diverse population. This can be accomplished with something as simple as an advisory committee. After all, that is culturally competent care. As a result, the patient walks away satisfied with the entire healthcare team. To help nurses develop cultural competency and deliver customized care, Josepha Campinha-Bacote and Cora Munoz developed a five-prong system. Religious considerations: If your workplace offers a chaplain, consider adding a rabbi, imam, and spiritual counselors of other religious affiliations to your on-call staff. Every day presents opportunities for growth, and your management team needs to understand how to teach cultural competence in healthcare. I am grateful to be partnered with a healthcare professional, Kelly. It is also helpful to supplement interpreter services with print materials and signage in languages most commonly used by the population. Many cultures have special dietary considerations that should be noted. (“Cultures” are not only about race or ethnicity. There is no one way to become a nurse, and there are so many different kinds of these invaluable healthcare... A doctor of nursing practice (DNP) appeals to nurses interested in an evidence-based patient care degree instead of a research-focused doctorate. These values, behaviors, principles, beliefs, and traditions have huge impacts on how the course of treatment will push through and take place. A non-denominational prayer and meditation room can serve as an inclusive sacred space for staff and patients of all religious backgrounds. Cultural competence prepares nurses to empathize, relate more to patients, and attend more deeply to their needs. Becoming culturally competent can be difficult for even the most conscientious healthcare professional. These factors highlight the importance of cultural diversity in healthcare. Cultural competence promotes legal protection for organizations, in addition to promotion, preservation, service delivery, healthcare delivery, and reducing disparities in health risk. Incorporating culture-specific attitudes in health promotion. NursePractitionerSchools.com is an advertising-supported site. Through online diversity training, your healthcare professionals can learn and grow the appropriate skills. If she’s not putting words on virtual paper, Liz is helping her husband and business partners run their Orangetheory Fitness studios in New York. For example, ensure your staff doesn’t offer pork or shellfish to Jewish for Muslim patients. Have the appropriate type of religious leader available for patients in crisis, and for your staff. Staff in billing, medical records, and human resources are all key players in the healthcare experience. Nurse Practitioner vs Nurse Administrator. The goal is to provide the same standard of care to everyone,  regardless of religion, culture, language, gender identity and more. Which Online NP Programs Have Spring Starts? Having someone on their care team who speaks their language or understands their unique background may help them to relax, leading to greater therapy and overall care. Does the electronic health record in your facility prompt you to ask culturally relevant assessment questions? To retain a diverse workforce, an organization must incorporate cultural attitudes and messages in internal communications leading to increased trust in the workplace. Before implementing health-promoting programs, organizations must acknowledge any existing imbalance between minority groups. Cultural competence requires several elements of professionals: 1. Their role results in improved patient education and health outcomes. This will likely require select skill sets to overcome poor health literacy. Consider the case of an elderly Irish woman, who was hospitalized and then scheduled for surgery. Organizations should always test the competency of those providing language assistance and avoid using untrained or minors as interpreters. Educating oneself on various cultures and their beliefs, values and attitudes 5. After watching the video, please answer the following: Does the American Nurse’s Association or other nursing organization have any statement about the nurse’s role in cultural competence? Please provide an example of one of the questions. Cultural competence is the ability to understand, communicate with, and interact effectively with people of different cultures. Here are a few examples that demonstrate its importance: Cultural Competency in Medicine. For example, there is a lot of information that Māori and Pasifika peoples have much worse health outcomes than other population groups, especially Pakeha. Interpreter services improve communication between patient and provider. The Need for Cultural Competence in Healthcare In order to meet the needs of patients, healthcare providers will need to promote cultural competency. Challenging systems that give power to only majority or privileged cultures 2. A successful recruitment strategy invites human resources and other hiring staff to present a culturally mixed set of eligible candidates. Other powerful tools include diversity training videos, and live diversity training services. Cultural competence in healthcare training enables staff to be culturally competent. Addressing and reversing one's own cultural prejudices and biases 4. Cultural competence, also known as intercultural competence, is a range of cognitive, affective, and behavioural skills that lead to effective and appropriate communication with people of other cultures. If you see gaps in the training, it may be time to look at a custom training. Heritage celebrations: Celebrate the differences between your staff and patients by celebrating heritage. It may be one of the finer points of being a nurse, but ultimately it is no less important than doing rounds or assisting in surgery. These are only some of the ways nurses can cater to a diverse patient group. This allows patients to follow their treatment program within their cultural parameters, which leads to patient satisfaction and improved health. Thus, cultural competency influences healthcare outcomes directly. More importantly, they are necessary for healthcare systems to meet the demand of a diverse population. If nurses can propel the healthcare industry toward cultural competency, they can significantly reduce health disparity and ensure quality healthcare for all populations. Even though the notion of transcultural nursing has been around since the 1960s, momentum in this area has been slowed by national trends and patterns, such as a lack of minority healthcare professionals, the dominance of the Western medical model, limited cultural knowledge, … Cultural competence: Behaviours, attitudes and policies that enable organisations, professions and individuals to work effectively in cross-cultural situations. So cultural competence is one way o… culturally competent practice. Liz is now a full-time freelance writer and part-time student, pursuing her second degree in dietetics. To do so, you must give your staff the tools they need to understand, effectively communicate, and interact with people across all cultures. It’s not just a catchphrase. They can also refer to characteristics such as age, gender, sexual orientation, disability, religion, income level, education, geographical location, or … Accreditation standards are important tools that can have widespread effects on the cultural competence of medical students, health care professionals, and health care organizations. With a custom plan, you can focus on areas where your staff needs help, while celebrating the triumphs your organization has made to become more culturally competent. Therefore, their role in healthcare is more intimate compared to other staff members within the organization. Beyond health care, cultural competence can lead to reductions in the number of cultural collisions that occur and the impact of those that inevitably surface. Cultural competency is incredibly important in the field of medicine. Therefore, it is necessary to understand the role of traditional healers and coordinate with them to provide adequate patient care. Without healthcare, cultural competence can have the effect of reducing the number of cultural conflicts and inevitably patronizing. Cultural competence helps … Assess your team: Collect REAL (race, ethnicity, and language preference) information from your team to start a plan to include all team members and provide a work environment that fits their needs. Intercultural or cross-cultural education are terms used for the training to achieve cultural competence.. 9 In a national study of organizational efforts to reduce physician racial and ethnic disparities, 53% of organizations surveyed had 0–1 activities to reduce disparities out of over 20 possible actions to reduce disparities. This process includes consideration of the individual social, cultural, and psychological needs of patients for effective cross-cultural communication with their health care providers. A diversity calendar is essential for management and staff for both respectful scheduling and diversity celebrations. Understanding the nuances between cultures and how language has different meanings for different people is crucial when treating patients of backgrounds different from one’s own. Another example is in Chinese culture, where a Chinese patient may be showing respect to a physician by avoiding eye contact. Consistent training expands a staff’s knowledge base so that they can provide the most culturally appropriate treatment options. For example, cultural details varying among patients “can include a range of factors such as ethnicity, language, religion, gender identity, sexual orientation, age or peer group, geography, and other sociological characteristics. Cultural competence in healthcare refers to the ability for healthcare professionals to demonstrate cultural competence toward patients with diverse values, beliefs, and feelings. In American culture, a lack of eye contact can be considered rude or an indicator of depression. Diversity calendar: cultural competency training in healthcare includes giving your management team the the tools they need for daily inclusion. has endorsed the DNP as the level of preparation... Nurse practitioners (NPs) have assumed an essential role in patient care across the country. Earlier we defined cultural competence as the ability of healthcare providers and organizations to meet the cultural, social, and linguistic needs of their patients. Dietary considerations: Healthcare staff should be trained in the dietary and religious needs of their patients. Respecting and honoring cultural issues and differences among patients in hospitals are paramount duty of today’s health care provider. But everyone needs healthcare, whether white or of color, US-born or immigrant, English-speaking or not, straight or LGBTQ+, etc. The American Hospital Association says that “a culturally competent healthcare system is one that acknowledges the value of culture, incorporates the assessment of cross-cultural relations, recognizes the potential impact of cultural differences, expands cultural knowledge, and adapts services to meet culturally unique needs.” It may sound like a tall order, but each of these action items is achievable. The goal of cultural competence in health care settings is to reduce racial, economic, ethnic, and social disparities when meeting a community’s health care needs. Cultural competence helps to address the inequities (lack of fairness) in the healthcare system. Expanding services into culturally dense cities and towns. More recently, however, cultural competency has morphed into the expectation that healthcare providers must defend the practices of marginalized groups, no matter how harmful these may be to their health, and show restraint in providing objective, scientific information, if this information is at odds with the patient’s cultural norms. example, healthcare providers and receivers may disagree on illness experiences and. This compensation does not influence our school rankings, resource guides, or other editorially-independent information published on this site. Cultural Competence Examples. Featured or trusted partner programs and all school search, finder, or match results are for schools that compensate us. Some examples of these disparity-reducing activities include providing educational … Hiding pain is a general characteristic of Irish women. Training staff to improve cultural awareness and skills. Through cultural training and interpreter services, staff members can provide much more attentive care. Therefore, healthcare providers must invest their time and resources into underserved communities, where their care is missing most. Nursing is riddled with various roles, career paths, and backgrounds. Healthcare facilities must also integrate policies that cultivate cultural respect. When pulled into the process, these professionals help bridge communication between health professionals and patients from underserved communities. Consumerism, Compliance and Cultural Competence Improving care delivery and access is a top priority in healthcare today. Cultural competence is defined by the National Center for Cultural Competence at Georgetown University as: “Cultural and linguistic competence is 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 … This helps the health institution establish credibility among the minority population. Cultural Competence in Healthcare Examples. Meanwhile, the United States as a whole is becoming a majority-minority nation. Because each minority group is composed of subcultures, it is impossible to train employees in-depth about all cultures. Establishing linguistic competency among administrative and operational staff. August 31, 2020 - Healthcare is undergoing a seismic shift, with the role of public and population health playing a bigger role in patient care than ever before. It is also worth noting that cultural competency is a continuous process rather than an endpoint. Let’s explore the key steps your healthcare organization can take on how to improve cultural competence in healthcare. Another valuable partnership is the one with community health workers. Hospital patients can often be agitated or stressed. Adapting interventions in healthcare and counseling to fit the cultural needs of individual patients and clients 3. Because culture impacts on care, health professionals need to be aware of cultural diversity and learn to function effectively and respectfully when working with and treating people of different cultural backgrounds. Dietary considerations: Healthcare staff should be trained in the dietary and religious needs of their patients. The providers can also rely on cultural competence to offer patients great and expanded choices seeking to identify and access high quality clinicians. What are the Most Common NP Sub-Specializations? Cultural competence is widely seen as a foundational pillar for reducing disparities through culturally sensitive and unbiased quality care. If a culturally competent nurse had intervened, the Irish woman may have had an entirely different outcome. Cultural Competence 1203 Words | 5 Pages. Involving family and community members in healthcare issues builds trust and breaks down disparities between cultural groups. For example, ensure your staff doesn’t offer pork or shellfish to Jewish for Muslim patients. Cultural competence, or the awareness of another’s social and cultural needs, is at the core of connecting to patients. Culturally competent care is defined 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.1 The Office of Minority Healt… In an increasingly diverse environment, it is critical for healthcare providers to adopt cultural standards and amend them as needed. Less than 19 percent of registered nurses come from a minority background, and less than 11 percent of nurses are men. First, not everyone needs every product. To understand cultural competence, a healthcare provider needs to pay attention to how culture can have an impact on experiences with the healthcare system. Nurse practitioners, for one, can leverage their in-field experience to affect change and lead this industry into the future—one in which everyone has access to quality care, when and how they need it. Depression, often associated with physical illness or disability, increases health care costs and can lead to suicide. For example, the providers can identify measures to implement ensuring patients do not experience drug complications. And she will tell you that for many healthcare customers, a visit to an urgent care or hospital might be one of the most intense days of their life – or perhaps their last. In both Muslim and Navajo cultures, eye contact has other distinct meanings. Reducing health disparities and achieving equitable health care remains an important goal for the U.S. healthcare system. The U.S. Census Bureau reports that minorities made up approximately 37 percent of the population in 2012 and are projected to comprise 57 percent of the population in 2060. Many cultures have special dietary considerations that should be noted. The National Institutes of Health (NIH) describes it as “the combination of a body of knowledge, a body of belief and a body of behavior” because it requires healthcare professionals to understand cultural differences and respond accordingly. Beliefs Ask about the patient’s and family’s religious and spiritual beliefs, especially in relation to the meaning of death and dying, the afterlife, healing and miracles; And thus religion is more likely to come into play, whether Christian, Jew, Muslim or atheist. Cultural competence in health care is the ability of organizations and providers to integrate factors such as ethnicity, race, language, nationality, gender, sexual orientation, physical and mental ability, occupation, and socioeconomic status into the provision and structure of health care system (Rose, 2013). An Example of Cultural Competence in Practice: A Community-Based Intervention for Elderly Chinese Americans Depression and dementia are the most common forms of mental illness in older adults. The National Institutes of Health (NIH) describes it as “the combination of a body of knowledge, a body of belief and a body of behavior” because it requires healthcare professionals to understand cultural differences and respond accordingly. These registered nurses (RNs) with graduate training in advanced practice nursing provide many of the same... Find the right program for you and advance your education with an online degree. Evaluate current programs: If you already have diversity training in place, evaluate how effective your current training programs are for your medical staff. Daily practice: Management needs to take an active role in daily building of an accepting and culturally competent workplace setting. 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