Module 4: Case Study 1
Providing Culturally Appropriate Services in a Changing Community
HCA415: Community and Public Health
Professor Gary Hanney
November 6, 2017
Module 4: Case Study 1
Providing Culturally Appropriate Services in a Changing Community
1. Explain the meaning of cultural competence, its benefits and limits.
Cultural competence means that an agency or individuals have the knowledge, skills. and proper attitude to work effectively among a cross-cultural background. This allows the agency or to better serve the population and provide care equally. Its limits are only based off the knowledge and skills of the agency or organizations employees. Having bilingual employees will help but they also need …show more content…
Reducing them to part time may not be an option for them, as they may rely on that fulltime income to take care of their families. By reducing them to part time you may not be giving them an option of even staying. They may have to leave to find another fulltime position. Now you are down two employees as well as needing to train the replacements depending on the situation. On the other side you will be increasing your effectiveness as a cultural competent health center. If the mission is to provide the community with community based primary care, and this is going to better that mission then why wouldn’t the health center make the changes necessary to do so.
4. Explain why you would or would not take this approach (as noted in No. 3) to provide more Spanish-speaking health care workers, and provide at least one other option for this …show more content…
Examine how public health organizations and health care providers encourage their employees to gain “cultural competence” beyond being bilingual.
First they need to enhance their employee’s self-awareness of attitudes they might have towards different racial and ethnic groups. Second they can improve the care that they give by simply increasing their knowledge about different cultural beliefs and practices. How those groups typical seek health care and the attitudes they have toward health care. They also need to know the various disease of the different populations they serve. “Cultural competency includes the capacity to identify, understand, and respect the values and beliefs of others.” (Culturally Competent Healthcare Systems,
Cultural Competency Simply put, the United States is a diverse country. It is common knowledge that this a country founded upon immigration. Moreover, with the advancements in transportation and the growing trends toward globalization this course is more than likely to continue – barring any radical governmental intervention. That is why cultural competency is so vital, especially when it comes to healthcare. Because the sad fact is, not all ethnic groups receive the same level of care (Kittler, Sucher & Nelms, 2017).
Measurement considerations for cultural competence may involve assessing CHWs' knowledge of cultural norms, their ability to adapt health messages and interventions to diverse populations, and their capacity to navigate cultural barriers to improve health outcomes (Agarwal et al., 2019). Health Education and Promotion: Community health workers play a critical role in providing health education and promoting healthy behaviors within their communities. Measurement considerations for this competency may include evaluating CHWs' knowledge of health topics, their ability to deliver accurate and culturally appropriate health information, and their skills in motivating community members to adopt positive health practices (Agarwal et al., 2019). Interpersonal Skills: Building trust and rapport with community members is fundamental for CHWs to effectively deliver healthcare services. Measurement considerations for interpersonal skills may involve assessing CHWs' ability to establish respectful and empathetic relationships, demonstrate empathy and compassion, and maintain confidentiality while interacting with community members (Agarwal et al.,
If nurses lack of understanding regarding community demographics and cultural differences, they can have unintentional bias, and stereotype patients due to a lack of awareness of the cultural demographics of the community they serve (Camphinha-Bacote, 2011). Cultural competence is the understanding of different cultures and how that impacts the provision of patient care. Cultural competence in nursing is defined as one willingness or the desire to understand a patient’s culture, the ability to learn about a defined cultures belief system, and to work effectively as a healthcare provider understanding the dynamics of the patient’s culture as it relates to their relationships and care (Kardong-Edgren et Al.,
After taking the self-assessment survey for quality and culture, I would like to improve and understand how cultural competence can have a real impact on clinical outcomes. Taking from some of the questions I answered wrong, it make me wants to be cultural competent. There are a few questions I am surprised and shocked, that I answered them incorrectly. I do understand that with training, I will start to gain cultural competence but it will take consistent individual practice on my part to develop and maintain individual cultural competence. Cultural competence can lead to, health literacy, health equity, and fewer diagnostic errors, which might help the patient expand their choices and access high quality medical providers because patient
Part 1: Being Culturally Competent As a future clinician, being culturally competent is extremely important. The United States is comprised of diverse cultures and ethnicities. Unfortunately, each culture has its struggles and obstacles they face day to day.
Perhaps the best first step, and simplest, in response to the lack of cultural competency is for physicians in health care settings to place greater emphasis on cultural sensitivity and awareness trainings to improve treatment for Hispanics. The emphasis on this solution is an important starting point that will help increase the effectiveness of future initiatives in health care. Emphasis on cultural sensitivity and awareness is most efficacious in resolving cultural competency because the solution is both practical and simple. By providing training programs within health care settings that specifically focus on cultural sensitivity and awareness, physicians will learn to respond effectively to their Hispanic patients’ needs that show knowledge of their cultural differences. “One-size-fits all” types of prevention and treatment models cannot be applied to Hispanic patients and expect beneficial outcomes, thus “the challenge is for physicians to move beyond their belief systems and values and expand their world views to validate how others function”
It trains health care providers to overcome cultural barriers like communication and language. Cultural competency has the potential to reduce inequities in access to health care services and improve the health status of cultural communities by reducing healthcare disparities. The goal of cultural competency is to provide health care to the community that is respectful of and responsive to the needs of diverse patients. It helps the health care provider to understand the needs of patients while seeking treatment. It helps to patient-provider to meet on common ground in the diagnosis and treatment plan of the disease.
Beach, Saha, and Cooper (2006) concisely summarize the prominence of cultural competency in the following manner: “Both patient-centeredness and cultural competence aim to improve health care quality, but each emphasizes different aspects of quality. The primary goal of the patient-centeredness movement has been to provide individualized care and restore an emphasis on personal relationships. It aims to elevate quality for all patients. Alternatively, the primary aim of the cultural competence movement has been to increase health equity and reduce disparities by concentrating on people of color and other disadvantaged populations” (p. 7).
Furthermore, they should be aware of the cultures of the patients their facility is serving. It is crucial to maintain cultural competence for yourself and for
Cultural Competency in general is related to the ability to serve people in an appropriate way where they feel respected. In health care this refers to comfortable treatments that meet the standards of the patient from any backgrounds with all their different ways of living. Health care is a very important matter to every culture with different beliefs, traits, linguistics, etc. As Tamu Nolfo, the certified prevention specialist states in the short video “What is cultural competence and why is it important?” , there is still a problem with inequality in the United States.
“Why is it crucial as a student to learn about cultural competency”? The reason is due to the increasing cultural diversity in the United States. This increasing cultural diversity in the United States has resulted in the national health objective proposed in Healthy People 2020: achieving the highest level of health for all people by addressing societal inequalities and “historical and contemporary injustices” (Giddens, 2013, pp. 33). The belief is that all people deserve quality health care and access to care no matter what culture the individual may be.
Hallmarks of cultural competence, including role development and self-discovery, play an instrumental part in the cultural diversity within an organization as a whole. Diversity stems from the top, from CEO’s and executive boards, and trickles down to employees and patients. However, one thing I learned in this course is that people hold biases that they are unaware of and that cultural competence does not happen overnight. With this acquired knowledge, it has been brought to my attention about which implicit biases I hold and how I can work to eliminate them. Secondly, language access services, as an aspiring speech-language pathologist, play a direct role in my future career because I want to give a voice to the often misunderstood.
Cultural competency: Indians Culture competency is defined as one has the knowledge, the abilities and the skill to deliver care congruent with the patient’s cultural beliefs and practices (Purnell, 2013). As a nurse or a health care provider, increasing ones consciousness of culture diversity improves the possibilities for health care practitioners to provide competent care (Purnell, 2013). Nurses and all health care providers should be aware of other cultures to provide the best care that they can for that individual. Developing a relationship with diverse cultural groups involves good interpersonal skills and the application of knowledge and techniques learned from the physical, biological, and social sciences as well as the humanities (Purnell, 2013). I am choosing to select the Indian culture for my first assignment.
(Universities Australia, 2011). The term cultural competence in health care refers to both the actions of the practitioner and their duty of care for the patient. This means that the care provided must be considered safe by the person receiving the care not the person providing it. (Victorian Government