Cultural Competency Article Analysis

Cultural competency is vital when working with diverse populations in health care because of all of the different cultures and ethnicities prevalent in our country. America is a true melting pot, and the acculturation which inevitably occurs, is an important aspect of assimilation. Since communication is a key objective in the prognosis of various ailments, the healthcare experience is reliant on today's health professionals to have an adept understanding of a multicultural environment. A regulatory dilemma which is common in today's culture, is the alienation of groups that are not understood by our healthcare system. These patients often resort to self care , which often leads to serious complications and other health issues as a result

As I listened to the Riverbend scenario I thought of my own cultural competence and how at one time I knew very little of the Hmong culture. Working in a city where Asians make up only 3% of the population, this is a population I knew little about. I have learned that most Hmong are from the mountainous region of Laos, and are granted preferred refugee status by the U.S. (Cobb, 2010). From 2000 to 2010 the number of Hmong grew 40%, there are currently 260,073 Hmong people living primarily in California, Minnesota, and Wisconsin. Even though the Hmong people seem to be prospering after thirty years in the U.S., there are still challenges with communication, understanding of cultural beliefs, and use of traditional medical practices (United States Census Bureau, 2013)

After reading Dr. Galanti 's articles about culturally competent healthcare please answer the following questions:

This culture and the Australian Aboriginal culture have more similarities than differences regarding their cultural values and beliefs. One of the major similarity was the importance of transferring culture from generations through connecting culture in all aspects of life, such as traditional dances, where participation in such cultural traditions expressed one 's identity. In both these cultures, there are mainly three ways cultural wisdom have been passed onto younger generations, which are through family, society, and school. One such knowledge is the importance and benefits of a healthy lifestyle, emphasized through an individual 's diet and exercise (Crowe, Stanley, Probst & McMahon, 2017). These cultural values and traditions help

Q 5 – Explain how diversity impacts on practices and experiences on person behaviour, interpersonal relationships, perception and social expectations of others.

Amidst a whirlwind of change, nurses continue their roles as competent, honorable professionals. A relatively new issue, cultural integrity, correlates with the Code regarding “treatment of the human response.” The American Nurses Association’s “Code of Ethics for Nurses with Interpretive Statements”, also called the Code, highlights nurses’ consensus on professional principles. Nursing ethics guide how practitioners treat their patients and peers. Sensitivity to individual societal, familial and cultural background plays an important role in organizational integrity. By observing the following six practices, nursing professionals make life choices that promote individual and societal wellbeing.

Cultural competency can be described as the ability to interact with different cultures in a positive manner. Many cultural differences can become apparent in a number of situations. According to Fadiman, doctors have a moral duty to save lives even if they don’t agree with the values or beliefs of someone else’s culture (1997). This paper will address the topic of cultural competency, with a concentration on the importance of cultural competency in the medical field.

Describe three possible interventions to address the potential negative consequences of general healthcare quality improvement programs (eg. pay for performance and quality reporting) on racial and ethnic healthcare disparities.

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

comprehensive assessment has not been successfully carried out. ! Cultural awareness in the 3-D Puzzle Model described by Schim et al. (2007) highlights the

Share an example of a situation in which a patient-centered environment was created by acknowledgment and consideration of a patient’s cultural diversity.

The way a person thinks about health, “whether that is our ‘philosophy’, our ‘worldview’, our ‘framework’ influences what we do as individuals in practice,” as well as how we deliver the health service. These elements allow us to think about healthcare in our own culturally acceptable way, this isn’t always an acceptable way of delivering the service to people with views different to our own. Cultural competence is an approach that aids in influencing the service and the education of healthcare professionals. (Taylor, K., & Guerin, P., 2010).

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.

This assignment will explore a critical reflection on cultural competence and diversity in healthcare, through a reflection of practice which took place in a neonatal unit in the North West. The reflection guide will be Driscoll's (2007) model of reflection. The content of the four Nursing and Midwifery Council [NMC] (2016) domains of Professional Values: Communication and Interpersonal Skills; Nursing Practice and Decision Making; as well as Leadership, Management and Teamwork will inform to the need of how these should inform for professional development in nursing practice. The Papadopoulos, Tilki and Taylor model for the development of transcultural competence (1998) will summarise the cultural awareness; cultural competence; cultural knowledge

I believe there will be many challenging times during my career as a nurse with other cultures. I think it will be important for me to remain educated on the basics of each culture and their beliefs, if I am equipped with at least the fundamentals of their expectations then I can provide better care right off the bat. I also need to make sure I am always patient and respectful when communicating on sensitive cultural conversations with patients and family. I need to be creative in my communication and tailor my care to each patient to provide them with best client-focused care possible. Most importantly, I must never assume, and always ask questions with respect. Often, we think all people from one culture or religion will have the same beliefs, but it is not always the case, each person is an individual with their own personal views, values, beliefs and needs. However, it will still be of value to have some understanding of the more typical cultural difference with each cultural group. “Specific culture-related staff training sessions should be designated during the course of annual training plans whereby indigenous speakers residing close to the hospitals can be invited to explain local customs for death and dying ceremonies.” (Longboat, 2002) I hope such training as the one listed above will be available to me at my future work place. Learning something straight from the source is always the best way to learn something.