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)
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
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.
Hmong see a world where everything is connected. They believe that nothing occurs in isolation. Their body, mind and spirit are all interconnected. They also view illness in this holistic approach. Hmong culture saw Lia as a type of “anointed one” and her epilepsy as a blessing rather than a weakness. In the Lees eyes, the concern was the western medicine, not Lia’s illness (Fadiman 1998). In the Hmong culture, people born with epilepsy are believed to be destined to a life as a shaman (Fadiman 1998). They call it “qaug dab peg,” or “the spirit catches you and you fall down.” People in the westernized medical profession did not understand the concept of spirits, what they had to do with treating illness and the importance of epilepsy for
In a culturally diverse country like the United States, healthcare professionals such as nurses will work with people of different cultural backgrounds who have different view of health and illness. Mcgoldrick, Giordano & Preto (2006) concluded that a sense of well-being in terms of physical and mental health within a societal context is strongly affected by cultural identity. Shared values, behaviors, beliefs and ethno-cultural attitudes of a community influence life experiences and decision we make (Yolanda & Griselda, 2006). With this in mind, it is essential for the nurses recognize the importance patients’ cultural values rooted in their health seeking behaviors.
Humans are complex and diverse beings that belong to different cultures, speak different languages, and have different perspectives on the world they live in. When cultures collide, it can be difficult to empathize and respect the differences that exist. Cultural sensitivity is, “The ability to be appropriately responsive to the attitudes, feelings, or circumstances of groups of people that share a common and distinctive racial, national, religious, linguistic or cultural heritage” (Arnold & Boggs, 2016, p. 119). Cultural sensitivity and effective communication, especially in the health care setting, are essential to bridging cultures and creating a common understanding.
“During the mid-eighties, the Nationalities Service of Central California in Fresno received a short-term federal grant of $100,965 to establish what it termed ‘an integrated mental health delivery service utilizing Hmong healers and western health providers (269).’” Which resulted in treating 250 patients with mental health problems. It also provided Hmong’s 8 Txiv neebs and 18 healing ceremonies. In addition, the Merced County Health Department developed a cross-cultural education program named; “Bridging the Gap.” This program trains nurses with interpreting and advocacy skills. As well as “cultural competence,” in order for these nurses to understand their patients better and help treat them in the way they would feel comfortable. Today, many medical students are learning how to face cross- cultural issues. For example, the University of Wisconsin developed an “integrated multi-cultural curriculum,” in order to practice cross-culture. This includes the following: “panel and group discussions, case conferences, student interviews, role-playing exercises, and home visits (271.)” Furthermore, Stanford is trying to convey the “whole doctor-whole patient” model to be used again. What this model does is it allows doctors to, “bring his or her full humanity (275.)” Which means doctors should give more attention to what illness the person has rather than which person has this type of illness. As a result, this will help save more peoples lives and not interfere with one another’s cultural beliefs. Overall, these are many ways of how people are trying to “bridge the
Mexicans, Mexican-Americans, or Hispanics, often are less likely than Americans to seek healthcare. According to Giger, this is largely due to their “communication difficulties, and lack of understanding that health insurance is needed” (Joyce Newman Giger R. E., 2008). Their view and satisfaction of healthcare, may be less prevalent than in the
Cultural competency is increasingly important in healthcare today. In America today, we are facing a lot of tension between cultures today. America is a very diverse country with many cultures co-existing and in order to properly care for patients professionals need to be able to understand and tend to their cultural needs. Whether it be a difference in language, understanding that someone is a veteran and how that may affect them psychologically, or any other set of circumstances that surround a specific culture. Having the knowledge and resources that cater to different cultures makes for better experiences across the board and, consequently, makes for more effective healthcare visits.
Yuuyaraq: The Way of Human Being (1994) describes the social issue of alcoholism as crippling a whole society. Napoleon hopes to shed light on the cultural breakdown that contributed to this phenomenon. Describing his personal battle with alcoholism, along with how it has changed the course of his life. Through Napoleon’s account of the Yup-ik history, we will compare the difference in science, religion and apply The Purnell Model for Cultural Competence to understand the cultural significance of this event.
Leininger’s theory was effectively applied and incorporated in ANA scope and standard number eight culturally congruent practice. It is the application of evidence-based nursing that is in agreement with the preferred cultural values, beliefs, worldview, and practices of the healthcare consumers and other stakeholders. The theory demonstrates respect, equity, and empathy in actions and interactions with all healthcare consumers. Nurses and health care workers applied to practice by participating in lifelong learning to understanding cultural preferences, choices, and decision-making processes of diverse consumers. It also identifies the stage of the consumer’s acculturation and accompanying needs and engagement. The theory also focuses on effective