Healthy People 2020: Cultural Diversity In The United States

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

The cultural competence self-assessment shed light on the depth of my knowledge about varied cultures other than my own. It can likewise uncover what more I ought to find out around a particular populations belief’s, values and qualities. Self-evaluation made me understand the pervasive part culture plays in people’s lives. It helps us (physicians/clinicians) in distinguishing areas in which we may enhance the nature of our services to culturally diverse populations.

The lack of cultural competency by physicians in health care settings is producing many barriers to health care that is negatively affecting Hispanic families, such as miscommunications, poor adherence to medications and health promotion strategies, and misunderstandings that lead to misdiagnosis or inadequate treatment for Hispanics. This issue is alarming because the Hispanic population makes up roughly 17% of the entire U.S. population, which is a staggering figure that can’t be ignored. Some solutions that have been tried in the past but failed include, establishing more community-based programs to assist this segment of the population, hospitals pushing for prevention programs, and greater efforts by health institutions on training physicians to improve all aspects of communication. Although

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.

Then see if you can apply them to an issue in your own life or in the life of someone you know.

According to CDC, the “Healthy People 2020” is a comprehensive and national health promotion as well as disease prevention agenda. It contains different objectives created to provide the basis for improving the health of the US citizens. The “Healthy People 2020” pursues a similar initiative as the “Healthy People 2010” to increase the quality of healthcare as well as eliminating disparities. Each objective on the agenda was designed to be achieved by the year 2020. The “Healthy People 2020” involves an updated set of goals arising from the 2010 initiative and established new public health areas and targets.

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.

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

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

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.

Over the past four months, this course has been one of the most eye-opening experiences I have had during my first year of college. Although I have always realized the importance of being culturally competent in daily life, specifically healthcare, I was unaware of the many ways that cultural competence can be obtained. This class gave me the opportunity to view situations from a different perspective, especially through the weekly discussion boards and peer responses. Learning from classmate can teach more valuable lessons than listening to boring lectures or reading hundreds of pages in a textbook because it is easier to relate to experience rather than hypothetical situations. For example, one of the discussion boards asked us to detail

Through the readings of the last week, I have learned a great deal about ‘Service Learning’. It is a combination of teaching and learning approach for teaching public health issues and improving health literacy. It is an integration of academic learning and community services to strengthen civic engagement. It is helpful in promoting cooperation, teamwork, civic responsibility, solving complex problems etc. (Service learning, 2016). It mainly consists of various stages as: Investigation, planning and preparation, action and reflection. I have been associated with various service learning activity like breast cancer awareness in various communities. For the first time in my public health career, I have came across these terms related to social conditions of people like social determinants of health and health disparities and had a real time experience by working with communities. The community, which I have worked with, gave me a better understanding