On the issue of disparity which has been way back history, the fact about this, is that health care provide on their part are involved in biased and stereotyping which in turn affects the way they relate and treat their patient. On the other hand, it is a problem for minorities to have access to care, even if they are insured on the same level with whites. Factors such as cultural familiarity, language and geography are all barriers that affects minorities, likewise policy, legal and regulations do affect minorities to receive quality care. Therefore, disparities in health among ethnic, socioeconomic, and gender groups in the united states has been a long-standing issue.
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. Culture Merriam-Webster online dictionary defines culture as a
Individual cultures and belief must be recognized and respected. Cultural understanding is the extensive logic to be cognizance, attentive and application of information and knowledge associated with ethnicity, culture, gender, or sexual coordination in clarifying and appreciative circumstances and reactions of individuals in their environment. Critical assessment on each of the patient individually is very important and cultural assumptions concerning patient 's beliefs or health practices should be avoid. Several areas should be considered when assessing cultural beliefs of patients, such as individual insight of illness and management, the social organization comprising family, communication activities, pain expression, general health care beliefs, previous experience with care, and language. Cultural practices associated with nonverbal communication in the course of conversation are very important.
Understanding your own cultural heritage and some of the stereotypes and biases that come along with are critical when entering the field of healthcare because by understanding who you are and where you came from will give you perspective on not only your own life but many of the lives you will help in the field of healthcare. By understanding the bias and stereotypes that come with your cultural and ethnic heritage it helps in developing your complete identity as an individual which will help in the healthcare field in numerous ways. Knowing your own cultural stereotypes will help in the healthcare field by giving you an understanding of who you are which in turn will give you a better appreciation for the other cultural and ethnic barriers
The United States is a culture diversity country, and it is sometimes described as a melting pot in which different cultures have contributed their own distinct "flavors" to American culture. The valuable aspect of a nurse is to be a cultural awareness which means to have an understanding of people’s culture is needed in health care is important in order to provide an adequate care to the patients. Diversity awareness also applies to healthcare professionals and other co-workers. Everyone belongs to one or more cultural groups. Additionally, it is important to acknowledge that culture can be ever changing, not static.
In a clinical practice, cultural safety is well defined as a Health Professional’s perception of his or her own personal culture and how these personal cultural values and belief may impact on the provision of care to the person, regardless of race or ethnicity. Cultural safety combines cultural awareness and cultural sensitivity and is reinforced by good communication, recognition of the diversity of views nationally and internationally between ethnic groups. There are four levels in the cultural respect framework, Knowledge and Awareness, Skilled Practice and Behaviour, Strong Customer and Community Relationships and Equity of Outcomes. The cultural respect framework provides the foundation of attainment of changed knowledge and awareness,
“Cultural competence involves understanding values, beliefs, traditions and customs of diverse groups. Health literacy is the degree to which individuals can obtain, process, and understand health information to make health care decisions” (Ingram, 2012, para 1). Besides, “Cultural awareness refers to understanding how a person’s culture may inform their attitudes and actions associated with any behavior” (Class Lecture, 2016). On the other hand, health literacy is the ability for individuals to understand, communicate, acquire necessary information related to health issues, and make the correct decisions. For anyone to be able to communicate their needs related to health problems, he or she would also need to have health literacy skills
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.
How can we become cultural competent? We can become cultural competent by first understanding our own culture and believes. Then we have to be aware that there are other people with different cultures and values, but that does not mean they are wrong. Finally, we need to treat other with respect regardless of our different point of views.
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.