INTRODUCTION
It is evident that health care delivery services have evolved tremendously over the years. From the difficult state of NHS in 1948 all the way to the road to recovery of health care system today. It was manifested how British nationals have coped with the challenges of health care problems. In a global perspective, however, health care always has comparable convoluted issues whether it is a developing, undeveloped or well off country. It is a long past time to have a guaranteed quality healthcare delivery services for all. With an environment that is constantly changing, health and social care is challenged to move in a quick pace setting as the world continuous to grow in a more competitive custom. Therefore, effective leaders
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Having a sufficient knowledge of ones cultural needs, could lead to the understanding of effective healthcare of the people; in furtherance of the foregoing leading effective to quality healthcare services. Nurses are expected to practice in a way that is subtle to the sensitivity of culture of the service users, families, communities and team members (The Code, 2015, sec 7.3). Health services show the need for health care organisation to cultivate policies, standards and practices to offer culturally competent care. In becoming a cultural competent in the practice, Cross et al (1989) suggests five absolute necessary aspects that need to be considered. These are: valuing diversity, having the capacity for the cultural self-assessment, being conscious of the dynamics inherent when cultures interact, having an institutionalised cultural knowledge; and lastly, is having to develop an adaptations of services delivery reflecting an understanding of cultural diversity. These put forward that the outcomes of these factors could mirror the attitudes, policies, structures and services of an organisation when implementing quality healthcare to service
After reading Dr. Galanti 's articles about culturally competent healthcare please answer the following questions: What did you gain from reading Dr. Galanti 's article? Dr. Galanti provides insight into the relationship between cultural diversity and heath care providers. Dr. Galanti’s briefly states the difference between “stereotype and generalization”. The author recognizes that generalization may be a key factor used by workers in the health care community to bring awareness and a better understanding of cultural differences among patients. The article explains that although cultures differ in values, traditions, and beliefs, there are questions (the 4’C’s of culture) that may open up the line of communication, between provider and
The NHS Constitution established the principles and values that are fundamental to service users on how appropriate clinical decisions are made for the delivery of quality care (Department of Health 2010). It provides explicit information for patients to understand their care, what to expect, and feel more empowered involving in their own care (DH 2010). The NHS constitution explains the behaviour expected from stakeholders such as staff, patients and the public (DH 2010). This prevent the government from making alteration and give the NHS complete autonomy and protection against political change without the full involvement of stakeholders to achieve transparency in the delivery of care (DH 2010).
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.
In health care today, there are many different cultures found in our patient population. Patients often have difficulty conforming to medical regimens due to their cultural beliefs and practices. Completing a comprehensive cultural assessment is the key to understanding the specific components of their culture to facilitate effective and efficient nursing care. In this paper I will describe the key components of a comprehensive cultural assessment. Two of the components will be discussed in relation to the Afghan culture and how that impacts providing culturally diverse care.
In other words, to be culturally competent, professionals must provide superior, respectful medical care to all patients. This must start with building an understanding of basic philosophies and value systems of different population groups. This is especially critical in the nursing field where much time is spent providing hands on care with each patient. A nurse must be sensitive to language differences, social cues and personal lifestyle choices
After gathering information from the above question, I will use the information to make an assessment to measure the quality of service offered in my organisation. The Royal United Hospital Trust, and carefully examine efficiency and effectiveness, from service users perspective, staff perspective and customers perspective, I will further examine the gaps and incorporate changes into my existing services. 2.2 Measure the impact of recent changes on health and social care services against set
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
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.
The government has strived to achieve equity in access and provided a comprehensive range of affordable and quality care. At the same time, it has not neglected services that are in the realm of public goods. The importance of quality and standards of care is without question. Important quality and innovation will attract inward investment and generate income to the nation through many opportunities in the health sector and industry e.g. health tourism, but pose challenges in marketing and branding. The MOH has an established and transparent quality assurance programme but this is not the case in the private sector.
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.,
Cultural competence affects the patient and healthcare professional positively. Healthcare professionals can gain knowledge and skills to tailor to a patient’s satisfaction. A study by Soulé (2014), identified awareness, engagement, and application as the fundamental components of cultural competence in a health care workforce and health care system. Awareness can be likened to mindfulness of self and others. A health professional should understand their own culture, such as their naturally occurring stereotypes.
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). Cultural competence is defined as a knowledge and understanding of cultures, histories and contemporary realities and awareness of protocols, combined with the proficiency to engage and work effectively in a cultural context congruent to the expectations of the people of that culture.
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.
The world is a diverse population, with people coming from various ethnic and cultural backgrounds. A person’s views, values, and traditions determine their daily needs and practices. So, healthcare providers face certain challenges and restrictions because a patient’s belief may inhibit professionals from providing the most effective care. Therefore, cultural competence is an important idea for healthcare providers to consider when understanding and respecting patients. Balcazar, Suarez-Balcazar, and Taylor-Ritzler (2009) noted in “Cultural competence:
Introduction Primary care is said to be the “first point of contact” for people when accessing the health care system in Ireland (Department of health and children 2001). The World health organisation(1978) outline that one of the main roles of primary health care is to provide access to care for the most vulnerable but also to identify and rectify the factors which lead to their early mortality. The Alma Ata declaration (1978) was a huge milestone in the development of primary care and they explain how essential it is for all populations’ health. Unfortunately the vulnerable populations in Ireland suffer the effects of the social determinates and also the health inequalities and die younger because they put up with a healthcare system which “places lesser value on the lives of those with lesser means” (Wren 2002).