Introduction
Background
As the United States continues to grow as a diverse country, health care systems need to focus more on providing cultural competent services. The term cultural competence is defined as a set of behavior and attitude within business or operation systems that respects a person’s cultural beliefs and values in the way healthcare is delivered. It can be applied both at the individual level or organizational level, in which serves as a basis for individuals to work with members of different backgrounds. Culturally sensitivity care helps create optimal patient-provider communication, delivery of high-quality services, and achievement of positive treatment outcomes (Gertner et. al, 2010). The five components of cultural competence are cultural awareness, cultural skill, cultural knowledge, cultural encounters, and cultural desire (Oelke et. al, 2013).The goal is to develop a health care system that provides services that eliminate racial/ethnic disparities and provide quality care (Betancourt et. al, 2005). The purpose of this paper is to analyze the impact of implementing culture competence services in health organizations. Creating a cultural competency framework in health care organizations will help create higher patient satisfaction and reduce cost. According to previous research it also enables hospital staff to communicate better with patients and improve health literacy (Betancourt et. al, 2005). Since the passing of the
The healthcare system within America reflects increasing numbers of cultural diversity and awareness. According to Holloway (2004), cultural awareness is defined as the deliberate, cognitive process by which health care providers become appreciative of and sensitive to the values, beliefs, practices, and problem solving strategies of the clients’ cultures. Cultural awareness include an examination of one’s personal biases. In order to understand cultural diversity, individuals must strive to acknowledge the prejudices they may already hold toward different cultures. On the other hand, cultural competence is a process through which health professionals can integrate their knowledge and skills to improve culturally effective interactions
Critically analyse one of the main challenges, barriers, and enablers for cultural competence in health care when working in a cross-cultural environment.
I have learned that it is important that educators and health providers be trained on cultural competency to understand the population they are serving. Marks, Sims, and Osher (King, Sims, & Osher, n.d.) define cultural competency as a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals and enables that system, agency, or those professionals to work effectively in cross–cultural situations" ( as cited in Cross et al., 1989; Isaacs & Benjamin, 1991). Health providers and educators should investigate demographic patterns or trends in the place where they live and work. This brings awareness of the types of cultures that they might come across when they are working with people. Organizations should integrate and implement policies that promote the value of diversity, self-assessment, manage the dynamics of difference, acquire and institutionalize cultural knowledge, and adapt to diversity and the cultural contexts of communities they serve (Georgetown University, 2004). Georgetown University (2004) also stresses that culture competency grows gradually and is always open for improvement.
Cultural Competence is important for many reasons. First, it can help develop culturally sensitive practices which can in turn help reduce barriers that affect treatment in health care settings. Second, it can help build understanding, which is critical in competence, in order wards knowing whom the person
Adapting to different cultural beliefs and practices requires flexibility and a respect for others view points. Cultural competence means to really listen to the patient, to find out and learn about the patient's beliefs of health and illness. To provide culturally appropriate care we need to know and to understand culturally influenced health behaviors. However, becoming culturally competent is a much more daunting task. Culture (and ethnicity) often influences a patient’s perceptions of health and illness. Therefore, if healthcare providers appear insensitive to cultural diversity, their actions may negatively affect the quality of the healthcare that they provide.
Cultural competency is the capacity of people or services to include ethnic/cultural considerations into all aspects of their work related to health promotion, disease prevention and other and other healthcare interventions (Cultural competence is important for several reasons, (Purnell, 2008a).First, it can contribute in the development of culturally sensitive practices which can reduce barriers that effect treatment in healthcare settings. Second, it can promote understanding, which is detrimental in cultural competence assessment, to know whom, the individuals known as the primary care provider and whom they view as the primary healer, can attribute to the promotion of trust and increase the person’s interest in participating
Patient centeredness, cultural competence and healthcare quality. Journal of the National Medical Association, 100(11), 1275-1285.
Some of the author’s major points are the lack of understanding of what cultural competence really means which is bringing confusion about ways it can be utilized in the social work field. The confusion of the utilization of cultural competence is leading to the lack of consensus concerning the effective training that providers should obtain and the population being served with the cultural competence skills lack clear description. According to the author, the most popular cultural competence intervention in the healthcare system is the cultural competency training which is for health care providers and the two approaches that have been utilized in creating the intervention are; the programs aimed at improving knowledge which is group specific,
Cultural competence is a group of similar manners, attitudes, and strategies that collaborate in a system, organization or among experts and facilitate that system, organization or those professions to perform efficiently in cross-cultural states. A culturally competent health and wellness program provides services that take action to past inequities, existed realities, varied values, behaviors, and beliefs. It adapts advances to gather the diverse requirements of multicultural populations. Cultural competency can be implemented into our health and wellness programs by training the staff and health care experts of the programs to understand a patient’s diverse values, behaviors, beliefs, and modify treatment to meet the patients' community,
Healthcare managers are responsible for ensuring that their organization has a plan or strategy that is geared toward eradicating health inequality through cultural competency. Best practices are of utmost importance in assuring cultural proficiency. Buchbinder and Shanks (2012) outlined these practices in their textbook Introduction to Healthcare Management: a diverse workforce, leadership and organizational culture that fosters cultural competence as well as human resource policies which do the same, appropriate training/education for all employees, linguistic services and materials, systems capable of tracking data with regards to health outcomes, and responding to and engaging the community (p. 321). Additionally, a Commonwealth Fund study provided a list of actions that diversity leadership should adhere to in accordance with the National Standards on Culturally and Linguistically Appropriate Services (CLAS) standards. Aside from employing a culturally diverse staff and patient services and regular re-evaluations of goals, healthcare leaders engage and report their progress to diversity goals the community (Dreachslin, 2008). Inasmuch as cultures change and evolve, it is suggested that cultural competence training be an ongoing process and that organizational policy and strategic plans be reassessed periodically for effectiveness (Buchbinder & Shanks, 2012). Time, revenue, and energy spent in interventions that do not bring the desired results is not
Cultural competence will help nurse as a care provider and the health care establishments to efficiently and successfully provide health care services, which will meet the social, cultural, and language necessities of the individuals with diverse culture. Cultural competence in the health care system will aid nurses in the improvement of health outcomes and quality care. It will assist nurses in contributing to the eradication of racial and ethnic health disparities. Health care organization should creating and providing appropriate teaching and training for nurses and other health care providers on cultural competence and multicultural concerns, and also making a policy that diminish organizational and linguistic barriers to the individuals
Understand cultural competence and why is it important especially for that have a diverse workforce.
Excellent points, did you know that cultural competence and patient centeredness are approaches to improving healthcare value that has been endorsed extensively in recent years. In this paper, we explore the past evolution of both cultural competence and patient centeredness. In doing so, we establish that early conceptual models of cultural competence and patient centeredness focused on how healthcare workers and patients might interact at the interpersonal level and that later theoretical models were expanded to consider how patients might be treated by the healthcare organization as a whole. We then compare theoretical models for both cultural competence and patient centeredness at both the interpersonal and health system levels to
Cultural competence is focused on learned behaviors and actions and can be pertain and individual, organization or policy (Oelke, Thurston, & Arthur, 2013). Ideally, a healthcare providers’ practice would only be influenced by the individual patient and/or the community of which the patient resides. But in reality, the healthcare providers’ practice and care is influenced by many entities, such as the
For health care workers, cultural competency is important for obvious reasons. On a daily basis, healthcare professionals work with patients of a variety of cultures, and many work with team members who come from different cultures than their own. Medical and other healthcare professionals spend many years in school learning how and when to treat patients for giving symptoms, but teaching them to interact with patients currently falls on knowing the things that make up a person’s cultural identity. Cultural differences that exist between people, such as language, dress and traditions, and the way societies organize themselves, their conception of morality and religion, attitudes about illness and death and the way they interact with the environment. Cultural competence is important in health care because the patient outcome, patient readmissions, staff retention, and labor relations all determine the outcome of an organizations success. Diversity improves the effectiveness and productivity of the workforce. Disadvantages of ignoring cultural diversity can result in a loss of revenue for the business. Company growth will also be affected by ignoring cultural diversity. Steps an organization should take to face this challenge is to implement training that cover workforce diversities and keep an open dialogue among employees expressing concerns, differences, ideas, etc.