“All change starts whenpeople get together and talk about the things they care about.” Margaret Wheatley
Why a focus on diversity is important for everyone
Global DemographicsIf only 100 people lived in the world, there would be: • 57 Asians. • 21 Europeans. • 14 people living in North & South America. • 8 Africans. • 52 women. • 48 men. • 70 persons of color. • 30 Christians.
• Changing demographics and the rise of the visible minority (in some places the majority)
In the UK:• Only two-thirds of London school children speak English as a home language• They speak a total of 307 languages• 7.5 % of the total population (4.3 million people) were born outside the UK• In 2002 over 100 000 people entered the country to seek asylum
Symbols are words, gestures, pictures, or objects that carry a particular meaning which is only recognized by those who share a particular culture. New symbols easily develop, old ones disappear. Symbols from one particular group are regularly copied by others. This is whysymbols represent the outermost layer of a culture.
Why does culture matter ?• Strong evidence of health inequalities along race and ethnicity.• Systematically worse health outcomes for members of minority racial and ethnic groups.• A greater dissatisfaction with health services expressed by members of minority groups.• Because “culture” affects medical experiences, it is a vital component in effective care.
Stereotyping When someone claims that members of another culture allshare the same, often inferior or offensive characteristics.
Types of stereotypes• racial e.g. Red Indians in cowboy films are seen as bloodthirsty savages• gender e.g. women are bad drivers• age e.g. old people are said to be very forgetful• religion e.g. Catholics families have a lot of children• profession e.g. all lawyers are greedy
Heavenand Hell…• Heaven is where the police are British, the cooks are French, the mechanics are German, the lovers are Italian and it is all organised by the Swiss.
•Hell is where the police are German, thecooks are English, the mechanics areFrench, the lovers are Swiss, and it is allorganised by the Italians.
Where do stereotypes come from?• Parents and family• The media• Friends• Education (school, university)• Travel• Laziness• Fear• Envy• A sense of superiority• Lack of experience of people, etc.
Culture and diversity no longera black and white issue.
Facts Which Make Awareness of Cultural Diversity a Priority• By 2025, developing countries will account for 85% of world’s population compared with 77% in 1992
How can servicesdeal withdifference ? Practice Culture Cultural competence Policy
People are probably more tied to their cultural and ethnic beliefs when ill thanwhen feeling well. Illness is stressful andmay lead individuals to what is known and comfortable. Foundations of Nursing, “Transcultural Healthcare,” Foundations of Nursing.
In Mental Health care setting, culture affects how people;• Label and communicate distress• Explain the causes of their mental health problems• Perceive mental health• providers• Use and respond to• treatment
Why is Equality and Diversity important to all of usThere are many reasons e.g1. Modernisation of the NHS and public service (quality of service).2. Matching the increasing Diversity of the population to the servers it services.3. Needs a good knowledge of the community, there health and social care needs so provision can be made.4. Address any current inequalities and review policy5. To ensure the trust does not actively discriminate against anyone by failing to provide equal access to jobs or the service we supply.
Supporting Diversity• Embrace differences• Create opportunities for positive visions of self• Utilize materials that represent a variety of individuals• Exhibit genuine appreciation for the students and the child’s worldview
Implications of diversity1. There are now multiple views of what is meant by ‘health’, ‘illness’, & ‘medical treatment’2. There are now multiple notions of ‘body’ and ‘self’3. Many minority & refugee communities feel in a vulnerable and disadvantaged position4. In medical treatment, health policy, and medical research the ‘one size fits all’ approach is no longer appropriate
• Appropriate, cross-cultural health care is impossible without partnerships based on trusting, respectful, and responsible relationships between health care providers, patients, their families, and communities.
Speed Networking• Try to sit opposite someone you don’t know very well• Describe a health improvement initiative that you have been involved in that went well• 5 minutes each