00018824

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00018824

  1. 1. Running head: CULTURAL EMPOWERMENT 1 Cultural Empowerment: Case Story of a Day in the Sleep Clinic Student Name: Course: Instructor: Institution: Date Due:
  2. 2. CULTURAL EMPOWERMENT 2 Cultural competence is a very critical capability that allows physicians to be able toeffectively offer better ultimate health outcome. Moreover, the concept of culturalcompetence focuses on various factors affecting the way in which patients from othercultures approach as well as experience healthcare. This includes health beliefs, culturalnorms, and social factors. Hence it is always necessary to ensure that physicians and nursesdevise ways on how to work best with patients from differing cultures and beliefs (CoreConcepts in Cultural Competence, 2012). For example, considering the Sleep Clinic Case Story it is undoubtedly evident thatthere are various aspects of Dr. William’s behavior which has tremendously influenced thedecisions of the three families that visited him thereby affecting the health outcomes of theirchildren health. This is evident from the way Dr. William treats the three families where onlyone family can be regarded as content with how he handled their problem. However, amongthe white American family, Sudanese family and Vietnamese family only the first one issatisfied with the services offered by the doctor while the latter two are totally dissatisfiedbecause of the assumptions made by Dr. William. In the first case Dr. William seems comfortable and ends up prescribing the bestmedical prescription for Johnny. This is attributable to the fact that he shares an interest abouthorses with Becki, Johnny’s mother. In addition to the family being whites it also seem tohave a good insurance which makes the doctor to believe they will afford effective treatmentfor their child. This makes him to prescribe CPAP for Johnny’s obstructive sleep apnea(OSA) a medical prescription which will require up to a month’s follow up. However, Dr. William seems to make an assumption about the origin of the Waleedfamily who are Sudanese but he thinks they are African American. This made him tooverlook the stress which the Waleeds may have gone through in Sudan before migrating to
  3. 3. CULTURAL EMPOWERMENT 3the US thereby turning them away because they do not have insurance. This behavior willhave far reaching ultimate health outcome on the Waleeds child. In addition, he seemed tototally not understand the culture of Vietnamese which made him to totally do the contrary ofthe Phan’s family expectations (Core Concepts in Cultural Competence, 2012). Race, ethnicity, culture and socioeconomic status play an essential role in thehealthcare system experiences among families. For instance, from the case study it is evidentthat by the virtue of the Reese family being white Americans they received the best everexperience in the Sleep Clinic compared the other two families, the Sudanese and Vietnameserespectively. This is attributed to there difference in race, culture, ethnicity andsocioeconomic status (Maternal Child Health Bureau, 2009). The white American family aresocioeconomically well up which made them to afford a good insurance hence goodexperience with the healthcare system. The Waleed and Phan family are turned away becauseof the poor socioeconomic status and different culture respectively. Additionally, other than provider-patient communication, there are other factors thatinfluence health outcomes disparities. These factors include: cultural diversity, families’health literacy and the assumptions or perceptions/attitudes of the doctor (US Department ofHealth & Human Services, 2012). These factors are critical in influencing disparities inhealthcare outcomes. This is mainly because they usually determines how the doctorperceives them as well as whether they will be able to afford their medical bills byconsidering the health insurance they have if not covered by Medicare or Medicaid.
  4. 4. CULTURAL EMPOWERMENT 4 ReferencesCore Concepts in Cultural Competence, (2012). Retrieved May 29, 2012 from http://support.mchtraining.net/national_ccce/case0/home.htmlMaternal Child Health Bureau [MCHB], (2009). Retrieved May 29, 2012 from http://www.hrsa.gov/about/organization/bureaus/mchb/US Department of Health & Human Services [USDHHS], (2012). Retrieved May 29, 2012 from http://www.hhs.gov/children/index.html

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