This document discusses how lack of cultural competency in healthcare can negatively impact patient care. Patients may withhold information or misunderstand their conditions due to fears of being judged by their healthcare providers. This can be exacerbated by a provider's assumptions about a patient based on attributes like race, ethnicity, sexual orientation or economic status. The document argues that mandatory cultural competency training for all healthcare workers could help address this issue by improving communication and building trust between providers and patients from diverse backgrounds.
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Patients and their families are given a multitude of information about their health and commonly must make important decisions from these facts. Obstacles that prevent easy delivery of health care information include literacy, culture, language, and physiological barriers. It is up to the nurse to assess and evaluate the patient's learning needs and readiness to learn because everyone learns differently.
YolReview the Healthy People 2020 objectives for the older a.docxherminaprocter
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Review the Healthy People 2020 objectives for the older adult. Of the objectives listed for the older adult, which do you feel is most important? Be sure to include examples and references to support your response.
Objective: Increase the proportion of older adults with one or more chronic health conditions who report confidence in managing their conditions
(Healthy People 2020).
Chronic conditions may be difficult to manage based on the complexities of a disease. Additionally, managing one or more chronic conditions may be time consuming. Time consuming tasks may take the form of monitoring (e.g. checking blood glucose), keeping a diary, scheduling appointments, sorting and taking medications, exercising, meal planning, etc.. The Agency for Healthcare Research and Quality (2015) suggests the burden of these tasks significantly impact how patients manage their chronic conditions, and that patients often find it difficult to complete all these tasks in order to manage their condition effectively. Personally, I see examples of this every day at the hospital: Patients are not confident in their self-management ability and are therefore unable to demonstrate skill or awareness in regards to their condition. Despite receiving adequate medical attention from outstanding multidisciplinary teams, patients continue to show little interest in self-management, ultimately resulting in an overwhelming number of older adults who lack the confidence to manage one or more chronic conditions (Bodenheimer, 2005). Healthcare providers are being forced to seek new and innovative ways to connect with patients and reinforce educational material in order to give patients the confidence and skill to manage their care. I believe this objective to be most important because self-management is clinically proven to result in better outcomes. It is proven that support for patients and caregivers improve confidence in managing conditions. Recently, my hospital has added to its emphasis on education and follow up... Simply providing information to patients is not enough to build confidence, skill, nor the knowledge to manage their health. Therefore, nursing must collaborate to reinforce behaviors and promote better health outcomes in patients.
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1. +
Patients are not receiving complete care because of possible culture discrimination.
They may provide misinformation about their condition based on the fear of being
judged by health care providers. Care can be negatively affected by the provider’s
assumptions about the patient. Facial expressions and language choice are crucial in
gaining a patient’s trust. This lack of cultural competency is particularly harmful to
patients based on race/ethnicity, sexual orientation, and economic status. A policy
must be made to provide cultural competency training to all individuals working in
medical offices. It is important to make sure that patients understand their illnesses
and what their role is in treating it.
Executive Summary
Cultural
Competence: The
Road to Exceptional
Health Care
Tierra Thomas
Background
Clearly, America is becoming a cultural melting pot. For example, the Hispanic
population in the U.S. has increased by 58% from 1990 to 2000.1
It is incredible
to think that our country is a desirable place due to the many opportunities;
however, health care is an area that needs work. The prevalence rates of
preventable diseases and mortality is higher in blacks, which means that they
are more likely to suffer from premature death.2
Health disparities are a major
issue in relation to gender, sexual orientation, race/ethnicity, class, and many
other factors. These are all things that make our country diverse and citizens’
health should not have to suffer because of it.
2. 2Dolor Sit Amet
Lorem Ipsum Issue | Date
Critique of Policy Options
Recommendations for Action
• Mandatory cultural competency training for health care
providers
• Survey patients (anonymously) about the quality of care they
received immediately after each visit
• After reaching a specific amount of negative feedback,
providers must evaluate results and discuss solutions in an
office meeting
Conclusion
There are not any current policies that exist
regarding cultural competency in medical
offices. Sensitivity training seems to be a
requirement for students training to
become nurses or doctors, but this is not
enough. Surveys are used at most medical
offices, but are usually mailed out months
after a visit. By this time, patients have
forgotten their visit in its entirety. Another
downside is the inconvenience of getting
the survey back to the medical office in
the right hands. There must be a policy
change in order to properly evaluate the
quality of health care given by providers.
Health care has come a long way and that should not stop now. Health
disparities are persistent and must be addressed. Implementing a policy that
requires health care providers to participate in mandatory cultural
competency training can be a great start. When providers are able to help
patients without using accusations or offensive gestures, patients will be more
comfortable and open to communicating. Health care providers can then
provide patients with the tools they need to overcome any illness.
3. Bibliography
1
ASKIM-LOVSETH, M. K., & ALDANA, A. (2010). Looking Beyond 'Affordable' Health Care: Cultural
Understanding and Sensitivity-Necessities in Addressing the Health Care Disparities of the U.S.
Hispanic Population. Health Marketing Quarterly, 27(4), 354-387. doi:10.1080/07359683.2010.519990
2
Lo, C., Howell, R., & Cheng, T. (2013). Disparities in Whites' Versus Blacks' Self-Rated Health: Social Status,
Health-Care Services, and Health Behaviors. Journal Of Community Health, 38(4), 727-733.
doi:10.1007/s10900-013-9671-3