This document discusses the effect of racism in health care, focusing on health inequalities and the impact on patients. It explores the concept of cultural competence and the need for culturally safe health care facilities. The document also highlights the importance of addressing racism in order to reduce health disparities.
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Running head: EFFECT OF RACISM IN HEALTH CARE EFFECT OF RACISM IN HEALTH CARE Name of Student Institution Affiliation
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EFFECT OF RACISM IN HEALTH CARE Step 1 a) Health researchers are increasingly exploring on how to eliminate health inequalities for patients. Racism is an excellent example of a health inequality that is widely experienced in health care. In most cases, the color of people’s skin is used to define their personality. According to Bowser (2017), institutional racism is purposefully or unintentional use of power to separate, misuse, degrade and exploit others. There are different types of racism; it could either be personal or institutional. Moreover, discrimination has often as a significant role in causing conflicts between groups of people. Institutional racism refers to the failure of an organization to provide required, quality, and professional care (The Lancet, 1999). These failures can be expressed through; policies of the hospital, allocation of resources, and hiring (Stanhope & Lancaster, 2016). However, private discrimination is characterized by actions, behavior, believes and attitudes of an individual that is per race preference. b) Entitlement arises when a group of individuals can acquire something valuable that is prohibited to others just because of their complexion (Hobbs, 2018). In this case, most white people are considered to be a favored since they have well treated as compared to Africans due to their skin color and the fact that their health is more prioritized compared to others. The effect of whiteness is triggered by cultural and systematic intensity and practices in a particular country. According to Johnstone & Kanitsaki (2007), the welfare of racial and ethnic minority grouping which includes displaced people is weaker as compared to what they receive in their own country. Whiteness in healthcare is a symbol of nurses and the nursing profession in general. Whiteness medical care is universal in today’s society, mainly because people believe that having a white complexion enables one to possess incredible skills and efficient
EFFECT OF RACISM IN HEALTH CARE thoughts. A lot of arithmetical data explain how whiteness has affected efficiency in the nursing industry. Cottingham, Johnson & Erickson (2017), argues that women with different complexion mostly Africans in the nursing industry experience overworking and harsh discipline. c) Encouraging health care facilities to be culturally safe for diverse patients should be a top priority (Cohen, Gabriel & Terrell, 2002). According to National Aboriginal Health Organization (2008), there is the need for culture safety in first nation and health care facilities, which should be matched by training nurses to improve the overall educational results for Aboriginal students. Purnell (2018) argues that cultural proficiency is having complete awareness, professionalism, and understanding of the client’s level of civilization. Acknowledging and honoring cultural distinctions is essential in promoting cultural mélange and reducing health disparities. However, implementing and examining standards that help enhance culture and language distinctions in a healthcare facilities is vital (Wynia, Johnson, McCoy, Griffin & Osborn, 2010). Similarly, health safety is when a health expert identifies and honors the lifestyle identities of their clients and adequately meets their targets to fulfill their needs (Mairs-Levy, 2017). Health facilities may be culturally unreliable if their practices decrease and disempower the welfare of their clients or discriminate different individuals. Organizations should there be willing to educate the doctors and nurses to ensure that they are culturally competent. In conclusion, cultural proficiency education for health interventions for healthcare providers and nursing students is vital for the delivery quality healthcare services (Lie, Lee-Rey, Gomez, Bereknyei & Braddock, 2010). Step 2
EFFECT OF RACISM IN HEALTH CARE Attending the lecture helped me gain a better understanding of cultural competence and Aboriginal people. Moreover, I assumed in countries such as America do not face racism. The actual truth is that the African American racism is widespread and researchers are exploring on possible interventions that will diminish health inequalities in health and health care facilities (Shavers, Klein & Fagan, 2012). Lastly, I also learned that racism is not as a result of genetics; rather people are discriminated because of their skin color, belief, and religion (Mendez & Spriggs, 2008).
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EFFECT OF RACISM IN HEALTH CARE References Bowser, B. (2017). Racism: Origin and Theory.Journal Of Black Studies, 48(6), 572-590. doi: 10.1177/0021934717702135 Cohen, J., Gabriel, B., & Terrell, C. (2002). The Case for Diversity in The Health Care Workforce.Health Affairs, 21(5), 90-102. doi: 10.1377/hlthaff.21.5.90 Cottingham, M., Johnson, A., & Erickson, R. (2017). “I Can Never Be Too Comfortable”: Race, Gender, and Emotion at the Hospital Bedside.Qualitative Health Research, 28(1), 145-158. doi: 10.1177/1049732317737980 Hobbs, J. (2018). White Privilege in Health Care: Following Recognition with Action.The Annals Of Family Medicine, 16(3), 197-198. doi: 10.1370/afm.2243 Johnstone, O., & Kanitsaki, O. (2007). Health care provider and consumer understandings of cultural safety and cultural competency in health care: an Australian study. - PubMed - NCBI. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/19175250 Lie, D., Lee-Rey, E., Gomez, A., Bereknyei, S., & Braddock, C. (2010). Does Cultural Competency Training of Health Professionals Improve Patient Outcomes? A
EFFECT OF RACISM IN HEALTH CARE Systematic Review and Proposed Algorithm for Future Research.Journal Of General Internal Medicine,26(3), 317-325. doi: 10.1007/s11606-010-1529-0 Mairs-Levy, J. (2017). Towards A More Culturally Competent Health Care Delivery System. MOJ Public Health, 5(6). doi: 10.15406/mojph.2017.05.00148 Mendez, D., & Spriggs, A. (2008). Race as a social construct: the genetic fallacy. American Journal Of Obstetrics And Gynecology, 198(4), 484. doi: 10.1016/j.ajog.2007.11.040 National Aboriginal Health Organization. (2008). Canada: Health Canada and National Aboriginal Health Organization (NAHO) launch innovative Aboriginal youth suicide prevention website | International Journal of Health Care Quality Assurance | Vol 21, No 5. Retrieved from https://www.emeraldinsight.com/doi/abs/10.1108/ijhcqa.2008.06221eab.002? journalCode=ijhcqa Purnell, L. (2018). Update: The Purnell Theory and Model for Culturally Competent Health Care.Journal Of Transcultural Nursing, 30(2), 98-105. doi: 10.1177/1043659618817587 Shavers, V., Klein, W., & Fagan, P. (2012). Research on Race/Ethnicity and Health Care Discrimination: Where We Are and Where We Need to Go.American Journal Of Public Health, 102(5), 930-932. doi: 10.2105/ajph.2012.300708
EFFECT OF RACISM IN HEALTH CARE Stanhope, M., & Lancaster, J. (2016).Public Health Nursing: Population-Centered Health Care in the Community(9th ed., p. 157). st louis missouri: Elsevier. The Lancet. (1999). Institutionalised racism in health care. The Lancet, 353(9155), 765. doi: 10.1016/s0140-6736(99)00039-2 Wynia, M., Johnson, M., McCoy, T., Griffin, L., & Osborn, C. (2010). Validation of an Organizational Communication Climate Assessment Toolkit.American Journal Of Medical Quality,25(6), 436-443. doi: 10.1177/1062860610368428