Assignment on Aboriginal Individuals
Added on 2021-04-24
19 Pages5419 Words28 Views
IntroductionThe aim of this assignment is to point out the factors that influence the type of care providedto the aboriginal individuals. The paper also aims to cover the strategies that would improvethe care to the patient coming from diverse cultural and ethnic backgrounds. Globalimmigration has augmented with times. According to Renzahoet al. (2013), immigration inthe past decade has increased from 150 million migrants to 214 million immigrants during thetenure of 2000 to 2010. Such immigration has affected mainly the public sectors like healthcare since the culture and the ethnicity of the clients and workforce are becomingmultifactorious (Markey et al. 2012). This demographical change has its own problems. Highdifferences in the public health status are posing effects on the cultural minority groupsnegatively and primarily ethnic group (Betancourt et al. 2016). In a multicultural setting,successful delivery of health care is hampered numerous factors, for example, non-verbalcommunication and language gap between care givers and patient, lack of awareness orrespect of cultural traditions and institutional as well interpersonal stereotyping and prejudice(Degniet al. 2012). Accordingly, numerous health-care models have been projected forshifting from paternalistic type of health-care system to a self-care approach and involvingthe patient in the decision making process. Some of the models in this context are the patient-centered care (PCC) models and cultural competence models (CC) (Renzahoet al. 2013).Cultural competence may be considered as the act of being respectful and responsive towardsthe health care beliefs of a culturally diverse population groups. (Renzaho et al 2013;Barksdale 2009). According to Renzahoet al. (2013), lack of awareness in the domain ofcultural differences and lack of knowledge among patients, belonging to culturally differentbackground, bring about adverse health outcomes. These include compromised patient–caregiver relationships and health belief, behaviors and practices of patients. Hence it becomes
difficult for both caregivers and patients to achieve the comprehensive health outcome care(Betancourt et al. 2016).The following paragraphs aims to discuss the factors that influence the care provided to thepatients belonging to diversified cultural background. In doing this the essay will begin viathrowing a brief light on significance of cultural competence in nursing and midwiferypractice. Upon discussing the same, the essay will critically discuss the opportunities, barriersand challenges in implementing cultural competence in healthcare. The essay also plans toexplore, personal, professional organizational and societal factors that influence the culturalcompetence care while highlighting the important approaches that can be adopted forimproving the cultural competence in health care field.Cultural competence and its significance in nursing and midwifery practiceNational Center for cultural competence (CC) in the USA has recommended a framework forcultural competence highlighting its requirements of health-care systems. According toRenzahoet al. (2013), CC helps in dodging cultural obstacles between health-care providerand the healthcare consumers and thereby improving the quality of healthcare with patientcentered approach. Cultural competence also vouches for effective development of effectivecommunication. It also helps in the growth of the clinical capabilities among the healthcareprofessionals. This helps in the promotion of the cross-cultural communication among thenurses and midwifery professionals (Douglas et al. 2014). According to Douglas et al.(2014), a nurse uses its cross-cultural communication skills for identifying the values, beliefs,traditions and the unique health care needs of the client and thereby helping to frame person-centered care. Moreover, Betancourt et al. (2016) further highlighted the consequence ofculturally competent nursing care in the domain of hospital setup. Betancourt et al. (2016) isof the opinion that the hospitalized patients and their family members are subjected to
numerous stresses. The scenario is extremely evident in critical care, palliative care andemergency unit of the hospital as here the patients suffer from life-threatening situations.Under these circumstances, culturally competent care is strikingly evident. In addition, Betancourt et al. (2016) stated that the absence of cultural awareness and failureto convey culturally proficient care could augment the anxiety level of seriously ill patentsand thereby resulting in derisory care or adverse health outcomes. In the domain of providingcare to the Muslim-American, Ezenkwele and Roodsari (2013) highlighted important culturalfactors that manipulate the delivery of care in the emergency unit. These factors includemodesty, role of gender the concept of will of god, the role of the family members, structureof the family, prohibition towards extramarital and premarital sex, special dietary codes,religious cleanliness and praying. Thus, practicing in a culturally competent manner will helpto generate cultural awareness among the nurses and thereby helping them to deliver optimalcare to the minority population. However, it is imperative to take into consideration the heterogeneity and diversity ofthe minority inhabitants while employing culturally competent care on an individual basis(Ezenkwele and Roodsari 2013). According to Betancourt et al. (2014) people who belongunder the ethnic minority are more susceptible towards developing communicable disease orchronic condition. Patients who are suffering from chronic conditions demand more person-oriented health services and hence increasing their amount of interaction with the healthcaresystem. If the nursing or other healthcare professionals are not working together to deliverculturally competent care, the patients who are suffering from chronic conditions are morelikely to become victim of negative health consequences. This results in completedissatisfaction in care. For instance, African-American population are reported to undertakingless partnership with the healthcare professionals, less participation in medical decision-making and lower level of satisfaction under the care plan (Betancourt et al. 2014).
Furthermore, reports published by Betancourt et al. (2014) highlighted that AsianAmericans, Latinos and African-Americans are more likely to generate nurture a thought thatthey could have enjoyed a better care support had been of a different race or ethnicity.Nevertheless, according to Barksdale (2009), there is a major problem that, there is notadequate provides in the health care domain to procure culturally competent care to the ethnicminority group and thus creating controversy towards culturally competent care. Dauvrin andLorant (2015) have recommended that culturally competent care model can be implementedamong the healthcare professionals via strong leadership characteristics. Because,properleadership models affect the social relationships, and this helps in implementing anddeveloping care (Dauvrin and Lorant 2015). Opportunities and Challenges in implementing culturally competent healthcareApproaches that focus on expand in knowledge about numerous groups, especially through alist of common health behaviors and beliefs and principal “dos” and “don’ts” provide themain starting point for the healthcare professionals to know more about the nature of healthpractices of a particular ethnic group (Truong et al. 2014). This approach leads to thegeneration of stereotypes and may ignore the variation that exists within the groups. Toillustrate, Barksdale (2009) highlighted that the African Americans are taught never todisclose their personal or health related matters or their weak points to the white people andthis create a societal challenge in procuring culturally competent care. Correspondingly,personal challenges, which are highlighted by Barksdale et al. (2009) under the domain ofculturally competent care, include fear or unwillingness to learn new culturally competentcare model and to provide a new approach and bias approach of providers, as they areunmotivated towards providing culturally competent care. Likewise, In the domain oforganizational challenges, there occurs certain sort of miscommunication between theadministrative authority and patient family members towards providing competent care
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