1. After reading the assignments for this week, discuss the impact of knowledge related to various populations and how this can impact your professional clinical practice
The readings for this week’s assignment provides evidence that disparities persist in medical care for a number of health conditions and services in the diverse populations, which is impacted by their knowledge base. According to the article Strategies for Health Education in North American Immigrant Populations (2012) noted barriers that are included with diverse populations are cultural factors, which historical experiences and traditional practices shared with a group of peoples can prevent individuals from seeking health education and self-management of chronic
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The focus in the clinical practice would be to reduce health care disparities and address the barriers that affect the individual’s health care outcomes. The most important strategy to promote health education is to be culturally sensitive, which includes as a clinician to have knowledge with social-cultural, religious, healthcare issues, and remove barriers that impede the individual’s heath care (Zou and Parry 2012). Another strategy to facilitate health education is to remove language barriers. To improve health education with language barriers effectively would be to use a medically trained translator and not a family member. A clinician has to remind themselves that they are there for the patient and their needs. Using a medically trained translator, a clinician can be confident that the patient is receiving all of the information, able to ask and answer questions, and can feel confident that the patient understands all the health information and what would need to be addressed with further education. Trust is another health education barrier. Many African Americans are reluctant to participate in health promotion programs due to mistrust in the health care community (Butler-Ajibade, Booth, and Burwell 2012). As a clinician, to establish trust is an extremely important element to successfully promote health education in the African American community. To remove the trust barrier
“Americans can take come pride in the fact that attaining what the medical profession calls “cultural competency” is a goal of most health care institutions. However, achieving this goal in today’s health care environment, filled with diverse patient and provider populations, is no easy task. American hospitals are increasingly being staffed by and serving diverse populations. This creates the ideal breeding ground for conflict and misunderstanding among the staff and inferior patient care” (Galanti, 2011). To gain a more thorough understanding of this concept, I will be giving four examples or viewpoints that are completely different, when looking at the Hispanic belief against the Native American point of view.
It is well known that the United States is made up of several different cultures and the health care system delivers care to a very diverse population. However, depending on ones culture-receiving care may be a challenge at times. In this paper we are going to take a closer look at the culture of Hispanic Americans. The Hispanic population has grown to over 55 million residents with in the United States in 2015, with an estimated growth rate of 2.1% per year (Krogstad & Lopez, 2015). Making this minority group on of the fastest growing populations within the United States (DeNisco & Barker, 2016).
In this discussion, a Hispanic or Latino group is considered. While the statistic is not available for the city of Cleveland, in Ohio this group represents a 3.7% of the total population as of July 1, 2016 (USCB, 2018). The Hispanic/Latino group represents people from Cuba, Latin America, Mexico, Puerto Rico, Caribbean and other Spanish cultures, regardless of race (Juckett, 2013). While a treatment plan in hospitals is the same for all the patients, the perception varies in different ethnic groups or races. Thus, a health care provider need to be aware of Hispanic/Latino cultural beliefs and implement this knowledge into a daily routine.
Through the weekly courses, lectures and readings, I have learnt a lot about racial and ethnic disparities, racism amongst minorities (Hispanics, African American-Black, Asians, Latinos). America is a nation of immigrants and their health and healthcare consists of multi-ethnic immigrant stories. I want to share some thoughts on racial and ethnic health disparities, on why I think that America is still a racist nation and racism is so insidious and pervasive. Health disparity is defined as a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial
With the increasing immigrant population a third barrier affecting access to health care is a cultural barrier. Culture barriers can include values and beliefs, language and race and ethnicity. Health beliefs and behavior can become a barrier when patients decide not to seek medical treatment and instead turn to home remedies and healers when treating illnesses. Approximately 10% of Americans speak a language other than English and can be classified ad being limited in their proficiency. For these patients language becomes a barrier and they are less likely to receive optimal medical treatment (Flores, 2006). Horton and Johnson (2010) stress the importance of communication in reducing disparities and increasing the trust of patients in the health care system. As reported by the American College of Physicians, evidence reveals that racial and ethnic minorities are more likely to receive inferior care when compared with non-minorities. This occurs even when minorities have access to insurance and adequate income (Racial and ethnic disparities in health care, 2010).
There are several hindrances that immigrant’s population encounter when they migrated to a new country. For sure, obtaining a good quality of health care is one of the most difficulties that the immigrants will be faced in the new country due to several reasons such as language barrier, cultural beliefs and lack of education. These elements could absolutely complicate the medical system. One of the immigrant population who began to migrate gradually to the United States in the 18th century is the Hmong. They arrived in the United States with their traditional customs. Hmong culture, in general, is entirely different from the way of life in the United States. In particularly, Hmong’s health care has completely different systems of health in the America. Their health care depends extremely on their traditional beliefs which are seeing illness as animism matter. On the other hand, the Western medical system is rationalism that means the medical system relies primarily on biomedical beliefs. As I result, the contrast between Hmong traditional beliefs and Western biomedical beliefs built a lack of understanding of both sides
This essay reviews key concepts of culture and diversity in the context of their role in causing and/or making worse disparities in health programs.
I am a Brazilian black male with military experience and diplomatic knowledge who grew up in a low-income household in a developing country. In addition, I have traveled to about 35 countries and am acquainted with people from different socioeconomic backgrounds, religions, ethnic groups and nationalities. These characteristics and experiences allow me to see the world from perspectives that are unusual for most people. Besides being open-minded and non- judgemental toward all my future patients, I personally understand the difficulties faced by people of color, immigrants and individuals from low-income families. In sum, my background and my cultural literacy will allow me to be a sensitive and culturally aware patient-centered care.
Financial barriers to access health care are common in a low-income family when they are uninsured or underinsured. Many uninsured and undocumented immigrant received federal and state health care coverage. Latinos and African American are the ethnicities that are disproportionally get affected. Limited access to a doctor when they are sick, taking non-prescribed medication and holding off recommended treatment is only some of the problems they encountered (Carrillo et al., 2011).
In America, the number of federally identified tribes is 562 with every tribe having its own culture, belief system and practices. That is why there seem diverse type of behaviors among this population related to healthcare seeking and healthcare attitudes. Amongst the most common components that lead to this diversity in healthcare seeking behaviors is the role of culture which affects healthcare intervention, prevention, and care. So, it is very important to understand the diversity of culture in particular
However, there are many social, cultural, and structural barriers limiting Native Americans to access health care, contributing to numerous health disparities among the Native American population.The Meriam Commission, a survey team comprised of specialists in the medical field, recent research affirms that the most significant social and cultural barriers that affect Native Americans health today include: racial and ethnic bias and discrimination, patient health behaviors, environmental factors, and deliver of health care in a cultural sensitive and appropriate manner. These barriers continue to play significant roles in the quality of physician-patient relationship and access to medical treatment information (Blakeley, Park, Quarter man, Reid, & de La Viez,
In a perfect world, race, ethnicity and culture would have no negative effect on the medical care we receive, yet problems do arise and it affects the quality of care the patient receives. Language barrier, poor socioeconomic status, and poor health literacy also contribute to health care disparity. For Lia, it was more than her skin color, it was all of the above, her parents did not speak English and they were illiterate. They had trouble understanding the American healthcare system, had trouble or little interest in adjusting to or understanding the American culture. They didn’t work, which in addition to cross cultural misunderstanding, helped contribute to animosity between the Hmong and the host community, because some in the Merced area did not like or appreciate the fact that some Hmong did not work and relied on welfare to make ends meet. All these factors, contributed to the poor quality of
The United States is a melting pot of cultures from around the globe. Many immigrants acclimate to American culture and customs while retaining many of their native culture and customs. However, much of their culture places these immigrants at risk for health disparities. Hispanics are the largest and fastest growing racial and ethnic in the United States (cardiosmart.org, 2014). According to CDC.gov (2004), compared to non-Hispanic whites, Hispanics experienced chronic liver disease 62% more, diabetes 41% more, HIV 168% more and cancer of the cervix 152% and stomach 63% more for males and 150% more for females.
The difference in health outcomes and the determinants between parts of a population caused by social, demographic, environmental and geographic characteristics is defined as health disparities (Dore & Eisenhardt,2015). Societal, economic, and political forces impact social determinants. (Dore & Eisenhardt, 2015) have indicated that health inequities are avoidable and preventable when appropriate actions are taken to lower the risk of illness.
I chose this article because I find it interesting and of great help to any nursing and health care professional; I am Hispanic myself and constantly looking for better ways to help my community. I personally see my grandmother struggling whenever she needs to see her physician, as she sometimes does not understand what him and his staff are telling her. On another note nursing is an ever changing career and the Hispanic culture is growing at an enormous rate, becoming culturally competent does not only provide the patient with good care but can make the nurses’ job easier and more rewarding. I do feel that there should be more research on this subject; the best way to learn about a patient’s cultural beliefs is to ask the patient. I think that the population that the author intended to target is health care professionals; however, I know that any immigrant can benefit from reading this article.