A better understanding of the strengths and limitations of the concepts of race and ethnicity is a priority of nursing” (p. 5). Reflect culturally appropriate feelings in specific and accurate feedback” (, The American Nurses Association (ANA) has a long and vital history related to ethics, human rights, and numerous efforts to eliminate discriminatory practices against nurses as well as patients. This author identified barriers reported from several studies that involved interviews with students of ethnically diverse backgrounds. Recent data from the 2008 National Sample Survey of Registered Nurses (HRSA, 2010) show an estimated 3,063,163 licensed registered nurses in the United States. Therefore culture-centered leadership provides organizational leaders, such as nurse managers, the opportunity to influence cultural differences and similarities among their unit staff. D’Avanzo (2008) wrote a fitting resource book about a variety of cultural groups, their differences in worldwide views and concepts of reality, and their variety of social, political, economic, and religious values and many concepts of health and illness. Josepha Campinha-Bacote, PhD, APRN, BC, CTN, FAAN. How to Deal With Diversity in the Healthcare Workplace. Retrieved February 27, 2009, from ProQuest Nursing & Allied Health Source database (Document ID: 14336481). Cultural competence in healthcare refers to the ability for healthcare professionals to demonstrate cultural competence toward patients with diverse values, beliefs, and feelings. Was it viewed as being a symbol of some quality of the workplace, such as its effectiveness, its values and beliefs, or its innovations? 3. In reality, although lack of experience may be slightly hampering, it is by no means an obstacle to addressing individualized attention to staff and patients. Two important tasks are “(a) transferring data from the source language to the target language and (b) maintaining or establishing cross-cultural semantic equivalence” (International Council of Nurses, 2008, p. 5). 15.4% This study identified situations that employers need to consider to increase satisfaction of the nursing workforce and to remove problems of racial/ethnic inequities. Cultural competence is defined as the ability of providers and organizations to effectively deliver health care services that meet the social, cultural, and linguistic needs of patients. In its report to the Secretary of Health & Human Resources and Congress, the National Advisory Council on Nurse Education and Practice (NACNEP) (2000) addressed the need for a culturally diverse workforce to meet the healthcare needs of our nation. cultural diversity in health care powerpoint Spector (2009) addressed three themes involved with acculturation: Resources are a must for nurses to use to learn about working with culturally diverse staff and patients. It is this contradiction that makes prejudice paradoxical” (Spence, 2004, p. 163). We live in an era of constant change and transformation, which in return paves the way for cultural transparency. The level of engagement is determined by aspects like organic clicks, active sign ups or even potential leads to your classmates who can pay for the specific paper. • Compare values and beliefs about illness that affect management of nursing care interventions involving patients from specific cultures. As the population in the U.S. becomes more diverse (currently, 37% of the U.S. population. Cultural Diversity in Health Care. Have patience. Prejudices “enable us to make sense of the situations in which we find ourselves, yet they also constrain understanding and limit the capacity to come to new or different ways of understanding. Research Perspective Anderson Cancer Center, Houston, Texas (p. 133) • Do not assume emotional outbursts represent anger. 1. This broader definition encourages people to think about how diverse the populations in the United States are. Seago and Spetz’s study described the work environment, job advancement, and promotion experiences of registered nurses in California who self-identify an ethnic affiliation. It is our responsibility to acknowledge the “possibility of tension” as a potential for new and different understandings derived from our communication and interpretation. The 2008 National Sample Survey of Registered Nurses (NSSRN), distributed by the Health Resources and Services Administration (HRSA) (2008), represents about 2% of all registered nurses. Retrieved June 20, 2010, from bhpr.hrsa.gov/healthworkforce/rnsurvey04/appendixa.htm. Using hermeneutic interpretation, her study consisted of accounts from 17 New Zealand nurses who delivered nursing care to patients in acute medical and surgical wards, public health centers, mental health settings, and midwifery specialties. Cultural background stems from one’s ethnic background, socio-economic status, and family rituals, to name three key factors. What do you think you would do if you were this nurse? One particular example cited by Noone was the different modes of communication, such as lack of assertiveness, difficulty with languages, and different customs. Explain in your own words. Cultural diversity is the term currently used to describe a vast range of cultural differences among individuals or groups, whereas cultural sensitivity describes the affective behaviors in individuals—the capacity to feel, convey, or react to ideas, habits, customs, or traditions unique to a group of people. Possibility, therefore, presumes a condition for openness with a person from another culture (Spence, 2004). At the best, it involves treating impartially and fairly each ethnic group without promoting the … Sally C. Fernandez RN, MSN, ANP Nurse Manager, Emergency Center, University of Texas M.D. Diversity in health care matters. It even takes into consideration the social determinants of health. Interspersed through each chapter are “notes to health providers.” These notes purport to alert the provider to potential problems the nurse may encounter at certain developmental stages or when dealing with a particularly sensitive topic. The RN population of “Black/African American, non-Hispanic” was 5.4% compared with 12.2% for the general U.S. population. Managing issues that involve culture—whether institutional, ethnic, gender, religious, or any other kind—requires patience, persistence, and much understanding. Nursing as a profession has historically lagged the general demographics related to ethnic and gender diversity. Causes of disparities in health care include poor education, health behaviors of the minority group, inadequate financial resources, and environmental factors. Measures to improve cultural competence and ethnic diversity will help alleviate healthcare disparities and improve health care outcomes in these patient populations. Caring for Women Cross–Culturally (St. Hill, Lipson, & Meleis, 2003) is a rich, comprehensive resource of culturally relevant information about immigrant and minority women. Abstract. One way to promote this understanding is through shared stories that have symbolic power. (1) A culturally competent health care system can help improve health outcomes and quality of care, and can contribute to the elimination of racial and ethnic health disparities. The ANA, Nursing leaders at all levels are calling for a nursing workforce able to provide culturally competent care. • What kind of team-building activities are needed to create a cohesive workforce for effective healthcare delivery? It might be because I am a woman. Nurse managers must be cognizant of divergent views about health care as a right for all people rather than a privilege for a few. They noted that diversity exists both within and between groups, which may lead to intragroup and intergroup conflict. Be cognizant that international or minority staff may not consider themselves deprived or of lesser socioeconomic status than the majority. Disparities in health care that relate to quality of care include provider/patient relationships, provider bias and discrimination, and patient variables of mistrust of the healthcare system and refusal of treatment (Baldwin, 2003). Cultural diversity or multiculturalism is the acceptance of the various ethnic cultures in schools, organizations, businesses, neighborhoods or cities. Developing a practice environment that promotes diversity, 4. Some Hispanics demonstrate Asian features, whereas some Puerto Ricans or Jamaicans may be mistaken for African blacks. As these data show, the profession of nursing is not reflective of the population it serves. The International Classification for Nursing Practice (ICNP) (International Council of Nurses, 2008) is a unified nursing language system that should be considered by nurse clinicians in the workplace and by nurse educators: Globalization is a reality and global visibility of healthcare needs, delivery and quality is changing the face of health care around the world…there is a need to communicate about nursing worldwide, across many languages and cultures….Standardized nursing terminologies are needed to document nursing practice with its unique features and multiple variations. Get up to 30 For the nurse leader or manager, the characteristics of ethnicity and culture are important to keep in mind because the underlying thread in all of them is that staff’s and patients’ culture and ethnicity have been with them their entire lives. Avoid feeling that they are trying to request a special favor from you. In addition, the sample of minority nurses was more likely than white nurses to agree that they have opportunities to advance in their workplace and to learn new skills at work. The results will have either a positive or a negative impact on the future employment of these prospective members of the nursing workforce. Lipson and Dibble (2005) indicated that culture is influenced by intersections of forces larger than the individual and by shared values of what constitutes ethical, professional practice. What is the author’s definition of cultural competence? The subjects comprised a variety of ethnic and racial backgrounds: African American, Asian Pacific American, Latino, Filipino, and Caucasian. 1300 results for cultural diversity and nursing practice Sorted by Relevance . Thirdly, please include FULL name and Student ID number as in the register on the report. Treat compliments from your staff with respect. Scenarios and exercises to promote an appreciation of cultural richness are also included. BOX 9-1   Techniques for Managing a Culturally Diverse Workforce They posed the question, Do minority nurses face more and/or different barriers to career advancement and promotion experiences in their workplace? Multicultural phenomena are cogent for each person, place, and time. Provide a substantive 150 to 250 word initial post that fully answers the following questions: How have the changing definitions of diversity affected healthcare management and … Recent data from the 2008 National Sample Survey of Registered Nurses (HRSA, 2010) show an estimated 3,063,163 licensed registered nurses in the United States. Various authors have different views. Staff who know what is valuable to patients and to themselves can act accordingly and feel good about work. These facts have many implications from recruitment into the profession, such as programs to enrich the majority members’ understanding of diversity, as well as support of ethnic minorities in the workplace. Aug 7, 2016 | Posted by admin in NURSING | Comments Off on Cultural Diversity in Health Care. Since the 1990s, global population and socioeconomic changes have resulted in an increased number of hospitalised patients from diverse backgrounds ( United Nations, 2017 ). What do you think you would do if you were this nurse? Multicultural phenomena are cogent for each person, place, and time. I work with a large staff of men and women from several cultures, and they have different perspectives about their assignments. Understanding that diversity includes not only ways of being but also ways of knowing; To this end, the NACNEP solicited, through the Division of Nursing, an Expert Workgroup on Diversity to advise them on the development of the National Agenda. Evaluate individual and societal factors involved with cultural diversity. Spector (2009) addressed three themes involved with, socialization…being raised within a culture and acquiring the characteristics of that group; acculturation, becoming a competent participant in the dominant culture…process is involuntary…forced to learn the new culture to survive; and assimilation, In a group, discuss the values and beliefs of justice and equality. Physicians are increasingly faced with providing care to a … Slightly less than 85% of the RN population is actively employed in nursing, with the majority employed full-time and in hospital settings. Providing care for a person or people from a culture other than one’s own is a dynamic and complex experience. Cultural background stems from one’s ethnic background, socio-economic status, and family rituals, to name three key factors. ty. Cultural diversity can create many challenges in the provision of healthcare (State of Victoria, 2016). Cultural competence is the ability to collaborate effectively with individuals from different cultures; and such competence improves health care experiences and outcomes. Ethnicity, according to The Merriam Webster Dictionary (Merriam-Webster Inc., 2005), is defined as related to groups of people who are “classified” according to common racial, tribal, national, religious, linguistic, or cultural backgrounds. Promoting the preparation of all nurses so that culturally competent care can be provided. Retrieved February 27, 2009, from ProQuest Nursing & Allied Health Source database (Document ID: 14336481). At the best, it involves treating impartially and fairly each ethnic group without promoting the … Similarly, new staff are neither acculturated nor assimilated into the cultural values of the dominant culture. The barriers related to “financial needs, academic needs, feeling isolated, and experiences with discrimination from faculty, peers and patients” (p. 135). Prejudices “enable us to make sense of the situations in which we find ourselves, yet they also constrain understanding and limit the capacity to come to new or different ways of understanding. The United States has been called a cultural melting pot, but some sectors in our society are more inclusive and diverse than others. Cultural Diversity plays a very important role and will continue to play an even greater role as we move into a more diversified world. As a nurse, you may have strong values and beliefs but you may never have observed their application in health care. Diverse workforces are discussed, as well as how to capitalize on their diverse traits and how to support differences to work more efficiently. Cultural Diversity and Health Care Cultural Sensitivity The ability to be open to learning about and accepting of different cultural groups. The American Nurses Association (ANA) has a long and vital history related to ethics, human rights, and numerous efforts to eliminate discriminatory practices against nurses as well as patients. All the cultural groups were selected based on their size according to the U.S. Census (each numbering at least 100,000) and/or on the lack of readily obtainable information elsewhere about a particular group (Lipson & Dibble, 2005). Promoting leadership development for minority nurses, 3. He has extensive experience in dealing with diversity, human rights, and organizational development for private and corporate clients, including hospitals and other healthcare providers. They have expanded the types of cultural and ethnic groups to include Roma (gypsies), former Yugoslavians, Russians, and other former Soviet Union people. • Analyze differences between cross-cultural, transcultural, multicultural, and intracultural concepts and cultural marginality. Roxelle cited Bacote (2003) cultural competence model. 12.2% Please share the post as many times as you can. We live in an era of constant change and transformation, which in return paves the way for cultural transparency. Caring for Women Cross–Culturally (St. Hill, Lipson, & Meleis, 2003) is a rich, comprehensive resource of culturally relevant information about immigrant and minority women. Paradox, although it may seem incongruent with prejudice, describes the dynamic interplay of tensions between individuals or groups. They provide an excellent set of general guidelines to alert nurses in the hospital or community settings to the similarities and differences within and among the cultural and ethnic groups. multiculturalism The overall results of this correlational and cross-sectional study found that minority nurses have positive views of their opportunities and workplaces. Cultural diversity is the term currently used to describe a vast range of cultural differences among individuals or groups, whereas cultural sensitivity describes the affective behaviors in individuals—the capacity to feel, convey, or react to ideas, habits, customs, or traditions unique to a group of people. Nurses need to assess and use their capabilities to determine the challenges that will help them function at their fullest potential in the workplace. (2008). Roxelle cited Bacote (2003) cultural competence model. Some men feel that they are superior to me. Health disparities between majority and racial ethnic minority populations are not new issues and continue to be problematic as they exist for multiple and complex reasons. These interactions of acceptance should involve a minimum of misunderstandings. For example, “3. It is this contradiction that makes prejudice paradoxical” (Spence, 2004, p. 163). • Take the time to know your colleagues. Make time for conversational chats that will facilitate learning about each other. The overall process of acculturation into a new society is extremely difficult. Diversity is important in any field, and the nursing industry is an exceptional example of why. August 31, 2020 - Healthcare is undergoing a seismic shift, with the role of public and population health playing a bigger role in patient care than ever before. This provision helps the nurse recognize that health care must be provided to culturally diverse populations in the United States and on all continents of the world. How will you learn and value what differences exist? Minority nurses’ experiences on the job. Its members learn it and share it. In contrast, I have noticed that some Asians are more submissive and do better with female-to-female interactions. This process includes consideration of the individual social, cultural, and psychological needs of patients for effective cross-cultural communication with their health care providers. They noted that diversity exists both within and between groups, which may lead to intragroup and intergroup conflict. 2. These interactions of acceptance should involve a minimum of misunderstandings. Therefore culture-centered leadership provides organizational leaders, such as nurse managers, the opportunity to influence cultural differences and similarities among their unit staff. BOX 9-1   Techniques for Managing a Culturally Diverse Workforce. These data can be tracked through a quadrennial survey by the Division of Nursing. Asian or Native Hawaiian or Pacific Islander, non-Hispanic culture   CHAPTER 9 Moreover, companies with diversity in the C-suite level have 33% more chance to earn profits. Hispanics, Asians, Asian Indians, and Nigerians provide a challenge for me. Connerley and Pedersen (2005) provided 10 examples for leading from a complicated culture-centered perspective. Secondly, the report should have an introduction, applications to the selection company and its products or services, conclusion, references and appendices, as appropriate. 3.6% For example, “3. Cultural Diversity and Health Care What is Culture? In 2000, Native Americans had a life expectancy that was 5 years less than the national average, whereas Asians and Pacific Islanders were considered among the healthiest population groups. A mailed survey was used for data collection. cross-culturalism Causes of disparities in health care include poor education, health behaviors of the minority group, inadequate financial resources, and environmental factors. They provide an excellent set of general guidelines to alert nurses in the hospital or community settings to the similarities and differences within and among the cultural and ethnic groups. Wednesday, June 5, 2019. Click here to request for this assignment help. References: The Seven Organizational Approaches to Studying the Human Body. • What is the cultural representation of the workforce? Cultural diversity supports the idea that every person can make a unique and positive contribution to the larger society because of, rather than in spite of, their differences. These data can be tracked through a quadrennial survey by the Division of Nursing. The increasing cultural diversity in the healthcare system around the world highlighted the need to enhance cultural competence among nurses. Consider how you might adapt to a new country and its society. Similarly, new staff are neither acculturated nor assimilated into the cultural values of the dominant culture. The RN population of “Black/African American, non-Hispanic” was 5.4% compared with 12.2% for the general U.S. population. By embracing cultural competence and diversity in health care, providers can improve the overall quality of care, according to experts. Consider, however, how these outbursts fit with The Joint Commission expectations regarding disruptive behaviors. Our commitment to social justice and the practical demands of the workplace call for nursing to take strong, sustained, and measurable actions to produce a workforce that closely parallels the population it serves. For the nurse leader or manager, the characteristics of ethnicity and culture are important to keep in mind because the underlying thread in all of them is that staff’s and patients’ culture and ethnicity have been with them their entire lives. Log In or Register to continue (p. 19) Define cultural competency. (1) A culturally competent health care system can help improve health outcomes and quality of care, and can contribute to the elimination of racial and ethnic health disparities. Consider how these disparities in disease and in healthcare services might affect the healthcare providers in the workplace in relationship to their ethnic or racial group. What is cultural diversity, and what do we think of when we refer to cultural sensitivity? Resources are a must for nurses to use to learn about working with culturally diverse staff and patients. Developing a practice environment that promotes diversity Implications for Practice It changes with difficulty. What is culture? 3. Globalization is a reality and global visibility of healthcare needs, delivery and quality is changing the face of health care around the world…there is a need to communicate about nursing worldwide, across many languages and cultures….Standardized nursing terminologies are needed to document nursing practice with its unique features and multiple variations. Use these competencies to demonstrate why you, as the nurse manager believe this cultural competence model could contribute to decision-making by members who care for patients on your nursing unit? Make time for conversational chats that will facilitate learning about each other. Search internet sources such as Wikipedia on the Harvard style of referencing. Disparities in health care that relate to quality of care include provider/patient relationships, provider bias and discrimination, and patient variables of mistrust of the healthcare system and refusal of treatment (Baldwin, 2003). Diversity. Health disparities in ethnic and racial groups are observed in cardiovascular disease, which has a 40% higher incidence in U.S. blacks than in U.S. whites; cancer, which has a 30% higher death rate for all cancers in U.S. blacks than in U.S. whites; and Hispanics with diabetes, who are twice as likely to die from this disease than non-Hispanic whites. Only gold members can continue reading. In reality, although lack of experience may be slightly hampering, it is by no means an obstacle to addressing individualized attention to staff and patients. Although stereotypes (e.g., “not smart enough for medical school”) have diminished over the years, the numbers of men in nursing still do not approach the proportional numbers of men in the United States. Diversity. 3. Having a clear mission, goals, rewards, and acknowledgment of efforts leads to a greater productivity and work effort from a culturally diverse staff who aspires to unity and uniqueness (see the Research Perspective on p. 161). This does not set well with some staff, who tend to become defensive. Internet sources also require referencing. Equality and diversity are essential components of health and social care. a workforce that closely parallels the population it serves. Promoting leadership development for minority nurses Why Diversity Matters (cont’d) According to the 2008 data, approximately 84% of the RN population was white and non-Hispanic compared with 65.6% of the general U.S. population. Core to that role is the increased focus on health disparities, health equity, and cultural competence in medical care. Exercise 9-1 A., & Spetz, J. Managing issues that involve culture—whether institutional, ethnic, gender, religious, or any other kind—requires patience, persistence, and much understanding. It is necessary to increase healthcare providers’ knowledge so that they can more effectively manage and treat diseases related to ethnic and racial minorities, which might include themselves. Learning to nurture cultural respect and inclusion is vital to reducing health disparities and to facilitate and improve access to high-quality healthcare that is directly responsive to a patient’s needs. Define diversity management. This may be a natural communication style for different groups. Resource: Seago, J. Measures to improve cultural competence and ethnic diversity will help alleviate healthcare disparities and improve health care outcomes in these patient populations. Are culture and ethnicity the same? What should you know about the sick-leave policy based on acute or chronic disease/illness in your institution? (p. 5) This does not set well with some staff, who tend to become defensive. Introduction According to Spector (2009): Understand why changes in US demographics affect the healthcare industry. We frequently have a high patient census in the emergency department. 8 Ways to Increase Cultural Diversity. • Treat compliments from your staff with respect. Cultural Diversity in Healthcare Read over the information in Chapter 3 of your course text. • Do not treat gender bias or those with different lifestyles as needing intervening techniques to change behaviors. 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