Ohio State University Medical Center Response Questions
Description
- PLEASE RESPOND TO 4 OF YOUR PEERS’ POSTINGS.
- Peer Responses: Minimum of one (1) peer-reviewed reference. WEBSITES are NOT considered peer-reviewed.
- Response posts: Minimum 150 words excluding references.
- /Question 1
- /Tina Boyles
M2 A3 DB: Cultural Competency
vs. Cultural Humility -
COLLAPSE
Top of Form
For this discussion board, I will be defining the difference
between cultural competency vs. cultural humility. Along with defining those
two terms in my own words, I will also explain how it pertains to me in my
nursing profession. Another thing that will be explained is how I as a nurse
overcome a cultural barrier.
When I personally think about cultural competence, I think about
how much one has understood and appreciation of the other cultures. Individuals
might not know or understand the other cultures, and that is where research
comes in handy. There are so many different cultures out there, plus culture
can be defined in different ways depending on the person. According to Andrews
et al. (2020), individuals can take a cultural assessment to see how much an
individual has been exposed to different cultures and see what they know.
Cultural humility makes me think of an individual trying to understand one
culture. These individuals strive to learn someone’s culture, or they tend to
not want to participate in it. According to Pierce (2021), understanding
cultural humility can help individuals reduces the bias against cultures.
While working in the nursing profession I have found myself
relating to cultural humility. There have been a few different types of cultural
individuals that have been admitted and I have taken care of them. One type of
culture is Amish. Although Amish is a common culture that is around where I
live, there are something that I still do not know. One thing I was surprised
to learn was that Amish gentlemen leave their hat on the floor. One time I
thought it fell off the table to picked it up, re-entered the room and noticed
it was back on the floor. At that time, I decided to research it because I was
intrigued.
In conclusion, culture is all around all of us no matter where we
work or live. Individuals can decide to strive to learn and understand about
cultures, or individuals can ignore it all. I believe individuals should try to
understand one’s culture before making judgements about individuals. -
References
Andrews, M. M., Boyle, J.S., & Collins, J.W. (2020). Lippincott coursepoint enhanced for Andrews’ transcultural
concepts in nursing care (8th ed.). Wolters Kluwer.
Pierce, V. (2021). Cultural
humility in nursing building the bridge to best practices. Virginia Nurses Today, 29(2), 1–14. - QUESTION 2
Mariama Balde
M2 A3 DB: “CULTURAL
COMPETENCY VS. CULTURAL HUMILITY
COLLAPSE
DB: “CULTURAL COMPETENCY VS. CULTURAL HUMILITY-
Healthcare professionals such as nurses, pharmacy personnel,
social workers and more play an imperative role in the healthcare system. Their
major focuses are to provide high quality of patient care, safety, health, and
wellness of all patients regardless of their cultural background, socioeconomic
class, or educational level. Continuing education is also very essential for
healthcare workers like nurses in order to provide quality of care to their
patients, be culturally competent, and keep up to date with the latest
healthcare informatic as technology is evolving. This discussion topic will be
focused on the transcultural concepts of nursing care, cultural competence in
nursing and humility.
Cultural competence is defined as nurses to be educated, prepared,
have the ability to knowledgeable care for all patients, be skilled, and be
aware of cultural differences and diversity. The lack of cultural competence
has led to bias and has interfered with effectively caring for certain groups,
such as minorities, thus cultural competence is designated to educate
healthcare professionals on different cultures and diversity (Vernita, 2020).
Cultural humility is reflection of an individual’s lifelong learning, looking
at one’s own beliefs, values, cultural identities, and respecting other
cultures. Cultural humility is to be able to acknowledge one’s own feelings and
have an understanding of self in orders to inspect others, which will also help
guide, address, or reduce biases, decrease disparities, and provide
patient-centered care to all patients regardless of their cultural background,
race, gender, ethnicity, educational level, or socioeconomic classes (Pierce,
2021).
It’s very difficult not to think or feel culturally competent or
culturally humble when caring for patients, dealing with families, or
communities because lacking the cultural competence and humility can cause or
lead misconceptions of certain situations (Greene-Moton
& Minkler, 2020). Moreover, examining and recognizing one’s biases,
values, or perceptions can help guide and help providers to provide quality
care to all patients or communities. As a nurse or individual, each person
would like to be valued, understood, be treated with care, and respect.
For instance, nurses should place themselves into that patient’s shoes or
empathy with them.
Furthermore, overcoming cultural barriers in nursing practice is
now more common than ever before especially in certain areas of healthcare
setting like OB. In postpartum some of our patients and their families do not
speak English or do not comprehend well with medical terminology. For instance,
one of the patients I cared for last week did not speak English well and her
sister was by the bedside. As nurses communicate with her while her sister is
in the room, she seems to look at her sister for clarification/confirmation. As
I communicated more with her, I noted that she was not understanding well and
an interpreter who speaks her language was called. As a result, the patient was
educated to ask for an interpreter if she is not understanding. This
information was also reported to the incoming shift. Moreover, there are so
many different cultures, asking the patient about their culture or if there are
cultural preferences can help nurses in providing quality of care.
Overall, the increase in diversity and cultural background has led
healthcare workers to be competently educated on cultural competency and be
readily efficient on delivering quality of care to all patients. It’s crucial
for healthcare professionals to be culturally competent, gain skills and
knowledge on different cultures, humility, and respect patient’s cultural
differences, promote care, increase understanding, and ensure patient’s health,
safety, and wellness (Andrews et al., 2020).
ReferencesAndrews, M. M., Boyle, J. S., & Collins,
J.W., (2020). Transcultural concepts in nursing
care (8th ed.). Wolters Kluwer/LWW
Greene-Moton, E., & Minkler, M. (2020).
Cultural competence or cultural humility?
Moving
beyond the debate. Health Promotion Practice, 21(1),
142-145.
https://doi.org/10.1177/1524839919884912
Pierce, V. (2021). Cultural Humility in
Nursing Building the Bridge to Best Practices.
Virginia
Nurses Today, 29(2),
1–14.
Vernita Mayfield. (2020). Cultural
Competence Now : 56 Exercises to Help Educators
Understand
and Challenge Bias, Racism, and Privilege. ASCD. - QUESTION 3
- Aya Baydoun
-
Top of Form
This discussion is to elaborate the relationship between social
determinants of health (SDOH) and cultural awareness discussed in the American
College of Obstetricians and Gynecologists (ACOG) article Importance of Social Determinants of Health and Cultural Awareness
in the Delivery of Reproductive Health Care. In the next few paragraphs, this subject will be broken down and
the correlation will be established.
SDOH help direct health care providers to know the barriers in the
community that can influence one’s health. Factors include financial and
employment status, health care access, safe housing, socio-political conditions
like discrimination against LGBTQ society or gender inequality, educational
background and nutrition quality (the water we drink or food we eat). According
to the ACOG article, health care staff investigate these factors for every
individual because they can determine course of treatment. For example, when
health care providers question living situation, if a patient states that they
are homeless, arrangements are done accordingly to discharge this patient
safely.
This is where culture and SDOH tie down together. The culture of
an individual influence medical decisions made by that patient hence it is a
factor that determines health. As medical staff, cultural competence is
essential, that is, interacting with people from other cultures, understanding
and appreciating their culture but still being aware one’s culture and beliefs.
When a health care provider shows cultural sensitivity, it builds trust and
facilitates better communication with the patient (Kaihlanen et al., 2019).
Also, once cultural needs are understood, treatment course is planned
accordingly leading to better results or health outcomes.
In conclusion, cultural awareness and competence is crucial to be
part of the care for a patient because it is a factor that determines their
treatments and influence their decisions. Once taken into consideration, it
will make it easier to interact and help the patient heal. - References
-
American College of Obstetricians and
Gynecologists (ACOG). (2018). Committee on Health Care for Underserved Women
Opinion No. 729, Importance of social determinants of health and cultural
awareness in the delivery of reproductive care. Journal of Obstetrics & Gynecology, 131(1), 43-48. https://doi.org/10.1097/AOG.0000000000002459
Kaihlanen, A., Hietapakka, L., & Heponiemi,
T. (2019). Increasing cultural awareness: Qualitative study of nurses’
perceptions about cultural competence training. BMC Nursing, 18, 38. https://doi.org/10.1186/s12912-019-0363-x
Bottom of Form - QUESTION 4
- Danielle Webster
- Social Determinants of Health
- Top of Form
For the purpose of this post, I would like to
discuss the article we reviewed entitled “Understanding Complex Humanitarian
Emergencies in the Horn of Africa: Causes, Determinants, and Responses” in
relation to our narrative in class, Cutting for stone: A novel (Verghese, 2009).
The article presents a summary of social and
cultural history for the region of the Horn of Africa as they relate to social
determinants of health, whereas our narrative in class provides vivid
illustration of issues in a compelling format for the reader. The article
explores reasons as to why humanitarian emergencies requiring aide are
consistently needed in the Horn of Africa and to propose alternatives which may
be more effective in promoting health equity. Circumstances which may be
considered humanitarian emergencies include war, famine, drought, ethnic
violence, natural disasters, or other events which place large groups of people
at risk for violence, hunger, disease, or injury. Throughout history, this
region has experienced many occupations which shifted the culture and
sociopolitical climate including the Aksum Empire, Arabian Empire, the
Italians, and the British. However, as these occupations eased and the African
countries began to gain their independence from these forces their old land
disputes reared their ugly head, causing further civil unrest and war. These
factors have been a force that have historically destabilized the region which
contributes negatively to social determinants of health by limiting access to
clean food and water, safe housing, equitable income, physical safety or
consistent access to quality healthcare. An example of this from the narrative
we are reading in class is when the rebels attempt a coup against the royal
ruler, Ghosh is taken prisoner by the royal military and kept in prison for a
period of time that deprived Missing hospital of his services. This would
negatively affect the access to quality health and surgical services for the
locals who needed care.
The article continues to explore alternative
solutions other than reliance on humanitarian aid, such as the Cash on Delivery
model in which funding is linked to outcomes based on agreed upon goals. My
question for discussion is this: Based on our reading and your experience as a
healthcare professional, what do you think are effective alternatives to
traditional humanitarian aide to support at risk populations?References
-
Chacreton, D. (2013).
Understanding Complex Humanitarian Emergencies in the Horn of Africa: Causes,
Determinants, and Responses. Journal of Global Health Perspectives.
Verghese, A. (2009). Cutting for stone: A novel (1st ed.). Knopf.
Bottom of Form
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