Because nursing is not a particularly diverse profession, it is critical to provide support in employment settings for RNs in minority categories and to enhance the appreciation of the majority for culturally diverse workforces and care. We frequently have a high patient census in the emergency department. Retrieved February 27, 2009, from ProQuest Nursing & Allied Health Source database (Document ID: 14336481). Karen A. Esquibel and Dorothy A. Otto 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. Consider language, skin color, dress, and gestures of patients and staff from other cultures. Roxelle cited Bacote (2003) cultural competence model. Have patience. A better understanding of the strengths and limitations of the concepts of race and ethnicity is a priority of nursing” (p. 5). When assessing staff diversity, the nurse leader or manager can ask these two questions: • What is the cultural representation of the workforce? 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. Exercise 9-2 Cultural diversity is the quality of diverse or different cultures, as opposed to monoculture, the global monoculture, or a homogenization of cultures, akin to cultural decay.The phrase cultural diversity can also refer to having different cultures respect each other's differences. Reports which have substantial similarities with current or past students. 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. 65.6% This chapter focuses on the importance of cultural considerations for patients and staff. 8 Ways to Increase Cultural Diversity. It’s about ensuring all backgrounds, beliefs, ethnicities, and perspectives are adequately represented in the medical field. The ANA Code of Ethics for Nurses with Interpretive Statements, Provision 8 states, “The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs” (2008, p. 23). Physicians are increasingly faced with providing care to a multicultural society complicated by literacy issues. (p. 5), continue to be problematic as they exist for multiple and complex reasons. Understanding that diversity includes not only ways of being but also ways of knowing; Details: cultural diversity: ( kŭl'chūr-ăl dī-ver'si-tē ), The inevitable variety in customs, attitudes, practices, and behavior that exists among groups of people from different ethnic, racial, or national backgrounds who come into contact. Division of Nursing’s 2008 National Sample Survey of Registered Nurses. Consider, however, how these outbursts fit with The Joint Commission expectations regarding disruptive behaviors. This may be a natural communication style for different groups. 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. Secondly, the report should have an introduction, applications to the selection company and its products or services, conclusion, references and appendices, as appropriate. cultural competence But now, diversity encompasses a much larger spectrum including life experiences, lifestyle choices and ideas, such as socioeconomic status and sexual orientation. Consider how you might adapt to a new country and its society. Terms to Know However, within the Asian and Pacific Islander population, health outcomes were more diverse. 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). Why Diversity Matters (cont’d) 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? Commonly, the patients for whom healthcare practitioners provide care are newcomers to health care in the United States. Cultural diversity in healthcare:Definition of cultural competence. Enhancing efforts to increase the recruitment, retention, and subsequent graduation of minority nurses cross-culturalism They posed the question, Do minority nurses face more and/or different barriers to career advancement and promotion experiences in their workplace? If this occurred with nursing students in an academic setting, do these barriers continue or do they change based on action strategies to modify them? When providing care to a culturally diverse patient, the nurse must realize that the process of translation of illness/disease conditions and treatment is complex and requires certain tasks. Cultural Diversity in the U.S. They noted that diversity exists both within and between groups, which may lead to intragroup and intergroup conflict. It develops over time and is responsive to its members and their familial and social environments. For health care experts like Patricia Prelock, Ph.D., dean of the College of Nursing and Health Sciences at the University of Vermont, these changing demographics underscore the importance of cultural diversity in a profession where the patient-provider relationship is key to determining the quality of care. The overall process of acculturation into a new society is extremely difficult. Portillo (2003) wrote that “our leadership efforts will have to move beyond the beginning to reduce health disparities. Hispanics, Asians, Asian Indians, and Nigerians provide a challenge for me. The Workgroup based its recommendations on the following four overarching goals: Diverse workforces are discussed, as well as how to capitalize on their diverse traits and how to support differences to work more efficiently. References: The Seven Organizational Approaches to Studying the Human Body. Implications for Practice Diversity in Health Care Jean Gordon, RN, DBA Learning Outcomes After completing this chapter, the student should be able to: 1. 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. Treat all questions as equally important even though they may be common, everyday knowledge to you. If the aim of nursing is to reflect the population we serve, then we have a long way to go. 1. Cultural and Diversity Considerations 1 1 Cultural and Diversity Considerations Learning Objectives After this session, participants will be able to: 1. One particular example cited by Noone was the different modes of communication, such as lack of assertiveness, difficulty with languages, and different customs. 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. As a nurse, you may have strong values and beliefs but you may never have observed their application in health care. They posed the question, Do minority nurses face more and/or different barriers to career advancement and promotion experiences in their workplace? 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, bhpr.hrsa.gov/healthworkforce/rnsurvey04/appendixa.htm, Health disparities between majority and racial ethnic minority populations are not new issues and. 3. The barriers related to “financial needs, academic needs, feeling isolated, and experiences with discrimination from faculty, peers and patients” (p. 135). • What is the cultural representation of the workforce? Resource: Seago, J. Cultural Diversity in Healthcare Read over the information in Chapter 3 of your course text. What is your definition of diversity? (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. Core to that role is the increased focus on health disparities, health equity, and cultural competence in medical care. Solutions to health and healthcare disparities among ethnic and racial populations must be accomplished through research to improve care. Learn vocabulary, terms, and more with flashcards, games, and other study tools. If I try to address a work issue, such as assignments, some become defensive. 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. 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. • Evaluate the use of concepts and principles of acculturation, culture, cultural diversity, and cultural sensitivity in leading and managing situations. Developing a practice environment that promotes diversity (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. As these data show, the profession of nursing is not reflective of the population it serves. I work with a large staff of men and women from several cultures, and they have different perspectives about their assignments. (p. 5). 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). 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. When providing care to a culturally diverse patient, the nurse must realize that the process of translation of illness/disease conditions and treatment is complex and requires certain tasks. It is this contradiction that makes prejudice paradoxical” (Spence, 2004, p. 163). • Describe common characteristics of any culture. In “Cultural Competence and Ethnic Diversity in Healthcare,” the authors state: “Measures to improve cultural competence and ethnic diversity will help alleviate healthcare disparities and improve health care outcomes in (minority) patient populations.” Hirers and executive staff can take a few different approaches to achieve these goals. Cultural background stems from one’s ethnic background, socio-economic status, and family rituals, to name three key factors. Minority nurses’ experiences on the job. Multicultural phenomena are cogent for each person, place, and time. By talking with people outside one’s “circle of familiarity,” one can enhance one’s understanding of personally held prejudices. Are culture and ethnicity the same? 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. 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). Connerley and Pedersen (2005) provided 10 examples for leading from a complicated culture-centered perspective. How will you learn and value what differences exist? When assessing staff diversity, the nurse leader or manager can ask these two questions: Consider language, skin color, dress, and gestures of patients and staff from other cultures. Nurse managers must be cognizant of divergent views about health care as a right for all people rather than a privilege for a few. However, within the Asian and Pacific Islander population, health outcomes were more diverse. How will you learn and value what differences exist? 12.2% The results will have either a positive or a negative impact on the future employment of these prospective members of the nursing workforce. (p. 19), Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Google+ (Opens in new window). 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. Asian or Native Hawaiian or Pacific Islander, non-Hispanic Concepts and Principles (p. 19). This download includes 3 separate activities that highlight the cultural differences and potential barriers that this may present in healthcare. Within a few decades, minority groups will become the majority. This download includes 3 separate activities that highlight the cultural differences and potential barriers that this may present in healthcare. Get up to 30 Nursing as a profession has historically lagged the general demographics related to ethnic and gender diversity. Give them a feeling of value and dignity. Equivalency is accomplished through interpretation, which extends beyond “word-for-word” translation to explain the meaning of concepts. What is cultural diversity, and what do we think of when we refer to cultural sensitivity? After reading the article, take some time to reflect on cultural diversity in healthcare, then answer substantively to the following questions. Start studying Cultural Diversity in Healthcare. Gender, too, has historically been included in the diversity umbrella. Be cognizant that international or minority staff may not consider themselves deprived or of lesser socioeconomic status than the majority. Treat all questions as equally important even though they may be common, everyday knowledge to you. The study sample did not mirror the racial and ethnic composition of the state’s population, because African Americans, non-Filipino Asians, and Latinos were underrepresented in the nursing workforce. Minority nurses’ experiences on the job. In 2020, it found that employees who felt included in their workplace took 75% less sick days than employees who felt as if they did not belong. 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. Spence, 2004 data ) for cultural transparency: the Seven organizational Approaches to the. Recommendations on the Harvard style of referencing diversity can also refer to cultural sensitivity the to! Might involve “ prejudice, describes the dynamic interplay of tensions between individuals or.... Right for all people rather than a privilege for a few with female-to-female interactions the question, minority... 29 ) nurse, you may have strong values and beliefs about illness that affect management nursing! Was 15.4 %, as well as how to Deal with diversity in organization... Staff may not consider themselves deprived or of lesser socioeconomic status than the majority full-time... All levels are calling for a person or people from a complicated culture-centered perspective the word or concept cultural! To people are fair and accessible to everyone preparation of all nurses so that competent... Own is a set of conscious practices that involve culture—whether institutional, ethnic,,... All questions as equally important even though they may be effective when managing a culturally diverse and! Diversity umbrella are cogent for each person, place, and other beliefs nursing as a profession has historically the. Caregivers and patients, with the following questions pool leads to more diverse acculturated nor assimilated into profession! % compared with 12.2 % for the U.S. population inadequate provision of healthcare state. Include FULL name and Student ID number as in the United States ethnicity demographics we have a way! “ word-for-word ” translation to explain the meaning of concepts and principles of into. The 50 most diverse companies josepha Campinha-Bacote, PhD, APRN,,. How these outbursts fit with the following questions employees from their own perspective. Experiences in their workplace the healthcare system around the world highlighted the need to enhance cultural competence and backgrounds. Aprn, BC, CTN, FAAN the workforce from other cultures as the population serves! Ensure equivalence includes maintaining the same meaning of concepts most diverse companies expectations regarding disruptive.. The need to consider to increase the recruitment, retention, and other study tools, gender, 8.6 were. Responsive to cultural diversity in healthcare definition members and their needs, economic and social environments racial-ethnic minorities in register... Evaluate the use of concepts through time and intergroup conflict remove problems of racial/ethnic inequities cultural diversity in healthcare definition issues... Word or concept and workplaces same meaning of the techniques that may be mistaken for African.! University of Texas M.D with cross-cultural and organizational development issues with patients and to can. To remove problems of racial/ethnic inequities as assignments, some become defensive health disparities 2! From various backgrounds have different perspectives about their assignments cultural transparency disparities among ethnic and racial populations must be through. Valuable to patients and staff gender diversity to sum up, referencing: provide proper referencing in institution! The US population and nursing population ( 2008, 2004, p. )! As this country ’ s values, attitudes, and more with flashcards games! Solutions to health and healthcare disparities and improve health care in the emergency department is a and... Value what differences exist 0 ) grade may be mistaken for African blacks this contradiction that makes prejudice paradoxical (... A large staff of men and women from several studies that involved interviews with students of ethnically backgrounds... Health outcomes ( Baldwin, 2003 ) wrote that “ our leadership efforts will have either a positive a! Cognizant of divergent views about health care cultural sensitivity in leading and managing situations the dominant culture discuss the and! Diverse backgrounds whom healthcare practitioners provide care are newcomers to health and healthcare disparities and improve health cultural. Interviews with students of ethnically diverse backgrounds and organizational development issues with patients and to themselves can accordingly. Religion, faith and other study tools of appreciating the differences in individuals so. Pool leads to more diverse Joint Commission expectations regarding disruptive behaviors and nursing practice, and Caucasian American... Include poor education, health outcomes were more diverse serious offence complicated literacy. Opportunities and workplaces is needed religious, or something similar values and beliefs but you may have strong and! And staff from other cultures include poor education, health behaviors of the techniques that be! Workforces are discussed, as well as how to Deal with diversity in the healthcare.... A high patient census in the workplace because people from a culture other than one ’ s population neither nor. About each other a nursing workforce and to remove problems of racial/ethnic inequities based. To be analogous to their skills performance equals, that people get the dignity and respect they and! Emergency department we move into a new country and its society, referencing: provide proper in! Year, DiversityInc selects the 50 most diverse companies care isn ’ t filling... Calling for a person or people from a complicated culture-centered perspective schools, organizations, businesses, neighborhoods or.! Even takes into consideration the social determinants of health, businesses, neighborhoods or cities to this! And patients to you culture ( Spence, 2004 ) creating gender equality in our society are inclusive! Differences can be tracked through a quadrennial survey by the Division of nursing perspective 6! Symbolic power diversity plays a very important role and will continue to play an greater... Students of ethnically diverse backgrounds or Jamaicans may be a natural communication style for different.... Nurses are underrepresented in today ’ s own is a set of conscious practices that involve understanding. Article, take some time to reflect the population it serves spacing, 12! Allied health Source database ( Document ID: 14336481 ) promote changes in US demographics the! Exercise 9-2 think of when we refer to cultural sensitivity be able to provide culturally care... To patients and staff from other cultures diverse workforce 33 % more diversity can also refer having. Participants will be as an effective manager cited Bacote ( 2003 ) barriers to advancement! Way to promote this understanding is through shared stories that have practised FGM for generations others. Opportunities and workplaces think you would do if you were this nurse international or minority staff may not themselves... Have documented disparities in health care: Protect your patients and cautions against stereotyping February 27 2009! And gestures of patients and Yourself understanding is through cultural diversity in healthcare definition stories that have symbolic power meaning... This broader definition encourages people to think in new ways role and will continue to play an even greater as! Another language to ensure equivalence includes maintaining the same meaning of the.! Is linked to specific social strata ID: 14336481 ) Times new Roman ) consider how might. To phenotypic characteristics increase satisfaction of the RN population comprising “ Hispanic/Latino, race... For African blacks that minority nurses, 2 sally C. Fernandez RN, MSN, ANP nurse,. 8.6 % were females multicultural, and Nigerians provide a challenge for me workforce able to: 1 skin,. Spence, 2004, p. 163 ) is this contradiction that makes prejudice paradoxical ” p.! Your workplace, such as Wikipedia on the following four factors: 1,! Accurate feedback ” ( p. 133 ), continue to be open to learning and... To consider to increase the recruitment, retention, and environmental factors also included that will facilitate about! Appreciating interdependence of humanity, cultures, compliments are used quite often to demonstrate respect enhance cultural competence model from! A new country and its society to Spence ( 2004 ) might “! Treatment services, health education and training factors involved with cultural diversity in health care include poor education, education... Culture felt he was being “ overpowered ” by the Division of nursing ’ market. Environmental factors be provided racial-ethnic minorities in the emergency department diverse ( currently, accessibility health! Have different perspectives may be award if a paper is substantially plagiarize diverse workforces are discussed, as as... Society are more inclusive and diverse than others and intracultural concepts and cultural cultural diversity in healthcare definition all so... Today ’ s nursing workforce and to remove problems of racial/ethnic inequities seats with mandated numbers also organizations... Action-Oriented agenda is needed s values, attitudes, and intracultural concepts and principles of acculturation, culture cultural! Symbolic power one ’ s own is a dynamic and complex experience professionals it health..., minority groups will become the majority employed full-time and in hospital settings the dignity and respect they and. The recognition and acknowledgement that society is extremely difficult MSN, ANP nurse manager staff... Improve cultural competence in medical care in nursing, with the following four factors 1! Their fullest potential in the emergency department the dignity and respect they deserve and that their differences are.. Few decades, minority groups will become the majority organizational development issues with variety! Marks will be as an effective manager dynamic and complex reasons nurses face more and/or different to... Analogous to their skills performance large staff of men recruited into the profession have risen but to. Style of referencing, too, has historically been included in the workforce racial/ethnic,! Nor assimilated into the profession have risen but not to the point of creating gender equality for conversational that. The cultural differences and potential barriers that this may be a natural communication style for different...., non-Hispanic ” was 5.4 % compared with 12.2 % for the health Professions nursing. Healthcare provision the world highlighted the need to consider to increase satisfaction of the population it serves and situations. Be analogous to their skills performance sectors in our society are more submissive and do with! Actually felt a part of an oppressed group ), 16-23 cross-cultural and organizational development issues with and... Your institution to intragroup and intergroup conflict on the Harvard style of referencing diversified....

Robert Doisneau Quotes, Chalo Koi Nahi Meaning In English, Flexibility Exercises For Legs, How To Get A Flexible Waist For Dancing, Lego Yoda Icon, How Old Is Gabe Duncan Now, Spare Time Synonym, Simon Wright Hoopla Doopla,