Cultural Competency And Healthcare In Canada Essay

Length: 15 pages Sources: 10 Subject: Healthcare Type: Essay Paper: #57498311 Related Topics: Health Belief Model, Cross Cultural Management, Giver, Cultural Diversity
Excerpt from Essay :

Cultural Competency Health Professionals Canada

This paper discusses cultural competency for health professionals in Canada. Defining cultural competence for healthcare as respectful awareness of cultural differences, the importance of this perspective is discussed. Aspects of cultural competency, ranging from the purview of the healthcare insurance industry, to the perspective of the Canadian Nurses Association, are presented. Also, Rani Srivastava's 'Guide to Clinical Cultural Competence' is used to guide the discussion. Also, articles from scholarly journals are explored for the analysis.

Defining and classifying Cultural Competency

According to the United States National Institutes of Health (NIH, 2015), cultural competency, as applied to healthcare, 'enables providers to deliver services that are respectful of and responsive to the health beliefs, practices and cultural and linguistic needs of diverse patients'. In another place it is defined as "a set of congruent behaviors, attitudes and policies that come together to enable a system, organization or professionals to work effectively in cross-cultural situations" (Srivastava, 2007). Using a question-and-answer format, with questions such as 'Can cultural competency make a difference?' The NIH guide explains that cultural competency is required for appropriate delivery of health care, and 'cultural competence is also critical for achieving accuracy in medical research' (NIH, 2015). The classic cautionary 'story' told to illustrate the importance of cultural competence concerns use of 'traditional and herbal medications and teas' by patients -- that may directly counteract and/or interfere with physician-prescriptions. The healthcare practitioner needs to be sensitive to, and aware of, cultural differences that might impact the patient's well-being, and be an important part of the patient/patient-family dynamic that must be considered.

Yet another perspective on cultural competence is found in The Healthcare Professionals Guide to Clinical Cultural Competence by Rani Srivastava (2007). This book can be counted among the leading works dealing with development of cultural competence with regards to a healthcare setting. Focusing on healthcare that is client-centered, this book offers an introduction to development of cultural competence. Ms. Srivastava's book begins by defining the concept of 'cultural competence' (vide infra), and from there moves into deeper levels of practical and theoretical aspects of cultural competence. Application of the concepts to clinical setting(s) and to different populations are also illustrated (Srivastava, 2007).

A stylistic comment: the Canadian and British authors in references herein use the word 'competence' where we 'Americans' would say 'competency'. They are used interchangeably throughout this work.

The Growth of Cultural Competency in Canadian Healthcare

Srivastava defines cultural competency as "The application of knowledge, attitudes, and skills that enhance cross-cultural communication and foster meaningful, respectful interactions with others." (Srivastava, 2009, p. 25).Cultural competency is an important strategy for improving quality and eliminating ethnic/racial disparities with regards to healthcare. This concept has increasingly garnered attention. In 2002, interviews were conducted with cultural competence experts from the government, academe, and managed care in Canada and globally, in order to understand their opinions pertaining to the field. Research findings were presented and current cultural competence trends were identified, with focus on healthcare practice, policy and education. The analysis shows that several stakeholders in healthcare are involved in the development of cultural competence initiatives (Betancourt et al., 2005). Still, motivations for making advances in cultural competence, as well as approaches adopted, differ based on goals, mission and spheres of influence.

Cultural competence can be seen as an important emerging strategy for addressing disparities in healthcare amongst stakeholders in academe, managed care, and government. It has caught the attention of policymakers in healthcare, healthcare providers, educators and insurers as a tactic for improving quality and eliminating ethnic/racial healthcare disparities. Cultural competence's goal is creation of a healthcare workforce and system that has the capability to deliver top-quality healthcare to all patients irrespective of culture, ethnicity, race or proficiency of language. Achieving this requires different healthcare sectors, with different approaches, leverage points and...

...

14). Three practical explanations can be given for the emergence of cultural competence as a significant issue. First, as the United States (U.S.) and other countries globally, becomes more culturally diverse, healthcare practitioners will increasingly come across patients having a wide range of viewpoints with regards to health, normally shaped by their cultural or social backgrounds. For example, patients may explain the symptoms they are experiencing in a very different manner from that explained in medical texts. Their proficiency in English may be limited, and they might have different healthcare-seeking thresholds, or expectations regarding their care. Also, unfamiliar cultural perspectives may influence whether they follow providers' recommendations or not. Second, studies have depicted that communication between provider and patient is associated with patient satisfaction, adherence to medical advice, and effects on health (Betancourt et. al, 2005). Therefore, poorer outcomes in health may ensue when there is no reconciliation of socio-cultural disparities between providers and patients in clinical encounters. These barriers, ultimately, do not only apply to minorities but may only be more obvious in these instances. A landmark report from the Institute of Medicine (IOM) - Crossing the Quality Chasm- emphasizes the significance of cultural competence and patient-centered healthcare in quality improvement and elimination of ethnic/racial differences in healthcare (IOM, 2001).

Current trends in the health care field confirm these perspectives concerning cultural competence. For instance, health insurers like Aetna, Blue Cross and Blue Shield of Florida, and Kaiser Permanente have established cultural competence initiatives. Long-standing endeavors have been made by Kaiser Permanente, ranging from educational articles on cultural competence to complete "Centers of Excellence in Cultural Competence" that target specific population segments (Betancourt et al., 2005). Aetna began collecting data on ethnicity and race from its members, and devised 'culturally competent programs on disease management'. Aetna also mandated training in cultural competence for its in-house medical directors, case managers, and nurses. Florida's Blue Cross & Blue Shield has also taken on cultural competence initiatives, including in-house diversity training, as well as education in cultural competence for healthcare providers (Betancourt et al., 2005).

Furthermore, healthcare purchasing coalitions such as the National Business Group on Health have actively informed their members about ethnic/racial healthcare disparities and cultural competence. Accreditation agencies, such as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and the National Committee for Quality Assurance (NCQA), have also been looking for opportunities to incorporate measures for tracking cultural competence and disparities (Betancourt et al., 2005). Overall, major developments have taken place in the cultural competence field ranging from healthcare insurers to healthcare purchasers, and including managed care policies. However, strong resistance still exists to investments in the field of cultural competence, because financing entities look for evidence supporting the possibility of costs savings and quality improvement. Organizations that have made investments in the field of cultural competence perceive themselves to be committed to equity, quality, and diversity issues. These organizations accept the possibility of increasing share of market by marketing these efforts.

Effect of Cultural Competency on Health Professionals in Canada

The patient population in Canada is diverse and increasingly so in recent times, requiring the professionals to be more alert to racial equality, cultural ethos and competent to discharge duties sensitively to ethnic concerns. In most of the cases that have been documented under improper treatment, there is little evidence of concerted racial discrimination or bias. The disparities arise out of common professional causes arising out of pressures of time. Such constraints cause an impulsive stereotyped response and lack of concentration causes "application error." Meaning the professionals fail to apply specific epidemiological data to the patient under consideration owing to pressures of multitasking. These are not directed cultural bias, instead a common occurrence in the harried medical profession where the physician or healthcare worker has a lapse of concentration and sensitivity to cultural consideration of the patient. (Geiger, 2001).

Health care quality suffers and disparities arise out of racial diversities. This fact is well documented. The solution to such issues is to improve the cultural competency of professionals and organizations in the field. 'Cultural Competence' is the ability of to discharge duties equitably across cultural Diasporas- interpersonal relations with patients and amongst the workers. Sensitization to cultural attributes and understanding the effect of such influences in interpersonal interaction and finding ways to attend to them is the way forward according to experts and commentators.

It has also been brought out in scholarly studies that the worst sufferers of discrimination in healthcare services are children. Minority and disadvantaged children carry most of the early childhood experiences into their adulthood and this primary aspect is reflected in their cognitive and educational outcomes as well. In addition to low income group and less privileged population, the same also applies to racial and cultural discrimination, leading to an overall negative in quality of life. (Grant,…

Sources Used in Documents:

References:

Barlow, K., Loppie, C., Jackson, R., Akan, M., McLean, L., & Reimer, G. (2010). Culturally Competent Service Provision Issues Experienced By Aboriginal People Living With HIV / AIDS. PMC, 155-180.

Beach, M.C., Price, E., Gary, T., Robison, K., Gozu, A., Palacio, A., . . . Cooper, L. (2011). Cultural Competency: A Systematic Review of Health Care Provider Educational Interventions. PMC.

Betancourt, J., Green, A., Carrillo, E., & Park, E. (2005). Cultural Competence and Health Care Disparities: Key Perspectives and Trends. Health Affairs. 499-505. Retrieved from http://content.healthaffairs.org/content/24/2/499.full

Birch, J., Ruttan, L., Muth, T., & Baydala, L. (2009). Culturally Competent Care for Aboriginal Women. Journal de la sante autochtone, 27-28.
Grant, J., Parry, Y., & Guerin, P. (2013). An investigation of culturally competent terminology in healthcare policy finds ambiguity and lack of definition. Australian And New Zealand Journal Of Public Health, 37(3), 250 -- 256. http://doi.org/10.1111/1753-6405.12067
NIH.National Institutes of Health.(2015) Cultural competency. http://www.nih.gov/clearcommunication/culturalcompetency.htm
Oelke, N., D., Thurston, W., E., & Arthur, N. (2013). Intersections between interprofessional practice, cultural competency and primary healthcare. Journal of Interprofessional Care, 27(5), 367 -- 372. http://doi.org/10.3109/13561820.2013.785502
Rowan, M., S., Rukholm, E., Bourque-Bearskin, L., Baker, C., Voyageur, E., & Robitaille, A. (2013). Cultural Competence and Cultural Safety in Canadian Schools of Nursing: A Mixed Methods Study. International Journal of Nursing Education Scholarship, 10(1), 1 -- 10. http://doi.org/10.1515/ijnes-2012-0043
Saha, S., Beach, M., & Cooper, L. (2010). Patient Centeredness, Cultural Competence and Healthcare Quality. PMC. Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2824588/
Srivastava, R.H. (n.d.). Cultural Competence and Health Equity in Nursing Care. Elsevier. Retrieved from: http://www.elsevieradvantage.com/samplechapters/9781926648705/LewisCh02-9781926648705.pdf
Srivastava, R.H. (2009) Elsevier. (n.d.).Cultural Competence and Health Equity in Nursing Care.Medical-Surgical Nursing In Canada, Chapter 2. Publisher: Mosby, Canada Retrieved from http://www.elsevieradvantage.com/samplechapters/9781926648705/LewisCh02-9781926648705.pdf


Cite this Document:

"Cultural Competency And Healthcare In Canada" (2015, May 19) Retrieved June 30, 2022, from
https://www.paperdue.com/essay/cultural-competency-and-healthcare-in-canada-2151059

"Cultural Competency And Healthcare In Canada" 19 May 2015. Web.30 June. 2022. <
https://www.paperdue.com/essay/cultural-competency-and-healthcare-in-canada-2151059>

"Cultural Competency And Healthcare In Canada", 19 May 2015, Accessed.30 June. 2022,
https://www.paperdue.com/essay/cultural-competency-and-healthcare-in-canada-2151059

Related Documents
Health Care Systems Management As
Words: 9550 Length: 35 Pages Topic: History - Israel Paper #: 98461776

The infant mortality rate is of 8.97 deaths per 1,000 live births. This rate places Kuwait on the 160th position on the chart of the CIA. The adult prevalence rate of HIV / AIDS is of 0.1 per cent. In terms of economy, Kuwait is a relatively open, small and wealthy economy. It relies extensively on oil exports -- petroleum exports for instance account for 95 per cent of the

Ethics of Good Business Vs. Gender Inequality in Health Care
Words: 2711 Length: 8 Pages Topic: Healthcare Paper #: 40332949

Ethics of Good Business vs. Gender Inequality in Health Care In excess of any other organization, concerns that deal with patients and their well-being are of utmost significance in the healthcare industry. This is since; individuals in this business are dealing with such circumstances and environments, every day, which have a direct manner on another person's way of life. That is why, it is compulsory for all healthcare organizations to have

Affordable Health Care Act
Words: 8273 Length: 25 Pages Topic: Healthcare Paper #: 29213218

Affordable Health Care Act Impact of the affordable health care act The affordable health care act, commonly referred to as Obamacare, brought a set of health care reforms aimed at making health consumers to be responsible for their health care. The act brought into law the patient's bill of rights, which gives Americans stability and flexibility in making informed health choices and decisions. Enacted by President Obama in 2010 as the Affordable

Balance Scorecard Applications in Healthcare Organizations Balanced...
Words: 12912 Length: 40 Pages Topic: Business - Management Paper #: 64681019

Balance Scorecard Applications in Healthcare Organizations Balanced Scorecard The Learning & Growth Perspective The Business Process Perspective The Financial Perspective Strategy Mapping General Perspective of Performance Management Performance Planning Ongoing Performance Feedback Employee Input Performance Evaluation & Review Performance Management in Healthcare Organizations Healthcare Organization as Learning Organization Principles of Performance Management in Healthcare Organizations Performance Measurement & Evaluation Methods Used In Healthcare Organizations Setting Up Performance Management Systems Dimensions and Approaches to Performance Management in Health Care Taken From the British National Health Service Induction Programs Performance Monitoring Personal

Australian Health Care V Purpose
Words: 2208 Length: 5 Pages Topic: Children Paper #: 4167821

The idea of poverty and hunger in Australia is quite a contentious issue. There is no doubt that there is hunger -- most in Aboriginal communities. However, Australian politicians argue that relative measures of wealth and poverty are meaningless and hide the abject conditions of many Australians. Statistics also show that 13% of Australians live in poverty, 3% of Australia's children. It is not so much that the poor as

Health of Farm Workers Farm
Words: 2713 Length: 10 Pages Topic: Agriculture Paper #: 29443252

This is related to the fact that the use of pesticides is very poorly regulated. (Protect Farm Worker's Health) the use of pesticides has become an area of research and concern by the health authorities. This aspect has been well documented but experts are of the opinion that there are "...insufficient studies examining the effects of multiple pesticide exposure." (Rosenbaum and Shin, 2005) 2.2.3. Access to health benefits and care The