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Healthcare: Law, Ethics, And olicy; Accounting and Cultural Diversity
Barriers to communicating with others from diverse backgrounds
Communication is essential between people of different cultures as it enables them to exchange views, ideas, and understand the behavioral traits that distinguish different people. However, due to the variations in culture, there are bound to be barriers that make communication difficult. Some of these include:
Language barriers: Sometimes, misunderstandings occur during interactions between people speaking different languages. The same words may be assigned different meanings and words that are mispronounced may also distort the information being passed across. For example in Japanese, verbs are often positioned at the end of sentences. This could obviously distort the message being put across to someone who is not necessarily conversant with Japanese.
Ethnocentrism and cultural relativism: Ethnocentrism is the belief that one's cultural beliefs and values are better and superior to others. Cultural relativism, on…
Principles of accounting: lease or buy decisions
Instead of buying an asset, sometimes, an individual can take up a lease for a specified period of time. A lease is a contact that enables the individual to use an asset for a given time period as they pay rent on a periodic basis (Warren, Reeve, and Duchac, 2013). In the example given, if the manager wants to replace the copier, the following factors have to be put into consideration: the financial implications, the time period it will be used for, and the qualitative factors.
When financial implications are put into consideration, the manager should simply evaluate the finances the
Diversity of Aging Population -- Innovative Healthcare
Over the past several decades there has been an avalanche of research and scholarly narratives focusing on the aging of millions of Americans -- among them the "baby boomers" that were born between 1946 and 1964 -- including their numbers and their health vis-a-vis the impact on the sometimes struggling healthcare system. But there has been a dearth of research on how American healthcare services will respond -- and is currently responding -- to an increasingly diverse older population when it comes to racial, cultural and ethnic identities. This paper points to the numerous issues and challenges that not only face an increasingly diverse older American population when it comes to healthcare, but also the challenges that the healthcare system itself faces as these Americans move into the twilight of their lives.
hat should be the Vision and Mission of Healthcare Professionals in…
Administration on Aging. (2010). A Statistical Profile of Black Older Americans Aged 65+.
Retrieved April 2, 2014, from http://www.aoa.gov .
Bookman, A. (2008). Innovative models of aging in place: Transforming our communities for an aging population. Community, Work & Family, 11(4), 419-438.
Centers for Disease Control and Prevention. (2007). The State of Aging and Health in America
Barak concludes by suggesting that the issue and concept of diversity take on a "special urgency" in human service healthcare organizations among the organization as a whole and staff, and that the organization review its quality of service and commitment to the community in order to truly impact the lives of diverse populations.
Managing Diversity: Best Practices
H Management often works off of the ideals of 'best practices.' This concept is discussed in the next article, "Managing the Diversity evolution: Best Practices for the 21st Century Business." Aronson takes a more general approach to diversity but one that can be applied directly to the healthcare industry nonetheless. Aronson points out many of the trends previously identified with regard to diversity problems in the nation's business climate as a whole. In particular the author points out that diversity issues may stem from a number of causes including cultural differences and systematic…
Aronson, D. (2002). "Managing diversity revolution: Best practices for the 21st century."
Civil Rights Journal, 6(1):46
Barak, M.E.M. (2000). "The inclusive workplace: An ecosystems approach to diversity
Management." Social Work, 45(4):339
Healthcare Administration: Healthcare Law, Cultural Diversity, And Principles of Accounting
Cities, Suburbs, And ural Areas
ural areas are geographic areas located away from suburbs and cities, often characterized by a small population and abundant natural resources. Currently, in the U.S., rural residents make up 16% of the entire population - as compared to 17% in 1910. This implies that poor job opportunities and lack of skills that are evident in these areas have pushed people into towns and cities. Suburban areas are residential areas often situated on the outskirts of major cities. Although they have more residents, they have fewer resources as compared to rural areas. The current population in the suburbs has increased to 51%, something that has never been witnessed before. Cities in the U.S. are the largest areas of settlement and are often congested due to high population. The National Center for Education statistics reported that 33%…
Kazmier, J.L. (2008). Introduction to Health Care Law. Clifton Park, New York: Cengage Learning
Samovar, L.A., Porter, R. A & McDaniel, E.R. (2009). Communication between Cultures. (12th Ed.). Independence, KY: Cengage Learning
Warren, C.S., Reeve J. M & Duchac, J.E. (2013). Financial Accounting. Mason, OH: Cengage Learning
Health Care -- Philosophy of Graduate Nursing Education
In many senses, the nurse practitioner (NP) takes the profession of nursing to the next level. While the treatment of illness important, the NP also has broader focus of total well-being, including wellness, rights, education and preventative medicine for the patient, his/her family, and local, state, national and global communities. Consequently, in addition to treating the physical ailments of a patient, the modern NP must be clinically and intellectually excellent, an eternal student and teacher who fulfill numerous roles in nearly every health care situation.
A crucial aspect of nursing is the caregiver's relationship with the patient. Patient education is an important aspect of nursing and when carried over to the NP role, patient education greatly improves treatment because the patient has a greater understanding of the reasons for treatment and is likelier to effectively participate in treatment. A NP is a…
Health Care & Faith Diversity
It is quite obvious how different religions hold different philosophical views on various aspects and even when it comes to healing. Each religion highly upholds their spiritual values hence the need for health practitioners to be cautious while handling varied clientele whether they hold the same religious sentiments or not. In this research we will major on the views held by the Sikh, Buddhist and Judaist religions in comparison to the Christian belief on healing.
The Sikh hold the belief that when one is sick it is the will of God and that He is merciful to heal; however one has to consider medical treatment in order to get well. During illness: Sikh patients engage in prayers to seek God for help, seek to obtain peace by remembering Gods name, recite sacred hymns (Gurbani) which are words from the holy scriptures (Guru Granth…
Dharma Haven, (2005).Tools for Healing Relaxing and Awakening. Retrieved March 30,
2012 from http://www.dharma-haven.org/tibetan/healing.htm
Manitoba, (2006). Core Competencies for Spiritual health care Practitioners. Retrieved March 30, 2012 from http://ahpcc.org.uk/pdf/compaudittool.pdf
Marinell & James (2009). Jewish Views of Illness and Healing. Retrieved March 30, 2012
Healthcare for Mentally Impaired Patients
Probing what information is available about the current status of placement or accommodation and level of personal healthcare available to mentally impaired and emotionally disturbed individuals, it is clear that the analysis is as diverse as there are different mental illnesses. While statistics on managed care treatment for people with severe and disabling mental illnesses are sparse, it is evident that the financial responsibility to care for and house these patients is enormous.
According to Dr. David Satcher, the Surgeon General (1999), approximately 20% of the U.S. adult population has a mental illness. He says, "These illnesses include anxiety disorders, mood disorders, anorexia nervosa, and severe cognitive impairment. More serious mental illnesses include ipolar disorder and schizophrenia. Mental illness accounts for 15% of overall burden of disease -- more than malignant cancer and respiratory diseases -- and as far back as 1996 the direct cost…
Boulard, G. (2000, April). Forgotten Patients the Mentally Ill. State Legislatures, 26, 12. Retrieved February 13, 2004, from Questia database, http://www.questia.com .
Callahan, D. (1993, October) Minds and hearts: priorities in mental health services.
The Hastings Center Report.
Fox, M. & Kim, K. (2004, January) Evaluating a Medicaid Home and Community-based Physical Disability Waiver. Family and Community Health. Vol 27: 37.
To gain more employees for the nursing staff, SKMC should increase their level of satisfaction by offering several incentives such as increased living expenses or better housing facilities. Moreover, they should include full medical coverage in the work contract. Regarding the foreign employees they should expand the annual leave from 42 days to at least 60 days in order for the abroad workers to be able to spend two full months with their families back home.
The management of Sheikh Khalifa Medical City might object to these propositions arguing the increased costs they would involve. However, their objection can be counteracted by the fact that satisfied personnel perform better at their jobs, leading to an increased quality of the services offered by SKMC and therefore to an increased number of patients and increased revenues and profits.
Emphasis on culture
To attract more foreign personnel within SKMC, the…
John M. Bryson, September 1995, Strategic Planning for Public and Nonprofit Organizations: A Guide to Strengthening and Sustaining Organizational Achievement, Jossey-Bass Publishing, Revised edition
Janet Shapiro, Strategic Planning Toolkit, Civicus, World Alliance for Citizen Participation, http://www.civicus.org/new/default.asp?skip2=yes, last accessed on March 1, 2007
Jay Cooper, Acting Chief Executive Officer Sheikh Khalifa Medical City, Official Website of SKMC, http://www.skmc.gov.ae/,last accessed on March 1, 2007
International Hospital Recruitment Inc. Canada, Sheikh Khalifah Medical Center, 2004, http://www.ihrcanada.com/hospital/uae/sheikskhalifa_mc.htm , last accessed on March 1, 2007
He is made at himself for not coming to terms with himself earlier in life and he is mad at himself for spending so much time "giving his love" to people - men -- who didn't deserve it. He says that if he could go back, he would go to school, he would embrace who he is, he would be honest with family about his sexuality, and he would have found a spiritual life sooner. Bruce is quite spiritual now. He is no longer Baptist, but rather he has taken up belief in the tenets of Buddhism, which he claims has brought him much peace inside as well as has made him more tolerant of others -- including whites.
One interesting fact about Bruce is that he says that he has never had a very strong identity to gay men either -- whether they are white or black. He seems…
Gay Men of African Descent (GMAD). (2010). Gay men of African Descent. Accessed on October 28, 2010: http://www.gmad.org/index.html
Sue, D.W., & Sue, D. (1999). Counseling the culturally different: Theory and practice
(3rd ed.). New York: John Wiley & Sons, Inc.
The Lebanese and the overall middle easterners are known to be strict to their cultural beliefs and practices. Such beliefs and practices dictate every aspect of their lives and how they interact with other people from other cultures across the world as well as other aspects of life that are widely applicable in the contemporary world. This culture has a great impact on the structure and nature of health care that is appreciated among the Lebanese and other middle easterners (Shiloh, 2007). It is imperative to understand their cultural perception on care presentation, accommodation, and repatterning to offer a more effective healthcare under this cultural setting.
The Lebanese have a unique perception on culture care presentation. The cultural practices in Lebanon emphasize the importance of both nuclear and extended families. Moreover, the family members rely heavily on each other. During illnesses, the family members offer the primary care and support…
Patient-centered care is the goal of many healthcare organizations, but the ability of an organization to deliver patient-centered care is influenced by a number of factors both internal and external. Business practices, regulatory requirements, and reimbursement all can impact patient-centered care in any healthcare organization. Promoting patient-centered care requires an organizational culture committed to this paradigm, which also needs to be embedded in the mission and values of the organization.
Executives and administrators create the organizational culture that promotes patient-centered care. All leaders in the organization are responsible for using patient-centered practices and communications styles in their interactions with patients and their families. Furthermore, administrators oversee the policies and procedures that directly impact the culture of care. Analyzing areas of weakness within the organizational structure and culture via established assessments like the Patient-and Family-Centered Care Organizational Self-Assessment Tool, it is possible to create multidisciplinary teams that promote the organization’s…
Health Care to Varied Faiths
Spirituality in Health Care
Health Care to All Faiths
roviding health care is a challenging prospect. Compounding the challenge is the need to provide health care to individuals with differing beliefs from that of the caregiver. Nurses must recognize the multifaceted paradigm of health care in that the patient has spiritual as well as physical needs. Addressing these needs becomes even more complex when the spiritual beliefs of the patient are unfamiliar to the nurse. Discovering the details of the patient's specific religious affiliation enables the nurse to provide quality, spiritually-appropriate care. The following discussion addresses several distinct cultural perspectives on healing
erspective on Healing
Native American Indian Spirituality
One religion with distinctive health care beliefs is American Indian Spirituality. The Native American patient considers illness to be the result of spiritual problems (Native American, 2008). Further delving into the religion reveals a belief…
Purifying rituals are performed to prepare the body for healing (Native American, 2008). A shaman may be called in to address the spiritual health of the patient: this aspect is central to wholeness (Native American, 2008). Symbolic rituals, which include praying, chanting, singing, or dancing, are performed to entreat the spirits to intervene on the patient's behalf and provide healing (Native American, 2008). These may involve the patient's entire community (Native American, 2008). In addition, American Indians utilize many natural herbs and plants in their quest for healing (Deubel, 2009).
While followers of Confucius need to be consulted in regard to health care interventions, the nurse must be cognizant of the familial hierarchy and ascertain who the head of the family is in order to include this person in decision-making (Chen & Fan, 2010). Specific edicts are not in place for daily living, including edicts which could pertain to health care interventions; however, prayers and sacrifices of food or incense may be proffered in
Although I believe that I have critically met the objectives for a master's degree in working in many ways (particularly academically), I can honestly state that the area in which I progressed the most was in dealing with cultural diversity. Prior to entering this program, I had extremely limited experience dealing with cultural diversity, especially in the workplace. Despite working as a nurse for the past 16 years, the most diversity I had ever experienced in my patient population was the occasional Spanish speaking client -- which would require me to utilize the language line for interpreting my directions and interacting with the patient. However, thanks to my involvement in this particular academic program, I am now much more acclimated with cultural diversity and believe that I have significantly improved my prowess in this aspect of my work as a professional nurse.
My experience with cultural diversity changed…
healthcare has been moving from a total "organic" model to a more holistic viewpoint of the patient and their individual needs. Healthcare professionals have come to realize that within any organization, nothing is ever in isolation. Research has shown us many things that can be improved using the holistic and multi-cultural models, as well as the direction(s) we are suggesting with our new program. Clearly, the empirical research shows us that there are many modifiers that can create illness, modify illness patterns, contribute to healing, and act in a preventative manner (Adler, 1994). This is particularly true when dealing with chronic diseases like AIDS. Specialized AIDS units within a modern healthcare facility offer a team of experts who are familiar with the various permutations of the disease and who have greater responsibility and autonomy within the nursing staff. This should, in theory, increase both objective and subjective outcomes for the…
Adler, N., et.al. (1994), "Health Psychology: Why do Some People Get Sick and Some
Stay Well?," Annual Review of Psychology, 45. http://arjournals.annualreviews.org/oi/abs/10.1146/annurev.ps.45.020194.001305
Aiken, L., Sloan, D. (1997). Effects of Specialization and Client Differentiation on the Status of Nurses: The Case of AIDS. Journal of Health and Social Behavior. 38 (3): 203-22.
Chow, M.k, et al. (2010). The benefits of using a mixed methods approach -- quantitative with qualitative -- to identify client satisfaction and unmet needs in an HIV healthcare centre. AIDS Care. 22-94): 491-98.
The Foundation called specific attention to the prospect of institutional and policy-level strategies to increase the participation of under-represented minorities in the health professions. In response, the Institute Committee on Institutional and Policy-Level Strategies for Increasing the Diversity of the U.S. Healthcare Workforce came out with a report, entitled "In the Nation's Compelling Interest: Ensuring Diversity in the Health Care Workforce." The Committee consisted mostly of academicians, two of whom represented the nursing profession.
In its report, the Committee recognized the importance of increasing racial diversity among health professionals in order to improve access to care, greater patient choice and satisfaction and better educational experiences for practitioners, among other benefits. It also recognized the lack of strategies in reducing institutional and policy-level barriers among health profession educational institutions or HPEIs. In response to the lack, the Committee recommended that health professions education make a clear stand and mission on the…
AHRQ (2007). The national healthcare disparities report, 2006. Agency for Healthcare
Quality and Research, Medscape. Retrieved on June 18, 2009 from http://www.medscape.com/viewarticle/552271
Alabama Nurse (2004). ANA Review: Institute of Medicine report on workforce diversity,
One of the more controversial questions that arises when discussing group interactions is if one person need to lead the group, for the group to be effective (Lane, 2000, Decision mapping). In healthcare, some type of hierarchy is essential. Treatment decisions cannot be made through consensus alone, especially when a patient's life is in immediate danger. Also, seniority and areas of expertise are essential to define -- a more experienced nurse's decision-making ability must have priority over a novice nurse's. Certain areas of expertise, like the staff's registered nutritionist, must be respected when providing care. In fact, research in support of a communication theory known as decision-mapping notes that "groups with ineffective leadership" are less rather than more cohesive (Stephens 1999). Knowing there is an effective source of leadership can produce confidence. However, some consultation between different people, including the patient, family, nurses, physicians, and other caregivers, is ideal when…
Cartwright Stephens. (1999). Recasting groupthink as a consequence of ineffective leadership: Is cohesion the problem or the solution? Small Groups' Communication Context.
Retrieved January 20, 2009 http://www.uky.edu/~drlane/capstone/group/dmap.htm
Lane, Derek (2000). Groupthink. Small Groups' Communication Context.
Retrieved January 20, 2009 at http://www.uky.edu/~drlane/capstone/group/gthink.htm
healthcare practices and history of nursing in the Jewish culture.
There are several healthcare practices within the Jewish culture. According to the rabbinic lore, no aging process existed until the time that Abraham was born. No disease also existed until the time when Jacob came to existence.
The connections of Jews to the healing process at patients as well as physician level is noted to be ancient with a deep root in history and theology (MyJewishLearning.com, 2011).In most religions, the idea of medical treatment was largely an anathema. In most traditional religions, disease, deformity and accident were regarded as parts of God's creation that those of human beings. Anything to do with medical treatment was largely considered to be a process of meddling with the Creator's (God's) work and will. Judaism however, views the concept of medical treatment in appositive light. It views medical treatment as an obligation on the…
Gesundheit, B., Hada, E (2005).Maimonides (1138-1204): Rabbi, Physician and Philosopher*. IMAJ 2005;7:547-553
Illievitz, AB (1935).Maimonides the Physician. Can Med Assoc J. 1935 April; 32(4): 440-442.
Leininger MM (1997) Overview and Reflection of the Theory of Culture Care and the Ethnonursing Method. Journal of Transcultural Nursing, 8:2, 32.52.
Leininger MM (1991) Culture Care Diversity and Universality: A Theory of Nursing. National League for Nursing Press, New York.
Development of the Team
The team was developed to accommodate the needs of a growing organization. Basically we had two people, and then the team grew quickly to a staff of six, as the team became a much higher priority. This has proved to be incredibly valuable to the organization, and gave me an opportunity to basically build a team from scratch, and to create the culture of that team. One of the things that we realized early on as that we needed to structure the need in such a way that the team worked for each other, to help each other out. That way, we felt that we could cover many of the basic advantages of teamwork, such as increased efficiency, a high level of responsiveness to patient needs, and overall effectiveness as wait times were diminished (Ray, 2017).
For example, we were able to take on projects on…
Therefore, in the light of these current developments, I envisage that the nurses will require much more comprehensive training in issues related to cultural diversity in the future. For example, the nurse will need to become more knowledgeable about the way that various cultures respond to conventional medicine and that alternative medicine and therapies play in the healing process.
The subject of alternative therapies illustrates the way that the role of nursing is changing. For example, it has been found that "…44% of Mexican-Americans had used alternative practitioners at least once in the previous year" and that "Mental or physical illness is seen by many Hispanics to be a consequence of behavior, or simply the result of fate" (Breeding, Harley, ogers & Crystal, 2005).
This means that in future the nurse will need to be trained in greater depth in order to understand the way that other cultures perceive…
Breeding, R.R., Harley, D.A., Rogers, J.B., & Crystal, R.M. (2005). The Kentucky Migrant Vocational Rehabilitation Program: A Demonstration Project for Working with Hispanic Farm Workers. The Journal of Rehabilitation, 71(1), 32+.
Business Case for Diversity. Retrieved June 7, 2009, from http://www.chubb.com/diversity/chubb4450.html
Kim, H.S. & Kollak, I. (Eds.). (2006). Nursing Theories: Conceptual and Philosophical Foundations (2nd ed.). New York: Springer.
Varcoe C. ( 2004) Advancing Nursing Scholarship in Diversity: Complexity and Equity. CJNR Editorial, 36 (4).
From WWMT.com comes the news story of Western Michigan University Bronson School of Nursing receiving $2 million in grant money for scholarships to students who are from different cultural backgrounds so that a more diverse culture of student nurses can be achieved (VanTimmeren, 2017). As Bryan (2014) points out, culture is very important in this day and age because it informs people’s perspectives and values about what is good and bad regarding others in society. If people have a very narrow and poorly conceived viewpoint or perspective on other cultures, there is going to be tension in the field. To discourage this tension, the Bronson School of Nursing is looking to bring a wider diversity to its student body with the aim being that the more diverse its student population is the more likely that population is to generate tolerant, accepting, respectful and understanding viewpoints of different cultures.
Cultural Diversity in Rural Settings for Nurses
On a continuum of cultural awareness to cultural relativity, how do you view yourself and your interactions with others?
As a nurse practitioner, it is easy to see the patient simply as a patient, as a sick person needing treatment, rather than a well person who perceives his or her body as only temporarily ill, but sees his or her person as permanently a part of a family and culture outside of the hospital. As Small and Dennis (2003) counsel, the increase in immigration has resulted in greater diversity of both patients and practitioners within the United States, rather than in traditional urban locations. Thus Small and Dennis remind the nurse that it is not simply enough to treat the patient, but the patient must also understand his or her illness in culturally comprehensible terms. A nurse must be able to communicate to…
Dennis, Betty Pierce & Ernestine B. Small. (Jan-Feb, 2003) "Incorporating cultural diversity in nursing care: an action plan" The ABNF Journal.
"New Position Statement Originated by: Council on Cultural Diversity in Nursing Practice, Congress of Nursing." (1996) Adopted by: ANA Board of Directors.
cultural diversity issue of non-American employees communicating frequently in their own native language creating an environment of sensitivity and bias amongst the non-Hispanic community.
Handling Diversity in an Organization
The contents of this paper focus on the cultural diversity involving Films ecovery Systems, an American company located at the heart of Chicago, Illinois. The paper takes an insight into the issue and also proposes solutions that can resolve the problem. The most important aspect of the paper is that it takes into account the material we find and read in books and compares to what degree the literature is actually applicable in real life situations.
The study of public administration includes a spectrum of many disciplines, which include psychology, sociology, philosophy and also management sciences. Even though, the nature of public administration does not conveniently classify its elements into components, public administration is primarily categorized to highlight the…
Leaders are Learned Optimists - The CLEMMER Group Management
Consulting, available at http://www.clemmer.net/excerpts/leaders_learned.shtml accessed on: March 31, 2004
Robert Bacal, Conflict Prevention In The Workplace, available at http://www.work911.com/products/i-coop.htm , accessed on March 31, 2004
QSM Consulting - Leadership Driving Change, available at http://www.qsmconsulting.com/lds/index.shtml, accessed on: March 31, 2004
Accounting, Cultural Diversity and Healthcare Administration: Law, Ethics and Policy
The difference between the cash basis and accrual basis of accounting
The cash basis of accounting is applied when revenues in an income statement are reported in the period cash from the customers is received, and when all the expenses in an income statement are paid for (Warren, eeve and Duchac, 2014). For example, a payment for a service is recorded in the income statement once the fee from the client is received. Under this basis, the variance that arises from the expenses and revenues is the resultant net profit or loss at that particular period. This method is popular with small businesses that have few debtors and creditors.
The accrual basis of accounting reports revenue on the income statement in the period they are earned. The expenses are also reported once they occur. This method applies the matching principle,…
Kazmier, J.L. (2009) Health Care Law. Clifton Park, New York: Cengage Learning, Inc.
Samovar, L.A., Porter, R. E & McDaniel, E.R. (2009). Communication Between Cultures (7th Ed.). South Western: Cengage Learning, Inc.
Warren, C.S., Reeves, M. J & Duchac, J. (2014). Financial Accounting (13th Ed.). South Western: Cengage Learning, Inc.
The term health care refers to the inter-related system of care provided to persons during illness. In most of the cases, healthcare begins with the family doctor who refers patient to specialists if needed or directly order further diagnostic testing. Community health clinics perform the same procedure as a family doctor, but alongside with that, clinics also provide insight into patterns of health or illness seen within the community. Hospital just form one part of the healthcare community, as are mostly visited when a patient's condition is more acute and requires intervention by the hospitals high-end staff, since more can be done for him in a hospital rather than in a clinic where he is just an out-patient.
Clinics of various types provide very specific services, such as "pain management clinics" these clinics are targeted for towards people suffering from pain conditions. ehabilitation services also form a needed part…
DDI (2006) Health Care Global Comparison: Leadership Forecast 2005|2006. DDI, Pennsylvania.
DDI (2007) Leading the Past: Preparing the Future. DDI, Pennsylvania.
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Healthcare Administration: Culture, Accounting, And Ethical Issues
The causes of prejudice
Prejudice is described as the generalization of a group of people, based on negative attitudes that stem from stereotypes and non-factual beliefs. Although the reasons for prejudice may vary, Samovar, Porter and McDaniel (2009) explain three major motivations: societal pressures, social identities and scapegoating. Societal sources refer to rules and regulations that may be put in place in a given society to maintain one group's dominance over others. Social identities, on the other hand, are people's connection to their cultures and beliefs. Any groups that are deemed a threat to this connection are treated as enemies and are often at the receiving end of prejudice. Sometimes, different groups, such as gays and African-Americans are used as scapegoats to express anger and discontentment over various issues in society (Samovar, Porter and McDaniel, 2009). This allows one group to…
Kazmier, J.L. (2008). Introduction to Healthcare Law. Clifton Park, New York: Cengage Learning
Samovar, L.A., Porter, R.E. & McDaniel, E.R. (2009). Communication between Cultures (7th Ed.). South-Western: Cengage Learning
Warren, C.S., Reeve, J.M. & Duchac, J.E. (2013). Financial Accounting (13th Ed.) South- Western: Cengage Learning
Business of Health Care
This study highlights essential facts about health care and health in the local, national, and international health care delivery. Healthcare in the U.S. stands at crossroads between opportunities and challenges. Both the local, national, and international health systems face common problems in the delivery of efficient, high quality and equal health services. All these are concurrently happening in times when the amount of care delivered exceeds the resource base. In the U.S., the demand for healthcare, just as in any industrialized country, is rising because of rising public expectation and the ageing population. The combination of technological developments and demographic changes increases the provision costs (Garman, oyer & Johnson, 2011).
Consequently, local, national, and international health care delivery systems are facing same issues of service rationing to cut costs due to a decreasing tax base for paying a rising demand and an increasing demand. Similarly, maintaining…
Garman, A.N., Royer, T.C., & Johnson, T.J. (2011). The future of healthcare: Global trends worth watching. Chicago, Ill: Health Administration Press.
Geisler, E., Krabbendam, K., & Schuring, R. (2013). Technology, health care, and management in the hospital of the future. Westport, CT: Praeger.
Gibson, R., & Singh, J.P. (2012). The battle over health care: What Obama's reform means for America's future. Lanham, Md: Rowman & Littlefield Publishers.
Kolker, A. (2011). Management engineering for effective healthcare delivery: Principles and application. Hershey: Medical Information Science Reference.
We can compare the healthcare workplace to what is seen by a person when he/she looks through a kaleidoscope: since there are numerous different patterns that appear as the moments pass by. The shortage of nurses which has been publicized widely and the high turnover rates amongst the nurses are some of the unwanted patterns which have occurred. The dependence of healthcare institutions on the nurse-managers for the retention and recruitment of nurses is steadily increasing (Contino, 2004).
There are a number of routes through which the critical care nurses have become the leaders. Most of these routes don't have any educational or managerial training as a part of the process. There is a need for effective strategies for the care leaders who provide critical care in order to inspire the staff and manage the departmental operations in an effective manner to get positive results. One of the strategies…
Adams, J., Erickson, J., Jones, D., & Paulo, L. (2009). An evidence-based structure for transformative nurse executive practice, Nursing Administration Quarterly, 33(4), 280-87
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American Organization of Nurse Executives (2005). AONE Nurse Executive Competencies. Nurse Leader, 3(1), 15-22.
Cultural bias implies an emphasized distinction or preferential status that indicates a predilection for one culture, over another. It is often discriminative, and is characterized by an absence of integration in a group, in terms of social principles, codes of conduct, and beliefs. Cultural partisanship introduces the accepted behaviors of one group as superior, and more valued, than those of another lesser-respected cultural group. In my surroundings, most of the residents, and hence, patients are white, making us (Afro-Americans and Asians) minorities, feel different if not isolated. Such deferential factors are responsible for establishing where specific individuals live, and what opportunities are available to them, in the healthcare and educational context (Sue et al., 2009)
The presence of cultural bias within the context of healthcare-related recommendations and decision-making gives rise to significant challenges. Well-documented inequalities in health status of different racial and ethnic communities, in addition to nationally-publicized…
Resources and Services Administration (http://www.hrsa.gov/culturalcompetence/)
American Psychiatric Association's Steering Committee to Reduce Disparities in Access to Psychiatric Care (2004) (Natl. Assoc. Social Workers 2007).
These and many more substantive readings from research are listed by the author for assimilating culture-centric education. (Sue, Zane, Nagayama Hall, & Berger, 2009)
As a Counselor, I will need to be aware that being culturally aware implies delivering services in a manner consistent with the recipient's culture, through regards to linguistic variation and cultural discussion. I would seek to be more sensitive to unaccultured ethnic minority clients. In addition, I would use discretion in cases where patients of a particular community or ethnicity are prone to certain clinical problems (for which I would study the ethnic group and its history in more depth) and if certain ethnic groups respond poorly to EBT (Evidence-based Treatment). (Sue et al., 2009)
Flows in Health Care
Since the government had started the practice of handing over major departments to private sector like health care and education, these areas are now more focused on employing techniques that can draw major profit flow. On examining the three crucial aspects of profit earning such as the number of patients, quality of staff and management, we come to a conclusion that all three areas go side by side and need to be checked upon regularly (Michael, 2006 ).
The numbers of patients are important, to a hospital; patients are the customers who are taking advantage of the health care services provided by that respective hospital. Another item that is associated to the number of patients is the type of patients coming in which is directly associated with the services that a hospital is providing at that particular time. In order to earn more profit in this…
Del. Donna M., Christensen M.D. (Oct 2003). Women on the Cutting Edge of Health Care and Research. Ebony, 82.
Funtleyder, L. (2008). Healthcare Investing: Profiting from the New World of Pharma, Biotech, and Health Care Services. McGraw-Hill Professional.
Harry A. Sultz, Kristina M. Young. (2010). Health Care USA. New York: Jones & Bartlett Learning.
Leiyu Shi, Douglas A. Singh. (2011). Delivering Health Care in America. Jones & Bartlett Publishers.
Social, Cultural, And Political Influence in Healthcare Delivery
Social, cultural, and political inequalities are detrimental to the health and healthcare system of the U.S. This is because the U.S. is one of the most multicultural, overpopulated, diverse and undergoing rapid economic growth. The federal government has embarked on efforts geared at addressing unsustainable costs of health care in the U.S. With the leadership of the current president, Barrack Obama, initiatives of containing health care costs will evaluate and explore strategies to contain the growing costs of health care based on a system-wide while enhancing the value and quality of health care (Ubokudom, 2012). The apparent system of health care is rife with opportunities of minimizing waste, delivering coordinated, effective care, and improving well-being and health of all Americans. The government in collaboration with care providers must prioritize cost effective containment strategies with the greatest possibility for political success and non-partisan…
Albrecht, G.L., Fitzpatrick, R., & Scrimshaw, S. (2013). Handbook of social studies in health and medicine. London: Sage Publications.
Armstrong, E.G. (2011). The health care dilemma: A comparison of health care systems in three European countries and the U.S. Singapore: World Scientific.
Bale, J.R., Stoll, B.J., & Lucas, A.O. (2013). Improving birth outcomes: Meeting the challenge in the developing world. Washington, DC: National academies press.
Buseh, A.G. (2008). Empowering resilience: Improving health care delivery in war-impacted African countries: a case study of Liberia. Lanham, Md: University Press of America.
Pesonal Values Spiitual Beliefs and Health Cae Policy
I have taken up the majoity of values beliefs fom my paents. I value peace as a citical facto in people's lives. People should show goodwill to othes while tying to limit the conflict unless with absolute necessity. Individuals should have some fom of love within thei life. I believe that loving oneself allows people to adoe to fellow humans. Futhe, showing cae to natue involves engaging in sustainable activities that potect all ceatues. The love fo someone o something and eceiving love in etun indicates a level of espect. Ease aises when people feel that thee is a need to be modeate and balance life's offeings (Sooka & Wlezien, 2010). I believe that the equality between female and male aspects and evil and good ae integal phenomena. I value espect fo life and embace divesity that the wold offes. Inceased divesity…
references and Health Care Spending in the U.S. And UK. British Journal of Politics and International Relations 5 (4): 576-93.
LEADING CAUSES OF MOBIDITY:
Some of the diseases which often result in early death in African-Americans, provided that the go untreated or undiagnosed, include hypertension, coronary heart disease, stroke, kidney failure, dementia (i.e., Alzheimer's disease), diabetes and certain types of cancer, most notably lung cancer, breast cancer, colon cancer and prostate cancer (in men). Exactly why the morbidity rates for these disease are so much higher in African-Americans than in other ethnic/racial groups include a lack of education, lower incomes and the inability to access professional health care providers and clinics ("Health and Health Care," 2009, Internet). At the top of the list, there is hypertension, coronary heart disease (especially arterial blockage), stroke and some major types of cancer. With hypertension, some studies have shown that if a black male lives in poverty, his chances of being stricken with high blood pressure increases, perhaps because of the stress which goes…
"Health and Health Care of African-American Elders." (2009). Internet. Accessed June 24,
2009 from http://www.stanford.edu/group/ethnoger/african.html .
Spector, Rachel E. (2008). Cultural Diversity in Health and Illness. New York: Pearson
The UNC Health Care System runs a teaching hospital that publishes its mission statement, statement of core values, and nursing philosophy on the organization's Web site at < http://www.unchealthcare.org/site/Nursing/nurseleadership/visionvalues >. The mission is stated briefly as: "to be a leader in providing compassionate, quality care focusing on the unique needs of patients and their families." Key words in the mission statement include "compassionate," "quality care" and "unique needs." The core values of the UNC Health Care System's nurses include five main elements. Those elements include "My patient," "My team," "My Hospital," "My Community," and "My Profession." Phrasing these five main values in terms of "my" helps the nurse to feel like an integral part of the organization.
Furthermore, the nursing philosophy of the UNC Health Care System is outlined as being a reflection of the vision and values of the organization as a whole. The main principles of…
East Carolina University College of Nursing (2012). Philosophy of the college of nursing. Retrieved online: http://www.nursing.ecu.edu/philosophy.htm
UNC Health Care System (2007). Nursing mission, core values, philosophy. Retrieved online: http://www.unchealthcare.org/site/Nursing/nurseleadership/visionvalues
1.3. Summary of argument, Hypothesis
The role of leadership styles and their applicability to the success or failure of mergers, acquisitions and alliances is the focus of this research. Any leadership study, to be relevant, must also focus on the needs of those served by the organizations studies. That is why in the proposed Change Management Equilibrium Model have customer-driven processes at their center or core. The focus of the research to either validate or refute the model is based on consistency and collaboration as two factors that also serve to create greater levels of integration between the two or more healthcare providers merging or changing their organizational structures to better serve the market. This market orientation is what many public-ally-owned and operated healthcare providers struggle with, as often the source of funding becomes their "customer" or whom they serve (Brinkmann, O'Brien, 2010). Studies by AM esearch for example show…
Abbott, R., Ploubidis, G., Huppert, F., Kuh, D., & Croudace, T.. (2010). An Evaluation of the Precision of Measurement of Ryff's Psychological Well-Being Scales in a Population Sample. Social Indicators Research, 97(3), 357-373.
Faten Fahad Al-Mailam. (2004). Transactional vs. Transformational Style of Leadership-Employee Perception of Leadership Efficacy in Public and Private Hospitals in Kuwait. Quality Management in Health Care, 13(4), 278-284.
Antonakis, J., & House, R.J. (2002). The full-range leadership theory: The way forward. In B.J. Avolio & F.J. Yammarino (Eds.) Transformational and Charismatic Leadership, Volume 2, p. 3 -- 33. Boston: JAI Press.
Avolio, B.J., & Yammarino, F.J. (2002). Introduction to, and overview of, transformational and charismatic leadership. In B.J. Avolio & F.J. Yammarino (Eds.) Transformational and Charismatic Leadership, Volume 2, p. xvii -- xxiii. Boston: JAI Press.
Health Care System
Health care providers must be properly integrated at every system level and must be allowed to lead the processes of designing, implementing and operating ideal health systems. esearch works identify a number of challenges with regard to healthcare personnel integration. Apparent loss of control, status, returns or practice style modifications may lead to healthcare providers becoming discontented. This discontentment can give way to bitterness and, ultimately, practitioners may end up resisting change (Suter et al., 2009).
Capitalizing on current networks, an intense emphasis on patients and informal inter-provider bonds are anticipated to ease healthcare practitioners' functioning within ideal healthcare systems. Economic integration of healthcare providers, utilization of compensation structures for recruiting and retaining the best candidates, measures for improving workplace climate quality and financial incentives are identified as crucial to system success.
Facilities and Supplies
Amodel healthcare system would include a standard formulated list of…
Nelson, A. (2002). Unequal treatment: confronting racial and ethnic disparities in health care. Journal of the National Medical Association, 94(8), 666.
Suter, E., Oelke, N. D., Adair, C. E., &Armitage, G. D. (2009).Ten Key Principles for Successful Health Systems Integration. Healthcare Quarterly (Toronto, Ont.), 13(Spec No), 16 -- 23.
Hanin from New Haven
This is an individual with earning disability and takes good care of herself. She has dental problem where her teeth are rotting. She is an individual who needs some serious work but she is unfortunate that she has no dental insurance. In effect, she is not able to get dental treatment due to lack of this insurance. She has been keen to find help and the last was a dental clinic that she heard about on TV but on follow-up she was informed that they no longer took new cases. From her appearance, this patient is a young African American woman of the age range of between 20-28 years old.
Hanin’s case is a typical example of where poverty and environment plays a big role in increasing the health care disparity within the US. This is a lady who has no employment, in effect she is…
The author of this report has been asked to answer several questions relating to a survey that was taken and the conclusions or outcomes that can be drawn from the same. Within this report, the current practice setting will be describe as well as the patient- and family-centered nature (or lack thereof) of the organization. The gaps that exist will be described, there will be an analysis of how business practices and regulatory requirements can impact patient- and family-centered care and there will be a strategy created based on all of the above. While all businesses need to make a profit and while not all feedback is helpful or based on the most good for the most people, cutting out the feelings and feedback of families and patients is less than wise and should never be happening.
State of the Practice
The basic state of the practice at…
Ahmed, S.M., Lemkau, J.P., Nealeigh, N., & Mann, B. (2001). Barriers to healthcare access in a non-elderly urban poor American population. Health & Social Care In
The Community, 9(6), 445-453. doi:10.1046/j.1365-2524.2001.00318.x
Brown, B.P. (2014). Interpreting Medicine: Lessons From a Spanish-Language
Clinic. Annals Of Family Medicine, 12(5), 473-474. doi:10.1370/afm.1661
Everyone on the planet Earth has their own concept of religion, spirituality and what they believe when it comes to both. Of course, those mindsets and perceptions evolve and change over time. They are influenced by life events, exposure to religion exposure to others when it comes to religion and so forth. However, most situations and applications do not call for religion to even be brought up or discussed. Even so, healthcare is absolutely an exception to the norm given that many people rely and lean on their faith, whatever it may be, when they face their mortality or other levels of health challenges. While some healthcare workers may be hesitant to use the faith or religion of another as a vehicle to soothe and help them, it is the right thing to do so long as the wishes and preferences of the patient are heeded.
And there are always a few racists in any town. But I believe we have a great, open, accepting community. e entertain tourists from all over the planet, and many of them are from ethnic cultures different from ours. They say they feel welcomed here.
Q: hat use does the community foundation make of the local AM station KMHS-AM?
M: I'm glad you asked. e have learning programs for parents and students. And students make up their own little reports and broadcasts. Topics range from the environment, world news, California news and Coos Bay news.
Q: Typically what news items from Coos Bay do you use on KMHS?
M: e interview people who are doing interesting things in town and with businesses. Biologists from the college and local fishermen. The news in this town isn't really very earth shaking. Look at the list of news items on the orld's ebsite…
City of Coos Bay, Oregon. (2010). Welcome to Coos Bay. Retrieved February 3, 2011, from http://www.coosbay.org/ .
City-Data.com. (2010). Coos Bay, Oregon. Retrieved February 3, 2011, from http://www.city-data.com/city/Coos-Bay-Oregon.html .
Coos Bay School District. (2010). Middle School -- Grade 8 -- Reading / Language. Retrieved February 2, 2011, from http://cbd9.net.
Coos Bay School District. (2010). Welcome to Coos Bay School District. Retrieved February 2,
cultural diversity issues and its impact on nursing professionals' practice. It assesses a client hailing from a different culture, and employs information derived from the assessment determining and reflecting on health practices and beliefs of the client's culture. Lastly, nurses' role in the care of patients hailing from diverse backgrounds care is analyzed, and a conclusion is drawn.
Client Interview Data
Client's health beliefs in relation to cultural diversity
The client comes from a family-focused background, in which she plays the role of chief household organizer and attends to her family and their needs. She believes one ought to lead a life of a good and virtuous individual, and support one's family, particularly in times of need. In her opinion, sickness must be tended to, for preserving life. She believes in healthcare professionals and services they offer, for leading a healthy life. She is comfortable having healthcare professionals take care…
American Nurses Association. (1998). Discrimination and Racism in Health Care. Silver Spring, MD: American Nurses Association.
Anderson, L. (2012, October 10). Cultural Competence in the Nursing Practice. Retrieved from Nurse Together: http://www.nursetogether.com/cultural-competence-nursing-practice
Coe, S. (2013, January 15). Cultural Competency in the Nursing Profession. Retrieved from Nurse Together: http://www.nursetogether.com/cultural-competency-nursing-profession
Graue, M., Dunning, T., Hausken, M. F., & Rokne, B. (2013). Challenges in managing elderly people with diabetes in primary care settings in Norway. Scand J Prim Health Care, 31(4), 241-247.
H in Healthcare
Over time, everything changes. This is truer of some things as compared to others and healthcare is certainly one of those things. Indeed, the last ten years has marked some major changes for healthcare. Among other things, technology has significantly advanced, the Affordable Care Act has been passed and the financial workings of healthcare have become more and more complex and worrisome to many people. This report will discuss a theoretical clinic that will be set up in a rural setting. The overall factors and points that will be covered will include change in demography, change in disease, change in societal norms/values, changes in healthcare technology, financial pressures that are rendered upon healthcare professionals and cultural awareness/cultural diversity in work environments. While some things in healthcare and human resources have remained unchanged over the years, there are other things that changed significantly.
There have been some…
Burton, H., & Walters, L. (2013). Access to Medicare-funded annual comprehensive health assessments for rural people with intellectual disability. Rural & Remote Health, 13(3), 1-
Fleming, B. D., Thomas, S. E., Shaw, D., Burnham, W. S., & Charles, L. T. (2015). Improving
Ethnocultural Empathy in Healthcare Students through a Targeted Intervention. Journal Of Cultural Diversity, 22(2), 59-63 5p.
eligion and health have long been linked, and continue to be so in most cultures around the world. In fact, both mental and physical health problems were once believed to have supernatural or spiritual origins, a belief which persists until this day in spite of empirical evidence showcasing the biological and chemical causes of illnesses (Koenig, 2000). egardless of whether or not religion is a worthwhile social institution, religion, spirituality, and practices like prayer remain central to the lives of most people. eligion can be inextricably linked with personal and cultural identity, and can greatly inform both medical decisions and health practices including lifestyle choices. There is also a notable link between religiosity and a number of health outcomes including morbidity and mortality rates, proven in empirical studies. The literature tends to support a strong connection between prayer and stress relief in particular, as prayer and religion are widely believed…
Bearon, L.B. & Koenig, H.G. (1990). Religious cognitions and use of prayer in health and illness. The Gerontologist 30(2): 249-253.
Davis, L.I. & Owens, C. (2013). The impact of religion on health practices. American Association of Colleges of Pharmacy. Retrieved online: http://www.aacp.org/governance/SIGS/hdcc/Documents/Webinar%20Materials/Impact%20of%20Religion%20Webinar.pdf
Koenig, H.G. (2000). Religion and medicine I. International Journal of Psychiatry in Medicine 30(4): 385-398.
Koenig, H., King, D. & Carson, V.B. (2012). Handbook of Religion and Health. Oxford University Press.
Sloan Kettering Healthcare Website
The Sloan Kettering Cancer Center in New York City is "the world's oldest and largest private cancer center" (About Us, 2016) and has a website that is accessible by all users. Its home page displays a series of alternating full-screen banner videos that rotate beneath a simple tab navigation system at the top of the page. The Center's logo appears in the top left-hand corner of the page and opposite it in the right-hand corner is another series of tab options: Giving -- Location -- Find a Doctor -- Appointments -- Contact Us -- followed by a search option. Below this is a Patient Login Access link in the main tool bar -- and in the same tool bar are the larger direct links for users, consisting of the following tabs: For Adult Patients -- For Child & Teen Patients -- For Healthcare Professionals -- For…
About Us. (2016). Memorial Sloan Kettering Cancer Center. Retrieved from https://www.mskcc.org/about
Benjamins, M., Whitman, S. (2014). Relationships between discrimination in health
care and health care outcomes among four race/ethnic groups. Journal of Behavioral Medicine, 37: 402-413.
Browne, A., Varcoe, C., Wong, S., Smye, V., Khan, K. (2014). Can ethnicity data collected at an organizational level be useful in addressing health and healthcare inequities? Ethnicity & Health, 19(2): 240-254.
Motivation for the Primary Health Care Nurse Practitioner (PHCNP) Comment by babyliza: Part 2 of 3 not answered: How are NPs important in the delivery of primary health care to diverse populations?
In my opinion, the profession of nursing is more of a degree in changing habits. Nurses are essentially individuals who are extraordinarily enthusiastic when it comes to their own and others' wellbeing and health. Nurse practitioners (NPs) are individuals who apply appropriate knowledge to aid patients in identifying and adopting suitable health and food habits to suit their bodies' unique needs. I am personally keen on utilizing the established system to ensure patients develop healthy, lasting behaviors and habits with positive global health effects. I would proudly make a difference in people's life, effectively differentiating between theoretical knowledge on what is good and bad for people's health and practically applying my knowledge. Nurses function as guides, empowering individuals…
Gagnon, C. (2016, July 27). What is a Health Coach and why would we need one? Retrieved from LinkedIn Pulse: https://www.linkedin.com/pulse/what-health-coach-why-would-we-need-one-catherine-gagnon
Jeffreys, M. (2015). Dynamics of Diversity. NSNA.
Skar, R. (2010). How Nurses Experience Their Work as a Learning Environment. Vocations and Learning, 1 - 18.
Zarshenas, L., Sharif, F., Molazem, Z., Khayyer, M., Zare, N., & Ebadi, A. (2014). Professional socialization in nursing: A qualitative content analysis. Iranian Journal of Nursing Midwifery, 432 - 438.
History Of State Involvement in the Delivery of Health Care
Eugenics is the belief and practice that involves the improvement of genetic quality of the human population.it is a science that deals with influences that are able to bring an improvement in inborn qualities of race also with those that develop them to their utmost advantage. There is a considerable difference between goodness in various qualities and in the entire character as a whole. The character largely depends on the proportion that exists between these quantities whose balance can be greatly influenced by education. This is a social philosophy that advocates for the improvement of the human genetic traits by promoting higher reproduction of people that posses' desired traits also termed as positive eugenics and reducing the reproduction of people that posse's undesired ort less desired traits which is negative eugenics. Therefore Eugenics is a social movement that is…
Norrgard, K.(2008). Human Testing, the Eugenics Movement, and IRBs. Retrieved May 6,2014 from http://www.nature.com/scitable/topicpage/human-testing-the-eugenics-movement-and-irbs-724
Galton, F.(2009).Eugenics: its definition, scope, and aims. Retrieved May 6,2014 from http://galton.org/essays/1900-1911/galton-1904-am-journ-soc-eugenics-scope-aims.htm
Bergman, J.(2000). A Brief History of the Eugenics Movement . Retrieved May 6, 2014 from http://users.adam.com.au/bstett/BEugenics72Bergman73Potter77.htm
While promoting and encouraging diversity in hiring and advancement policies and actions is a definite area of concern for health care managers and executives, and this necessarily has an effect on the diversity of care ultimately offered to patients, this latter issue should be dealt with between physicians and patients themselves as much as possible (IDHM 2010). Manager involvement in this issue should consist of a broader appraisal of the physician's attitude towards cultural diversity in the patients seen by the physician; it could be that the efficacy and quality of care being provided by this doctor is diminished by a lack of cultural understanding. Developing a full plan of care for the individual patient in question, however, is not something that a manager at the health care organization should become involved in directly.
The ethical provision of healthcare includes meeting each individual patient on their own terms, applying their…
ACHE. (2010). Amercian College of Healthcare Executives. Accessed 4 August 2010. http://www.ache.org/
IDHM. (2010). Institute for Diversity in Health Management. Accessed 4 August 2010. http://www.diversityconnection.org/
Cultural differences extend to language. In some instances, this merely necessitates "code-switching" -- the use of different words and speaking patters in different cultural settings (e.g. The difference between conversation at a business meeting and a baseball game, although with intercultural issues the impact of code-switching becomes far more profound). On a less esoteric level, however, there is the simple issue of language barriers in providing equal multicultural care. Evidence shows that simply increasing he availability of multilingual care -- especially in populations with a large number of non-English speakers -- greatly increases the quality of healthcare and overall health of immigrant populations (Ngo-Metzger et al., 2003).
This suggests one of the main ways that the healthcare industry can combat these barriers -- simply educating more providers in cultural differences, and actively recruiting new students and practitioners from among different cultures and across linguistic lines will greatly improve the availability…
Ngo-Metzger, Q., Massagli, M., Clarridge, B., Manocchia, M., Dvais, R., Iezzoni, L. & Phillips, R. (2003). "Linguistic and cultural barriers to care." Journal of general internal medicine, 18 (1), pp. 44-52.
Uba, L. (1992). "Cultural barriers to health care for southeast Asian refugees." Public health reports, 107 (5), pp. 544-8.
What is diversity?
Diversity refers to the differences that occur among people and groups which should be taken into account in the healthcare setting. In the healthcare environment diversity and the recognition of diversity is an extremely important concept as it deals with recognizing the needs and requirements of the individual, as well as the needs and requirements of different groups. Furthermore, diversity is seen in a positive light in the healthcare context, as understanding diversity means that the healthcare professional is in a better position to understand the needs of the patient and to improve the treatment of people from different groups or areas of society.
Discuss and give examples of how people are diverse.
People can be diverse in various ways. One could refer to gender differences, as well as cultural and ethnic diversities. Understanding these differences becomes important in dealing with specific…
Davidhizar, R., Dowd, S., Newman-Giger, J. ( 2008). Model for cultural diversity in the radiology department. Retrieved from http://findarticles.com/p/articles/mi_hb3387/is_n3_v68/ai_n28683141/
Furthermore, and despite its popularity as a tourist destination because of its natural beauty, the Appalachians are not a sterile environment by any means and the people who live there have higher risks for certain types of conditions than their counterparts elsewhere. According to Bauer and Growick (2003), "Americans who live in Appalachia experience unique and different ways of life than most Americans. Appalachian culture runs from the bottom half of the State of New York through the mountains of West Virginia and Southeast Ohio to the flatlands of Alabama. This area of the country offers different perspectives and challenges to life. Because of the geographical vastness and uniqueness of the Appalachian culture, many people with disabilities who live in Appalachia are unable to access rehabilitative services and agencies" (emphasis added) (p. 18).
Likewise, many rural residents throughout Appalachia may have septic tanks and will lack access to other…
Anguiano, R.P., & Harrison, S.M. (2002). Teaching cultural diversity to college students majoring in helping professions: The use of an eco-strengths perspective. College Student Journal, 36(1), 152.
Barrett, E., Hackler, R., Highfill, K.A., Huang, P., Jiang, X., Monti, M.M., & Peipins, Lucy. (2002). A Norwalk-like virus outbreak on the Appalachian Trail. Journal of Environmental Health, 64(9), 18.
Bauer, W., & Growick, B.M. (2003). Rehabilitation counseling in Appalachian America. The Journal of Rehabilitation, 69(3), 18.
Brown, J.W., & May, B.A. (2005, April). Rural Appalachian women's formal patterns of care. Southern Online Journal of Nursing Research, (2)6, 1-21.
Cultural competence: What does this really mean to health care professionals?
Cultural Competency is a significant issue that faces health care providers today. It is important for organizations to have and utilize polices, trained and skilled employees and resources to foresee, distinguish and respond to a variety of expectations in language, cultural and religion of members and health care providers. Health literacy takes place when there is shared understanding between healthcare providers or anyone communicating health information and patients. Joint understanding is not just good medicine; it is also a right and responsibility (Health Literacy and Cultural Competency Provider Tool Kit, 2008).
Addressing disparities in health care and health results is more and more becoming a main concern on national and state levels. The Department of Health is dedicated to generating health justness and devoted to endorsing cultural competency among health care providers, to enhance affirmative results for all…
Cultural Competence. (2008). Retrieved from http://www.culturediversity.org/cultcomp.htm
Cultural Competency in Health Services and Care. (2010). Retrieved from http://www.doh.wa.gov/hsqa/professions/Publications/documents/CulturalComp.pdf
Health Literacy and Cultural Competency Provider Tool Kit. (2008). Retrieved from http://www.bcbst.com/providers/08-538CulturalCompProvToolKit.pdf
" (AAF, nd)
The Health Maintenance Organization further should "…negotiate with both public and private payers for adequate reimbursement or direct payment to cover the expenses of interpreter services so that they can establish services without burdening physicians…" and the private industry should be "…engaged by medical organizations, including the AAF, and patient advocacy groups to consider innovative ways to provide interpreter services to both employees and the medically underserved." (AAF, nd)
One example of the community healthcare organization is the CCO model is reported as a community cancer screening center model and is stated to be an effective mechanism for facilitating the linkage of investigators and their institutions with the clinical trials network. It is reported that the minority-based CCO was approved initially by the NCI, Division of Cancer revention Board of Scientific Counselors in January 1989. The implementation began in the fall of 1990 and the program was…
Principles for Improving Cultural Proficiency and Care to Minority and Medically-Underserved Communities (Position Paper) (2008) AAFP -- American Academy of Family Physicians http://www.aafp.org/online/en/home/policy/policies/p/princcultuproficcare.html
Volpp, Kevin G.M. (2004) The Effect of Increases in HMO Penetration and Changes in Payer Mix on In-Hospital Mortality and Treatment Patterns for Acute Myocardial Infarction" The American Journal of Managed Care. 30 June 2004. Issue 10 Number 7 Part 2. Onlineavaialble at: http://www.ajmc.com/issue/managed-care/2004/2004-07-vol10-n7Pt2/Jul04-1816p505-512
Darby, Roland B. (2008) Managed Care: Sacruificing Your Health Care for Insurance Industry Profits: Questions You must ask before joning an HMO. Online available at: http://www.rolanddarby.com/br_managedhealth.html
Cultural Competency in Nursing
The basic knowledge in nursing or medical studies needs substantial facilitation in order to be effective and appropriate towards addressing the needs and preferences of the patients. Watson notes the need to integrate humanistic aspect into the career or nursing profession. He also believes on the need for the establishment of the caring relationship between the patients and nurses thus demonstration of unconditional acceptance of the patients in any condition. Nurses should integrate holistic and positive treatment with the aim of promoting health through knowledge and interventions thus elimination of interruptions during treatments or 'caring moments'. Modern patients have diverse problems and issues because of the cultural differences, races, and ethnicity thus the need to enhance the operations of the nurses. There is need to ensure that the nurses obtain cultural competencies with the aim of enhancing their ability to address diverse issues and problems faced…
Anderson, N.L.R., Calvillo, E.R., & Fongwa, M.N. (2007). Community-based approaches to strengthen cultural competency in nursing education and practice. Journal of Transcultural Nursing, 18(1), 49S-59S.
Beach, M.C. (2005). Cultural competency: A systematic review of health care provider educational interventions. Cultural Competency, 43(4), 356-373.
Campinha-Bacote, J. (2002). The process of cultural competence in the delivery of healthcare services: A model of care. The Journal of Transcultural Nursing, 13(3), 181-185.
Rosswurm and Larrabee, (1999). A Model for Change to Evidence-Based
UPS has also started providing healthcare tools to its employees.
The company offers career development opportunities to its employees.
The company offers compensation and benefit plans to its employees, irrespective of their seniority.
Employees with relevant years of experience are rewarded and their services are recognized with pride, the employees are best viewed as invaluable resource for the company.
UPS has recently launched workplace flexibility initiatives.
New employees are trained according to their job requirement.
Launch of Employee Communication program, which offers employee with a chance of communicating with other staff via deployment of world wide employee portal.
Messages from Chairman and CEO are televised annually so that the employees can better understand the challenges and plans that company intends to pursue in near future.
UPS adopted human resource initiatives are internationally acclaimed. The company's major initiatives include Welfare to Work, School to Work, Earn and Learn, and the Community…
UPS Progress Report.
UPS Press Release.
Information and relevant details gathered from, www.ups.com
Diversity Issues for Lesbian, Homosexual and isexual People
The 21st Century has brought us new and greater understanding of issues surrounding diversity as it pertains to lesbian and bisexual issues. In the past it was assumed that homosexuality represented a deviant manifestation of some form of mental illness. It was not until the late 1950s (Hooker, 1957) that this idea began to be questioned as an absolute and the lifestyle brought into closer study. It is to be the purpose of this paper to review issues surrounding the homosexual, lesbian and bisexual lifestyle, to identify the general nature of the lifestyle as it exists today and to examine the state of diversity issues as they pertain to this group.
As previously mentioned, for many years homosexuality and lesbianism, as well as bisexuality were classified as mental illness. Evelyn Hooker (1957) was one of the first to do in depth…
Chan, C. (1992). Asian-American lesbians and gay men. In S. Dworkin and F. Gutierrez (Eds.), Counseling gay men and lesbians: Journey to the end of the rainbow (pp. 115-124). Alexandria, VA: American Association for Counseling and Development.
Chan, C. (1995). Issues of sexual identity in an ethnic minority: The case of Chinese-American lesbians, gay men, and bisexual people. In A. DiAugelli & C. Patterson (Eds.), Lesbian, gay, and bisexual identities over the life span (pp. 87-101). New York: Oxford University Press.
Fox, R. (1996). Bisexuality in perspective: A review of theory and research. In B. Firestein (Ed.), Bisexuality: The psychology and politics of an invisible minority (pp. 3-50). Newbury Park, CA: Sage Publications.
Frost, J. (1997). Group psychotherapy with the gay male: Treatment of choice. Group, 21(3), 267-285.
This is related to the fact that the use of pesticides is very poorly regulated. (Protect Farm orker'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 general consensus from the literature on the subject is that migrant and seasonal farm workers and their families are "…overwhelmingly uninsured." (Rosenbaum and Shin, 2005) the 2005 study of the health of migrant farm works by Rosenbaum and Shin indicates that in 2000, "…85% of migrant and seasonal farm workers were uninsured, compared to 37% of low-income adults nationally." (Rosenbaum and Shin, 2005) the study also found that both migrant and seasonal farm workers had less access to health…
Health Problems among Migrant Farmworkers' Children in the U.S. ERIC Digest.
September 27, 2008.
ILO warns on farm safety Agriculture mortality rates remain high Pesticides pose major health risks to global workforce. September 27, 2008.
Overview of America's Farmworkers. September 27, 2008.
Diversity as a Barrier to Group Psychotherapy
According to the Center for Collegiate Mental Health, the psychopathology of college students, and their demand for counseling services in university college centers (UCCs) has risen substantially over the last decade (Center for Collegiate Mental Health, 2014). Well, there are number of reasons why this is so. The most significant of these perhaps is that the modern-day college student faces significant psychological concerns in the form of anxiety, depression, substance abuse, suicidal ideation, and history of hospitalization resulting from lifestyle factors. It is reported, for instance, that between 15 and 20% of college students today suffer from depressive symptoms, compared to between 5 and 6% ten years ago (Center for Collegiate Mental Health, 2014). For this reason, most UCCs have adopted and expanded the use of group psychotherapy platforms as an alternative to the traditional individual psychotherapy in a bid to address the…
Lee, J. (2014). Asian International Students' Barriers to Joining Group Counseling. International Journal of Group Psychotherapy, 64(4), 444-464.
Perez, S.M., Yang, K.Y., Edelman, M.W. & Jones, J.M. (2014). South-East Asian-American Children: Not the Model Minority. Children of Immigrant Families, 14(2), 121-137.
Peters, S. (2015). Barriers to Group Psychotherapy for Lesbian, Gay, and Bisexual College Students. Professional Dissertation (Wright State University). Retrieved July 14, 2015 from https://etd.ohiolink.edu/!etd.send_file?accession=wsupsych1434388016&disposition=inline
Riva, M. (2013). Emphasizing Training and Supervision. The Group Psychologist, 23(1), 1-24.
We are more than welcome to assist any client who has trouble understanding anything. However, we do not offer to meet with clients whose first language is not English to decipher communications that they might not understand. Making this effort goes a long way toward promoting client health and well being.
We do have bilingual staff but Spanish is the only language besides English that is well-represented. It would be more helpful to hire people who have some command of other languages that our clients might speak. One of the areas I believe we do well in is sensitivity to diverse views of family and health. We allow extended members of the family to visit and consult with them too. I understand that people from different cultures grieve differently, too. Finally, I would be better off reading peer-reviewed journal articles as to the most current best practices that take cultural…
Australia, indigenous people recognize themselves as belonging to Aboriginal or Torres Strait Islander or by descent, and also identified as the same by the society. A resistance has been observed in them to access hospitals for healthcare. Therefore, healthcare professionals need to plan, implement and maintain appropriate policies for their treatment. Also, cross-cultural awareness training should be given to paediatric hospital staff. (Munns & Shields, 2013, p. 22)
How would you support ianna and her family in this situation?
The poor health status of Aboriginal and Torres Strait Islander Australians is well documented, and has been the subject of official policy and program attention for many years. The mainstream health system has responded to increased funding and clear portfolio responsibility, with increasing attention to the burden of illness that Aboriginal people experience and the need for effective health care (Dwyer et al., 2014). I would thus make arrangement for proper…
Ansuya. (2012). Transcultural Nursing: Cultural Competence in Nurses. International Journal of Nursing Education, Volume 4(1), pp. 5-7.
Durey, A, Wynaden, D, Thompson, SC, Davidson, PM, Bessarab, D & Katzenellenbogen, JM. (2012). Owning Solutions: A Collaborative Model to Improve Quality in Hospital Care for Aboriginal Australians. Nursing Inquiry, Volume 19(2), pp. 144-152.
Dwyer, J, Willis, E & Kelly, J. (2014). Hospitals Caring for Rural Aboriginal Patients: Holding Response and Denial. Australian Health Review, Volume 38(5), pp. 546-551.
Kelly, J & Willis, E. (2014). Travelling to the City for Hospital Care: Access Factors in Country Aboriginal Patient Journeys. Australian Journal of Rural Health, Volume 22(3), pp. 109-113.
Racial Diversity in Rural Nursing
Describe the problems associated with Racial Difference in rural health care nursing and what successful strategies can be made where racial and cultural differences are apparent factors. What rational to supported their behaviors? What could be done differently today?
Why? And with these difference how can one incorporate strategy for providing culturally competent care?
In rural communities that once lacked a long-standing tradition of racial diversity, but that have now become increasingly diverse, it can be difficult to broach issues of health and wellness if the nurse feels that there are strong tensions within the larger environment between his or her own ethnic group and the ethnic group of his or her patient. But regardless of the cultural divide that exists between patient and nurse, the hospital must improve upon rather than simply reflect society.
True, quite often, a nurse may experience difficulty discussing a…
health is affected by behaviors, economics, and social structure.
Health is affected by behaviors in that if good habits are formed from the latter, the former is then influenced positively. However, if practices like smoking and excess alcohol consumption, the former is impacted negatively. Williams and Torrens (2010) has noted that intake of alcohol "beyond a moderate level is associated with numerous physiological complications including cirrhosis of the liver, various cancers, intestinal disorders, and brain function deterioration…Alcohol abuse results in illness and injury to others, including-but certainly not limited to-vehicular accidents, workplace injuries, poor fetal outcomes associated with fetal alcohol syndrome, and spousal and child abuse." The dietary behaviors people make in their lives has an effect in their lives, for example it may cause "enhanced morbidity and mortality…elevated consumption of fat, sodium, and sugar, leading to an epidemic of obesity and associated problems" (Williams and Torrens, 2010). Health is…
Cohen, M. (2000). Changing patterns of infectious disease. Nature, 406, 762-767.
Fauci, A. (2001). Infectious Diseases: Considerations for the 21st Century. Clin Infect Dis, 32(5), 675-685.
OTA. (1976). Development of medical technology opportunities for assessment.. Washington, D.C.: U.S. Congress, Office of Technology Assessment.
Olshansky, S., Passaro, D., Hershow, R., Layden, J., Carnes, B., Brody, J., et al. (2005). A Potential Decline in Life Expectancy in the United States in the 21st Century. N Engl J. Med, 352, 1138-1145. Retrieved April 24, 2011, from http://www.nejm.org/doi/full/10.1056/NEJMsr043743#t=article