Emerging Standards of Care
According to the U.S department of Health and Human services Office of Minority Health, "Integrated health care approaches must respect the whole person, work across the life span, include prevention and early intervention methods, and be person-centered, strength-based and recovery focused," (Sanchez, Chapa, Ybarra, & Martinez, Jr., 2012, p. 5 ). In this healthcare model, the patient must be treated not only according to the standards of nursing practice but integrate into the care, respect for the individual's belief system as well as their culture. "Providers that respect the cultures, languages and worldviews of the people they serve are more successful in ...view middle of the document...
As patient advocates, nurses are obligated to support choices made by patients or patients’ families that may reflect a cultural perspective that conflicts with conventional healthcare practices and may even conflict with the nurse’s own healthcare beliefs. In today’s society, culturally competent care cannot be accessible to all patients unless nurses have a clear understanding of diverse cultural backgrounds.
In the United States, we have observed the globalization of the planet. According to the National Center for Cultural Competence, “The make-up of the American population is changing as a result of immigration patterns and significant increases among racially, ethnically, culturally and linguistically diverse populations already residing in the United States,” (Georgetown University Center for Child and Human Development, n.d.). The United States alone has experienced a transformation that is motivated by an incursion of people from assorted ethnic and cultural groups. If the current population trends continue, it is projected that by the year 2080, the Caucasian population, which is now the majority group, will become a minority group, consisting of 48.9% of the total estimated population of the United States. The 1980 and 2000 census data show a noticeable variation in ethnic population trends among four ethnic groups: white, African American, Hispanic, and Native American. These trends are a sign for the need of culturally competent nurses for the future.
Working for a large, globally recognized healthcare system makes it imperative that cultural competence is taught to all staff. In orientation, new staff are required to complete a four-hour training on cultural competence that involves on making the patient experience exceed the patients and families expectations. The healthcare organization makes available interpreters to facilitate communication between the healthcare staff and the patient and family. The organization as a whole is sensitive to the differing cultures and religions that enter their hospital.
The healthcare organization takes care of people from around the world on any given day. They have hospitals all over the world including the United States, Canada, and Saudi Arabia. Observing the hospital and staff in several of the hospitals in northeast Ohio, we serve many diverse populations. Muslim, Jewish, Catholic, Christian and atheist religious belief systems have been observed at the hospital as well as Hispanic, Latino, African-American, Islamic, and Asian cultures.
While the healthcare entity is sensitive to the religious beliefs and cultures that come in contact with its staff every day, there are vulnerabilities to providing competent care to the many diverse patients that come for healthcare. In one of their hospitals that serves a higher than normal Hispanic population, all of the signs within the hospital are written both in English as well as Spanish. While...