“Cultural knowledge refers to gaining understanding of all insight into different cultures” (Pender, Murdaugh, & Parsons, 2015) Vulnerable populations like lesbian, gay, bisexual and transgender (LGBT) are individuals who are in danger of physical, emotional and community consequences. Discrimination and stigmas are placed on these groups. Sexual orientation and gender individuality can affect a patient’s health and well-being. Providing a collection of different ways to understand a patient’s personality and their actions can, lead to care that is more applicable, valid and provides a targeted treatment. (Pender, Murdaugh, & Parsons, 2015)
A nurse centered-care approach that is responsive to the unique needs of LGBT patients can increase the patient–provider connection and guarantee that patients pursue routine follow-up care. It is important for all hospitals to provide and support these diversity patients. LGBT affected by these battles every day and often hide their sexual orientation. Some people are aggressive, unfriendly and not accepting of them.
Understanding what these titles are can be the start of accepting and knowing how to provide care. (TJC, 2015).
“Sexual Orientation The preferred term used when referring to an individuals’ physical and/or emotional attraction to the same and/or opposite gender. Sexual orientation describes how people locate themselves on the spectrum of attraction. Someone who feels a significant attraction to both sexes is said to
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Centers for Disease Control and Prevention. Retrieved. February 10, 2016.www.cdc.gov/lgbthealth
Pender, N., Murdaugh, C., & Parsons M.A. (2015). Health Promotion in Nursing Practice. New Jersey Pearson Education Inc.
The Joint Commission’s Advancing Effective Communication, (2010).Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals (Oak Brook, IL: Joint Commission Resources,
Cultural competency aids in closing the “disparities gap” in health care. ("OMH," 2012, para. 2) In doing so, health professionals and their clients are better able to discuss concerns without cultural differences getting in the way of effective communication and problem solving. Being respectful of and sensitive to the client’s health beliefs, culture, values, and diverse needs can bring positive outcomes within treatment and patient care. After all, is it not the main job of the health care provider to ensure patient trust? Open forms of communication when dealing with client issues can only be provided if the patient is comfortable with his provider and believes his
3. Pender N, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 5th ed. Pearson Prentice Hall (NJ): Upper Saddle River; 2006.
Cultural competence is defined as possessing the skills and knowledge necessary to appreciate, respect, and work with individuals from different cultures. It is a concept that requires self-awareness, awareness and understanding of cultural differences, and the ability to adapt to clinical skills and practices as needed
As the United States becomes more and more culturally diverse one cannot help but be exposed to various cultures and worldviews. America has long been called the melting pot, and that term has never been truer than it is today. According to Green and Reinckens (2013) the U.S. Census Bureau estimates that by the year 2041 the U.S. population will be a majority minority. In other words, less than half of the population will be non-Hispanic, single race Caucasian. This growing diversity makes cultural competence in healthcare a necessary requirement for effective
Relocating into a senior care facilities can be a frightening experience for the aging population. Getting familiar with new surroundings, new organization structure, and new people that can cause anxiety to rise. For a Lesbian, Gay, Bisexual, Transgender and Queer individual, this experience can be traumatic. The fear of harassment, hostility, and neglect by healthcare providers and caretakers can keep LGBTQ people from seeking care until their health begins to critically decline. LGBTQ cultural competency training is highly recommended for healthcare professionals and social service organizations. The greatest barrier that prevents quality health care for LGBTQ people is the lack of competence among the healthcare professionals.
Cultural competence embraces: ... gaining knowledge of different cultural practices and world views. Developing skills for communication and interaction across cultures.[ There is excellent evidences shows that cultural competence training improves the knowledge of health profession), and good evidence that cultural competence training improves the attitudes and skills of health professionals and impacts patient satisfaction Cultural competence training shows promise as a strategy for improving the knowledge, attitudes, and skills of health professionals. . Directly interacting with patients from different cultural backgrounds helps nurses increase their cultural competence. s. Health care providers must possess the ability and the knowledge to communicate and to understand how health behaviors are influenced by culture. Having this ability and knowledge can eliminate barriers to the delivery of health care.
The nursing profession continues to walk towards excellence in cultural competent delivery of current healthcare needs. In the pursuit of excellence and the love of learning, there are always improvements to be made. Continuing education requirements are the backbone of building nurses into life long learners. Identifying personal areas of growth are an effective mode of continuing to add to existing nursing skills. In this paper, I will identify areas of improvement that I would like to make
the undeniably assorted, multicultural population in the United States is putting forth new difficulties in the arrangement of cultural care by nurses in general. An immediate relationship exists between a patients way of life and their well being; of the numerous factors known to impact health beliefs and practices, culture is a standout amongst the most compelling. In the event that the arrangement of the most ideal care to all patients is the objective, nurses must have aptitude and ability in the conveyance of culturally proper and cultivation equipped nursing care. Each nurse must play a dynamic part in getting a data base whereupon to build up a social competency. The capacity to convey nursing care that will permit powerful communications
As a health care professional, we are faced with caring for patients of different cultural and ethnic background. Researching and learning about the patient’s culture values, beliefs and practices is essential and remarks the ability to provide quality health care for the patient. “Organizations and individuals who understand their clients’ cultural values, beliefs, and practices are in a better position to be coparticipants with their clients in providing culturally acceptable care” (Purnell & Paulanka, 2008, p. 2). After completing the cultural competence checklist, I was able to identify some of my responses to the patient cultural values and belief practices. I will describe a summary of my assessment results, analyze
The lesbian, gay, bisexual, and transgender (LGBT) community are repeatedly marginalized and encounter various issues when seeking out necessary health services. Consequently, individuals from the LGBT population suffer mentally, physically, and financially due to shame, prejudice, violence, insurance denial, stigma, and ostracization by the mainstream populace. Through an interview conducted by these authors, Dr. David Baker-Hardgrove discussed his position as the board president and CEO of Two Spirits Health Services, Inc. which provides primary care, mental health, and related wellness services to the LGBT community. The authors explored the board members interests, qualifications, and background, while remaining focused on the organization’s
Traditionally the United States health care system has been sickness-oriented. However, in the last two decades, a new paradigm has emerged. This new paradigm emphasizes wellness rather than sickness. As a result in this change in focus, health promotion is now an integral part of the nursing profession. This research paper will review current literature from three professional sources relative to the nursing profession and health promotion. This paper will analyze: 1. How is health promotion defined? 2. What is the purpose of health promotion? 3. How has the role of a nurse changed as the result of
Sexual and social stigmas largely affect the health of the lesbian, gay, bisexual and transgender (LGBT) population. While many reports from the Institute of Medicine, Healthy People 2020 and the Agency for Healthcare Research and Quality recognize a need to improve the quality of health care, barriers still remain. LGBT patients face legal discrimination, especially with insurance, a lack of social programs, and limited access to providers competent in LGBT health care. Although the Affordable Care Act increased access to care for LGBT patients, unless these patients feel understood by providers and develop trust in the system, they are not likely to utilize care. Healthcare providers need to recognize how these vulnerabilities, as well as persistent racism and stigma linked to sexual orientation and gender identity, make the healthcare needs of LGBT patients more challenging than the general population. Healthcare providers also need to promote cultural competence within this population and broaden their clinical lens to include health promotion, in addition to addressing concerns mentioned above within the population. Additionally, medical and nursing schools need to ensure that future providers are adequately educated by including information about this population in the curriculum.
My southern heritage has directly influenced the person I am today. I grew up in South Louisiana and I have lived there all 25 years of my life. My childhood was not easy, but I think those tough situations prepared me for life, and taught me the value of family. I attended a private, Christian school and I am so appreciative of my parent’s sacrifices that allowed me to receive that education. I would describe myself as a kind, hardworking individual who respects, cares for, and values others. I believe these attributes are a genuine reflection of my upbringing. My Christian faith is what motivates me each day and it is also what has inspired me to help others through a career in nursing.
I have always been taught from a young age to accept everyone and never discriminate, regardless of race, gender, or sexuality. Coming from an Italian American family with grandparents who immigrated to the United States from Italy, I recognize that not everyone conforms to the American culture, and truly understand why it is so necessary to accept those who are different from us. It is very important to me to make those around me feel safe and comfortable being themselves by looking past our differences. As a nurse, my responsibility will be to treat each patient with the best care, making sure to ask about and accommodate their religious and cultural needs. Along with my family encouraging acceptance, I also grew up in a very diverse area
Sexual orientation is commonly viewed as the term to describe an individual’s attraction for others; who they want to have sex with. This sexual attraction is what’s commonly considered to be the representative of their sexuality. The common sense approach to sexual orientation is well educated on heterosexuality and the LGBT community. LGBT