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Practice Guidelines for Cultural Assessments
Published in Kunsook S. Bernstein, Robert Kaplan, Psychiatric Mental Health Assessment and Diagnosis of Adults for Advanced Practice Mental Health Nurses, 2023
Kunsook S. Bernstein, Robert Kaplan
Cultural differences also can be associated with disparities in medical care and health outcomes (Gone & Trimble, 2012; Hall-Lipsy & Chisholm-Burns, 2010; Thomas et al., 2011). Gone and Trimble (2012) report that American Indians and Alaska Natives suffer from specific mental health disparities, including disproportionately high rates of substance abuse, post-traumatic stress, youth behavior problems, and suicide. In their literature review investigating whether race, ethnicity, or sex are associated with disparities in medication treatment, Hall-Lipsy and Chisholm-Burns (2010) found significant disparities among racial/ethnic minorities and women. With the aim of eliminating health disparities, achieving health equity has been a goal of Healthy People 2030. However, despite the improvement in the health status of the US population as a whole, racial/ethnic minorities continue to lag behind whites, with a quality of life diminished by illness from preventable chronic diseases and a life span cut short by premature death (Thomas et al., 2011). Healthy People 2030 describes a vision for all people in the United States to achieve their full potential for health and well-being across the life span, which will benefit society as a whole. Gaining such benefits requires eliminating health disparities, achieving health equity, attaining health literacy, and strengthening physical, social, and economic environments (Pronk et al., 2021).
Living in a Foreign Land
Published in Vincent La Placa, Julia Morgan, Social Science Perspectives on Global Public Health, 2023
Even if access to healthcare is granted by the host country, other barriers to accessing healthcare exist. Key barriers include language and cultural differences, lack of culturally appropriate services, low levels of health literacy, and inadequate use of interpreting services (WHO, 2021a). In accordance with the Socio-Ecological model, barriers do not stand by themselves but interact with barriers at other levels. For example, the post migration social conditions of refugees and migrants often place them at the lower end of the social gradient (Hynie, 2018) and refugees and migrants have been described as marginalised and stigmatised by their ethnic identity, as well as their temporary status (individual and structural factors). Health literacy, defined as ‘the ability to find, understand and use information to promote and maintain good health’ (UNICEF, 2021), is low for refugees and migrants and has been related to poor health outcomes (WHO, 2021a). Part of low health literacy is the lack of understanding of the host country’s healthcare system, leading to refugees and migrants experiencing difficulties in navigating healthcare systems. Difficulties in making appointments, not knowing where to go, or ability to pay for transport have been reported as barriers (Cheng et al., 2015; van der Boor and White, 2020), (individual, institutional and structural factors).
Healthcare decision-making
Published in Joseph Tham, Alberto García Gómez, Mirko Daniel Garasic, Cross-Cultural and Religious Critiques of Informed Consent, 2021
Joseph Tham, Marie Catherine Letendre
The ethical concerns and experiences of clinical practice tested bioethics as it met diverse cultural perspectives at the crossroads of the twentieth-century biomedicine. Multiculturalists state that physicians, patients and their families can inhabit distinctively different social worlds and may be guided by diverse understandings of moral practice.35 The concepts of medicine and healing have definitions rooted in a myriad of cultural aspects: accumulated observation and writings, attitudes about health and illness, diverse medicinal approaches that are either natural or chemical and most recently in scientific-technological advances.36 Communication between patient and physician is more aptly associated with patients’ perceptions of finding common ground with their physicians and trusting them and with improved health outcomes.37 Therefore, the enormous force of cultural viewpoints and the contemporary transformation of the physician/patient relationship in accommodating bioethical principles and gaining cultural competence mark a new step in shared decision-making.38 Cultural competency in the clinician’s skill set becomes an asset in dealing with the aspects of care rooted in cultural differences and knowledge of the fact that a person of a particular ethnic background may not subscribe to his/her cultural medical tradition is foundational.
Feasibility and acceptability of using information visualizations to improve HIV-related communication in a limited-resource setting: a short report
Published in AIDS Care, 2022
Samantha Stonbraker, Gabriella Flynn, Maureen George, Silvia Cunto-Amesty, Carmela Alcántara, Ana F. Abraído-Lanza, Mina Halpern, Tawandra Rowell-Cunsolo, Suzanne Bakken, Rebecca Schnall
Participants confirmed the utility of several recommended communication strategies (that providers take their time and confirm understanding, etc.) (Lettenmaier et al., 2014); and contributed that infographics can promote clinical communication. Notably, patients want trustworthy providers who treat them well, which should be a given, but too frequently does not occur (Dawson-Rose et al., 2016). Participants’ contradictory opinions of preferred communication styles reiterates that tailoring communication to individuals would augment efficacy. Numerous strategies to help providers communicate are available for widespread use (Berkhof et al., 2011; Elder et al., 2009). Lastly, that our patients and providers shared a common culture emphasizes thoughtful and intentional communication is crucial whether cultural differences are present or not.
Improving Mental Health in Refugee Populations: A Review of Intervention Studies Conducted in the United States
Published in Issues in Mental Health Nursing, 2020
Cynthia Peterson, Kalpana Poudel-Tandukar, Kirk Sanger, Cynthia S. Jacelon
The research evaluated in this review discussed cultural competency, but little discussion centered on what that means for providers or how providers can become culturally competent. Further work should be done to address cultural competency in mental health interventions for refugee populations and extend to cultural competency in all fields of healthcare. Cultural competency, which is now also referred to as cultural safety or cultural humility, is vital to providing safe and appropriate care for culturally diverse populations. Refugees who have resettled in the United States carry culturally rich beliefs and traditions that should be valued and integrated into their plan of care, and they also face challenges related to resettlement in addition to lingering physical or mental health conditions. For these reasons, care providers in all corners of healthcare must be cognizant and inclusive of different belief systems and cultural differences among diverse populations.
Awareness of ocular diagnosis, transportation means, and barriers to ophthalmology follow-up in the Philadelphia Telemedicine Glaucoma Detection and Follow-up Study
Published in Social Work in Health Care, 2019
Lisa A. Hark, Anjithaa Radakrishnan, Malika Madhava, Catherine Anderson-Quiñones, Scott Fudemberg, Debra Robinson, Jonathan S. Myers, Tingting Zhan, Jennifer Adeghate, Sarah Hegarty, Stela Leite, Benjamin E. Leiby, Stella Stempel, L. Jay Katz
Compassionate care and cultural sensitivity in health-care delivery helps offset social and economic disadvantages, reduces health disparities and contributes to high-quality patient-centered care (Papadopoulos, Shea, Taylor, Pezzella, & Foley, 2016). Cultural competency was addressed through this study by hiring and engaging race-concordant staff who were African American. Interpretive services were also provided for Spanish and Cantonese. Such consideration for patients’ cultural beliefs and understanding of cultural differences and backgrounds, mixed with validating and considerate responses, enhances the health-care framework of culturally competent practice, leading to a decrease in racial and ethnic disparities in healthcare (Papadopoulos et al., 2016). Moreover, culturally competent practice addresses the multifactorial discrepancies in health-care access in vulnerable and disadvantaged populations (Papadopoulos et al., 2016).