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Homework answers / question archive / Read chapter 9 of the class textbook and review the attached PowerPoint presentation

Read chapter 9 of the class textbook and review the attached PowerPoint presentation

Nursing

Read chapter 9 of the class textbook and review the attached PowerPoint presentation.  Once done work on the following exercise.

     1.  Write your opinion on respecting and honoring the needs of those who have a culture that we are not familiar with and speak a different language.

  1. Include standards for cultural sensitivity established by credible organizations.
  2. Discuss the unique challenges of living in a foreign culture.
  3. What health implications emerge from not adhering to the above standards? 
  4.  Write your opinion on how to improve awareness of the cultural needs of patients and families in a hospital environment.
  5. Discuss the effect that the culture of the organization has on the education about cultural needs.
  6. Identify and prioritize three critical elements for meeting cultural needs.
  7. *Search the standards for culturally competent by the ANA, Joint Commission, or AMA, IHI, or another organization and describe similarities and differences.

*ANA – American Nurses Association

*AMA – American Medical Association

*IHI – Institute of Health Improvement.

APA format word document, APA  A minimum of 2 evidence-based references (besides the class textbook) no older than 5 years must be used.   A minimum of 800 words is required and not exceeding 1,000 words (excluding the first and reference page).  Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.

Chapter 9: Creating Culturally Competent Health Care Organizations

 

Copyright © 2016 Wolters Kluwer Health | Lippincott Williams & Wilkins

 

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

 

1

Defining a Culturally Competent Health Care Organization #1

 

A culturally competent organization is an organization that provides services that are respectful of and responsive to the cultural and linguistic needs of the clients they serve.

 

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

 

2

Defining a Culturally Competent Health Care Organization #2

Cultural competence includes providing respectful care that is consistent with cultural health beliefs of the clients and family members, with consideration of:

Age, culture, ethnicity, gender, language, race, religion, sexual preference, and socioeconomic status

 

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

 

3

Question #1

Is the following statement true or false?

 

To be culturally competent, an organization should provide respectful care that is consistent with cultural health beliefs of the clients, family members, and staff. 

 

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

 

4

Answer to Question #1

True

 

Rationale: Humans need care to survive, thrive, and grow. According to Leininger (1996), organizations need to incorporate universal care constructs, including respect and genuine concern for clients and staff.

 

 

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

 

5

The Need for Culturally Competent Organizations: External Motivations

The need for culturally competent organizations has been recognized by many external agencies, including:

Transcultural Nursing Society (TCNS)

American Nurses Association (ANA)

Sigma Theta Tau International (STTI)

American Organization of Nurse Executives (AONE)

The Joint Commission

The Institute of Medicine (IOM)

National Standards for Culturally and Linguistically Appropriate Services in Health Care (CLAS Standards)

 

 

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

 

6

The Need for Culturally Competent Organizations: Eliminating Health Disparities #1

Racial and ethnic disparities influence unequal health care treatment.

Disparities in health are “differences in the incidence, prevalence, mortality, and burden of diseases and other adverse health conditions that exist among specific population groups in the United States” (National Institutes of Health, 2010).

 

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

 

7

The Need for Culturally Competent Organizations: Eliminating Health Disparities #2

Key factors in achieving good health outcomes include:

Access (getting into the health care system)

Quality care (receiving appropriate, safe, and effective health care in a timely manner)

 

 

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

 

8

Question #2

Which of the following would support Access and Quality of Care issues in eliminating health disparities?

Universal health care

Organizational culture

Joining TCNS

External auditing of health care organizations (e.g., Joint Commission)

 

 

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Answer to Question #2

B. Organizational culture

 

Rationale: Organizational culture is one area that may influence both cultural competence and health disparities. Individuals must deliver culturally competent health care that focuses on risk reduction, vulnerability reduction, and promotion and protection of human rights.

 

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

 

10

Assessing Organizational Culture #1

Organizational culture: the goals, norms, values, and practices of an organization in which people have goals and try to achieve them in beneficial ways.

 

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

 

11

Assessing Organizational Culture #2

An organization’s culture:

Consists of shared beliefs, assumptions, perceptions, and norms leading to specific patterns of behaviors

Results from an interaction among many variables including mission, strategy, structure, leadership, and human resource practices

Is self-reinforcing; once in place, it provides stability and changes are resisted by organizational members

 

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

 

12

Assessing Organizational Culture #3

An inclusive workplace is characteristic of a caring organization.

Inclusive workplaces:

Encourage members of the workforce to become active in the community and participate in state and federal programs

Draws staff members who are committed to cultural competence and who value diversity and mutual respect for differences

 

 

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

 

13

Assessing Organizational Culture #4

Assessment tools:

The Magnet Hospital Recognition Program for Excellence in Nursing Services

Evidence-based practice

Leininger’s culture care model

Andrews’ assessment tool

 

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

 

14

Building Culturally Competent Organizations #1

Specific areas are critical to fostering culturally competent health care organizations:

Governance and administration

Board members, mission/vision/values, budget

 

Internal evaluation of adherence to cultural competence standards

Availability, accessibility, affordability, acceptability, and appropriateness

 

 

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

 

15

Building Culturally Competent Organizations #2

Fostering culturally competent health care organizations :

Staff competence

Organizational support, orientation, and ongoing education

 

Physical environment of care

Assessment of environment and barriers

 

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

 

16

Building Culturally Competent Organizations #3

Fostering culturally competent health care organizations (cont.):

Linguistic competence

Complete, accurate, timely, unambiguous, and understood by the patient

Community involvement

Partnerships

Culturally congruent services and programs

Implement effective programs

 

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

 

17

Question #3

Is the following statement true or false?

 

Building culturally competent organizations may result in increased patient satisfaction rates.

 

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

 

18

Answer to Question #3

True

 

Rationale: Research found that inpatients reported higher satisfaction with hospitals that had greater cultural competency.

 

 

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

 

19

Overcoming the Barrier of Institutional Racism in Health Care

Institutional racism is defined as differential access to goods, services, and opportunities based on race, including differential access to health insurance.

More often done unintentionally.

Cultural differences must be acknowledged and celebrated.

The strategies outlined build culturally competent health care organizations.

 

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

 

20

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