Florida National ?Healthcare Organizational Culture Discussion Paper

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Health Medical

Florida National University

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Creating Culturally Competent Health Care Organizations

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?
  1. Write your opinion on how to improve awareness of the cultural needs of patients and families in a hospital environment.
  1. Discuss the effect that the culture of the organization has on the education about cultural needs.
  2. Identify and prioritize three critical elements for meeting cultural needs.
  1. *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, 800 words

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Chapter 9: Creating Culturally Competent Health Care Organizations Copyright © 2016 Wolters Kluwer Health | Lippincott Williams & Wilkins 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 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: o Age, culture, ethnicity, gender, language, race, religion, sexual preference, and socioeconomic status Copyright © 2016 Wolters Kluwer • All Rights Reserved 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 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 The Need for Culturally Competent Organizations: External Motivations ❖ The need for culturally competent organizations has been recognized by many external agencies, including: o Transcultural Nursing Society (TCNS) o American Nurses Association (ANA) o Sigma Theta Tau International (STTI) o American Organization of Nurse Executives (AONE) o The Joint Commission o The Institute of Medicine (IOM) o National Standards for Culturally and Linguistically Appropriate Services in Health Care (CLAS Standards) Copyright © 2016 Wolters Kluwer • All Rights Reserved 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 The Need for Culturally Competent Organizations: Eliminating Health Disparities #2 ❖ Key factors in achieving good health outcomes include: o Access (getting into the health care system) o Quality care (receiving appropriate, safe, and effective health care in a timely manner) Copyright © 2016 Wolters Kluwer • All Rights Reserved Question #2 ❖ Which of the following would support Access and Quality of Care issues in eliminating health disparities? A. Universal health care B. Organizational culture C. Joining TCNS D. 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 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 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 Assessing Organizational Culture #3 ❖ An inclusive workplace is characteristic of a caring organization. ❖ Inclusive workplaces: o Encourage members of the workforce to become active in the community and participate in state and federal programs o 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 Assessing Organizational Culture #4 ❖ Assessment tools: o The Magnet Hospital Recognition Program for Excellence in Nursing Services o Evidence-based practice o Leininger’s culture care model o Andrews’ assessment tool Copyright © 2016 Wolters Kluwer • All Rights Reserved Building Culturally Competent Organizations #1 ❖ Specific areas are critical to fostering culturally competent health care organizations: o Governance and administration ▪ Board members, mission/vision/values, budget o Internal evaluation of adherence to cultural competence standards ▪ Availability, accessibility, affordability, acceptability, and appropriateness Copyright © 2016 Wolters Kluwer • All Rights Reserved Building Culturally Competent Organizations #2 ❖ Fostering culturally competent health care organizations : o Staff competence ▪ Organizational support, orientation, and ongoing education o Physical environment of care ▪ Assessment of environment and barriers Copyright © 2016 Wolters Kluwer • All Rights Reserved Building Culturally Competent Organizations #3 ❖ Fostering culturally competent health care organizations (cont.): o Linguistic competence ▪ Complete, accurate, timely, unambiguous, and understood by the patient o Community involvement ▪ Partnerships o Culturally congruent services and programs ▪ Implement effective programs Copyright © 2016 Wolters Kluwer • All Rights Reserved 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 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 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
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Explanation & Answer

Attached.

Outline
Creating a culturally competent healthcare organization
American Nurses Association (ANA) Standards of Cultural Sensitivity
➢ Cultural sensitivity for ANA establishes competencies for registered nurses with regards
to cultural needs of patients.
➢ The ANA standards also requires that nurses respect the decision of consumers based on
their age, traditional beliefs and family influence on their health decisions.
Unique challenges of living in a foreign culture
➢ Living in a foreign culture can complicate interactions and relationship amongst
employees or individuals in a certain environment.
Health implications for not adhering to ANA standards
➢ ANA standards are meant to ensure that patient-nurse relationship result into positive
outcomes and ensure that patient experience during treatment is interactive and
beneficial.
Improving awareness of patients’ cultural needs and their families
➢ Improving the awareness of cultural needs for families requires nurses and other health
practitioners to train utilizing a culturally lined mindset when addressing issues of
patients.
The impact of organizational culture in educating cultural needs
➢ The urge and ability to introduce and cope with cultural needs of an organization depends
on the cultural of the respective organization.

Critical elements for meeting cultural needs
➢ Language, communication skills and literacy are critical elements that can be employed
by healthcare personnel to meet healthcare needs of patients.


Running head: HEALTHCARE ORGANIZATIONAL CULTURE

Healthcare organizational culture
Student’s Name
Institutional Affiliation
Date

1

HEALTHCARE ORGANIZATIONAL CULTURE

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Creating a culturally competent healthcare organization
A culturally competent organization is one which offers services in a manner that...


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