Diversity and Organizational CulturalDiversity is likely one of the most shifting and evolving concepts,
influenced by situation and environment, thus reducing it to a fluid
dogma. Diversity, as recognized through the lens of governance and
leadership, is an anchor providing a point of reference in a changing
social environment. While the expansive horizon of diversity can be
witnessed in the once narrow view of race and gender, diversity today
also embraces religion, gender (including life experiences), lifestyle
choices, ideas, socioeconomic status, and sexual orientation and gives
consideration to the social determinants of sickness and health. The
climate of the healthcare organization must balance the ideals of
diversity and cultural competency. Organizational culture encompasses a wide range of social phenomena
and can be expressed in behavior, beliefs, values, and modes of
difference and subversion. It is the philosophy of an organization.
Culture is slow to develop and change, but it is essential for an
organization’s culture to maintain a strong moral compass.
Organizational culture affects all aspects of expectations and
performance as well as customer and employee satisfaction (Spataro,
2005). As such, a supportive organization culture in a healthcare
setting must be inclusive of diversity and cultural sensitivity and
competency. Organizational culture establishes the guiding beliefs
shared by members of the organization and is transferred to new members.Healthcare organizations face unique challenges due to the changing
demographics of its members (employees) and the increasing diversity of
society. The nursing shortage increases diversity in the workforce but
exacerbates the challenges of cultural sensitivity and competence. This
influx potentially creates an issue of organizational commitment (OC)
among the existing professional staff, which challenges the loyalty to
the organization. A challenge for the strategic human resource
management (SHRM) is the ability to assess and maintain OC within its
professional staff (McNeese-Smith, 2001). Read the article titled
“Nursing Shortage: Building Organizational Commitment among Nurses.”
Nurses from around the globe migrate to countries experiencing a
shortage of healthcare professionals, seeking professional opportunity
and personal growth. This influx of multicultural integration creates
pressure with healthcare professionals and the efforts to deliver care.
The divergence of sickness and health combined with culture, religion,
and language must be considered. In addition, as healthcare struggles to
meet the needs of a diverse patient population with respect to cultural
competency, it must also meet the patient’s demands with a care
provider, which is amenable to their culture and expectations. References:McNeese-Smith, D. (2001). A nursing shortage: Building organizational commitment among nurses. Journal of Healthcare Management. 46(3), 173–186.Spataro, S. (2005). Diversity in
context: How organizational culture shapes reactions to workers with
disabilities and others who are demographically different. Behavioral Sciences and the Law, 23, 21–38. doi:10.1002/bsl.623Organizational Commitment
Healthcare organizations are challenged with maintaining an effective
workforce. The dearth of qualified healthcare professionals is most
recognized with the nursing shortage created by an increased demand for
health services and an aging population resulting in the retirement of
health professionals. This nursing shortage increases professional
performance pressures and introduces a competitive environment for the
existing workforce seeking the highest wages and benefits. In addition,
this shortage also provides an incentive for foreign-educated nurses to
gain lucrative employment through migration to the United States. The
overall effect of the resulting pressures challenge the notion of
organizational commitment.‹123›Additional Materials
From the South University Online Library, read the following:
McNeese-Smith, D. (2001). A nursing shortage: Building organizational commitment among nurses. Journal of Healthcare Management. 46(3), 173–186. Retrieved from http://www.biomedsearch.com/article/Nursing-Shortage-Building-Organizational-Commitment/75373174.html
From the Internet, read the following:
Spataro, S. (2005). Diversity in context: How organizational culture
shapes reactions to workers with disabilities and others who are
demographically different. Behavioral Sciences and the Law, 23, 21–38. doi:10.1002/bsl.623Globalization of HealthcareThere is little doubt that healthcare is the “Grand Business,” and
its ability to adjust and realign to, identify, and seize the
opportunity for growth and profit is unmatched. The genesis of
innovation in healthcare is served by the free market concept. Many
recognize the US healthcare industry as second to none with respect to
innovation, quality, and outcomes. To support this fact, there is a long
history of dignitaries and statesmen who seek healthcare at leading
teaching institutions in the United States. To further this point,
leading healthcare organizations in the United States have established
international care centers designed to provide care to this select
population. A number of leading healthcare organizations have established
satellite healthcare facilities, which provide care at locations around
the globe. This globalization of healthcare services interconnects the
world but poses cultural challenges. The western medical education has
some challenges in other cultures and the conceptual idea of
globalization in healthcare can present a countercurrent of diversity.
The ideas of diversity and difference rest within the individual as well
as how he or she perceive their difference and barriers. By no means is
it inferred that the issue or idea of diversity does not exist. It, in
fact, is real and a challenge for many for a multitude of reasons.There is an estimated global healthcare workforce shortage of almost
4.3 million consisting of physicians, midwives, nurses, and other
professionals. This shortage has spurred the migration of healthcare
workers from around the globe to the United States. Healthcare
professionals pursue opportunity through the migration process, seeking
education, training, compensation, and quality of life. However, while
the migration patterns might alleviate the problem for the host nation,
they could exacerbate the problems for the country of origin, increasing
the healthcare and disease burden. To address the shortage of health
professional, education programs and the development of new programs
must be a priority.
Satellite Healthcare ServicesThe United States is renowned for its excellence in healthcare around
the globe. Dignitaries and Royalty have been known to access healthcare
through international care clinics at leading healthcare centers in the
United States. Many of the foremost teaching healthcare organizations
offer international care to the world’s elite. These facilities are
present, but most people never have the opportunity to have knowledge of
the facilities for privacy and security reasons. Individuals from
around the globe visit international care centers for specific care.
There facilities are designed to cater to healthcare needs for the
international client. A partial listing of healthcare organizations
offering international care are Mayo Clinic, Cleveland Clinic,
Massachusetts General, Slone Kettering, Johns Hopkins, and a host of
others. Many facilities specialize in specific medical need areas. In
more recent years, geography has played a role in international care
venues. Great Britain has been increasing its capability of elite
international healthcare and is a matter of convenience for some
European dignitaries.In addition, some healthcare organizations have established satellite
facilities around the globe. These facilities provide healthcare to
millions abroad. A partial listing is given below.Review each image to know more about some
leading healthcare organizations that have established satellite
healthcare facilities that provide care to millions around the globe.
Location: Abu DhabiDescription: This hospital covers over thirty medical and surgical specialties. Moreover, it is equipped with 364–490 expandable beds.
Location: Dubai and Saudi Arabia’s capital, RiyadhDescription: This hospital promotes international consulting services.
Location: China, Colombia, Brazil, and Saudi ArabiaDescription: Sun Yat-Sen University (SYSU) and its
affiliated hospitals in Guangzhou, one of China's leading academic
medical centers, partnered with Saudi Aramco on Johns Hopkins Aramco
Healthcare. This hospital has collaborations in Peru, Colombia, and
Brazil.
Location: China, Ireland, Italy, and KazakhstanDescription:
China: Pathology consults and healthcare collaborationIreland: Cancer centerItaly: Transplantation, radiotherapy, biotechnology, and preventative medicine centersKazakhstan: Oncology center
Additional Materials
From the Internet, read the following:
Bieski, T. (2007). Foreign educated nurses: An overview of migration and credentialing issues. Nursing Economics, 25(1), 20–34.Stilwell, B., Diallo, K., Zurn, P., Dal Poz, M., Adams, O., &
Buchan, J. (2003). Developing evidence-based ethical policies on the
migration of health workers: Conceptual and practical challenges. Human Resources for Health, 1(1), 8.
Healthcare Ideals and MulticulturalismThe healthcare professional shortage dominates the healthcare
industry and is worldwide, furthering the globalization of healthcare
ideals and multiculturalism. The supply of healthcare professionals
falls far short of the increasing demand in the United States and around
the globe.The migration pattern of healthcare workers is dynamic and creates an
imbalance between countries of origin and host countries. In many
countries, the departure of healthcare professionals creates a dearth of
talent considered a “braindrain,” which exacerbates a concern and
increases the number of vulnerable populations (Bieski, 2007).
Foreign-educated nurses working in the United States comprise
approximately 5percent of the nursing workforce.This migration of skilled healthcare professionals, directly and
indirectly, affects the health system. Its consequences not only affect
healthcare delivery and outcomes but also affect the remaining workforce
of healthcare professionals. The portion of the workforce that doesn’t
migrate remains poorly paid, poorly equipped, and limited in quality
supervision and information transfer and experiences stress. On an
interesting note, not all countries view the loss of nurses through
migration as a detriment. Some countries view the exportation of nurses
overseas as new growth opportunity, with nurses repatriating money to
assist struggling families remaining in their country of origin
(Stilwell, 2003).It is important to understand that the United States is not the only
country faced with an aging population, among other problems. It is also
important to recognize that the aging population contributes to the
problem, with healthcare workers departing the workforce through the
process of retirement. References:Bieski, T. (2007). Foreign educated nurses: An overview of migration and credentialing issues. Nursing Economics, 25(1), 20–34.Stilwell, B., Diallo, K., Zurn, P., Dal Poz, M., Adams, O., &
Buchan, J. (2003). Developing evidence-based ethical policies on the
migration of health workers: Conceptual and practical challenges. Human Resources for Health, 1(1), 8.Additional Materials
From the Internet, read the following:
Bieski, T. (2007). Foreign educated nurses: An overview of migration and credentialing issues. Nursing Economics, 25(1), 20–34.Stilwell, B., Diallo, K., Zurn, P., Dal Poz, M., Adams, O., &
Buchan, J. (2003). Developing evidence-based ethical policies on the
migration of health workers: Conceptual and practical challenges. Human Resources for Health, 1(1), 8.QUESTION:The nursing shortage is a global problem, which affects the host
country and the migrating nurse’s country of origin. Please develop a
response discussing the motivation for nurses to migrate and the
problems migration creates for the host country and country of origin.Describe the process for foreign-educated nurses to achieve
credentialing and demonstrate language competency in the United States.To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.