scholarly journals Attitudes of Health Care Providers Toward LGBT Patients: The Need for Cultural Sensitivity Training

2016 ◽  
Vol 106 (3) ◽  
pp. 570-570 ◽  
Author(s):  
Nyia O. Garrison ◽  
Gladys E. Ibañez
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Cultural Sensitivity ◽  
Care Providers ◽  
Sensitivity Training ◽  
Cultural Sensitivity Training

scholarly journals Improving Respect and Dignity of Older Lesbian Adults: Interprofessional Approaches for Specialized Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 611-611
Author(s):  
Noell Rowan ◽  
Stephanie Smith ◽  
Tamatha Arms ◽  
Kris Hohn
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Cultural Sensitivity ◽  
Health Knowledge ◽  
Quality Care ◽  
Empirical Literature ◽  
Care Providers ◽  
Care Needs ◽  
Specialized Care ◽  
Cultural Sensitivity Training

Abstract Interprofessional research pertaining to LGBTQ older adult cultural sensitivity training for social workers and nurses is often missing in the empirical literature. Members of the LGBTQ communities become increasingly vulnerable to health disparities as they age and treating clients with respect and dignity is at the forefront of this study. Students and faculty engaged in an interprofessional simulation project with older members of the LGBTQ community to learn health knowledge and applied assessment and brief intervention skills. Quantitative findings (N=58; 23 social work; 35 nursing) indicated increased student health knowledge. Reflection and qualitative findings are included with four primary themes: (a) bias of health care providers, (b) access to quality care, (c) specific health care needs, and (d) health risks of LGBTQ older adults. Specific emphasis is given to reflection and insight of the older lesbian participants about access to care, recognition of significant relationships, and marriage equality.

scholarly journals The United States Does CAIR About Cultural Safety: Examining Cultural Safety Within Indigenous Health Contexts in Canada and the United States

2016 ◽  
Vol 28 (3) ◽  
pp. 269-277 ◽  
Author(s):  
Francine Darroch ◽  
Audrey Giles ◽  
Priscilla Sanderson ◽  
Lauren Brooks-Cleator ◽  
Anna Schwartz ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Cultural Competence ◽  
American Indian ◽  
Health Care Providers ◽  
Cultural Sensitivity ◽  
Cultural Awareness ◽  
The United States ◽  
Cultural Safety ◽  
Care Providers

Purpose: This article examines the concept and use of the term cultural safety in Canada and the United States. Design: To examine the uptake of cultural awareness, cultural sensitivity, cultural competence, and cultural safety between health organizations in Canada and the United States, we reviewed position statements/policies of health care associations. Findings: The majority of selected health associations in Canada include cultural safety within position statements or organizational policies; however, comparable U.S. organizations focused on cultural sensitivity and cultural competence. Discussion: Through the work of the Center for American Indian Resilience, we demonstrate that U.S. researchers engage with the tenets of cultural safety—despite not using the language. Conclusions: We recommend that health care providers and health researchers consider the tenets of cultural safety. Implications for Practice: To address health disparities between American Indian populations and non–American Indians, we urge the adoption of the term and tenets of cultural safety in the United States.

scholarly journals Narratives and Newcomers: Rethinking Culturally Appropriate Health Care

2000 ◽  
Vol 14 (1) ◽  
Author(s):  
Samuel Dunn
Keyword(s):  
Health Care ◽  
Urban Communities ◽  
Health Care Providers ◽  
Cultural Sensitivity ◽  
Health Care Professionals ◽  
Cultural Beliefs ◽  
Care Providers ◽  
Conceptual Tool ◽  
Canadian Health Care System ◽  
Health Practitioners

Cultural appropriateness has become an important conceptual tool for health care professionals serving diverse patient populations. Physicians and other health care providers working in urban communities are increasingly challenged to provide care that is responsive to the health needs and beliefs of immigrants, refugees and other newcomers to mainstream health services. This paper argues that notions of cultural 'sensitivity' or 'competency' help health practitioners acknowledge professional and biomedical biases, but also risk dehistoricizing and hence disempowering newcomers by failing to recognize culture as a dynamic process. Without attention to the ways in which newcomers actively produce culture and make sense of illness experience, health care workers ignore the contexts in which people. become ill and hence cannot act as healers. By presenting the case of one newcomer to the Canadian health care system, I argue that narratives provide a valuable tool for health practitioners to understand how newcomers actively engage and come to terms with illness, without defining them as determined by a set of cultural beliefs or practices.

scholarly journals Validation of an Inventory for Providers to Self-Assess Their Engagement in Patient-Centered Culturally Sensitive Health Care

2017 ◽  
Vol 4 (3) ◽  
pp. 129-137
Author(s):  
Carolyn M Tucker ◽  
Julia Roncoroni ◽  
Guillermo Wippold ◽  
Whitney Wall ◽  
Michael Marsiske
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Cultural Sensitivity ◽  
Culturally Diverse ◽  
The United States ◽  
Culturally Sensitive ◽  
Care Providers ◽  
Validity And Reliability ◽  
Patient Centered ◽  
Culturally Sensitive Care

Objective: Cultural sensitivity training of health-care providers could help eliminate health disparities. The Tucker-Culturally Sensitive Health-Care Provider Inventory (T-CSHCPI) is an inventory for providers to self-assess their engagement in patient-defined/-centered culturally sensitive health care. The T-CSHCPI is novel in that it assesses providers’ strengths and areas of growth in their efforts to provide culturally sensitive care as defined by culturally diverse patients. Methods: Using ratings on this inventory by a sample of culturally diverse providers (N = 291) from 67 health-care sites across the United States, a confirmatory analysis of the T-CSHCPI was conducted, and its validity and reliability were determined. Results: Factor analysis produced a final solution with 4 factors (interpersonal skills, conscientiousness, sensitivity, and disrespect/disempowerment) that were reliable. These 4 factors are associated with cultural competence, suggesting validity. Discussion: The T-CSHCPI measures independent dimensions of patient-centered care as identified by a national sample of health-care providers. The T-CSHCPI can be used to inform training that promotes patient-centered culturally sensitive health care by providers.

scholarly journals Exploring the Provider Preferences of Multiracial Patients

2019 ◽  
Vol 7 (4) ◽  
pp. 479-483
Author(s):  
Cyndy R Snyder ◽  
Anjali R Truitt
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Cultural Sensitivity ◽  
Health Care Professionals ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Primary Care Providers ◽  
Care Providers ◽  
Patient Provider Communication ◽  
Race Concordance

Background: Patient–provider race concordance has been argued as one way to improve patient–provider communication, patient satisfaction, and even patient outcomes. However, much of this literature focuses on or assumes that both patients and providers identify with only one race. Objective: The purpose of this study was to understand multiracial patients’ preferences in choosing a health-care provider. Methods: We conducted 15 interviews and 3 focus groups. We performed a directed content analysis to understand participants’ expressed preferences. Results: Thirty-one participants shared their health-care preferences. Participants described proximity to their homes or work, convenience in terms of availability, and health insurance coverage as reasons for selecting a provider. The majority articulated preferences related to provider gender and race. However, participants noted key barriers to receiving care from their preferred providers. Conclusion: This study highlights the preferences for health-care providers and the factors influencing those preferences and decisions among multiracial individuals. Findings illustrate the need to increase health workforce diversity, especially among primary care providers. Findings also show the need for increased empathy and cultural sensitivity among health-care professionals.

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

Interdisciplinary Therapy Assessments for the Older Adult

2012 ◽  
Vol 17 (1) ◽  
pp. 11-16
Author(s):  
Lynn Chatfield ◽  
Sandra Christos ◽  
Michael McGregor
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Standardized Testing ◽  
Health Care Providers ◽  
Outcome Measurement ◽  
Care Providers ◽  
Patient Centered ◽  
Screening Process ◽  
Evidenced Based ◽  
Changing Economy

In a changing economy and a changing industry, health care providers need to complete thorough, comprehensive, and efficient assessments that provide both an accurate depiction of the patient's deficits and a blueprint to the path of treatment for older adults. Through standardized testing and observations as well as the goals and evidenced-based treatment plans we have devised, health care providers can maximize outcomes and the functional levels of patients. In this article, we review an interdisciplinary assessment that involves speech-language pathology, occupational therapy, physical therapy, and respiratory therapy to work with older adults in health care settings. Using the approach, we will examine the benefits of collaboration between disciplines, an interdisciplinary screening process, and the importance of sharing information from comprehensive discipline-specific evaluations. We also will discuss the importance of having an understanding of the varied scopes of practice, the utilization of outcome measurement tools, and a patient-centered assessment approach to care.

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