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Health Disparities and Cultural Competence

Health Disparities and Cultural Competence. Frontier School of Midwifery and Family Nursing 1 st Annual Diversity Weekend Frances Horton, SNM Sonja Pownall , SNM Tasha Parker, SNM. Pre-assessment.

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Health Disparities and Cultural Competence

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  1. Health Disparities and Cultural Competence Frontier School of Midwifery and Family Nursing 1st Annual Diversity Weekend Frances Horton, SNM Sonja Pownall, SNM Tasha Parker, SNM

  2. Pre-assessment What are some of the some of the health issues facing African Americans due to the disparities in health care?

  3. African Americans The largest minority group in the United States There are glaring disparities in all areas of health care from: Health disparities among the African-American population include: • Life expectancy • Heart disease • Diabetes • Hypertension • Infant mortality (including low birth weight and pre-term births) • Maternal Morbidity and Mortality • Cancer • HIV/AIDS • Asthma Campinha-Bacote, (2009).

  4. The disparities in healthcare are experienced by all minority groups • Where language barriers, racial and ethnic differences exist-there is a need for culturally competent care. The care begins with sensitivity and recognition of the needs of diverse groups. Reducing healthcare disparities among minorities will lead to improved outcomes in maternal and neonatal health. • As in the goals of Healthy People 2010 and the next initiative in 2020, this presentation seeks to examine the facts as reported by various studies as well as practical solutions to meet these goals. Healthy People, (2010).

  5. Clinical Trials • It is well known that African - Americans do not participate in clinical trials at the rate of other ethnic groups. One example of this disparity is the Tuskegee Experiment. In this experiment poor African Americans with syphillis were deliberately not treated but studied without their knowledge and consent. • This study was not that long ago. In fact it went on for forty years from 1932 to 1972 and was supposedly to study the progression of untreated syphillis. The study involved poor African American men who thought they were receiving free health care . The experiment was done without the knowledge and consent of the participants and was sanctioned by the US government with full participation and knowledge of the attorney general and physicians . Talking Drum, (2011).

  6. In the article African American Women and Clinical Trials: Perceived barriers to participation and potential solutions, five major causes were identified: • Fear • Mistrust • Lack of Knowledge • Misinformation • Past history of clinical trials Brooks. Pascal, Sly & Hsiao (

  7. Strategies to Enhance Participation Education Diversity race among health care professionals Utilizing credible professionals Inviting African Americans to participate in clinical trials Brooks, Pascal, sly & Hsiao ,(2009).

  8. Culturally Competent Care Steps to providing culturally competent care: A sincere desire with humility to understand your patients cultural constructs and views. A genuine belief in the care and dignity of others. A willingness to learn and adapt care that integrates three things: Sensitivity,Respect and effective treatment. Campinha-Bacote, J. (2009).

  9. Culturally Competent Care • Concordance – matching the demographic of employees with the community they serve. • Cultivate – policy and procedures that reinforce a diverse workforce. • Reinforcement – recruitment and retention of a diverse staff, set diversity goals & reassess them. Dreachslin, J.., 2008

  10. Commit to Truly Compassionate Care • As healthcare providers we need to commit to giving the most respectful and compassionate care possible. • We are here to commit to making a change.

  11. Post-test • True or False: In order to provide culturally competent care, providers should expect those of different cultures to adhere to our ideals? • True or False: Culturally competent providers do not need to have an understanding of the cultures of others to provide excellent care?

  12. ReferencesBrooks, M. M., Pascal, A. M., Sly, J. R. & Hsiao, T. (2009). African- American women and clinical trials: Percieved barriers and potential solutons. US Journal of Health Studies, (24) 2, 298-305.Campinha-Bacote, J., (2009). A culturally competent care model for African Americans. Urologic Nursing, (29) 1, 49-56.Deachslin, J., (2008). Ratial and Ethnic Disparities: Why Diversity Leadership Matters. Journal of Healthcare Management 50, 1. P. 8-13.Healthy People 2010, (2011). Retrieved from www,healthypeople.govTalking Drum, (2011). Retrieved from http://www.thetalkingdrum.com/tus.html

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