Cultural Diversity In The Health Care Workforce

Chapter 12: Cultural Diversity in the Health Care Workforce

Copyright © 2016 Wolters Kluwer Health | Lippincott Williams & Wilkins

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1

Diversity in the Nursing Workforce #1

Workplace diversity is the collective, all-inclusive mixture of human differences and similarities that provides an organization with a large pool of people with knowledge, skills, and abilities required for the accomplishment of organizational goals and objectives.

Creating a more diverse health care workforce has value for the people being served and the health care organization from the perspective of its employees and leaders.

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2

Diversity in the Nursing Workforce #2

Nursing has become increasingly diverse in age, gender, race, ethnicity, national origin, and educational preparation.

Nurses from minority backgrounds account for 19% of the RN workforce.

Men represent 9.6% of the nursing workforce.

Men in nursing attain higher wages and faster promotions than do women.

Currently employed RNs are nearing or have exceeded retirement age, fewer RNs between 36 and 45 years old.

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Nursing is in the midst of a period of substantive transformation that is influenced by the following three trends:

1. An aging population of Baby Boomers who are now experiencing manifestations of the aging process and retirement from the health care and other workforces

2. Passage of the Affordable Care Act (ACA) of 2010 that provides health insurance to millions of people in the United States who previously were uninsured

3. Increased educational preparation for nurses

Diversity in the Nursing Workforce #3

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4

Diversity in the Nursing Workforce #4

Barriers to diversity include:

Inadequate K-12 education systems for students from minority and economically disadvantaged populations

Insufficient financial aid

Faculty shortages

Societal stereotypes

Negative attitudes and behaviors in the workplace

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Diversity in the Nursing Workforce #5

Strategies to increase diversity:

Increase the number of underrepresented minorities in the health professions pipeline.

Corporate culture: Shared values, beliefs, meaning, and understanding are components of the corporate culture.

Organizational climate usually measures perceptions or feelings about the organization or work environment.

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Diversity in the Nursing Workforce #6

Strategies to increase diversity (cont.):

Diversity management: systematic and planned commitment by organizations to recruit, retain, reward, and promote a heterogeneous mix of employees

Organizational inclusion: degree to which individuals feel they are part of critical organizational processes by work group involvement, ability to express ideas and opinions, access to information and resources, ability to influence decision making, and a sense of psychological safety and job security

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7

The Challenges and Opportunities of a Multicultural Health Care Workforce #1

Cultural Perspectives on the Meaning of Work

Individualist: Importance is placed on individual inputs, rights, and rewards; emphasizes values such as autonomy, competitiveness, achievement, and self-sufficiency.

Collectivist: Maintains group harmony above the partisan interests of subgroups and individuals. Values such as interpersonal harmony and group solidarity prevail.

Results in differences in the meaning of work.

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8

Question #1

Is the following statement true or false?

The meaning of work as a way to earn a living is considered an individualist perspective.

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Answer to Question #1

True

Rationale: Individualists work to earn a living. People are expected to work; they need not enjoy it. Leisure or recreational activities frequently are pursued to alleviate the monotony of work. People from individualist cultures tend to dichotomize work and leisure. Individualist concepts of work reflect an orientation toward the future.

Most English-speaking and European countries have individualist cultures.

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The Challenges and Opportunities of a Multicultural Health Care Workforce #2

Cultural values exert an influence on workplace factors.

Values exert a powerful influence on how each person behaves, reacts, and feels.

Cultural perceptions of the situation may also precipitate conflict.

Conflict refers to actions that range from intellectual disagreement to physical violence.

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11

The Challenges and Opportunities of a Multicultural Health Care Workforce #3

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The Challenges and Opportunities of a Multicultural Health Care Workforce #4

Cultural values that may cause conflict:

Family obligations

Personal hygiene

Communication

Touch

Etiquette

Clothing and accessories

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The Challenges and Opportunities of a Multicultural Health Care Workforce #5

Cultural values that may cause conflict (cont.):

Intergenerational and interpersonal relationships

National and ethnic rivalries

Gender and sexual orientation

Moral and religious beliefs

National origin

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Question #2

Which of the following is not considered a cultural value that influences workplace factors?

Paid time off

Time orientation

Space/distance

Touch

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Answer to Question #2

A. Paid time off

Rationale: Cultural values exert an influence on workplace factors which in turn influence each other, such as: time orientation, family obligations, etiquette, communication patterns, space/distance, touch, meaning of work, and work ethic. When cultural values of individual staff members conflict with the organizational values or those held by coworkers, challenges, misunderstandings, and difficulties in the workplace become inevitable.

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16

Cultural Self-Assessment of Health Care Organizations, Institutions, and Agencies #1

Organizational cultural self-assessment should be part of the strategic planning process for a variety of practice settings.

The organization should consider the following areas:

Demographics and descriptive data

Assessment of strengths

Assessment of community resources

Assessment of weakness/areas for continued growth

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17

Cultural Self-Assessment of Health Care Organizations, Institutions, and Agencies #2

The organization should consider the following areas (cont.):

Assessment from the perspective of clients and families

Assessment from an institutional perspective

Assessment of need and readiness for change

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Cultural Self-Assessment of Health Care Organizations, Institutions, and Agencies #3

The process of cultural self-assessment includes:

Collecting and analyzing demographic and descriptive data

Assessing strengths and weaknesses or limitations

Assessing the need and readiness for change

Implementing change

Evaluating the effectiveness of changes

Implementing any necessary revisions

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Question #3

Is the following statement true or false?

The competent transcultural nurse administrator is influential in the establishment and implementation of policies that promote cultural understanding, knowledge, and skill in the workplace.

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20

Answer to Question #3

True

Rationale: The successful transcultural nurse administrator will behave respectfully toward others from diverse backgrounds and will implement policies that promote cultural understanding, knowledge, and skill in the workplace. Nurses in leadership and management positions will apply the principles of transcultural nursing to the multicultural workplace, just as they have done in the past to provide culturally competent and congruent care for patients.

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21

Cultural Self-Assessment of Health Care Organizations, Institutions, and Agencies #4

After conducting a cultural assessment of the health care organization, institution, or agency, facilitators, and barriers can be identified.

Understanding cultural differences in the workplace and developing skill in conflict resolution will continue to be needed in transcultural nursing administration in the new millennium.

Promoting harmony in the multicultural workplace is the ultimate goal.

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Conflict Handling Style


Conflict Handling Style

This assignment will help you understand conflict at the individual, team and organizational levels.

Using the South University Online Library or the Internet, research and identify additional information on handling conflict.

Based on your research and understanding, create a paper in a 3- to 4-page Microsoft Word document that:

Includes a description of change theories, conflict theories, and leader as a change agent.

Integrates how your ability to handle conflict can either enhance or hinder effective leadership in the health care environment.

Use this APA Citation Helper as a convenient reference for properly citing resources.

This handout will provide you the details of formatting your essay using APA style.

You may create your essay in this APA-formatted template.

Submission Details

  • Support your responses with examples
  • On a separate references page, cite all sources using APA format.
  • Name your document SU_NSG4029_W3_Project_LastName_FirstInitial.doc
  • Submit your document to the Submissions Area by the due date assigned.
 
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DQ-1 What are your thoughts on unionization and collective bargaining?

DQ-1 What are your thoughts on unionization and collective bargaining?

As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 12 discussion questions” for grading and in the tab titled “Week 12 assignment” in Turnitin to verify originality which 1 point value.  If the originality exceeds the percentage of plagiarism allow by the University points will be deducted. A minimum of 700 words is required

 
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Module 02 Discussion – Healthy People 2020 – Maternal, Infant, And Child Health


The Healthy People 2020 website is a treasure trove of information related to the health care of women, infants, children, and adolescents.

Select one of the topics from the website related to the health of women, infants, children, or adolescents. Why this topic is important to the health of our nation? What strategies might you use to help improve this healthcare issue?

Please make an initial post by midweek, and respond to at least two other students’ posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

 
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1. Identify and discuss the factors that contribute to heritage consistency in your culture (African American) or religion: (ex. religion, beliefs and practices, values and norms)2. Describe traditional aspects of healthcare within your culture or religion3. Address the demographics of your culture or religion in the United States4. Describe barriers to obtaining healthcare that affect your culture or religion.5. Describe how your culture’s or religion’s beliefs and norms might impact communication with a healthcare provider

1. Identify and discuss the factors that contribute to heritage consistency in your culture (African American) or religion: (ex. religion, beliefs and practices, values and norms)2. Describe traditional aspects of healthcare within your culture or religion3. Address the demographics of your culture or religion in the United States4. Describe barriers to obtaining healthcare that affect your culture or religion.5. Describe how your culture’s or religion’s  beliefs and norms might impact communication with a healthcare provider

Paper should be in your own words, typed in 12 point font, double spaced, 1 inch margins, between two to three pages in length. Do not copy and paste from the internet as this is plagiarism and you will receive a zero for the assignment. You may use one or two quotes from sources as long as the source is given credit. Cite your sources for the paper.

I am an African American Female

 
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Discussion Post Peer Response 2

Substantial cross posts peer response.

This cross posts provide new or supplemental information to the original posting or raise additional areas for discussion. 

Be sure to include at least one reference in each crosspost as well. APA formatting with reference citations. References should be timely, published within the previous five (5) years.

Discussion cross posts should elaborate upon the ideas and content found in the readings/keynotes by adding details, examples, a different viewpoint, or other relevant information. 

The cross posts should provide original insights or responses which integrates multiple views. (Just saying ditto, I agree, or restating the original post is not considered elaboration.) 

There should be evaluation and feedback which assesses the accuracy, reasonableness, or quality of idea, and provides constructive feedback to classmates.

Listed below is the discussion post you must respond to in 250-350 words max 

                                     Affordable Health Care Costs

One of the most pressing issues in health care is how to develop policies that make the cost of health care affordable to the citizens. The major issues when devising health care costs is the quality of health care, make health care accessible to more people, and ensure that the health providers receive benefits from their professional commitment. The logistics, in this case, is how to coordinate the different players in the health care system. These players include health care providers, insurance, and the government. Thus, health care providers have to develop mechanisms that ensure that they provide an affordable health care program that is cost-effective. The main approach that health care providers should ensure that they develop internal control systems that minimize costs (Hussey & Kennedy, 2016). For instance, they can hire young nurses who require lower wage rates in order to reduce the overall labor costs that are inadvertently passed over to the patients (Cherry & Jacob, 2016). In addition, to ensure that they minimize costs for the citizens they can minimize repetitive procedures that end up incurring unnecessary costs on the patients. Further, the adaption of technology can help in the data management of the population to provide health-related services and to provide preventive mechanisms to ailments.

The health insurance providers, on the other hand, have to be involved in the development of healthcare policies such as Medicaid and other policies that have been developed in the past. The development of these policies should be geared to improve the medical welfare of the citizens rather than the capitalistic approach of profit maximization. This concept should accommodate as many as all to ensure that every working-class individual has access to the health care covers (Cherry & Jacob, 2016). The significance of health care covers is to ensure that health care programs are affordable to a large population. In addition, it is aimed to minimize the immediate cost burden that the patients may find too huge to settle within a given time period.

The government acting as the health care regulator should ensure that health care products are available, as well as a sufficient health care workforce. To facilitate this, the government has to increase its health care spending and financing. To help the nursing informatics to develop new solutions and to be effective in health care delivery, the government can train the different health workers in nursing and health care fields at subsidized costs (Berg & Dickow, 2014). Further, it can subsidize the costs of health care products such as medicine to ensure that they are available.

In conclusion, the health care system can achieve affordable health care to all citizens by using a multi-faceted approach that includes all partners. Also, the issue of cost minimization while optimizing on results is key to achieving the desired ends of economics and strategy in health care. The significance of dealing with affordable health care in nursing informatics is to ensure that citizens have access to quality health care.

 
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Personal Philosophy Of Nursing

In a 6- to 7-page paper in APA format describe your personal approach to professional nursing practice. Be sure to address the following:

  • Which philosophy/conceptual framework/theory/middle-range theory describes nursing in the way you think about it? Discuss how you could utilize the philosophy/conceptual framework/theory/middle-range theory to organize your thoughts for critical thinking and decision making in nursing practice.
  • Formulate and discuss your personal definition of nursing, person, health, and environment.
  • Discuss a minimum of two beliefs and/or values about nursing that guide your own practice.
  • Analyze your communication style using one of the tools presented in the course. In your paper, discuss the strengths and weaknesses associated with your style of communication and the impact on your ability to collaborate as part of an interdisciplinary team.
  • On a separate references page, cite all sources using APA format.

Submission Details:

  • Name your document SU_NSG3007_W4_Project_LastName_ FirstInitial.doc. Submit your
  • Submit your response in a 6- to 7-page paper to the Submissions Area by the due date assigned.
 
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Provide a transcript like summary of the YouTube video addressing how the video correlates with the following course competences:

  1. Provide a transcript like summary of the YouTube video addressing how the video correlates with the following course competences:
    1. How natural systems of the human body function (C1.1),
    2. The impact of humans on the environment (C1.2),
    3. The impact of ethnicity and culture (C1.3),
    4. Correlating illness prevention, health promotion, health restoration, patient education and empowerment as it relates to alternative and complementary healthcare (C2.1).

This is the video link please watch before answering the questions: https://www.youtube.com/watch?v=SEfs5TJZ6Nk

must be apa format

include cover and reference page

use 3 additional references and include doi in the reference page

paper must be at least 4 pages long

please include points about the video in the paper

 
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Substantial cross posts to peer response.

Substantial cross posts to peer response.

-This cross posts provide new or supplemental information to the original posting or raise additional areas for discussion. 

-Be sure to include at least one reference from Substantial cross posts peer response.(No not use the same reference from the original post

-This cross posts provide new or supplemental information to the original posting or raise additional areas for discussion. 

-Be sure to include at least one reference from a scholarly source. APA formatting with reference citations. References should be timely, published within the previous five (5) years.

-Discussion cross posts should elaborate upon the ideas and content found in the readings/keynotes by adding details, examples, a different viewpoint, or other relevant information. 

-The cross posts should provide original insights or responses which integrates multiple views. (Just saying ditto, I agree, or restating the original post is not considered elaboration.) 

-There should be evaluation and feedback which assesses the accuracy, reasonableness, or quality of idea, and provides constructive feedback to classmates.

-Listed below is the discussion post you must respond to in 300-350 words max. APA formatting with reference citations. References should be timely, published within the previous five (5) years. And please check for grammatical errors.

ORIGINAL DISCUSSION POST YOU MUST REPLY TO

Background

As technology and computers have made their way into many professions, nursing has been no exception, and have been used to facilitate nursing practice which in turn led to the invention of health informatics. Health informatics knowledge has become increasingly useful in improving nursing care and practice. For instance, competencies of nursing informatics enable nurses to improve the quality of patients’ care outcome. According to Darvish, Bahramnezhad, Keyhanian, & Navidhamidi, (2014), the introduction of nursing informatics indicates that nurses would be integrated into the field of information and communications technology and thus, results in enhanced delivery of services. One of the topics related to nursing informatics the following paper focuses on is computerized nursing management systems. It is highlighted in detail as follows.

Significance

First, computerized nursing management system is the application of software and hardware to manage and improve nursing care and practice. For instance, in a community-health based facility, computerized nursing systems are used to ensure operational efficiency and treatment of patients. Looking at the benefits, it helps to manage patients’ personal information, and finances, leads to active nursing engagement and integration of handheld devices (Darvish, Bahramnezhad, Keyhanian, & Navidhamidi, 2014). In reference to management of patients’ personal information, the use of computerized nursing systems leads to improved financial management. As a result, it enables health facilities to monitor accurately their debtors and thus, improve their revenue collection and use. Secondly, using computerized nursing systems to manage personal information enables nurses to understand the health risks that people face. Consequently, they can create awareness and use the statistical information to enhance the quality of health services provided (Darvish, Bahramnezhad, Keyhanian, & Navidhamidi, 2014). In addition, there is an active involvement of nurses with adoption of computerized nursing systems. For example, they help a health organization to select a system which is compatible with all staff and offer improved services.

Opportunities in Studying Computerized Nursing Management System

Studying nursing informatics as a career and specializing in computerized nursing management system makes health professionals, especially nurses, attractive in the job market. For example, health organizations currently seek nurses with informatics knowledge because they are capable of better management of patient’s private information. It is predicted by the Bureau of Labor Statistics that employers seeking this qualified will increase twenty five percent by 2020. The main reason for this is due to the continued increase in demand for computerized systems needed to enhance efficiency, and minimize expenses incurred (Darvish, Bahramnezhad, Keyhanian, & Navidhamidi, 2014). Also, it is intended to improve patient care quality and proper management of patients’ personal information in the field of nursing.

Challenges & Benefits

However, with expected increase in job opportunities for nurses with knowledge in computerized nursing management systems, the current set of nurses are reluctant to be integrated into the field of information and communications technology. It means that by 2020, the job market’s demand for nurses with necessary health informatics knowledge might be unmet (Darvish, Bahramnezhad, Keyhanian, & Navidhamidi, 2014). Therefore, health institutions are encouraged to incorporate health informatics into the current curriculum to enable future nurses to be well equipped with computerized nursing management skills. In brief, it is important to note that nursing informatics integrates computer science with nursing practice. It allows for improved management of patient’s information, finances and ensures active involvement of nurses in the practice of nursing. Therefore, nurses specializing in computerized nursing management system have high chances of getting employed and thus, they can offer improved care to patients.

References

Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2014). The Role of Nursing Informatics on Promoting Quality of Health Care and the Need for Appropriate Education. Global Journal of Health Science, 6(6). doi:10.5539/gjhs.v6n6p11

 
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– Provide a brief summary of the case, leading into the ethical issue or dilemma.

Please read the case study entitled, “Lack of Consent and Patient Death” on p. 402 in your textbook (**Page 335 for 5th edition).

CASE

– Provide a brief summary of the case, leading into the ethical issue or dilemma.

– Consider the case using one ethical theory.

-Address the questions as the end of the case.  

– When using class terms, be sure to explain them and to specifically show how you are applying the to the case. To say, “Dr Yalson demonstrated beneficence” is not a complete or adequate response. Explain beneficence and provide a specific example of how it was demonstrated.

FORMATTING

** You should provide more than 1 page per case to thoroughly address the questions/issues. Be sure to include the questions presented with the case.

** All references consulted (including the text) should be referenced appropriately within your response—APA style—and a list of references should be supplied at the end of your document.

** In-text citations documented and formatted using APA

** Microsoft Word document with 1” margins all around

** 12 pt. Times New Roman font

** Double-spaced work. 

** Paragraph (commentary) format, not a bulleted or numbered response.

******** ATTACHED WILL BE THE CASE “Lack of Consent and Patient Death” TO READ IN ORDER TO DO THE ASSIGNMENT*********

 
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