Fluent Essays

In your initial post, you must structure it so that you analyze each article as to the efficacy of each method of assessing cultural competence. For each, you must describe the method, its efficacy as related in its article, and then your opinion as to whether or not it is an effective means to measure cultural competence. For the third article, your post must include your agreement or disagreement with the articles authors regarding the EHR Incentives program as a part of assessing cultural competence.https://doi.org/10.1177/1043454217713452 Journal of Pediatric Oncology Nursing 2017, Vol. 34(6) 422 –426 © 2017 by Association of Pediatric Hematology/Oncology Nurses Reprints and permissions: sagepub.com/journalsPermissions.nav DOI: 10.1177/1043454217713452 journals.sagepub.com/home/jpo Research Background According to the U.S. Census Bureau (2015), the minor- ity population is projected to rise to 56\% in 2060 com- pared with 38\% in 2014. And as such, the current breadth of ethnic and cultural backgrounds of individuals in the United States requires that the nursing profession be cul- turally competent (Campinha-Bacote, 2002; Taylor & Alfred, 2010). Culturally congruent care is considered a standard of practice for nurses and a curriculum require- ment for nursing schools (National League for Nursing Accrediting Commission, 2016). Since nurses provide the most direct health care services, the expectation to be knowledgeable about diverse health beliefs and practices is critical (Bauce, Kridli, & Fitzpatrick, 2014). Literature supports the importance of practices, beliefs, value sys- tems of diverse cultures, and emphasizes culturally con- gruent care (Hart & Mareno, 2013; Mareno & Hart, 2014; Lin, Chang, Wang, & Huang, 2015) as this has shown to improve patient outcomes and reduce health care dispari- ties (Gallagher & Polanin, 2015; Garneau & Pepin, 2015). Campinha-Bacote(2002) defined cultural competence as an “ongoing process in which health care provider(s) continuously strives to achieve the ability to effectively work within the cultural context of the client (individual, family, community)” (p. 181). Although a universally agreed-upon definition is lacking, the consensus is that cul- tural competence calls for a conscious process whereby pro- viders, such as nurses, respect and appreciate values, beliefs, and worldviews of diverse populations. To better serve diverse populations, nurses need to be practicing culturally congruent care. This is important as nurses’ perception of themselves as culturally competent caregivers is reflected in the way they communicate with patients and families. A large urban children’s hospital serves a culturally diverse patient population, and as a quaternary care center draws patients from different countries and continents. Thus, it is of paramount importance for nurses to understand 713452 JPOXXX10.1177/1043454217713452Journal of Pediatric Oncology NursingEche and Aronowitz research-article2017 1Boston Children’s Hospital, Boston, MA, USA 2University of Massachusetts Boston, MA, USA Corresponding Author: Ijeoma Julie Eche, MSN, FNP-BC, AOCNP, CPON, BMT-CN, Boston Children’s Hospital, 300 Longwood Avenue, Boston, MA 02115, USA. Email: [email protected] Evaluating Cultural Competence of Pediatric Oncology Nurses at a Teaching Hospital: A Pilot Study Ijeoma Julie Eche, MSN, FNP-BC, AOCNP, CPON, BMT-CN1, and Teri Aronowitz, PhD, FNP-BC2 Abstract This cross-sectionBACKGROUND: The United States has become a diverse society, and healthcare professionals must view culture from a global perspective. The purpose of this study was to determine cultural competence levels of entering and exit- ing health science students within and across differing pro- fessional programs using the Global Worldview Cultural Competence Survey (GWCCS). PARTICIPANTS: 196 stu- dents participated in the study: 146 were entering students and 59 were exiting students. From the 146 entering stu- dents, 138 surveys were usable in the data analysis, and 58 of the 59 exiting were usable. PROCEDURE: Two separate cohorts of health professional students completed the GWCCS. Cohort 1 completed the GWCCS during the first 2 weeks of their academic program, and Cohort 2 completed the GWCCS in their final-year post-clinical experience. RESULTS: A significant difference in GWCCS total score was observed between entering and exiting students in health sciences, with the exiting students being more cul- turally competent. CONCLUSION: Although this study did not utilize a longitudinal study design, the findings demon- strate that the exiting cohort of health science students was more culturally competent than the entering cohort of health science students as determined by the GWCCS. However, neither cohort of students reached the level of proficiency. J Allied Health 2017; 46(2):88–93. DIVERSITY in the United States has increased the need for all healthcare professionals to be not only culturally aware but also to demonstrate culturally competent patient-centered healthcare.1 Healthcare professionals often interact with patients from differing cultural back- grounds whose points of reference regarding the provi- sion of healthcare are different from their own.2 When healthcare professionals lack an awareness, apprecia- tion, and sensitivity to potential cultural differences, patient-centered care practices may be compromised. The literature suggests that improved provider-client communications, improved compliance with medical regimens, greater patient satisfaction with care, and better health outcomes are all associated with providing culturally competent care.3 Occupational therapists, speech language pathologists, physician assistants, and athletic trainers are among the many healthcare profes- sionals who must meet the needs of culturally diverse patients and practice patient-centered care supported with an appreciation for cultural diversity.1 With the increasing need for culturally competent care, the burden has been placed on the healthcare edu- cational system. Educational programs must be imple- mented to develop cultural awareness and competence in health professions students prior to entering the workforce. Providing healthcare professional students early exposure to cultural factors has been suggested to be foundational to the promotion of patient-centered care practices.2 The factors include a sound knowledge base, attitudinal framework,Amy Watters, EdD, RHIA, FAHIMA, Amy Bergstrom, EdD, and Ryan Sandefer, MA, CPHIT Abstract: This paper examines the importance and increasing need for health care prac­ titioners to develop cultural competence in an effort to engage patients in their care to minimize the health disparities that are found in predominately ethnic minority popula­ tions. Although Meaningful Use requires data collection related to race and ethnicity, there is no evidence to support that the data is being used to engage patients in a culturally competent way. Lessons learned from the field of education regarding strategies used to develop cultural competence in the teaching profession can be applied in the health care field. This paper argues that cultural competence and patient engagement are clearly linked. Key Words: Patient Engagement, Meaning Use, Cultural Competence P atient Engagement a n d M eaningful U se: A ssessing the Impact of the EHR Incentive P rogram on C ultural C ompetence in H ealthcare Background It is predicted that healthcare in the United States will account for over 20\% of the GDP by 2020 (Cuckler et al., 2013). The leading cause of death and the cause of 75\% of healthcare spending is due to chronic health conditions (Hoyert, 2012). While the cost of care continues to rise, there is little indication that outcomes are im prov­ ing. Despite great attention and effort placed on patient safety since the publication of the w atershed Institute of M edicine report To Err is Human in 1999 that indicated betw een 44,000 and 98,000 deaths were caused annually by m edical errors, the quality of healthcare delivered in the United States has actually gotten worse (Clancy, 2009). Further, minority populations, in particular, are burdened w ith higher rates of disease, disability, death and more often receive lower quality health care (A nderson et al., 2003). Two strategies have em erged as im p o rta n t to alleviating these challenges: patient engagem ent, and culturally com petent healthcare. Engaging p atients in their health care is a proven m eth o d to im prove outcom es and care coordination, w hich is w hy the Medicare and M edicaid EHR Incentive Program s m ade patient engagem ent a focus of the m ean­ ingful use standards (CMS, 2012). Requiring patient- centered practices, such as giving patients access to their health inform ation and providing them w ith electronic Amy Watters, EdD, RHIA, FAHIMA and Amy Berg­ strom EdD, are faculty members at The College of St. Scho- lastica, Department of Health Informatics and Information Management. Ryan Sandefer, MA, CPHIT, corresponding author, is Chair and Assistant Professor of the Department and may be reached at: 218-625-4931 or: [email protected] tools to com m unicate w ith healthcare providers, are m eant to encourage patients to use health inform ation technology to better u nderstand and participate in their ow n healthcare (CMS, 2013) The Center for