Integration of Culture in Teaching about Disability

2008

Handbook of African American Health, 2011

Journal of Developmental & Behavioral Pediatrics, 2004

This study compares service use, perceived unmet needs, and expectations of providers of Latino and Euro-American families of children with disabilities enrolled in a Title V Program. Eighty-four families and 20 providers participated in open-ended, semistructured, and structured interviews. Latino families underused Title V services (p < .001). The Latino families were more likely to cite unmet needs in the following areas: an unresolved health problem (p < .05), rehabilitation therapy programs (p < .001), or need for more information or a support group (p < .001). The Euro-American families cited unmet needs in the following areas: lack of day care (p < .001), respite services (p < .001), recreational programs (p < .001), and home health aides (p < .007). Textual analysis of open interviews revealed that the two groups of families had different expectations of providers. Latino cultural values play a role in these differences, creating barriers for effectively communicating with providers and for meeting children's needs.

Psychology & health, 2017

To gain a better understanding as to whether disparities in patient-provider relationships arise from ethnic minority patients being treated differently than European American patients while they would prefer to be treated the same, or whether disparities arise when ethnic minority patients are treated the same as European American patients while they would prefer to be treated differently. African-American, Latina/Latino and European American community members were recruited to participate in one of 27 focus group discussions. Topics included what made a good or bad relationship with a doctor and what led one to trust a doctor. A thematic analysis was conducted using NVivo 10. Patients of all groups described experiences that reflected the concepts of patient-centred care, such as wanting a clinician who is attentive to patients&#39; needs. African-American patients reported experiences they viewed as discriminatory. Some African-American patients felt it was appropriate to raciall...

Based on an analytical review of key laws, regulations, contracts, and standards currently in use by federal and state agencies and other national organizations, these guidelines were developed with input from a national advisory committee of policymakers, providers, and researchers. In this report, each standard is accompanied by commentary that addresses its relationship to existing laws and standards, and offers recommendations for implementation and oversight to providers, policymakers, and advocates.

Nursing - New Insights for Clinical Care

My personal and professional experiences as a practitioner nurse, and a lecturer unveil that, in the present environment, patients, along with the fear of death and illness, face stressors such as being stranger to the treatment team, being unaware of the treatment process, fear of questioning, the unfamiliar environment of the hospital and its governing culture. In most cases, not only the values, beliefs and identities of patients are not taken into account in decision making, but also the atmosphere governing medical centers is somehow trying to instill their thoughts and beliefs in them. This makes decision-making solely on the basis of disease recognition, not pertaining to the patient’s requirements. In such an atmosphere, the possibility of the patient’s participation, cooperation and protection in daycare is threatened, and in many cases, it prevents follow-up and adherence to treatment and prevents us from the goal of improving the quality of patient-centered services with ...

JAMA Psychiatry, 2017

Today's clinicians must develop therapeutic alliances with patients of diverse customs, values, and experiences. This can be especially challenging, as most clinicians must make decisions quickly, opening the door to systematic attributional errors and untested assumptions about patients without confirming that their expectations are correct. In one study, white therapists were more likely than Chinese therapists to describe Chinese patients as depressed with interpersonal skill deficits; Chinese therapists judged white patients as demonstrating more severe pathology than did white therapists. 1 In light of these findings, it is not surprising that members of racial and ethnic minority groups experience disparities along the entire continuum of behavioral healthcare. Current policy shifts, including efforts to reduce insurance coverage for vulnerable groups and to target large numbers of undocumented immigrants for deportation, are likely to exacerbate these disparities by reducing opportunities to access care and increasing mistrust of institutions. We offer here some background showing the enormity of this issue and ways to address it.

2007

In 1978, an article published by the Annals of Internal Medicine outlined public perception of the health care crisis in the United States.' Many of the aspects of public perception noted in this article still seem relevant today: "dissatisfaction with the 'quality' of the medical encounter," "intolerable costs," "inaccessibility of medical care because of maldistribution by locality and specialty," as well as the "cultural patterning of sickness and care." 2 All of these issues form part of the rationale for cultural competence in health care. 3 A quarter century later, culturally competent care continues to be a topic of discussion and research among nurses, sociologists, physicians, medical educators, policymakers, and other professionals in the health care field. The California Endowment, in an environmental scan + The authors wish to thank NetworkOmni® Multilingual Communications for its kind granting of permission for the use of Tables and. The ideas and opinions expressed in this article are those of the authors and cannot be ascribed to NetworkOmni® Multilingual Communications, the University of Medicine and Dentistry of New Jersey, or any other organizations with which the authors are affiliated.

Social Work in Health Care, 2005

In all aspects of health and mental health care-the emergency room, the outpatient clinic, inpatient facilities, rehab centers, nursing homes, and hospices-social workers interact with patients from many different cultures. This paper will introduce an assessment tool for health care professionals to advance understanding of culturally diverse patients and their families.