In the health care setting, numerous groundwork have developed that progresses discern of differential influences associated with health care procedures to form comprehensive and social health consequences. The paper aims to shed the light upon the term intersectionality and how a health practitioner’s assumptions and practices to provide care for patients gets affected by cultural location, beliefs, behaviors, attitudes ,and values, and being a health care professional, how the bias in the health care setting can be reduced.
Intersectionality is a structure for comprehending how facets of peoples are diversified in social as well political status which may associate to form rare approaches of difference, privilege, burden, and hurdles (AAIDD, 2020). In the area of health, diversified structures including gender, race, sex, sexuality, physical presence, class, height, etc. have developed over the last 15 years, completely pursuing to enhance correct comprehension of the distinct effects of policies related to health and to develop broad and cultural health consequences (Hankivsky, 2014). Intersectionality has grown expeditiously farther its authentic framework and many have explored that the crux information says correct- that the people who reside from 2 or more than 2 disadvantaged cliques: The people are disadvantaged twice or more than that. Also, peoples’ perspective has been removed from attempts to solution discrimination, difference, and animosity.
According to Community Business (2018), intersectionality needs to identify that there are humans who reside with few- and more- privilege amidst disadvantaged cliques. Many conventional Design &Implementation (D&I) attempts have targeted over the most advantaged people of the disadvantaged cliques and the less advantaged people didn’t have their interests appropriately instructed even by the best fine-contenting attempts.
Despite advancement made, there is much more practice to be performed to discern it in a better way that in what ways policies influence disparate populations, involving precise recognition of who’s advantaging and who’s expelled from policy aspirations associated with health, priorities and reserve allocation. As per Hankivsky (2020), being a portion of continuing attempts, it is required to take a step forward in concern with work in an area, to develop concern to the intersectionality theory and its ability to improve the on-going equity-compelled health procedure investigation.
The cultural biases influence attitudes of patients associated with health care and also their capability to discern, administer ,and confront the duration of illness, the signification of diagnosis ,and the outcomes of the treatment provided. I agree with the fact that patients as well as their families bring-out culture definite plans and principles linked with techniques of well-being and illnesses describing symptoms, expectations related to the delivery of health care and also, beliefs associated with medications as well as treatment. According to EuroMed (2020), I feel that culture definite principles affect patients’ roles as well as their assumptions, how much facts concerning illness and cure is wanted, how the end of life and loss of life is handled, death patterns, family duties, gender and the procedure of decision-forming.
I feel that healthcare professionals should be cognizant of their culture as well as beliefs and ensure that they are courteous of the cultures. Also,the beliefs of other people and forming differences in these can result in the complication between the relationship of nurses and patients. What I think about culture is, it is the combination of principles, rules, social framework, beliefs, designs of human actions including the symbolic designs which give the connotation and importance towards human nature. According to Ausmed (2019), along with the combination of principles, it is the combination of beliefs, accomplishment, arts ,and various abilities of a person or a clique as total, which is just higher than any of such components and continually inflow.
According to me, culture is an accomplished structure of education, nature, attitudes, principles, behaviors, beliefs, norms, and rules shared by a unit of people. In a wider view, how people think, what people do and in which way they utilize things to improve their lives (CDC, n.d.). I feel that culture should be discerning more comprehensively as it does not associate with race. According to Friedman (2017), cultural integrity should be delved into and examined by patients and the one who evaluates cultural integrity. Usually, physicians don’t question about the patient’s race or ethnic background but still keep recording it based on their presumptions.
Also, I feel that approaches and techniques of cultural appropriateness, brought in individually or as in the form of combination, can alter a medical practitioners and patient’s attitude by bettering communication, enhancing trust, advancing culturally or racially definite education of epidemiology as well as cure adequacy, and bolstering discerning of patients’ ethnic/cultural attitudes and surrounding. The behavioral alterations result in convenient assistance for lower group participants like accommodated deterrent care, periodically health shielding, signified diagnosis, and initial intervention and medical care (Brach and Fraser, 2016). Also, for the reduction in differences or biases, evidence-based medicine should grasp patient’s engrossment in the research field, form more methodical adoption of personally important proof, endure a more integrative and lenient view of deliberation, advocate differing power passage in health care confrontation, back hold the patient’s societies and advocate the contrary care rule/law (Greenhalgh et al., 2015). Proper assistance results in upgraded consequences like improvement in health, functioning as well as contentment. And, I feel that finally, this will result in diminishing disparities in patient’s health care quality and approach and the health consequences.
Bias affects the appointing and promotion for a higher level of staff in hospitals and healthcare systems, medical practitioners and also, faculty, that affects various groups involving women, cultural as well as racial minorities, the people who don’t talk in English as their elementary language and also, other obese people. Being a health professional, I feel that, education and healthcare training plans can influence health care practitioners’ attitudes and behaviors ,and, by its expansion, it may contribute to diminish any unfavorable effects of absolute bias. According to the Institute for Healthcare Improvement (2017), the bias can be reduced if the strategies such as stereotype reinstatement, Counter-pattern imaging, Individuation, Perspective-taking, Enhancing opportunities for communication with people, individually, from several groups, Building team-work.
According to the Nursing Health and Environment (n.d.), reducing bias can be made possible by influencing policies associated with health and over different societal stages, providing the development of healthcare plans, providing a contribution towards social development actions, taking part in campaigns organized against discrimination, bias, etc. Locality formation, social programming, social initiation, collaborative techniques as in planning and advisory boards, may diminish or mitigate bias in a health care surrounding.
This paper aimed to highlight some sort of arrangements, approaches, and techniques which are useful in the reduction of bias in the health care setting. Several approaches like advancing culturally or racially, better communication, maintaining the nurse-patient relationship, enhancing trust, and various strategies were outlined in the above text. Influencing policies which are associated with the healthcare of patients at different levels, organizing development programs, participating in campaigns which are organized against discrimination and collaborative approaches can diminish and mitigate bias in health care requirement. Also, strategies involving counter-pattern imaging, individuation, perspective-taking, enhancing opportunities for contacting people, building teamwork by contacting individually with people or within the groups, favor in the reduction of bias in the health care system.
AAIDD. (2020). Intersectionality. Retrieved from: https://www.aaidd.org/intellectual-disability/intersectionality
Ausmed. (2019). Cultural considerations in healthcare. Retrieved from: https://www.ausmed.com/cpd/articles/cultural-considerations-in-healthcare
Brach, C., and Fraser, I., (2016). Reducing disparities through culturally competent health care: An analysis of the business case. Quality Management in Health Care, 10(4), 15-28. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5094358/
CDC. (n.d.). Cultural insights: Communicating with Hispanics/Latinos. Retrieved from: https://www.cdc.gov/healthcommunication/pdf/audience/audienceinsight_culturalinsights.pdf
Community Business. (2018). Intersectionality and multiple identities. Retrieved from: https://www.communitybusiness.org/latest-news-publications/intersectionality-and-multiple-identities
EuroMed. (2020). How culture influences health beliefs. Retrieved from: https://www.euromedinfo.eu/how-culture-influences-health-beliefs.html/
Friedman, S, H., (2017). Culture, Bias, and Understanding: We can do better. The Journal of the American Academy of Psychiatry and the Law, 45(2), 136-139. Retrieved from: http://jaapl.org/content/45/2/136
Greenhalgh, T., Snow, R., Ryan, S., Rees, S., and Salisbury, H., (2015). Six ‘biases’ against patients and carers in evidence-based medicine. BMC Medicine, 13(1). DOI: 10.1186/s12916-015-0437-x
Hankivsky, O., Grace, D., Hunting, G., Giesbrecht, M., Fridkin, A., Rudrum, S., Ferlette, O., and Clark, N., (2014). An intersectionality-based policy analysis framework: Critical reflections on a methodology for advancing equity. International Journal for Equity in Health, 13(1). DOI: 10.1186/s12939-014-0119-x
Institute for Healthcare Improvement. (2017). How to reduce implicit bias. Retrieved from: http://www.ihi.org/communities/blogs/how-to-reduce-implicit-bias
Nursing Health and Environment. (n.d.). Nursing advocacy at the policy level: Strategies and resources. Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK232398/
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