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Intersectionality focuses on the communally constitutive structure of social subjugation rather than on solitary axes of disparity. Intersectionality does not only focuses on various identities but it also encompasses on the relationality, power relations, social context, complexity, inequalities, and social justice. It is the framework for conceptualizing an individual, a community, or social issue that has been affected by a lot of disadvantages and discriminations. It entails people’s overlapping individualities as well as their experiences for understanding the intricacy of chauvinisms they face (Hopkins, 2019).
The framework is used to understand how different social identities such as gender, race, disability, classism, heterosexism, sexism, and sexual orientation interconnect at the small level of personage experience for reflecting the intertwining systems of oppression and privilege (Ramsay, 2014).
Culture shapes every individual in a way they want to see the world. Therefore, culture has been considered to have the capacity of bring out the transformation of attitudes that is needed for us for ensuring the peace as well as sustainable development. The beliefs that an individual hold are a crucial part of his individuality and identity. These beliefs may be religious, moral, or cultural. An individual’s beliefs reflect and portray who they actually are and how they live their lives. Belief comes from the factual experiences and our values as well as beliefs both equally affect the quality of our care that we will be going to deliver. We often think that our beliefs are the foundation of our reality, but it is our beliefs only that are governing our experiences. Everybody out there is unconstrained to their self beliefs, attitudes and values. It is very necessary to respect and accept that other people might have different values, attitudes, and beliefs than yours. Nobody has the right to anticipate that someone else will change their attitudes, values, and beliefs (Dang, 2017).
The healthcare profession is grappling with distressing facts of ethnic and racial disparities in the field of health care. Although, a variety of factors are there that contribute to the disparities in healthcare. Racial as well as ethnic minorities are liable to obtain deprived quality of healthcare as compared with the non-minorities, even taking on account that factors that are associated with access, such as income and insurance status, are forbidden. The foundation of ethnic and racial health care disparities encompasses the differences in short of access to sufficient health coverage, geography, communication issues between the patient and the healthcare provider, provider stereotyping, cultural barriers, and lack of access to the healthcare providers (FitzGerald and Hurst, 2017).
For a healthcare provider that is providing care to the individuals of multicultural community, it requires a lot of needs for skills for bringing out usefulness as well as effectiveness while working with culturally diverse people. These skills could be self reflection, collaboration, context, communication, and cultural understanding. Self reflection comes with overcoming the gap by the classification of commonalities and power relationship by yourself that helps in constructing a personage ability considering the impact of disparities in health beliefs, views, and attitudes while on the other hand Communication helps in conquering with the cultural and linguistic barriers. The consideration of culture in context is essential for understanding the circumstances of the patients. However, collaboration augments the ability to work across the barriers that have been found in healthcare system. Among all, cultural understanding a skill that should be present in a healthcare provider as recognition and indulgent of cultural beliefs, attitudes, and values helps in working competently among the community that is culturally diverse (Rittle, 2015).
Cultural safety in health care refers to the bringing together of the available data to be easily accessed by the culturally diversified community. The framework of cultural safety includes actions on culturally reverential health care services (Curtis et al, 2019).
I feel that for the development of critical skills that is relevant to working with the multicultural communities, the cultural gap and barriers should be bridged. These gaps and barriers and gaps could be language, health literacy, cultural tradition, and pre assumptions of the culture. The first and the foremost step to bridge this gad is awareness. I feel there is a need for culturally sensitive healthcare provider; it will help in encouraging and supporting culturally competent care. This can also be achieved by dispersing consciousness for the need of culturally competent care. Along with this, it is important to avoid making hypothesis for a specified culture as it results in the breakdown of trust between the health care professionals and the patient. Moreover, appointing a translator or an interpreter will also be helping in overcoming the language barrier if we think from a culturally diverse patient (Younis, Mabrouk and Kamal, 2015).
Dealing with the issues that take place instantaneously and conducting social activities to know more about community members. Observing the pattern of the behavior and then listening to them. Acceptance is another most prominent in attaining best health outcome for a patient belongs from a different culture and it is necessary to love and accept himself in her ways, this will help in endorsing the patient’s health. If the healthcare providers will not be willingly providing the patience to accept their complexities and problems(Abdolrahimi et al, 2017).
Effective therapeutic communication skills while dealing with the individuals belonging from a culturally diversified community will help in overcoming the cultural gap as it helps in providing the infrastructure for individuals form multicultural community and this will help in creating an effective collaborative work.
This reflective essay has intensified my knowledge regarding professional competence by taking the beliefs, attitudes, and values. This has enhanced my self regulatory skills that are related to the cultural diversity. With the development of cultural competences, I will be able to assist the entire cultural evaluation along with conducting and using effective therapeutic communication skills. This will definitely be helping me to improve patients’ health outcomes. Learning about intersectionality, and culturally diverse standpoint of the individuals that have been facing discrimination because of race, gender, etc. This topic has provided me the insights into the state of culturally diversified people and the barriers they face while getting care (Rittle, 2015).
This essay has made me realize how working in a multicultural community can be a little difficult. But, even a little effort implemented in clinical practice can do wonders and help the diversified people in believing the healthcare providers. Provision of care services by being unbiased and providing care services by thinking that we, the human beings are serving the other human being irrespective of thinking regarding the religion, community, race, gender, etc.
Hopkins, P. 2019. Social geography I: Intersectionality. Progress in Human Geography, 43(5), pp. 937–947. doi: 10.1177/0309132517743677.
Ramsay, N.J. 2014. Intersectionality: A Model for Addressing the Complexity of Oppression and Privilege. Pastoral Psychology, 63, pp. 453–469. https://doi.org/10.1007/s11089-013-0570-4
Dang, W. 2018. How culture shapes environmental public participation: case studies of China, the Netherlands, and Italy. Journal of Chinese Governance, pp. 1-23. doi:10.1080/23812346.2018.1443758.
FitzGerald, C. and Hurst, S. 2017. Implicit bias in healthcare professionals: A systematic review. BMC Medical Ethics, 18(1), 19. doi:10.1186/s12910-017-0179-8
Rittle, C. 2015. Multicultural nursing: Providing better employee care. SAGE Journals, 63(12), pp. 532-538. doi: 10.1177/2165079915590503.
Curtis, E., Jones, R., Tipene-Leach, D., Walker, C., Loring, B., Paine, S., and Reid, P. 2019. Why cultural safety rather than cultural competency is required to achieve health equity: A literature review and recommended definition. International Journal of Equity in Health, 18, 174. https://doi.org/10.1186/s12939-019-1082-3
Younis, J. R., Mabrouk, S. M. and Kamal, F. F. 2015. Effect of the planned therapeutic communication skills of pediatric nurses. Journal of Nursing Education and Practice, 5(8), pp. 109. doi:10.5430/jnep.v5n8p109
Abdolrahimi, M., Ghiyasvandian, S., Zakerimoghadam, M., and Ebadi, A. 2017. Therapeutic communication in nursing students: A Walker & Avant concept analysis. Electron Physician, 9(8), pp.4968-4977. doi:10.19082/4968
Kourkouta, L., and Papathanasiou, I. V. Communication in nursing practice. Materia Socio-Medica, 26,1, pp.65-7. doi:10.5455/msm.2014.26.65-67
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