Cultural competence and informed consent in health care: confronting a fetal abnormality 1706 words | 7 pages kindness is the language which the deaf can hear and the blind can see—mark twain. Hence, part of providing culturally competent care means that we must challenge our own ethical assumptions and constructs, asking whether they are in fact appropriate for all people and not simply those belonging to the majority culture many us bioethical practices-such as informed consent or patient privacy-are based on an anthropological. Proper transmission of information needs to be gauged case by case, relying on cultural competence, sensitivity, and a clear set of informational and trust-building goals. Another strategy health plans can use is to sponsor training programs for providers to improve their cultural competency for example: aetna launched an initiative in 2002 to identify and address health disparities and improve health outcomes for african american and other minority members.
Using principles of health preters for some languages, cultural issues, and lack of medical knowledge informed consent is a process. The consumer movement, legal requirements, an emphasis on patient informed consent, and reduced physician authority have contributed to health-related truth telling in the united states. The culture, language, and health literacy web site provides an exhaustive list of resources regarding cultural competence issues for specific ethnicities, religions, and special populations community organizations such as religious institutions and cultural organizations can often provide information and support to help make your practice. Again, in the case of informed consent, ashcroft et al ( 1997) distinguish between the 'practical' problem of establishing that consent has been sufficiently informed to be worthy of the name and an 'ethical' problem that relates to concern for the participant's protection, regardless of whether he or she consents or not. Cultural competence in healthcare systems and organizations standard, n 5, states that a hospital's responsibility is to maintain cultural competency by offering their staff education about the various cultures included in the population they serve (expert panel on global nursing & health 2010, 8-9.
Cultural competence and trauma informed amanda al-shamari 5/18/16 9:43 am first thought when thinking about cultural competence, is the aspect of being aware of the cultural differences, backgrounds, and nationalities of this diverse world we live in. Cultural competence advisory council (ccac) this group is comprised of subject matter experts in the area of cultural competence and behavioral health and includes both internal and external stakeholders. Background: cultural competence is an essential component in rendering effective and culturally responsive services to culturally and ethnically diverse clients. Issues and challenges informed consent document signatures populations with limited resources are particularly vulnerable, and the high-risk health conditions under which they live can affect both the researchers' and study subjects' assessment of the risk-benefit ratio (nuffield council on bioethics, 2003. Informed consent shall be obtained prior to dispensing medication the informed consent document shall be specific regarding the nature of the medication and its potential and demonstrated benefits and side effects.
Individuals, families, and groups to accomplish mental health, wellness, education, and career goals selors consider cultural implications of informed consent. Cultural competence is an essential component in rendering effective and culturally responsive services to culturally and ethnically diverse clients still, great difficulty exists in assessing the cultural competence of mental health nurses. Chapter 3the hospitals, language, and culture research framework 24 list of cultural competence frameworks the process for obtaining informed consent. To improve the overall safety and quality of care provided in university of brooklyn hospital, health care practitioners aspire to meet the unique needs of our patients - patient by patient, through effective communication, cultural competence, and family centered care.
Cultural differences make up a large part of the potential difficulties to genuine informed consent, and researchers must be cognizant of the community structure in which they are conducting their research. In health care, cultural competency is the recognition of culturally influenced health beliefs and behaviors, disease prevalence and incidence, and disparities within a specific population of patients, along with the incorporation of cultural education programs, assessment of cross-cultural care, and improvement of access to care 1. Competence (larry purnell, phd, 1995) described the 12 cultural domains from which major assumptions could be derived where cultural competence, principles of informed consent process, and counseling skills could be readily.