Importance of Transcultural Nursing Term Paper

Tucker-Culturally Sensitive Health Care Provider Inventory — Patient Form (T-CSHCPI-PF) is simply an inventory for the culturally diverse patients to assess provider cultural sensitivity in the health care procedure. The T-CSHCPI-PF is like a narrative in the sense that it evaluates provider cultural sensitivity like described by the culturally diverse patients.

In health care, cultural competence refers to the set of behaviors, outlook, and guidelines, which produces as well as illustrates the comprehension, acknowledgement, and respect for cultural similarities and distinctions within, and amidst various groups. Cultural sensitivity refers to the services which are significant to the requirements and anticipations of a particular patient. Herman et al. gives a detailed discussion on the distinctions and applications of these phrases. It has been maintained that cultural sensitivity and competence of providers are positively related to patient contentment, health results, and treatment adherence. The scarcity of empirical proof of these relations is most probably as a result of the absence of suitable health care quality evaluations (Tucker, Nghiem, Marsiske, & Robinson, 2014).

According to Mirsu-Paun et al. drawbacks of existing cultural sensitivity and competence include the following: (a) the theses evaluations are not databased; (b) the professional experts’ viewpoint were utilized instead of that of the patients in the development of these evaluations; and (c) these evaluations concentrate on examining particular knowledge relating to ethnic/racial classes, and does not tackle the wider aspects of culturally sensitive health care. Some recommendations for decreasing health differences are enhancement of the care quality ethnic/racial minorities and people with low household earnings among others (Tucker, Nghiem, Marsiske, & Robinson, 2014).

“Validation of a patient-centered culturally sensitive health care provider inventory, using a national sample of adult patients” by Tucker, Nghiem, Marsiske & Robinson (2014) is the article that I picked for my study. It discusses T-CSHCPI-PF and how it is a significant inventory for the evaluation of cultural sensitivity of the health care providers. Practical implications: T-CSHCPI-PF may be a significant inventory for getting the reactions of patients on the cultural sensitivity of their providers and for evaluating the efficiency of trainings to encourage patient focused cultural sensitivity amidst the providers (Tucker, Nghiem, Marsiske, & Robinson, 2014).

Critical thinking

The article gave me an opportunity to learn about the dependability, factor structure and validity of health care provider inventory. There is an essential necessity for the establishment of dependable and valid evaluations of cultural sensitivity in health care stipulation. The establishment of the TCSHCPI- PF was to tackle this necessity and it is unique in the sense that (a) its items are patient-described instead of expert-described, (b)it entails particular health care provider outlooks and behaviors which the culturally diverse patients have picked as signs of patient-focused cultural sensitivity, and (c) it acts as a means for the patients to give responses concerning the outlooks and behaviors of their health care providers (Tucker, Nghiem, Marsiske, & Robinson, 2014). It also came to my understanding that Minority Americans do not do as good as the majority population in the U.S. health care system. The fraction of minority groups in the U.S. population is quickly increasing, raising the necessity to react to their health care requirements (AmericanCollegeofPhysicians, 2004).

Cultural competence methods entail the application of interpreter services, culturally competent training and education, and linguistically or racially concordant personnel. Open communication and clinical experiences is vital in healthy patient results, resulting into better health condition and patient contentment. Providers ought to be aware that meaningful communication occurs when the patient and provider talk in a similar language (AmericanCollegeofPhysicians, 2004). I learned that the diagnostic decisions of the health care providers and their feelings regarding patients are affected by the race or ethnicity of the patient. Providers ought to be informed of stereotypes and try to understand the manner through which they influence decisions and actions in clinical experience. A continuing conversation with the surrounding communities could assist a healthcare organization incorporate cultural outlooks and beliefs into healthcare practices. Efficiently managing the minority patients’ health care, and utilizing culturally suitable care, enhances the health of communities and should hence be a principle of the mission of health maintenance organizations (HMOs). Several managed HMOs and care plans are by now working to deal with differences in health care and could be models for the huge care providers (AmericanCollegeofPhysicians, 2004).

Reflective feelings

Eradicating both, ethnic and racial differences ought to be an essential focus of quality improvement efforts. Authorization companies ought to consider integrating standards for the measurement of cultural competence into their quality measurements. Presently, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) contains standards which pertain to linguistically and culturally suitable patient care and is also working to additionally deal with the differences in its authorization procedure. This was actually not a positive feeling for me and I wished the authorities would enhance health care quality. A lot of minority groups are not well represented in the health careers relative to their fraction in the general population of the U.S. Even if minorities comprise25% of the population of the U.S. they just account for 6% of the doctors.

In the current paper, the support for the strong psychometric properties of the T-CSHCPI-PF proposes three vital implications. First, this inventory could be utilized to support patient-focused culturally sensitive provider outlooks and traits through provision of responses to the health care providers concerning the degree of incidence of these outlooks and traits. This response could be utilized in the education of health care providers to be culturally sensitive, which shall eventually improve health care contentment of the patient. The second implication is that this particular inventory might be a helpful tool for the promotion of the patients’ health care self effectiveness. This is vital based on the finding that patients possessing high self-effectiveness with respect to their health care experience displayed better health results and greater degrees of health care contentment. Heath care self-efficacy has a positive correlation to treatment obedience, health supporting behaviors, and reduced psychological and physical symptoms (Tucker, Nghiem, Marsiske, & Robinson, 2014).

The most important implication is that the T-CSHCPI-PF might request the concentration of health care providers to the significance of psychosocial aspects of health care quality, which are not usually stressed during medical training. These psychosocial aspects of health care quality are influenced vastly by the manner in which the providers relate with their patients. Promotion of these aspects of health care quality is specifically essential since the quality of patient-provider communication influences the results of the patients’ health, in that the more comfort and trust a patient feels with his/her provider, the more probable he/she is to adhere to the treatment (Tucker, Nghiem, Marsiske, & Robinson, 2014).

Application to Course

The article corresponded to the course outline in several ways, since it discussed the practices transcultural nurses in addition to the manner through which different policies could be targeted at offering better health to the general populace. It also provided for evidence-founded information that was also stated in the course outline. For instance, based on the results in the current analysis implying that the TCSHCPI- PF is a dependable and valid measure, support is given for utilizing this inventory at different health care locations for long time durations to additionally evaluate its dependability and validity with patients that possess diverse levels of use of health care providers. In addition, an essential prospective study direction is to utilize that information from the TCSHCPI- PF at a certain location to come up with culturally sensitive health care provision education for the providers existing at that location and later establish whether there are improvements in pre-education to post-education scores on the TCSHCPI- PF. Lastly, in the current research, the proven strong psychometric features of the TCSHCPI- PF offer encouragement for the plan to come up with a clinical version of this inventory, which could be utilized to modify patient-focused culturally sensitive health care. A look at this patient response by a provider before seeing the patient that gave the response leads to “customized” patient-focused culturally sensitive health care which indicates the fact that there not only exists personal but also cultural group disparities concerning anticipated provider outlooks and behaviors in the health care delivery procedure (Tucker, Nghiem, Marsiske, & Robinson, 2014).

TCSHCPI- PF aims to tackle the need to discuss diverse dimensions, such as the vital requirement for the development of valid and dependable evaluations of cultural sensitivity in health care provision. The present paper evaluates the dependability, factor structure, as well as the validity of the TCSHCPI- PF utilizing a national sample of patients. The factor examination verified the hypothesized factor structure of the three subscales of the TCSHCPI- PF: Confidence, interpersonal competence or sensitivity, and communication or respect. These particular subscales were realized to possess concomitant internal consistency dependability as well as great validity, hence implying that TCSHCPI- PF is a psychometrically strong inventory which might be helpful for evaluating the perceived cultural sensitivity of the patients ‘outlooks and traits of their providers in…

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