Relationships and Expectations

Institutional Affiliation
Relationships and Expectations
In healthcare organizations, cultural competence is defined as the
capacity of the systems to offer care to patients from different
cultures, and who have different beliefs, behaviors, and values
(Betancourt et al. 2002). It also encompasses meeting the cultural,
social, as well as linguistic needs of the patients. Cultural competence
is important in that it acts as a vehicle of amplifying access to
enhanced and quality care to persons of all cultures. Culturally
ineffectual care results in various practical predicaments including:
reduced patient care, impracticality of attaining informed consent, as
well as high likelihood of unprofessional conduct (Betancourt et al.
How Christy can Handle the Situation Better the Next Time she Encounters
a Romani Patient
Healthcare organizations must be designed in a way that meets
requirements of all people in a society, rather than only those
belonging to a specific cultural or ethnic group (Naughton, 2009). To
ensure justice in the provision of care especially in a diverse country,
it must accommodate and respect diversity. To enhance culturally
dissonant encounters, health providers, the patients, and organizations
in general should play a vital role. In Kendrick Hospital, it is true
that nurses lack experience in matters relating to cultural competence.
This is evidenced by Christy Fitzgerald case as she is unable to deal
with persons from different cultural background. She feels frustrated in
that she was not able to carry out her task. By understanding cultural
competence, Christy would be in a position to treat the Romani patient.
Romani’s have different values, behaviors, and beliefs different form
that of the nurses. To ensure, efficiency, understanding this is
In case Christy comes across a Romani patient again, she should not make
any assumption regarding his/her culture or what she has heard regarding
that culture. She should also try to communicate clearly to the patient
or the relatives explaining about how the hospital rules works.
Certainly there should be privacy while a nurse or doctor is giving any
kind of treatment to a patient. Christy should have explained this to
the Romani patient’s relatives and this could have avoided any
misunderstanding and she could have been able to carry out her work as
required. Being the nurse, she knows what is best for the patients.
However, she should also listen to the patient or his relatives and make
accommodations where necessary bearing in mind the different practices
and beliefs. Furthermore, Christy should understand that Romani’s make
use of folk medicine unless in acute conditions, therefore she should
not be judgmental on this. In a nutshell understanding the beliefs,
values, and behaviors of Romani is important for Christy if she wants to
be successful in treating Romani patients.
Reflection on the Learning Outcomes upon Completion of the Learning
It is true that failure to understand cultural competence may make one
to approach a person from a diverse culture completely from one’s own
viewpoint without making effort to understand the beliefs and values of
that culture. This has various consequences in health care. In cases
where care providers do not comprehend cultural diversities between
their patients and themselves, trust and communication may be affected
(Naughton, 2009). As a result, this may cause poor health results,
patient dissatisfaction, frustrations, as well as stereotyping and this
may impact the behavior of providers and their clinical decision making
(Naughton, 2009). Success in health care can only be attained by
understanding cultural competence. This makes it possible for one to
work well and comfortably with people from other cultures through the
understanding of their beliefs, values, and behaviors. Understanding
cultural competence is important in that it acts as a vehicle of
amplifying access to enhanced and quality care to persons of all
What Organization can do to Improve its Cultural Competence
In order to enhance cultural competence in an organization, it is
essential to capitalize on diversity (Naughton, 2009). Diversity may be
attained in different ways encompassing: establishment of special
programs for the minority groups, employment and promotion of
minorities, as well as involvement of community representatives in the
planning of the organization (Naughton, 2009).
Cultural competency trainings are among the major factors that should be
put into consideration. Trainings can be offered by a variety of
healthcare networks and this assists organizational employees to have a
superior understanding as far as cultural competence is concerned. The
training should abide by the Medicare Certification of a hospital. The
requirements for the participants and necessitated by the Centers for
Medicare and Medicaid Services (CMS) include access to services,
antidiscrimination, quality assurance, and participation rules among
others (Peterson-Iyer, 2008).
One of the resources required is a cultural competence department
(Peterson-Iyer, 2008). The department should have a number of staff
including the coordinator of cultural initiatives, a vice president of
cultural competence, and a relations staff of multicultural and
multilingual persons. Another resource that would be required is a
faculty. Its responsibility would be educating the staff regarding
cultural competence and its benefits in health care organizations.
As aforesaid, cultural competency is very essential in healthcare
organizations and it bring forth various benefits. Patients come from
diverse cultures and for this reason, hospitals systems should work
towards enhancing cultural competence. This can be attained in various
ways including establishment of training programs. By doing so, this
would benefit the care providers, patients, as the organization at
Joseph R. Betancourt, Alexander R. Green and J. Emilio Carrillo. (2002).
Cultural competence in health care: Emerging frameworks and practical
approaches. Retrieved from
Naughton, J. (2009). Cultural competency in healthcare. Retrieved from
Peterson-Iyer, K. (2008). Culturally Competent care in U.S. clinical
health care settings. Retrieved from

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