Discuss about the Cultural Competence Models and Assessment.
Social determinants play a significant role to determine the well being and the health of the individuals. Social determinants reveal the different positions of the individuals among the community according to the power, status, and resources available (Young & McGrath, 2011). The burden of the health inequalities and diseases among the community is as a result of the social determinants. The two significant social determinants which determined the requirement of the project among the Indigenous community of Kalumburu, in Western Australia are the consumption of the drugs and Alcohol among the community and the child abuse which the community faced from the Europeans. The men’s of the community are arrested on the charges of the child sexual abusing which develops a sense of trauma among the community. The two social determinants discussed in the video, in a great way are influencing the health of the individuals and affecting the accessibility and sustainability of the services related to the health care. PHC devote in ‘health’ to support health promotion and avoidance of injury and illness while focussing on the social determinants of health (Young & McGrath, 2011). Primary health care services conducted several workshops which inturn the strong community that is essential for the children well being and development (Young & McGrath, 2011). The holistic approach to the health care services results in identifying the various determinants of health. Primary health care results in providing equity in health care and to provide the sustainable heath to the workforce (Young & McGrath, 2011).
Primary health care services and the social determinants strongly focus on the intersectoral action related to the health. The interventions through the workshops that are held primary health services in the video project result in producing the promising results for the population (Tarraga Lopez, 2016). Such workshop provides care and support for the community and rebuilds the confidence of sharing their experiences and pain as a result of the inequalities. Health care services result in the overall development of the community socially and economically (Tarraga Lopez, 2016). It helps in identifying the priorities for the endorsement of healthy living, the avoidance of injury, disease, and disability. Additionally, meets the health care, self management, treatment and rehabilitation requirements of individuals, communities; families and their aspiration for humane and care across the era of their life (Tarraga Lopez, 2016).
Promotion of the health and the prevention of the illlness among the community is an essential part of a widespread primary health care system. Primary health care is more to deliver services which create such conditions helping to stay healthy and recover from the trauma which the Kalumburu community was facing (Silverstein, Conroy & Sandel, 2008). The two health care principles that are guided in the Kalumburu project of the community building are to conduct the workshops where the communising healing is done through the healing circle. People in such workshops share their experiences and also includes the dancing, painting and story map of the incidences happened in their life’s (Silverstein, Conroy & Sandel, 2008). Such participation of the community through the healing circles involves the resources of the community in promoting the health and also addressing health issues at the grass roots level.
The other health care principle that is guided in the video is the intersectoral collaboration which recognises that the well being and the health of the individuals not only depend on the health care services. The organisations, businesses and the governments also play a crucial part in promoting the self reliance and health of the communities (Silverstein, Conroy & Sandel, 2008). Following the principles and the strategies help the communities and individuals in attaining and maintaining the health. The involvement of the community through the health care services enhances the access of equity among them and increases the responsibility of the individual and the community that is responsible for the health and the decisions related to the health. Under the healing workshop all the members of the community, young elders, and even the children’s participate. The community discusses the issues which they faced such as being abused by the Europeans whom they trusted and through their experiences educating the children’s and thus results in the healing of the shattered community.
The goals of the primary health care framework among the community are to address the health inequalities, helping the communities to build the solutions and teach the kids about the issues that the communities are facing. The community gets together with the health care services discusses the issues that the community is facing along with the activities that are to be suggested for the youth of the community (Silverstein, Conroy & Sandel, 2008). The health care principles guided in the video is to restore the community and feel them safe in the environment. Primary health services focus on the basic requirements of the community and what are the causes of such health issues among the community (Farrand, Duncan & Byng, 2007). Such intervention of the primary health care among the community is the ongoing processes which result to improve the individual’s lives and alleviate the socioeconomic conditions contributing to the ill health. The principles associate development and health, supporting political interventions, in spite of the reflexive recognition of economic conditions (Farrand, Duncan & Byng, 2007).
National Health Priority Area is such areas where concentrated attempt results in achieving the significant gains among the health and well being of the community. The initiative of the NHPA is to work collaborately and focus on such significant issues of the community, with an excellent opportunity to close the health outcomes gap among the community (Sheerin, Stonebanks, Jeffery & Schouten, 2016). The National health priority that is focused in the video is to restore the community from the trauma and mental illness. For the discussed NHPA certain workshops are being conducted where the community shares their experiences and works to educate the kids and build the strong platform for the kids and to grow as the responsible individual of the community (Sheerin, Stonebanks, Jeffery & Schouten, 2016).
As a result of the trauma the community shattered and the youth of the community started consuming drugs and alcohol and also moved them towards an attempt to suicides. The workshops were originated for restore the community through community healing. This has the potential impact on the health of children or adults in the community as this helps the shattered communities to be well connected with the culture (Wells, 2007). NHPA lighten the burden of the issues and contributes to the public awareness through an approach towards health monitoring and reporting. This helps the community to get involved in certain activities that help in building the strong environment for survival. This has the potential to reduce the health inequalities and significant improvement in the health of the individuals among the communities (Wells, 2007) The potential ranges of the strategies are to be implemented that improves the health of the given areas. The programme helps the community to discuss the issues and identifying the better solutions.
Cultural competence is the attitude, behaviours and the strategies which together make the impressive and effective cross cultural ongoing and working relationships (Gray, 2017). The growth of the culturally deferential practices a goal of enlightening capability is dignity and equity for each and every one.
As discussed in the project the Cultural safety is completely in regard to creating such an environment at where the indigenous community of Western Australia is not only given good behaviour but also are treated on a well maintained respectful manner, they are also; strengthened and empowered to completely participate in the interactions, keeping in mind that they are also properly understood, valued and also are taken seriously; supported to bear out ethnically important tasks as part of overhaul delivery (Gray, 2017). Enlightening safety present opportunity in which uneven power relations are uncovered and they are properly managed. The cultural protection is act orientated plus is in position with the encouragement role of the nurses and also the nursing line of work (Powell Sears, 2012).
Cultural capability can well be seen as a self-governing variable (inputs) and enlightening safety as the reliant erratic (outcome. Cultural capability increase cultural security (Powell Sears, 2012). Achieving enlightening competency means: knowledge and understanding about the religion and the culture of other; being competent to evaluate from the religion and the culture of other people; giving out in the civilization of the new; the aptitude to converse between and in the middle of cultures; and the aptitude to display skill external one’s civilization of origin (Powell Sears, 2012). These concepts are a significant consideration when budding an agenda:
civilization is the primary building block of individuality plus the growth of a strapping cultural uniqueness is necessary to children’s vigorous intelligence of who exactly they are, plus wherever they feel right Cultural capability encompass: ? being conscious of one’s individual humankind view ?mounting optimistic attitudes towards educational difference ? gaining information of dissimilar cultural practice and global views ? mounting skills for contact and communication across culture (Shen, 2014).
Cultural capability encompasses a broad range of dissimilarity beyond contest and civilization; those aspects are more often than not the primary in our mind when we listen to the expression (Hart & Moreno, 2016). educational safety is predicted on thoughtful the power differential intrinsic in healthiness service release and redressing this inequity from side to side of the educational process during the lens of educational safety, enable care providers in getting the better health care admission for patients, populations, and aggregates (Shen, 2014).
Recognize as the bearer of society; represent the social, opinionated, and past context of the health care; facilitate practitioners to believe difficult concepts like racism, favouritism, and chauvinism; appreciate that civilizing safety is determined by such populace to whom the nurses offer care (Hart & Moreno, 2016). Recognize the boundaries of “culture” in provisions of having populace access and carefully move by the health care system and encounter with concern providers; and, confront uneven authority relations. In the workshop the all the individuals of the community are bought together where the kids were connected to the culture by telling them about the stories and the rituals they belong (Shen, 2014).
References
Farrand, P., Duncan, F., & Byng, R. (2007). Impact of graduate mental health workers upon primary care mental health: a qualitative study. Health & Social Care In The Community, 15(5), 486-493.
Gray, B. (2017). Culture, cultural competence and the cross-cultural consultation. Journal Of Paediatrics And Child Health, 54(4), 343-345.
Hart, P., & Moreno, N. (2016). Nurses’ Perceptions of Their Cultural Competence in Caring for Diverse Patient Populations. Online Journal Of Cultural Competence In Nursing And Healthcare, 6(1), 121-137.
Powell Sears, K. (2012). Improving cultural competence education: the utility of an intersectional framework. Medical Education, 46(6), 545-551.
Sheerin, F., Stonebanks, C., Jeffery, K., & Schouten, K. (2016). Health and wellness in rural Malawi: a health development initiative. Primary Health Care, 26(9), 34-39.
Shen, Z. (2014). Cultural Competence Models and Cultural Competence Assessment Instruments in Nursing. Journal Of Transcultural Nursing, 26(3), 308-321.
Silverstein, M., Conroy, K., & Sandel, M. (2008). Screening for Social Determinants of Health in Pediatric Primary Care. Pediatric Annals, 37(11), 740-746.
Tarraga Lopez, P. (2016). Towards an Integrated and Health and Social Care. Primary Health Care Open Access, 6(3).
Wells, J. (2007). The public and professional interface with priority setting in the National Health Service. Health & Social Care In The Community, 4(5), 255-263.
Young, J., & McGrath, R. (2011). Exploring discourses of equity, social justice and social determinants in Australian health care policy and planning documents. Australian Journal Of Primary Health, 17(4), 369.
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