CaringFor a Multicultural Society
CaringFor a Multicultural Society
Nursingcare are services given by nurses for the advantage of a patient.“Latino” or “Hispanic” is one of minority people in theUnited States of America. The Latinos are referred to aspeople of Cuban, Peuro Rican, Mexican, Central, or SouthernAmerican, and many others with Spanish origin or culture. Most ofthese communities have different nationalities, race, andculture. A good example is the Cuban community that is facing manychallenges with the nursing care, however health care facilities arelooking for ways to be able to solve the problem totally, and thereare ways to access individuals with diverse cultures.
Thereare different things that can affect a person of the Cuban culture onnursing care of a patient. One of the obstacle is the languagebarrier, because as much as they live in the United States of AmericaEnglish is not their first language.  Important to note is thenewer generation between the age of five and the young adults speakEnglish very well. However, the older generation still speaks theirnative language (Galanti,2014).This creates problems in the health care environment, because some ofthe medical terms used are complicated, the communication involvedbetween the nurses and patient is very fast, and amidst morefeelings. The Cuban patients claim to feel that doctors and nursesrarely listen and understand them. Interviews show that some of theCubans do not understand their doctors and nurses. In addition, someof the Cubans leave the doctor’s office without asking all thequestions they wanted to.
Secondly,they face problems in accessing health insurance, and ingeneral health care structure. Most of the Cuban people live inpoverty-stricken conditions. Therefore, it is a challenge to them totake health insurance covers for their family members or themselves.In addition, they do not have a regular doctor that they visit. Eventhe insured Cuban’s care and cover are still in adequate, becausethey do not have regular income sources for the care. However, someaccess health insurance as an arranged method to cater for theproblem they are facing.
Thirdly,the Cubans community have strong beliefs about their culture. Thisbrings many problems in the health care environment, because itbecomes very difficult to change their values and what theybelief concerning different issues (Galanti,2014).For example, there culture states that a person shouldaccept pain and not complain. Therefore, it becomes sometimesdifficult for Cuban patient to explain how they are feeling. Theyalso believe that when a woman is pregnant that is very normal anddoes not need to seek for medical help. However, sometimes womendevelop complications but since to their culture it is normal they donot tell anyone. Some of them think that some of the sickness theyare suffering from they have inherited from the ancestors or familybackground. To add on some believe that the sickness theyare suffering from may be as a result to a sin they havedone, or a form of punishment, or due to poor personalmanagement concerning health (Maurer& Smith, 2013).Another cause of disease may be due to negative or evilenvironmental forces in the affected person’s life. Therefore, theydo not seek for medical assistance but go to traditionalhealers for assistance. In addition, the Cuban community takespatients to hospital as a last option when the disease has worsened.They first consult their friends, prayers and the folk doctors ortraditional healers before taking them to hospital.
Fourthly,the role of the family should not be underestimated when itcomes to how the Cuban culture handles a sick person among them. Thepeople in the Cuban community are loyal to the extended family andshow commitment to the obligations of the family. For example, theCuban community believes in centralized decision-making pattern. Thismeans that the entire family is involved in decision-makingof the sick patient. It is not a personal decision. This means thata person even if they are informed and can make gooddecisions about their lives they must rely on the collective decisionof the extended family and do as the family have decided. The familymembers are the ones who take care of the sick person (Maurer& Smith, 2013).For example, it is the mother’s role to decide when the familymember should receive health care treatment. However, it is the roleof the head of the family to decide when to take the sick familymember to the hospital.
Anotherreason that affects the approach to nursing care is the culturalvalues. They include first, simpatia meaningkindness.Simpatia insists on people avoiding conflict andinsisting on being polite. Secondly, personalismo meaning aperson should be friendly. This involves the rapport andtrust developed with others through forming friendly, warm, andpersonal relationship. Thirdly, respecto , which means torespect. This involves the need to show respect to people who haveauthority in the society. For example the health care giver. Inaddition, the Cuban young people are to respect their elders.However, the health care doctors or nurses may lack this knowledgeand offend the older patients (Galanti,2014).
Changesin nursing care needed to be able to accommodate culturallycompetent care
Languagebarrier is one of the challenging parts for a health care facilitybecoming culturally competent. Health care facilities shouldintroduce different translators for patients who do not speak Englishthat visit their facility. Once there is an interpreter, it isimportant to look at the patient instead of the interpreter. Use anormal tone when speak, and be posing after a few sentences to givethe interpreter time to translate (Maurer& Smith, 2013).Doctors and nurses in the facility should try to learn somethingabout different cultures of the communities that their health careserves. This can be through reading books, watching videosand from the internet. This would help the patient get therequired care before a professional interpreter comes. The nurses maydecide to use the teach back technique for patients. This is where bythe patient has to repeat the instructions until they are able tocorrectly do it.  It is also important for the nurse to involvethe patient in active discuss and dialogue. This helps deal with thenotion that the family is the decision maker of the patient’ssickness and the patient does not have to say anything over theissue.
Thehealth facility should attempt to build an environment that iswelcoming and warm to the Cuban patient. The health facilitymanagement may do this by putting posters on the wall that use Cubanlanguage. The health facility should make sure that they have Cubanmedical literatures, brochures, magazines, and any printed materialsat the waiting area. Employ different staff that can speak the Cubanlanguage (Galanti,2014).In the hospital food menu put some meals that are Cuban. The healthfacility should make sure that they have.
Afterretaking the quiz on cultural competence my view on different issuesabout the Cuban, people has changed. First, they are people who speakin a loud voice. Therefore, I have stopped seeing it as rudeness butaccepted it as the way they were brought up. Secondly,they are people when you are speaking to them you should be nearbecause if you stay far they will think that you are not interestedwith them hence may not open up. Thirdly, they are people who haverespect for those in authority (Maurer& Smith, 2013).They may decide to look down or not question you on some thingsbecause they see nurses as people in authority. Therefore, as a nurseI should ask them more questions and not assume anything. Inaddition, when dealing with the patients, I should try to use alittle Spanish in my speech to gain their respect and use propertitles such as Mr., Madam, or Mrs. This will make them feel that Iappreciate their culture and will be comfortable talking to me. Inaddition, it will show the respect I have for their elderly people.
Fromthe above findings, it is important for all health facilities toconsider having interpreters and some staff that speak the differentlanguages of the served patients in their hospital. It is importantto put literature materials that use different languages at thereception, so that the patients may feel appreciated and welcomed. Itis important to value the different cultural beliefs and values ofthe different clients that visit your health facilities. Lastly, itis important to handle the families of the patients with a lot ofcare as they have a say in the decision about the patient.
Maurer,F. A., & Smith, C. M. (2013). Community/publichealth nursing practice: Health for families and populations.St. Louis, Mo: Elsevier/Saunders.
Galanti,G.-A. (2014). Caringfor patients from different cultures.
Galanti,G.-A. (2008). Caringfor patients from different cultures.Philadelphia: University of Pennsylvania Press.