Cultural and religious considerations in pediatric... Pediatric Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, Adams Hanover Counseling Services, Inc., Hanover, Pennsylvania, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland, Journal of Citation Reports-Science Edition, https://doi.org/10.1017/S1478951511001027. For the purposes of this policy statement, the term “culture” is used to signify the full spectrum of values, behaviors, customs, language, race, ethnicity, gender, sexual orientation, religious beliefs, socioeconomic status, and other distinct attributes of population groups. Generic knowledge and skills of nurses outweighed the need for the nurses to have culture‐specific knowledge of their patients or relatives in cross‐cultural care encounters. degree: educational objectives. Another facet of the relationship between language and culturally effective pediatric care is health literacy. Cultural considerations throughout the text reflect nurses’ evolving role in global healthcare and help students meet clients’ increasingly diverse needs. Beyond residency training, pediatricians and other child health professionals can benefit from CME to enhance the provision of culturally effective health care. In particular, stakeholders will have to advocate for the necessary financial, regulatory, and other support among decision-makers to implement necessary changes to the US health care delivery system. Patients and families that have different cultural attributes may experience difficulties in their interactions with health care professionals, and these difficulties may have an adverse effect on the delivery of health care. Flerlage, Jamie E. NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. 2015. Government mandates to improve the provision of culturally effective health care must be accompanied by the funding and infrastructure necessary to implement these programs and achieve the identified outcomes. Jones, Barbara L. Thirty-seven articles met eligibility criteria. The Center for Pediatric Traumatic Stress developed a cultural considerations component to the D-E-F protocol to give nurses and doctors tips in providing trauma-informed care in a culturally sensitive manner. End-of-Life Care Cultural Approaches to Pediatric Palliative Care in Central Massachusetts: Culturally Sensitive Palliative Care This subject guide is a collaborative project with the Children's Medical Center Pediatric Palliative Care Team, the Lamar Soutter Library, and Interpreter Services. Endowed by alumni donor support, the purpose of this workshop series is to increase participants’ knowledge and awareness of cultural considerations in academic medicine in order to engage Stanford faculty to foster an environment that respects and embraces cultural diversity. Although the role of culturally linked behaviors that may influence the physician-patient interaction, including eye contact, body language, and communication styles, has not been fully explored,17 language barriers have been shown to have a major effect on health care. Cultural Competence in Health Care: Emerging Frameworks and Practical Approaches. After successful completion of this course, you will be able to: 2015. Cultures in contrast: developing empowering cross cultural partnerships. Nurses who are informed about cultural values and norms of the Hmong and their family and social structures, as well as their spiritual and traditional practices, will be able to establish trust … Available at: Enter multiple addresses on separate lines or separate them with commas. Wang, Wei-Shu This policy statement describes some of the approaches that are available. Approximately 65% of undergraduate nursing schools have an ELNEC trained faculty member. The report also calls on organizations, community groups, schools, and others to offer programs that target skill improvement for individuals with low literacy and limited English proficiency.22 Programs that provide multilingual prescription or drug information are needed. Cultural content and Cultural Considerations boxes are integrated throughout the text to draw attention to customs and beliefs of different cultures that influence childcare. for this article. 2016. Research Focus boxes help you remain abreast of current studies that impact pediatric nursing today. 22 May 2012. Wallace, Heather Culturally diverse students may need additional considerations when clinical assignments are made. pediatric-primary-care-a-handbook-for-nurse-practitioners 1/3 Downloaded from www.patientscarebd.com on January 24, 2021 by guest [DOC] Pediatric Primary Care: A Handbook For Nurse Practitioners When somebody should go to the book stores, search creation by shop, shelf by shelf, it is in point of fact problematic. Conter, Valentino These curricular programs also should teach health care professionals to understand their own cultural norms and how they relate to patient care activities. The AAP continues to embrace the concept of the pediatric health care team and recognizes the need for all health care professionals to deliver culturally effective care. Sullivan, Courtney E Or Sign In to Email Alerts with your Email Address, Ensuring Culturally Effective Pediatric Care: Implications for Education and Health Policy, The Effects of Armed Conflict on Children, Sociodemographic Factors and Survival of Infants With Congenital Heart Defects, Informed Consent in Decision-Making in Pediatric Practice, Enhancing Pediatric Workforce Diversity and Providing Culturally Effective Pediatric Care: Implications for Practice, Education, and Policy Making, HealthyChildren en Espanol offers AAP-backed information for families, Ethics for the Pediatrician: Providing Culturally Effective Health Care, Patient- and Family-Centered Care of Children in the Emergency Department, Recognizing and Responding to Medical Neglect, Voices of Asian American Youth: Important Characteristics of Clinicians and Clinical Sites, Enhancing the Diversity of the Pediatrician Workforce, CULTURALLY EFFECTIVE PEDIATRIC CARE IN 2005, DOI: https://doi.org/10.1542/peds.2004-2091. Most available information about drugs is derived from studies that use adult samples, small sample sizes, or samples with healthy children. Innate Cultural Attributes. 1998 Sep;10(3):339-46. Hinds, Pamela S. Mixer, Sandra J understanding of cultural variables and integrating an understanding into all aspects of nursing care. In addition, other resources exist that may be helpful in identifying important components for educational activities. To provide culturally effective health care for pediatric patients, education and training are needed for pediatricians and child health professionals at all levels and stages of careers and in all practice settings. González-Juárez, L. Comprehensive literature searches were completed through an online search of nine databases for articles published between 1980 and 2011: PsychINFO, MEDLINE®, Journal of Citation Reports-Science Edition, Embase, Scopus, CINAHL®, Social Sciences Citation Index (SSCI), EBSCO, and Ovid. Lyman, Joanna A. Twist, Clare J. In its 1994 report, the AAP Task Force on Minority Children's Access to Pediatric Care9 expressed concern that the health services provided by many institutions in the United States reflect the values of the racial and ethnic majority culture (ie, white European). We do not capture any email address. "shouldUseHypothesis": true, Pediatric Nursing: An Overview 1. Recommendations for providing culturally sensitive end-of-life care are offered through the framework outlined in the Initiative for Pediatric Palliative Care Quality Improvement Project of 2002. The American Academy of Pediatrics also believes that these educational efforts must be supported through health policy and advocacy activities that promote the delivery of culturally effective pediatric care. PLAY. A number of AAP policies ranging from hearing detection23 to Medicaid24 have addressed these issues and call for materials to be produced in languages other than English for patients and families of diverse cultures and for consumers with low literacy. 2016. and Burchett, Molly SuperCME will serve as a culturally effective care model for future AAP CME activities, demonstrating how the topic of culturally effective pediatric care can be infused into overall programming and specifically how to incorporate dimensions of culturally effective pediatric care into clinical presentations. Get access to the full version of this content by using one of the access options below. As a result, less is known about the effects, uses, and dosages of pediatric drugs, and nurses must investigate pediatric drugs carefully to provide knowledgeable nursing care for children. Family Dynamics and Communicating with Children and Families 4. It is noteworthy that new ideas and tools are being generated at a rapid rate. Reliable data have shown that patients who belong to racial, ethnic, linguistic, or other minority groups tend to have greater morbidity than do white, English-speaking patients.40–46 The reasons for these health disparities are numerous, including cultural beliefs about health care and healing, dietary deficiency, insufficient exercise, barriers to access to health care resources, financial indigence, inadequate insurance coverage, and inability to communicate with English-speaking health care professionals. Cultural Considerations boxes and a Cultural Assessment Data Collection Tool help in developing individualized plans of care. Lam, Catherine G Wool, Charlotte Additionally, financial and other incentives from insurers, government agencies, and other payers to reward physicians and hospitals for delivering culturally effective care have been meager and have not supplied the impetus and support to encourage fundamental systemic changes, which are often costly. Hispanic Patients' Double Burden: Lack of Health Insurance and Limited English. Over time, the cultural attributes of children and families, including but not limited to race, ethnicity, language, religion, sexual orientation, gender, disability, and socioeconomic status, will likely continue to be different from those of the individual pediatrician or child health professional. Cultur… Culturally diverse students may need additional considerations when clinical assignments are made. 2015. Key terms included: culture, transcultural, spiritual, international, ethnic, customs or religion AND end-of-life, palliative care, death, dying, cancer, or hospice, and children, pediatrics, or pediatric oncology. Common sense and flexibility in dealing with other cultural groups is of great importance. and There is a dearth of literature addressing cultural considerations in the pediatric palliative care field. The medical literature on cultural competence and sensitivity provides guidance for enhancing cultural effectiveness in pediatrics. In homecare, nurses are challenged by cultural differences, language barriers, loss of control, family dynamics, practicing in unfamiliar environments, and new technology. Translation errors, ranging from omission to substitution to editorialization, have implications for patient safety as well as potential clinical consequences.18,19 An alternative to this personnel-intensive effort is the burgeoning use of technology in the medical sector. Wolfe, Joanne Bell, Cynthia J. Racial, Ethnic, and Primary Language Data Collection in the Health Care System: An Assessment of Federal Policies and Practices. Pediatric Primary Care, 6th Edition guides readers through the process of assessing, managing, and preventing health problems in infants, children, and adolescents.Key topics include developmental theory, issues of daily living, the health status of children today, and diversity and cultural considerations. Query parameters: { thigh or femoral . Close this message to accept cookies or find out how to manage your cookie settings. Over 1,500 NCLEX-style questions that align to Safe Maternity & Pediatric Nursing Care, 2nd Edition, with page references; Pre-set assignments that save time and correlate directly to textbook content and Culture plays a role and impacts children in various ways throughout their development. Children are affected by cultural, social, and spiritual aspects of the environment they live in [1]. These programs should contain an evaluative component to measure improved health care access and outcomes through the generation and dissemination of reliable data. In addition, physician self-reflection, self-knowledge, and self-critique have been identified as critical components of competence.8 Along with requiring these knowledge bases, skills, behaviors, and attitudes, commonly referred to as cultural competence and cultural sensitivity, culturally effective health care emphasizes the need for continued monitoring and documentation of measurable outcomes. The American Psychiatric Association developed an outline for cultural formulation in DSM-IV to assist in enhancing cultural competence in mental health care. Rather, the focus remains on strategies, whether universally applicable or specifically targeted, that can be applied to one or all of the components of culture to improve the delivery of culturally effective care. Corresponding Author: 1. There is, however, no current AAP policy that specifically addresses low health literacy for patients and their families in all cultures. Parents and their children in the United States increasingly speak a language other than English at home and/or have limited English proficiency. 63. Wolfe, Joanne The use of patient-satisfaction scoring systems that assess shared decision-making, mutual respect, trust, and other culturally sensitive parameters should be encouraged. Pediatricians therefore should find opportunities to partner with institutions such as third-party payers, hospitals, health departments, and education departments to advocate for the culturally specific needs of their patients and, thereby, increase patient satisfaction and quality of health care. Total loading time: 1.458 The literature and recent national mandates, for instance, demonstrate that there is great interest in expanding the concept of cultural competence to include access to interpreter services in health care settings and consideration of individual health and illness experiences as well as mechanisms to ensure the right to respectful and nondiscriminatory care.5–7 The AAP believes, however, that “culturally effective pediatric care” is a more inclusive term than “cultural competence,” because it encompasses the values of competence but more importantly focuses on the outcomes of the physician-patient or physician-family interaction. This is a concern for racial and ethnic minority children, for example, because according to standard indicators of child health status (including low birth weight, infant mortality, and immunization rates), these children are, in general, less healthy than are white children. Reference lists in the retrieved articles were examined for additional studies that fit the inclusion criteria, and relevant articles were included for review. Antillon, Federico Discussion of current issues and trends includes family and cultural considerations, as well as patient/family teaching and community/home care. Pediatric Nursing: An Overview 1. Because many times an interpreter is not available, technology can enable use of an off-site translator who interprets and relays through headphones to both the physician and the patient. As such, the AAP maintains that culturally effective health care should be promoted through health policy and education at all levels, from premedical education and medical school through residency education and continuing medical education (CME). Pediatricians should assume a leadership role in advocating for culturally effective health care for all infants, children, adolescents, and young adults by ensuring that all public policy on these issues is in consonance with the best interests of pediatric patients and their families. Developing Cultural Competence in Nursing Framework for Delivering Culturally Competent Nursing Services. Chapter 6. Healthy People 2010 defines health literacy as “the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.”22 Although this is a particular problem for individuals with low or marginal literacy skills, health literacy can also affect patients and families with adequate language literacy. Mesman, Glenn R. Although health literacy may not be a distinct cultural attribute, language and health literacy are greatly affected by cultural distinctions and, if low, directly contribute to unfavorable patient outcomes among minority groups. Nursing implications for pediatric drug administration: ... cultural; anxiety. Davis Edge. Integrating an appreciation for cultural diversity into a nurse’s decision-making process can foster a positive nurse-patient relationship and encourage safer and healthier environments in care facilities. 2016. Influence of culture on truth-telling and patient care, Pain in ethnic Chinese cancer patients: Role of cultural factors in assessment and treatment, Cancer disclosure in Japan: Historical comparisons, current practices, Creole Religions of the Carribean: An Introduction from Vodou and Santeria to Obeah and Espiritismo (Religion, Race, and Ethnicity), When Children Die: Improving Palliative and End–of-Life Care for Children and Their Families, Barriers to health care access for Latino children: A review, Access barriers to health care for Latino children, Archives of Pediatrics & Adolescent Medicine, The importance of language and culture in pediatric care: Case studies from the Latino community, General Conference of Seventh-Day Adventists, Transcultural Nursing: Assessment and Intervention, Pediatric palliative care: A family-centered model for critical care, Critical Care Nursing Clinics of North America, Hospice usage by minorities in the last year of life: Results from the national mortality followback survey, Journal of the American Geriatrics Society, Patient-Related Barriers to Pain Management: The Barriers Questionnaire II (BQ-II), When disclosing a serious diagnosis to a minor conflicts with family values, Journal of Developmental and Behavioral Pediatrics, Racial disparities in the use of hospice services according to geographic residence and socioeconomic status in an elderly cohort with nonsmall cell lung cancer, Shades of truth: Cultural and psychological factors affecting communication in pediatric palliative care, Medical progress – Pediatric palliative care, Crossing the Quality Chasm: A New Health System for the 21st Century, National Academies of Science. At every level of education, child health professionals must be able to interact effectively and respectfully with patients and their families regardless of the cultural differences that may exist between them. Any program needs to be culturally relevant for providers and patients. Letter to Deeana Jang, US Department of Health and Human Services, Office of Civil Rights. Because individuals are influenced by their own personal experiences and may or may not subscribe to group assumed norms, individuals who share the same cultural background may think and act quite differently. Howard, Scott C These include the role of culture in decision-making, faith and the involvement of clergy, communication (spoken and unspoken language), communicating to children about death (truth telling), the meaning of pain and suffering, the meaning of death and dying, and location of end-of-life care. Recent years have seen a noteworthy increase in the number of federal, state, national, and community organizations/agencies that are generating reports, guidelines, and strategies to address various facets of culturally effective health care delivery.2,7,16,22,38,41,43,45,47–50,52. As members of a specific culture often do not ascribe to the same religious traditions, the purpose of this article was to explore and review how culture and religion informs and shapes pediatric palliative care. Medical students and residents should be encouraged to demonstrate proficiency in a second language in clinical settings corresponding to that of a substantial percentage of the patient population being served before graduation and should be rewarded for doing so as a strategy to improve the provision of culturally effective health care. Flerlage, Jamie E. Pathak, Bhavana and Bodurtha, Joann 2016 Pharmacy. 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