Shattering Culture

Shattering Culture PDF

Author: Mary-Jo DelVecchio Good

Publisher: Russell Sage Foundation

Published: 2011-11-01

Total Pages: 260

ISBN-13: 1610447522

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"Culture counts" has long been a rallying cry among health advocates and policymakers concerned with racial disparities in health care. A generation ago, the women's health movement led to a host of changes that also benefited racial minorities, including more culturally aware medical staff, enhanced health education, and the mandated inclusion of women and minorities in federally funded research. Many health professionals would now agree that cultural competence is important in clinical settings, but in what ways? Shattering Culture provides an insightful view of medicine and psychiatry as they are practiced in today's culturally diverse clinical settings. The book offers a compelling account of the many ways culture shapes how doctors conduct their practices and how patients feel about the care they receive. Based on interviews with clinicians, health care staff, and patients, Shattering Culture shows the human face of health care in America. Building on over a decade of research led by Mary-Jo Good, the book delves into the cultural backgrounds of patients and their health care providers, as well as the institutional cultures of clinical settings, to illuminate how these many cultures interact and shape the quality of patient care. Sarah Willen explores the controversial practice of matching doctors and patients based on a shared race, ethnicity, or language and finds a spectrum of arguments challenging its usefulness, including patients who may fear being judged negatively by providers from the same culture. Seth Hannah introduces the concept of cultural environments of hyperdiversity describing complex cultural identities. Antonio Bullon and Mary-Jo Good demonstrate how regulations meant to standardize the caregiving process—such as the use of templates and check boxes instead of narrative notes—have steadily limited clinician flexibility, autonomy, and the time they can dedicate to caring for patients. Elizabeth Carpenter-Song looks at positive doctor-patient relationships in mental health care settings and finds that the most successful of these are based on mutual "recognition"—patients who can express their concerns and clinicians who validate them. In the book's final essay, Hannah, Good, and Park show how navigating the maze of insurance regulations, financial arrangements, and paperwork compromises the effectiveness of mental health professionals seeking to provide quality care to minority and poor patients. Rapidly increasing diversity on one hand and bureaucratic regulations on the other are two realities that have made providing culturally sensitive care even more challenging for doctors. Few opportunities exist to go inside the world of medical and mental health clinics and see how these realities are influencing patient care. Shattering Culture provides a rare look at the day-to-day experiences of psychiatrists and other clinicians and offers multiple perspectives on what culture means to doctors, staff, and patients and how it shapes the practice of medicine and psychiatry.

Diversity and Cultural Competence in Health Care

Diversity and Cultural Competence in Health Care PDF

Author: Janice L. Dreachslin

Publisher: John Wiley & Sons

Published: 2012-11-05

Total Pages: 480

ISBN-13: 1118282167

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Major changes are occurring in the United States population and the nation's health care institutions and delivery systems. Significant disparities in health status exist across population groups. But the health care enterprise, with all its integrated and disparate parts, has been slow to respond. Written by three nationally known scholars and experts, Diversity and Cultural Competence in Health Care: A Systems Approach is designed to provide health care students and professionals with a clear understanding of foundations, philosophies, and processes that strengthen diversity management, inclusion, and culturally competent care delivery. Focusing on current practice and health care policy, including the recently passed Patient Protection and Affordable Care Act of 2010 (ACA), this textbook integrates strategic diversity management, self-reflective leadership, and the personal change process with culturally and linguistically appropriate care into a cohesive systems-oriented approach for health care professionals. The essentials of cultural competence and diversity management covered in this text will be helpful to a wide variety of students because they encompass principles and practices that can be realistically incorporated into the ongoing work of any health care field or organization. Each chapter contains learning objectives, summary, key terms, and review questions and activities designed to allow students to understand and explore concepts and practices identified throughout the text.

Public Health Practice in Australia

Public Health Practice in Australia PDF

Author: Sally Fawkes

Publisher: Routledge

Published: 2020-07-16

Total Pages: 809

ISBN-13: 1000246981

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Public Health Practice in Australia offers a thorough introduction to what public health practitioners do, and the 'effort' involved in improving the health of the public. This second edition has been fully revised and updated in line with current policies and practice. It highlights common threads that underlie seemingly disparate activities, ideas and entities that comprise the organised effort of public health practice. The emphasis is on securing and maintaining the conditions in society that enable people to live healthy and fulfilling lives. The authors examine the impact of historical, social, economic, environmental and political factors on the health of individuals, communities and populations. Taking an applied, multidisciplinary approach, they outline the strategies and tools that public health practitioners use to improve health outcomes: identifying infrastructure needs in the workforce, public and private sector organisations, and in regulation; gathering, analysing and using health data; applying interventions in health policy, provision of health services and health promotion. Public Health Practice in Australia draws on current international and Australian research and the interwoven case studies make the theories and concepts come alive. It is a valuable resource for students and professionals across the health sciences including public health, medicine, environmental health, health promotion, health information management and health administration. 'The book is impressive in the completeness, clarity and consistency of the material covered, and for the way in which many of the theoretical issues are related to current practice. An extremely useful and valuable reference for both students and practitioners alike.' - Thomas Tenkate, Environmental Health

Managing Diversity in Health Care

Managing Diversity in Health Care PDF

Author: Lee Gardenswartz

Publisher: Jossey-Bass

Published: 1998-05-29

Total Pages: 306

ISBN-13:

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Cultural Diversity as a Strategic Advantage This insightful and practical work should be required reading formanagers, physicians, nurses, allied health caregivers, and supportstaff, in order to overcome barriers to communication and change indealing with an increasingly complex patient and employee base. Ihighly Andorse this excellent book written by these outstandingauthors. --Donald R. Oxley, vice president and executive director, KaiserPermanente As reflected in new cultural competency requirements for healthcare organizations, sensitivity to and understanding of culturaldiversity have become mandatory for health care professionals.However, most health care professionals have little or no trainingon how to deal with the challenges of cultural diversity. WithManaging Diversity in Health Care, you'll learn effectivestrategies fundamental to creating a culturally diverse health careorganization. This essential handbook provides you with the necessary knowledgeand tools to become more responsive to culturally diverse patientand staff populations. The authors show how to build diverse teams,deal with the thorny issues of prejudice and bias, and communicateeffectively within a diverse health care setting.

Health Issues for Women of Color

Health Issues for Women of Color PDF

Author: Diane L. Adams

Publisher: SAGE Publications, Incorporated

Published: 1995-08-29

Total Pages: 316

ISBN-13:

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The contributors to this volume take a multidisciplinary and multifaceted approach to the health care concerns of women of colour and examine the impact that cultural diversity has upon health care. Among the topics discussed are domestic violence, anxiety, drug abuse, mental health, sexism and racism.

Extent, Nature, and Consequences of Intimate Partner Violence

Extent, Nature, and Consequences of Intimate Partner Violence PDF

Author: Patricia Tjaden

Publisher: Createspace Independent Pub

Published: 2012-07-17

Total Pages: 72

ISBN-13: 9781478262398

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This report presents findings from the National Violence Against Women (NVAW) Survey on the extent, nature, and consequences of intimate partner violence in the United States. The National Institute of Justice and the Centers for Disease Control and Prevention cosponsored the survey through a grant to the Center for Policy Research. The survey consists of telephone interviews with a nationally representative sample of 8,000 U.S. women and 8,000 U.S. men about their experiences as victims of various forms of violence, including intimate partner violence. The survey compares intimate partner victimization rates among women and men, specific racial groups, Hispanics and non-Hispanics, and same-sex and opposite-sex cohabitants. It also examines risk factors associated with intimate partner violence, the rate of injury among rape and physical assault victims, injured victims' use of medical services, and victims' involvement with the justice system. Research on intimate partner violence has increased dramatically over the past 20 years. While greatly enhancing public awareness and understanding of this serious social problem, this research has also created much controversy and confusion. Findings of intimate partner victimization vary widely from study to study. Some studies conclude that women and men are equally likely to be victimized by their partners, but others conclude that women are more likely to be victimized. Some studies conclude that minorities and whites suffer equal rates of intimate partner violence, and others conclude that minorities suffer higher rates. In addition, there are many gaps in the scientific literature on intimate partner violence, such as the level of violence committed against men and women by same-sex intimates. Little empirical data exist on the relationship between different forms of intimate partner violence, such as emotional abuse and physical assault. Finally, little is known of the consequences of intimate partner violence, including rate of injury and victims' use of medical and justice system services. This Research Report addresses these and other issues related to intimate partner violence. The information presented in this report is based on findings from the National Violence Against Women (NVAW) Survey, a national telephone survey jointly sponsored by the National Institute of Justice (NIJ) and the Centers for Disease Control and Prevention (CDC). The survey, which was conducted from November 1995 to May 1996, consists of telephone interviews with a representative sample of 8,000 U.S. women and 8,000 U.S. men. Survey respondents were queried about their experiences as victims of various forms of violence, including rape, physical assault, and stalking by intimate partners. Victimized respondents were asked detailed questions about the characteristics and consequences of their victimization, including the extent and nature of any injuries they sustained, their use of medical services, and their involvement with the justice system. This Research Report also summarizes the survey's findings on victimization rates among women and men, specific racial groups, Hispanics and non-Hispanics, and opposite-sex and same-sex cohabitants. It examines risk factors associated with intimate partner violence, rates of injury among rape and physical assault victims, injured victims' use of medical services, and victims' involvement with the justice system. Although this report focuses on women's and men's experiences as victims of intimate partner violence, complete details about men's and women's experiences as victims of rape, physical assault, and stalking by all types of assailants are contained in earlier NIJ and CDC reports. Because of the sensitive nature of the survey, state-of-the-art techniques were used to protect the confidentiality of the information being sought and to minimize the potential for retraumatizing victims of violence and jeopardizing the safety of respondents.

Encyclopedia of Women & Islamic Cultures

Encyclopedia of Women & Islamic Cultures PDF

Author: Suad Joseph

Publisher: BRILL

Published: 2003

Total Pages: 599

ISBN-13: 9004128190

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Family, Body, Sexuality and Health is Volume III of the Encyclopedia of Women & Islamic Cultures. In almost 200 well written entries it covers the broad field of family, body, sexuality and health and Islamic cultures.

Clinician's Guide to LGBTQIA+ Care

Clinician's Guide to LGBTQIA+ Care PDF

Author: Ronica Mukerjee, DNP, MSN, FNP-BC, MsA, LAc,

Publisher: Springer Publishing Company

Published: 2021-02-24

Total Pages: 220

ISBN-13: 082616921X

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Strive for health equity and surmount institutional oppression when treating marginalized populations with this distinct resource! This unique text provides a framework for delivering culturally safe clinical care to LGBTQIA+ populations filtered through the lens of racial, economic, and reproductive justice. It focuses strongly on the social context in which we live, one where multiple historical processes of oppression continue to manifest as injustices in the health care setting and beyond. Encompassing the shared experiences of a diverse group of expert health care practitioners, this book offers abundant examples, case studies, recommendations, and the most up-to-date guidelines available for treating LGBTQIA+ patient populations. Rich in clinical scenarios that describe best practices for safely treating patients, this text features varied healthcare frameworks encompassing patient-centered and community-centered care that considers the intersecting and ongoing processes of oppression that impact LGBTQIA+ people every day--particularly people of color. This text helps health providers incorporate safe and culturally appropriate language into their care, understand the roots and impact of stigma, address issues of health disparities, and recognize and avoid racial or LGBTQIA+ microaggressions. Specific approaches to care include chapters on sexual health care, perinatal care, and information about pregnancy and postpartum care for transgender and gender-expansive people. Key Features: Emphasizes patient-centered care incorporating an understanding of patient histories, safety needs, and power imbalances Provides tools for clinician self-reflection to understand and alleviate implicit bias Fosters culturally safe language and communication skills Presents abundant patient scenarios including specific dos and don'ts in patient treatment Includes concrete objectives, conclusions, terminology, and references in each chapter and discussion questions to promote critical thought Offers charts and information boxes to illuminate key information

Who's Who of Canadian Women, 1999-2000

Who's Who of Canadian Women, 1999-2000 PDF

Author: Gillian Holmes

Publisher: University of Toronto Press

Published: 1999-06-01

Total Pages: 1194

ISBN-13: 9780920966556

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Who's Who of Canadian Women is a guide to the most powerfuland innovative women in Canada. Celebrating the talents and achievement of over 3,700 women, Who's Who of Canadian Women includes women from all over Canada, in all fields, including agriculture, academia, law, business, politics, journalism, religion, sports and entertainment. Each biography includes such information as personal data, education, career history, current employment, affiliations, interests and honours. A special comment section reveals personal thoughts, goals, and achievements of the profiled individual. Entries are indexed by employment of affilitation for easy reference. Published every two years, Who's Who of Canadian Women selects its biographees on merit alone. This collection is an essential resource for all those interested in the achievements of Canadian women.