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Transcript of NUR/440
and Healthy People 2020 Healthy People 2020 Goals Hispanics buying power is growing!!!
Hispanic disposable income projected to nearly triple in a 15 year period (+173% 2005-2020); that’s more than 2X the non-Hispanic growth rate during the same period (+82%).
Hispanics are the new middle class: 46% of households have HHI between $35,000-$100,000 (vs. 47% of non-Hispanic homes). Environmental Risk Factors High Poverty
Poor Access to Healthcare
Old wives tales influenced by families
High Fertility Rates
Unhealthy Behaviors and lifestyles
Physically inactive Health Risk Factors 10 Leading Causes of Death
(NCHS, NVSS, V60, N3, Dec. 29, 2011, Deaths, Final Data for 2009) Cancer
Chronic Liver Disease and Cirrhosis
Chronic Lower Respiratory Disease
Influenza and Pneumonia
Nephritis, Nephrotic Syndrome and Nephrosis Continuation... Hispanic births are increasing at a faster rate than immigration
From 2001-2010, 57% of Hispanic population growth was due to natural growth (birthsminus deaths) and 43% from immigration
From 2010-2020, 58% of Hispanic population growth will be due to natural growth (births minus deaths) and 42% from immigration
(U.S. Census Bureau Projections on components of change on population from 2000-2050. Selected years 2000, 2001, 2010, 2020). According to the "About Healthy People" (2012) website:
Achieve health equity, eliminate disparities, and improve the health of all groups.
Increase quality of life
Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death.
Create social and physical environments that promote good health for all.
Promote quality of life, healthy development, and healthy behaviors across all life stages.
Increase immunization rates and reduce preventable infectious diseases. The promotion and acceptance of the expression of positive and negative feelings
Supportive, protective, and/or Creating healing environment at all levels; physical/corrective mental, physical, societal, nonphysical, subtle environment of energy, and spiritual environment Nursing Role with Hispanics Because of the culture’s emphasis on male authority, Hispanic nurses who are men are often mistaken for being the doctor, even after they identify themselves as the nurse.
Even though many of his Hispanic patients can understand and speak English, they prefer speaking Spanish.
Importance of family in Hispanic culture and the need to have many relatives nearby when someone is ill*.
A primary reason for the increase in Hispanic nurses who are men is that health care facilities are now required by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) to provide culturally and linguistically competent care that is sensitive to the needs of America’s ethnically diverse population. For many health care employers, hiring bilingual Hispanic nurses who have firsthand knowledge of Hispanic culture is a move in that direction—and the gender of those nurses is not an issue.
(*Hispanic Men in Nursing, 2013) References Strategies to Ensure Cultural Competent Care Nine Major Cultural Competency Technique Interpreter Services
Recruitment and Retention Policies
Coordinating with Traditional Healers
Use of Community Health Workers
Culturally Competent Health Promotion
Including Family/Community members
Immersion into Another Culture
Administrative and Organizational Accommodation Five Tips For Culturally Competent Nursing DO NOT make assumptions
EXPLAIN every detail
ASK about alternative approaches to healing
ACCOMMODATE and EDUCATE Challenges to Delivering Culturally Competent Care
LACK OF KNOWLEDGE
Presence of bilingual staff or professional interpreters
Presence of bilingual health education manuals About Healthy People. (2012). Retrieved from http://www.healthypeople.gov/2020/about/default.aspx
Brach, C., & Fraserirector, Irene. (2000, December). Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model. Medical Care Research and Review, 57(4), 181-217. Retrieved from http://mcr.sagepub.com.ezproxy.apollolibrary.com/content/57/4_suppl/181.full.pdf+html
Hispanic Men in Nursing. (2013). Retrieved from http://www.minoritynurse.com/article/hispanic-men-nursing
Hispanic Fast Facts You Should Know. (2013). Retrieved from http://corporate.univision.com/the-hispanic-consumer/reports/research/#axzz2SfeAyhk2
Jean, W. (2012). Human Caring Science A Theory of Nursing (2nd ed.). Denver, Colorado: Jones & Barlett Learning.
Malugani, M. (2013). Monster. Retrieved from http://career-advice.monster.com/in-the-office/workplace-issues/culturally-competent-nursing/article.aspx
Seigel, R. (2013). Cancer Statistics About Hispanics Released. Retrieved from http://www.cancer.org/cancer/news/expertvoices/post/2012/09/17/cancer-statistics-about-hispanics-released.aspx
Socioeconomic, cultural, and behavioral factors affecting Hispanic health outcomes. (2002, November). Journal Health Care Poor Undeservered, 13(4), . Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12407964
Strunk, J. A., Townsend-Rocchiccioli, J., & Sanford, J. T. (2013). The aging hispanic in america: Challenges for nurses in a stressed health care environment. Medsurg Nursing, 22(1), 45-50. Retrieved from http://search.proquest.com/docview/1315320823?accountid=35812
Tripp-Reimer, T., Choi, E., & Kelly, L. S., Enslein, J. C. (2001, Winter). Cultural barriers to care: Inverting the problems. Diabetes Spectrum, 14(1), 13-23. Retrieved from http://search.proquest.com.ezproxy.apollolibrary.com/docview/228609170?accountid=35812 (Tripp-Reimer, Choi, Kelly, & Enslein, 2001) (Brach & Fraserirector, 2000) (Malugani, 2013) (Nielsen PrimeLocation/Pop-Facts: 2011 Estimates, 2016 Projections) QUESTIONS? “Culture competence is the process of becoming,
not a state of being.” Josepha Campinha-Bacote The process of Culture competence in the delivery of health care services.
Cultural Desire Hispanics Awareness