Providing Culturally Competent Services for American Indian and Alaska Native Veterans to Reduce Health Care Disparities

Noe, Timothy; Kaufman, Carol E.; Kaufmann, L. Jeanne; Brooks, Elizabeth; Shore, Jay H.

doi:10.2105/ajph.2014.302140

Cited by 24 publications

(20 citation statements)

References 14 publications

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“…[9] Evidence suggests that providing culturally competent health care is crucial to combat health disparities. [10,11] Health care providers who are culturally competent, can help reduce health disparities. [12,13] It is a complex phenomenon, and health care professionals charged with the task of providing culturally competent care have varying degrees of education and preparation to meet this challenge.…”

Section: Introductionmentioning

confidence: 99%

Cultural competence of pre-licensure nursing faculty

Marzilli

Mastel-Smith

2017

JNEP

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The purpose of this study was to determine the level of cultural competence (CC) in Texas pre-licensure nursing faculty and examine the relationships between demographics and CC scores. The researchers conducted a study to determine if demographics predicted the level of CC and explored the perceptions of CC. A convergent parallel mixed-methods design used data from a 2014 online survey with a qualitative interview component. Demographics were evaluated with descriptive statistics and CC was measured with The Nurses' Cultural Competence Scale (NCCS). Qualitative data were analyzed using a constant comparative method. The level of CC was low to moderate. Three themes emerged from the interviews: knowledge is experiential, skills require emotional intelligence, and desire requires a catalyst. Nursing faculty could benefit from experiences with culturally diverse patients and students. Continuing education offerings and courses should follow best practices models of CC education and focus on providing meaningful experiences may also increase the knowledge and skills to help faculty members.

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Section: Introductionmentioning

confidence: 99%

Cultural competence of pre-licensure nursing faculty

Marzilli

Mastel-Smith

2017

JNEP

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“…Many suggestions have been put forward on how to focus on patient-centered care and a more culturally congruent health care environment. Culturally congruent, patient-centered care aims to improve health outcomes by empowering people to participate in the health care decision-making process and encompasses the following: respect for patients; understanding of culture, economic and educational status; and collaborative communication strategies [ 37 ]. The use of trained health professional sharing the cultural background of minority groups may help address some of these issues.…”

Section: Considerations and Future Directionsmentioning

confidence: 99%

Addressing Healthcare Gaps in Sweden during the COVID-19 Outbreak: On Community Outreach and Empowering Ethnic Minority Groups in a Digitalized Context

et al. 2020

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Since its early stages, the COVID-19 pandemic has interacted with existing divides by ethnicity and socioeconomic statuses, exacerbating further inequalities in high-income countries. The Swedish public health strategy, built on mutual trust between the government and the society and giving the responsibility to the individual, has been criticized for not applying a dedicated and more diverse strategy for most disadvantaged migrants in dealing with the pandemic. In order to mitigate the unequal burden on the marginalized members of society, increasing efforts have been addressed to digital health technologies. Despite the strong potential of providing collective public health benefits, especially in a highly digitalized context as Sweden, need for a stronger cooperation between the public health authorities and migrant community leaders, representatives of migrant associations, religious leaders and other influencers of disadvantaged groups has emerged. Suggestions are presented on more culturally congruent, patient-centered health care services aimed to empower people to participate in a more effective public health response to the COVID-19 crisis.

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“…There is wide recognition that telepsychiatry has the potential to reduce health disparities and contribute to health equity by reaching populations that would otherwise not be served, as evidenced by descriptions of telepsychiatry for rural emergency departments in Australia (Saurman et al, 2015), Syrian refugees (Jefee-Bahloul et al, 2013), underserved American Indians and Native Alaskans (Noe, 2014), a suicidal mariner (Lee et al, 2015), and more. Given that mental health conditions form a major component of the global burden of disease, telepsychiatry can become an invaluable contributor to global health and health equity.…”

Section: Addressing Health Equitymentioning

confidence: 99%

A framework of ethics for telepsychiatry practice

Sabin

Skimming

2015

International Review of Psychiatry

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Psychiatrists who provide telepsychiatric services must uphold the standards of ethics and professionalism expected in in-person interactions. Psychiatrists' fundamental ethical responsibilities do not change when they take up a new form of practice. But as in other areas of medicine, the introduction of a new technology - here, Internet use and videoconferencing - raises new ethical challenges, requiring a fresh look at clinical practice and social issues such as equitable access. This review discusses these new challenges under six headings: providing competent, safe care, ensuring informed consent, promoting privacy and confidentiality, managing boundaries, encouraging continuity of care, and addressing health equity. Ethical guidelines for in-person practice have emerged from decades of clinical discussion and carefully observed treatment in the office and hospital setting. New observations, clinical reports, and shared discussion and learning must do the same for telepsychiatry in the years to come.

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Providing Culturally Competent Services for American Indian and Alaska Native Veterans to Reduce Health Care Disparities

Abstract: Our findings may aid in developing strategies for adopting and implementing promising native-specific programs and services for AI/AN veterans, and may be generalizable for other veteran groups.

Cited by 24 publications

References 14 publications

Cultural competence of pre-licensure nursing faculty

Cultural competence of pre-licensure nursing faculty

Addressing Healthcare Gaps in Sweden during the COVID-19 Outbreak: On Community Outreach and Empowering Ethnic Minority Groups in a Digitalized Context

A framework of ethics for telepsychiatry practice

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