Available at: A Cure for Confusion: AMA Foundation and Pfizer Working Together in Health Literacy Campaign [press release]. These educational efforts should enhance the knowledge and understanding of pediatricians and child health care professionals other than pediatricians about the cultures of their patients and their families and increase their ability to provide care in a manner that is responsive to the individual needs of each patient. Chicago, IL: American Medical Association; 1998. While this formulation outlines the roles of cultural identity, cultural explanations of the individual’s illness, cultural factors related to the psychosocial environment and levels of functioning, and cultural elements of the relationship between the individual and the clinician, child psychiatry … 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. 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. Indeed, because the delivery of health care services in the United States is regulated and directed by many entities at many levels, the provision of culturally effective pediatric care will depend on a coordinated effort by all stakeholders in child health. allowing a family member to speak for and dictate all medical care and decisions for an aging parent), or disrespectful/suspicious to a Caucasian (e.g. In addition to innate cultural distinctions, there is an inherent imbalance of power in all physician-patient relationships as the patient and/or the patient's family seeks advice or care from a pediatrician in his or her role as an expert or consultant. Get a solid foundation in maternity and pediatric nursing! Hinds, Pamela S. 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. 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. Author information: (1)College of Nursing, Rutgers, The State University of New Jersey, Newark, NJ 07102, USA. "Beginning with brief overviews of cultural competence and pediatric palliative care, this article reviews the relevant literature, describes the influence that culture and religion can have on end-of-life pediatric care … Many individuals find the complex wording of insurance statements, benefits coverage, hospital admissions forms, prescription drug information sheets, and similar documents to be confusing. 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. This data will be updated every 24 hours. The Giger and Davidhizar model offers a framework for assessing cultural, racial and ethnic differences in patients. Howard, Scott C Indeed, training in the provision of culturally effective care may include teaching physician skills that are applicable to interacting with many cultural groups as well as those that are targeted at providing care to a specific cultural group. Cultural competency is the provider‘s ability to work effectively in situations where the language, customs, beliefs or values of the provider differ from that of the patient. Cultural Competence in Health Care: Emerging Frameworks and Practical Approaches. Any program needs to be culturally relevant for providers and patients. Education and training to enhance the provision of culturally effective health care must be integrated into lifelong learning for pediatricians and other child health professionals and include didactic and experiential components. To promote the provision of culturally effective health care to pediatric patients, the AAP recommends the following: The AAP, along with health care organizations at all levels, should continue to participate in the development and evaluation of curricular programs, such as toolboxes, that teach health care professionals to be supportive of cultural diversity and sensitive to cultural differences and behavior. It is noteworthy that new ideas and tools are being generated at a rapid rate. Weaver, Meaghann S. Cultural Considerations; Reducing Pain and Discomfort; Pediatric Patients with Special Healthcare Needs; Summary; References (Bibliography) Accreditation statement: Nursing CE Central is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Cultural content and Cultural Considerations boxes are integrated throughout the text to draw attention to customs and beliefs of different cultures that influence childcare. "shouldUseShareProductTool": true, "hasAccess": "0", Available at: Medicaid Program, Managed care, Proposed rule. UPDATED! Cunningham, Melody J. Nursing implications for pediatric drug administration: ... cultural; anxiety. The goal is to raise awareness of the multifaceted dimensions of culturally effective pediatric care by ensuring that this topic is incorporated into CME activities appropriately. IV site. 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. These curricular programs also should teach health care professionals to understand their own cultural norms and how they relate to patient care activities. 11 This segment introduces the general concepts of cultural competency, disparities in health care and social determinants of health. If you should have access and can't see this content please, A survey of language barriers from the perspective of pediatric oncologists, interpreters, and parents, Patience and Gratitude: An Abridged Translation of ‘Uddat As-Sābirīn Wa Dhākhirat Ash-shākirīn, Minority cancer patients and their providers – Pain management attitudes and practice, Economic, political and ethnic influences on end-of-life decision-making: A decade in review, Death and dying in four Asian American cultures: A descriptive study, Native American cultural aspects of nursing oncology care, Spiritual care for sick children of five world faiths, Ethical dilemmas in palliative care in traditional developing societies, with special reference to the Indian setting, Concepts within the Chinese culture that influence the cancer pain experience, Family perspectives on the quality of pediatric palliative care, Archives of Pediatric Adolescent Medicine, Away from home: experiences of Mexican American families in pediatric palliative care, Journal of Social Work in End-of-Life & Palliative Care, Strategies for culturally effective end-of-life care, The experience of South American mothers who have a child being treated for malignancy in the United States, A review of the literature on care of clients in pain who are culturally diverse, Barriers to palliative care for children: Perceptions of pediatric health care providers, Spiritual and religious considerations for the practicing pediatric oncologist, Quick Reference for Pediatric Oncology Clinicians: The Psychiatric and Psychological Dimensions of Pediatric Cancer Symptom Management, The child with cancer. This policy statement defines culturally effective health care and describes its importance for pediatrics and the health of children. The Academy recognizes the importance of culturally effective pediatric health care, which is defined as: “the delivery of care within the context of appropriate physician knowledge, understanding, and appreciation of cultural distinctions. 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. Standard 4 states that “health care organizations must offer and provide language assistance services, including bilingual staff and interpreter services, at no cost to each patient/consumer with limited English proficiency at all points of contact, in a timely manner during all hours of operation.” Although the AAP supports this and other efforts to provide culturally effective pediatric health care, the AAP is opposed to unfunded mandates such as those pertaining to interpreter and/or translation services that will further erode the beleaguered health care delivery system and lead to access problems for Medicaid patients, most of whom are children.21 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 minority group.1 Consideration of cultural attributes in addition to race and ethnicity would greatly in-crease this projection of diversity. Culture is defined as a set of shared beliefs, norms, values, and behaviors exhibited by a group. Leroy, Piet L. J. M. and However, the scope of this statement is limited to addressing this issue from a pediatrician perspective, providing a key reference point for this discourse. Membres: Critiques: Popularité : Évaluation moyenne: Discussions: 41: Aucun: 469,096 (4) Aucun: Part of the popular LPN Threads series, this leading text provides a solid foundation in obstetrics and pediatric nursing. Psycho-Social-Cultural Assessment of the Child and the Family 3. Antillon, Federico Ferrell, Betty Culture has a significant influence in health-related beliefs and practices, according to an article by the American Association of Critical-Care Nurses (AACN). 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