Professional Communication Cultural Sensitivity


ProfessionalCommunication: Cultural Sensitivity

ProfessionalCommunication: Cultural Sensitivity

Culturaldiversity is a sensitive topic and should be addressed carefully anddiligently, to ensure a better future for the coming generation. Itis essential to comprehend that the interaction or rathersocialization of individuals from all over the globe is critical tocommunity development since a lot of ideas are shared. Also,researchers have found out that all ethnic groups have their culturesand for people to be able to communicate effectively without beingmisunderstood, they must be willing to get out of their racialcircles and mingle freely to get to know others. In nursing, patienthealth care and welfare is important because all patients areconsidered special and unique (Perloff et al., 2016). All kinds ofpeople are admitted to the hospital or visit it to seek health adviceand treatment from the doctors. Therefore, it is important for nursesand physicians to apply for training on cultural competence to makethe patient feel welcomed and relaxed in their presence. The issue ofcultural competency in the hospital environment will be examined fromthe perspective of the black community. The African Americans havebeen victims of numerous social injustices, including discriminationin various public and private institutions. The group has beenselected to highlight the importance of health workers beingculturally sensitive in their work setting. In this essay, thecultural history of the black community will be briefly noted, aswell as how nursing professionals can adopt race consciousness skillsin rendering health services to their patients.

of the Article

Thearticle written by Basáñez et al. (2013), describes the waycommunication patterns between physicians and clients influence thehealth outcomes of patients. The article considers the perceptions ofpatients about their doctors regarding attentiveness, to define thiscorrelation. As such, the report summarizes that doctor attentivenesshas a significant influence in the way minority groups like AfricanAmericans and Hispanics perceive their care providers. Thus, thearticle highlights the essentiality of patient-doctor communicationand relationship in the provision of health care and services(Basáñez et al., 2013). The authors state that it is usuallydifficult to figure out the patient’s culture and beliefs regardinga particular medication or treatment. Hence, nurses need to be awareof the various cultural competencies that are essential to providethe required health care for patients to change their perception onthe treatments rendered to them.

Thus,by applying social competency abilities, the nurses will developexceptional communication skills as well as diversity appreciation tomake people from different backgrounds comfortable within the healthcare facility. These sets of skills will equip the nurses with themethods they should use to handle a heated conflict with patientsthat will result in a peaceful conclusion and agreement. Basáñez etal. (2013) write that the black culture is considered unique since ithas a lot of history that can be traced way back to the slave era.During this epoch African Americans were discriminated against,manipulated, and mistreated because of their color and this remainsdeep in their souls to date even though they do not show it. The waya doctor interacts and provides health services to the blacks matterand a physician should always be race conscious to avoid any form ofa misunderstanding. Racial consciousness involves being well versedin the history of a particular culture and being able to know how totreat people from a given ethnic group without disrespecting oroffending them. Thus, the article highlights how various skills ofcultural competence will be applied to ensure proper patient care.

Applicationto Practice

Thehistory of the African-Americans began way back during the slave eraand is something that should be taught for people to be aware andlearn from to ensure that such suffering will never be repeated.Historians claim that blacks were considered inferior because oftheir physical looks and uncivilized characteristics. Unlike otherimmigrants, the black communities were brought into the country inchains and were treated as property rather than people during theslave trade. These individuals were to work to improve the economicgrowth of the country, but were neither treated nor paid fairly andaccording to research, many of them either died as a result ofinadequate health care or suicide cases which were numerous at thattime (Brown et al., 2016). Alexis de Tocqueville was an explorer andauthor who fought for democracy and stated in one of his books thatthe black community was one that was to bring enormous revolutions tothe country and they should be treated fairly (Brown et al., 2016).The dehumanization act implemented in 1857 by the Supreme Courtconsidered the black individuals as property and not human, and thisled to many rebellions that came into existence later on as theAfrican Americans started to fight for their rights.

Duringthe Civil War in the 1860s, President Abraham Lincoln signed ahistorical document known as the Emancipation Proclamation, whichfreed some African-Americans that were fighting the slaveryinstitution in the various states. This saw a great team building inthe black communities who started having hope for a better future andworked hand in hand with others to fight for fair treatment. At theend of the eighteenth and the beginning of the nineteenth-century,lynching crime rates were high where supremacists kidnapped,tortured, and in most cases executed the blacks. However, later on inbetween 1910-1930, the blacks were given second class citizenship,which was beneficial to them since they had rights that offered themprotection (Perloff et al., 2016). Apart from this, education wasprovided to their children, even though they schooled in differentinstitutions from other immigrants and excellent students. The end ofthe twentieth century brought with it a lot of changes, one of thembeing that all were considered equal and that all citizens had theright to vote for the leaders of their choice. Over the years, racialprofiling and discrimination instances have reduced, although thereare some of those that still agree and would wish for the rules ofthe old age to be injected back into the system.

Provisionof health care to individuals from the African-American race has beena problem because of the dark histories that it carries with it.According to recent research, the supremacists during thedehumanization period used to perform medical experiments on theblack people, a practice that many disapproved. Ever since suchoccurrences, the way the blacks viewed health care was so differentsuch that they did not see any reason for going to be experimented onby medical officers in hospitals. This led to them constructing theirhospitals in the postbellum years and with the help of black leaders,the health of the black people was well taken care of except for thecomplicated issues. Statistics carried out in that period also showthat the minorities and especially the blacks did not have fullconfidence in their doctors and tended to seek other alternativemethods (Clegg, Everett, Siddiqi, 2016). The inequality of the socialnature of different races or rather ethnic groups is the biggestproblem faced in hospitals because of the history behind it. To addto this, a telephone survey carried out among 1,816 adults betweenthe age of eighteen and sixty-five shows that compared to the whitesmost of the African-American patients did not interact with whitephysicians but chose to stick with the black doctors and nurses(Clegg, Everett, Siddiqi, 2016).

Overthe recent years, new amendments have seen a great change in culturaldiversity such that racial competence skills have been introduced tothe system and now medical officers are trained to communicateeffectively with their patients and promote health care in general.These skills involve the use of developmental assessments andexamination of different ethnic groups, which will help the nurses inknowing how to interact with patients and solve any problem orquestion that may arise. Furthermore, these skills, train the nursenot to focus on making their patients uncomfortable by disrespectingany of their cultural values, but by encouraging their thoughts andknowledge of their disease or problem (Young, Guo, 2016). Culturalcompetent skills, help nurses not only to stop but also to controlthe stereotyping of their patients. Therefore, by preventing healthcare employees from viewing their cultural beliefs as superior andcivilized, the doctors will have an easy and efficient time inadministering medication. Through this, mutual understanding betweenphysician and patient comes about, and a proper treatment plan isachieved.

Conclusionand Recommendation

Inconclusion, cultural diversity is an aspect that should not be lefthanging and people should strive in finding more about other racesand their cultures. Interactions between people of different ethnicgroups are essential, and it brings along peace and harmony betweenpeople. Apart from this, race consciousness is necessary for thehealthcare sector, and nurses together with the doctors need toundergo training and be taught on the historical background ofvarious ethnic groups especially the black community. By the healthcare employees understanding the different cultural diversities oftheir patients, then proper health care is administered to all ethnicfactions in the society without bias or prejudice.


Basáñez,T., Blanco, L., Collazo, J. L., Berger, D. E., &amp Crano, W. D.(2013). Ethnic groups` perception of physicians` attentiveness:Implications for health and obesity.Psychology, Health &amp Medicine, 18(1),37-46. doi:10.1080/13548506.2012.672750

Brown,E. A., Bekker, H. L., Davison, S. N., Koffman, J., &amp Schell, J.O. (2016). Supportive care: Communication strategies to improvecultural competence in shared decision making. ClinicalJournal of the American Society of Nephrology,CJN-13661215.

Perloff,R. M., Bonder, B., Ray, G. B., Ray, E. B., &amp Siminoff, L. A.(2016). Doctor-Patient communication, cultural competence, andminority health theoretical and empirical perspectives. AmericanBehavioral Scientist,49(6), 835-852.

Young,S., &amp Guo, K. L. (2016). Cultural Diversity Training: TheNecessity of Cultural Competence for Health Care Providers and inNursing Practice. Thehealth care manager,35(2), 94-102.

Clegg,S., Heywood-Everett, S., &amp Siddiqi, N. (2016). A review ofcultural competence training in UK mental health settings. BritishJournal of Mental Health Nursing,5(4), 176-183.