Saturday, 2 January 2016

Multiculturalism and Health





Australia is made up of various cultural backgrounds including overseas born people which have migrated to Australia for a better life. It has become a highly diverse society which embraces multiculturalism (Guzys and Petrie, 2014). An accurate understanding of multiculturalism I found was best described by Guszys and Petrie (2014), stating ‘multiculturalism is a philosophy guiding policy and practice in the management of the consequences of cultural diversity, in the interests of the individual and society as a whole.’ Simply put, it is a response to reality of cultural diversity which aims to foster social justice and economic efficiency within Australia.



Image retrieved from http://www.moreland.vic.gov.au

Immigrants entering Australia are faced with language barriers and cultural practice challenges that can impact access to health services and participate within community (Heidke, 2015). Australia’s history of immigration has shaped the composition, size, and cultural population. It is one of the most ethnically diverse countries in the world (Julian, 2009). As summarised by Heidke (2015), immigrants may be healthy initially, but can develop chronic conditions over time same as Australian populations.

Image retrieved from migrationblog.border.gov.au


This can be contributed to barriers that exist within the culturally and linguistically diverse populations that migrants are exposed to.  Queensland Government published information pertaining to barriers identified by culturally and linguistically diverse communities, found at http://www.qld.gov.au/web/community-engagement/guides-factsheets/cald-communities/introduction/barriers.html  

                     Image retrieved from www.slideshare.net


When providing culturally competent care, these barriers and challenges can be detrimental when providing heath care for overseas born people. As I researched further, I found an article by (Griffith, Mellor, Green and Renzaho, 2014) which  suggests culturally competent prevention programmes should consider design and delivery specific to immigrant clientele. This is an example of a health related issues within migrant populations, that I may encounter within a nursing career.

Image retrieved from googleimages.com

Additionally, Gill and Babacan (2012) documented how Australian employers value diversity, and recognise the benefit of diversity within the workplace.  In conjunction with effective collaboration with client, family and cultural health workers, this is an example of how to establishing a therapeutic relationship between the patient and I could assist me in meeting their needs (Heidke, 2015).


When responding to changing cultural patterns of health, the Australian Government is committed to deliver services responsive to the diverse community. Issues that immigrants may experience include separation of family, language barriers, employment and housing issues, different cultural practices impacting on ability to participate in society and limited health literacy knowledge. These barriers as described by Heidke (2015) affect access to healthcare, and as I have learnt throughout this course, such barriers will exist and having cultural literacy and competency will aid me in achieving cultural competency and gain greater understanding of multiculturalism in the health care workplace.


Image retrieved from Mildura Regional City Council





References

Gill, G. K., & Babacan, H. (2012). Developing a cultural responsiveness framework in healthcare systems: an Australian example. Diversity & Equality In Health & Care, 9(1), 45-55.
Griffith, M., Mellor, D., Green, J., & Renzaho, A. M. (2014). Migration-related influences on obesity among sub- Saharan African migrant adolescents in Melbourne, Australia. Nutrition& Dietetics, 71(4), 252-257.
Guzys, D., & Petrie, E. (2013). An Introduction to Community and Primary Health Care in Australia. Cambridge: Cambridge University Press.
Heike, P. (2015). NURS12002-Inclusive Practice: Study guide. Rockhampton, Qld: CQUniversity Australia

Jordan, J., Buchbinder, R., & Osborne, R. (2010). Conceptualising health literacy from the patient perspective. Patient Education And Counseling, 79(1), 36-42. http://dx.doi.org/10.1016/j.pec.2009.10.001