Health care

A Sample Report on NHMRC models

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Different cultures have their own values, beliefs and perceptions. Cultural competency is the term which defines the ability of health care organization of minimizing health disparities and treat patients well (Borkowski, 2015). The term combines the set of behaviour and policies to formulate a system and enable professionals to deal effectively in cross cultural situations. It is the moral duties of practitioner that to provides quality care to all patients without any discriminating the persons on the bases of race, language, religion. Present essay will discuss upon the topic Non-English speaking female and will discuss the principals of cultural competency. The NHMRC model will be illustrated in this essay. Several forces which lead to inequalities will be discussed in this study (Hunt and, 2015).

Cultural competency principles

Medical practitioners need to be competent in every aspect while delivering and health and social care so that clients or people who are receiving the service do not suffer. Cultural competence is ability of a medical practitioner to provide their services without creating a discriminatory environment. Values and beliefs are always subjected to criticism. Social groups work in this respect so that vulnerabilities to abuse and harm is decreased. Cultures are based on foundations of these values and beliefs. Several cultural competencies include treating all religions equal, providing services to all economic groups and sharing equal consensual relations with all patients or clients (Truong, Paradies and Priest, 2014). Professional boundaries are designed by keeping these elements in mind. With advancing societies, the sensitivity to cultural reforms and conflicts in health and social care has increased. Hence, this term cultural competency is often referred as cultural sensitivity.

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During my tenure as nurse, I had managed to deliver my care services to diverse cultural groups. It only helped me gain knowledge and understanding about various beliefs and religions that were a part of this culture. For every medical practitioner it is important that care giving skills are adapted with proper regards to particular cultures. People have evolved with culture and in today's fast pacing world, culture has become their identity. Effective work relations between care givers and seekers helps in development of cultural understanding (Courtney-Pratt and, 2015). In order to maintain health status of a community care practises must be with regards to cultural competency principles.


National Health and Medical Research Council has given the four dimensional model for increasing cultural competency in the health care professionals and hospitals. NHMRC is the government body which gives advice on ethical behaviour so that all medical professionals can provide equal treatment to patients (Metzl and Hansen, 2014). The main function of this body is to give advice and allocate funds to health are organizations so that they can improve their knowledge and can provide quality treatment to all service users. Body aims to enhance cultural competency in the medical professionals so that they can treat each patients equally no matter whether they belong to other nation, culture or religion.There are mainly four dimensions of cultural competence which are system, organizational, professional and individual (Kelaher, Ferdinand and Paradies, 2014). These all dimensions are interrelated.

A culturally competent health care system

This element defines that health care organizations need to promote and market health services well so that all religious people can communicate openly with practitioners and they can get to know about actual medical condition of them. By this way no confusion will take place and staff members will be able to provide them treatment according to their medical condition (Mattocks and, 2014). In this session, concern system authorities need to train staff members well so that they can get information about other cultures and can keep in mind. The first dimension of NHMRC Model defines that if authorities support community development then it will be beneficial in increasing the cultural competency and will make environment healthier (Cooper and, 2015).

A culturally competent health care organization

In health care organizations patients come from differed background, cultures. There language is differed from others so it creates difficulty for the staff members to understand it and to provide them treatment (NHMRC's mission and functions, 2016). By managing diversity top authorities of health are organization will be able to increase cultural competency in the workplace. For instance when I was working in ABC health care as nurse then I saw one case that one married woman came into hospital she was unable to speak in English. That is why no staff member was able to understand her medical problem that created a situation that due to heavy stomach pain lady died after 2 days. If there were any medium of communication then I could be able to understand her situation but I was unable that time. So higher authorities need to move from old approaches they need to allocate resources for sustainable changes (Pérez-Escamilla and, 2015). It will help in increasing skills and knowledge of workers and they will be able to communicate well with other people. Ongoing professional development is necessary by this way cultural competency will get increased.

A culturally competent profession

It is the third dimension in which medical practitioner are required to get generic and specialist training so that they can develop their professional skills. Seniors need to give cross cultural training to lower staff members in health care organization so that they can get knowledge about other religious and can provide them quality treatment. There is needed to encourage and support cultural competencies in the workplace so that people can understand the necessity of it (Truong, Paradies and Priest, 2014).

A culturally competent individuals

Individuals are required to understand effectiveness of proper communication, it will develop better understanding in them and they will coordinate well with patients. Language is the main barrier but if doctors in health care organizations make users comfortable and react clam with them then cross cultural issue will not take place. Sign language will help in understanding the medical condition of patients (Courtney-Pratt and, 2015). By these ways cultural competency will get increased.

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Knowledge, skills and behaviours of culturally competent health care practitioners

Health care practitioners have to deliver their services with motive of patient centric thoughts. Substantial choice of skills and knowledge are important for developing cultural competency. Health care practitioners are at heart of this set up for care services. Be it social organisation or private or public, every medical helper has to develop himself in such a manner that no cultural harm is communicated in the society. Different patients have different cultural mind set. It is not possible to develop or educate each service giver in all cultures (Duncan, 2015). Hence, National Health Services had developed their own set of beliefs and thoughts which every health care practitioner is compelled to follow.

The knowledge regarding existing health status and ethnic identities is important for care givers. They are propelled to provide proper information regarding illness and treatment to their patients. Basic principle of cultural competency is to safeguard a vulnerable person from all sorts of harm and abuse that can be caused due to cultural insensitivity (Alizadeh, Chavan and Hamin, 2016). Behaviour of these health practitioners does get influenced by cultural differences. Diversity emerges when transitions in thoughts are taking place. For example, immigrants and refugees from war struck countries find it difficult to gather health care services. At this point it is morale responsibility of health care practitioners to understand and bridge cultural difference. The medical institutions run with an objective of giving unhindered care services without discrimination. This makes them competent to deal with patients from any background and community.

Forces that lead to inequalities in health care organization

There are several factors that lead to inequalities in client status and health care provisions. These are such as historical, political, sociological etc. All they impact a lot on patient's health conditions.

Sociological actor or force is the main element that lead to inequalities. Perceptions of each culture are differed from other cultural perceptions. If person is having low income then individual is unable to get quality treatment from well know hospitals because it is quite costly. That some time create inequalities in the client health status. In some culture it is belief that women need not to talk with male persons. So if they are suffering from ill health then ladies can not communicate well with doctors and can not make them understand about medical condition. It leads to inequality and they do not get proper treatment. Education is another social force that lead to difference in health care provisions (About, 2016). Due to poor knowledge patients are unaware with their rights and obligations thus, they do not discuss their medical problems with practitioners thus, if they face any abuse then they do not raise their voice. As I face the case in which lady was not able to talk in English that is why she was unable to get timely quality treatment. If she could have knowledge of sign language then she would be able to express easily.

There are political forces that lead to inequalities in the health care organization. It has many elements such as response, policy etc. Government pay more focus on particular class of people and have made laws for them, it helps such type of clients in getting quality treatment in hospitals they have good chance to get treatment on priorities. That lead to inequality because other people those who are out of this section they get deal in getting proper medical care. Economical constrains come under in political force and people have to follow guidance and legislation of authorities.

Historical forces also lead to inequalities in clients health status. As it was earlier belief that woman had to get treatment from same sex persons, they can not get care from male doctors. That many times created situation of inequality in the patients condition (Pérez-Escamilla and, 2015). But over the period provisions have been changed and now women are getting equal rights and power as men. So they can get treatment from anyone.

Patients who belong to different religion and gender

War situation is very crucial, it destroys entire life of persons and hurt them badly. Refugees who are unable to talk in English then they have to face many problems in communicating with doctors and nurses. Being a nurse I will have to keep this point in mind and will have to understand mental condition of refugees. It will help me to make effective coordination with such patients. I need to use sign language so that language barrier can not take place. Refugees are suffering from physical and psychological damages so I need to protect them and provide them familiar environment so that they can recover from such mental situation. Some religion believes that woman need to get treated by same sex doctors, but due to heavy rush some time it is not possible. Being a nurse I will have to make refugees aware that nothing will go wrong and lady will get quality care by male doctors as well. This positive communication and attitude will help me to gain trust of them (Duncan, 2015).

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Immigrant is the big issue in which person has to settle in other cultural background and have to understand new cultural aspects. But each religion has its own system and beliefs. Then it become difficult for patients to make doctors understand about their medical problems. Non English speaking person has to learn values of other culture so that individual can survive in other background.

By making good coordination with other religious people and other gender people I can gain their trust and can make hem comfortable. By this way they will be able to discuss their problems with me and by using positive attitude and sign language I can provide them quality care.


From the above report it can be concluded that medical professionals have to maintain cultural competency, by this way they will be able to provide quality treatment to patients and users will also be able to discuss their problems effectively with practitioners. Essay has discussed about four dimensions of NHMRC, by following guideline's health care organizations an increase cultural competency in the care home.


  • Alizadeh, S., Chavan, M. and Hamin, H., 2016. Quality of care and patient satisfaction amongst Caucasian and non-Caucasian patients: a mixed-method study in Australia.International Journal of Quality & Reliability Management.
  • Borkowski, N., 2015.Organizational behavior in health care. Jones & Bartlett Publishers.
  • Cooper, L. A. and, 2015. Calling for a bold new vision of health disparities intervention research.Journal Information.
  • Courtney-Pratt, H. and, 2015. Development and psychometric testing of the satisfaction with Cultural Simulation Experience Scale.Nurse education in practice.
  • Duncan, G. F., 2015. Refugee Healthcare: Towards Healing Relationships.Canadian Social Science.
  • Hunt, L. and, 2015. Nursing students' perspectives of the health and healthcare issues of Australian Indigenous people.Nurse education today.
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