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Culturally Competent Multicultural Workforce

  • Dula Pacquiao
Chapter
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Abstract

Globalization and the internationalization of the economy have contributed to changing patterns of supply and demand in healthcare workforce. Several studies have documented the value of a multicultural workforce in business, healthcare, and education. While diversity in the workforce needs to better represent the growing diversity in the population served, the need for cultural competence development of all health professionals is recommended by public and private stakeholders worldwide. Approaches for cultural competence training of diverse healthcare workforce that aim toward global citizenship and the attributes of global citizens are presented. Three case studies demonstrate application of this guideline in different parts of the world with recommendations for approaches at the individual, organizational, and community levels.

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References

  1. AACN (2014) Fact sheet. The need for diversity in healthcare workforce. http://www.aapcho.org/wp/wp-content/uploads/2012/11/NeedForDiversityHealthCareWorkforce.pdf.Accessed 31 May 2017Google Scholar
  2. AACN (2015) Talking points: HRSA report on nursing workforce projections through 2025. http://www.aacn.nche.edu/media-relations/HRSA-Nursing-Workforce-Projections.pdf
  3. Aiken LH (2007). U.S. nurse labor market dynamics are key to global nurse sufficiency. Health Serv Res. 42(3 Pt 2): 1299–1320.  https://doi.org/10.1111/j.1475-6773.2007.00714.x CrossRefPubMedPubMedCentralGoogle Scholar
  4. Aiken LH, Sermeus W, Van den Heede K et al (2012) Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ 344:e1717.  https://doi.org/10.1136/bmj.e1717 CrossRefPubMedPubMedCentralGoogle Scholar
  5. Aiken LH, Sloane DM, Bryneel L et al (2014) Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study. Lancet 383(9931):1824–1830CrossRefPubMedPubMedCentralGoogle Scholar
  6. Allutis C, Bishaw T, Frank MW (2014) The workforce for health in a globalized context—global shortages and international migration. Global Health Action 7:23611.  https://doi.org/10.3402/gha.v7.23611 CrossRefGoogle Scholar
  7. American College of Physicians (2010) Racial and ethnic disparities in health care. Author, Philadelphia, PA. http://www.acponline.org/advocacy/where_we_stand/access/racial_disparities.pdfGoogle Scholar
  8. Arain M, Suter E, Mallinson S et al (2017) Interprofessional education for internationally educated health professionals: an environmental scan. J Multidiscip Healthc 10:87–83CrossRefPubMedPubMedCentralGoogle Scholar
  9. Bovee CL, Thill JV (2008) Business communication today, 9th edn. Prentice Hall, BostonGoogle Scholar
  10. Buerhaus PI, Auerbach DI, Staiger DO (2009) The recent surge in nurse employment: causes and implications. Health Aff 28(4):w657–w668.  https://doi.org/10.1377/hlthaff.28.4.w657 CrossRefGoogle Scholar
  11. Cadrain D (2008) Sexual equity in the workplace. HR Magazine 53(9):44–48,50Google Scholar
  12. Cesario S (2016) Sustainable development goals for monitoring action to improve global health. Nurs Women’s Health 20(4):427–431.  https://doi.org/10.1016/j.nwh.2016.06.001 CrossRefGoogle Scholar
  13. Clemens MA, Petersen G (2008) New data on African health professionals abroad. Human Resour Health 6:1.  https://doi.org/10.1186/1478-4491-6-1 CrossRefGoogle Scholar
  14. Colby SL, Ortman JM (2015) Projections of the size and composition of the US population: 2014–2060. Current population reports. https://www.census.gov/content/dam/Census/library/publications/2015/demo/p25-1143.pdf
  15. Cooper M (2016) The fully functioning society: a humanistic-existential visions of an actualizing, socially just future. J Humanistic Psychol 56(6):581–594.  https://doi.org/10.1177/0022167816659755 CrossRefGoogle Scholar
  16. Cooper M, Chak A, Cornish F et al (2012) Dialogue: bridging personal, community and social transformation. J Humanistic Psychol 55:70–93.  https://doi.org/10.1177/0022167812447298 CrossRefGoogle Scholar
  17. Douglas M, Rosenketter M, Pacquiao D, Clark Callister L, Hattar-Pollara M, Lauderdale L, Milsted J, Nardi D, Purnell L (2014) Guidelines for implementing culturally competent nursing care. J Transcult Nurs 25(2):109–221CrossRefPubMedGoogle Scholar
  18. Dussault G, Fronteira J, Cabral J (2009) Migration of health personnel in the WHO European region. WHO Regional Office, CopenhagenGoogle Scholar
  19. Eckenwiler LA (2009) Care worker migration and transnational justice. Public Health Ethics 2:171–183CrossRefGoogle Scholar
  20. Freire P (2000) Pedagogy of the oppressed. Bloomsbury Academic, New YorkGoogle Scholar
  21. Green K, Lopez M, Wysocki A, et al (2015) Diversity in the workplace: benefits, challenges and the required managerial tools. https://edis.ifas.ufl.edu/pdffiles/HR/HR02200.pdfGoogle Scholar
  22. Greenberg J (2004) Diversity in the workplace: benefits, challenges and solutions. http://www.multiculturaladvantage.com/recruit/diversity/diversity-in-the-workplace-benefits-challenges-solutions.asp
  23. Gupta S (2008) Mine the potential of multicultural teams. HR Magazine 53(10):79–80Google Scholar
  24. Hannay M, Fretwell C (2011) The higher education workplace: meeting the needs of multiple generations. Res Higher Educ J 10:1–12Google Scholar
  25. HRSA (2006) The rationale for diversity in the health professions: a review of evidence. http://www.readbag.com/bhpr-hrsa-healthworkforce-reports-diversityreviewevidence.
  26. HRSA (2016) National and regional projections of supply and demand for primary care practitioners: 2013–2025. USDHHS, Rockville, MDGoogle Scholar
  28. HRSA (2017b) Data warehouse: medically underserved areas /populations. https://ersrs.hrsa.gov/ReportServer?/HGDW_Reports/BCD_MUA/BCD_MUA_State_Statistics_HTML&rc:Toolbar=false
  29. ICN (2006) The global nursing shortage: priority areas for intervention. Author, Geneva, SwitzerlandGoogle Scholar
  30. IOM (2010) The future of nursing: leading change, advancing health. National Academies Press, Washington, DCGoogle Scholar
  32. Jones S (2016) Global citizenship. Aust Nurs Midwifery J 23(10):48PubMedGoogle Scholar
  33. Jurado LF(2013).Social construction of Filipino foreign-educated nurses in the US. PhD dissertation. Rutgers University, Newark, NJGoogle Scholar
  34. Jurado LF, Pacquiao DF (2015) Historical analysis of Filipino nurse migration to the US. J Nurs Pract Appl Rev Res 5(1):4–18.  https://doi.org/10.13178/jnparr.2015.0501.1303 CrossRefGoogle Scholar
  35. Kingma M (2007) Nurses on the move: a global overview. Health Res Educ Trust 42(3):1281–1298.  https://doi.org/10.1111/j.1475-6773.2007.00711.x CrossRefGoogle Scholar
  36. Kokemuller N (2017) Advantages and disadvantages of multicultural workforce. http://smallbusiness.chron.com/advantages-disadvantages-multicultural-workforce-18903.html
  37. Lauring J (2011) The social order of interaction in international encounters. J Bus Commun 48:231–255CrossRefGoogle Scholar
  38. Lemberger ME, Lemberger-Truelove TL (2016) Bases for a more socially just humanistic praxis. J Humanistic Psychol 56(6):571–580.  https://doi.org/10.1177/0022167816652750 CrossRefGoogle Scholar
  39. Lewis J (2017) The advantages of multiculturalism in the workplace. http://smallbusiness.chron.com/advantages-multiculturalism-workplace-15239.html
  40. Martin J, Nakayama T (2010) Intercultural communication in contexts, 4th edn. McGraw-Hill, New YorkGoogle Scholar
  41. Masselink LE (2009) Health professions education as a national industry: framing of controversies in nursing education and migration in the Philippines. PhD Dissertation, University of North Carolina at Chapel HillGoogle Scholar
  42. Matwick A, Woodgate R (2017) Social justice: a concept analysis. Public Health Nurs 34(2):176–184.  https://doi.org/10.1111/phn.12288 CrossRefPubMedGoogle Scholar
  43. Mayhew R (2017) How to manage and motivate a multicultural workforce. http://smallbusiness.chron.com/manage-motivate-multicultural-workforce-10985.html
  44. Mitchell DA, Lassiter SL (2006) Addressing health care disparities and increasing workforce diversity: the next step for the dental, medical and public health professions. AJPH 96:2093–2097CrossRefGoogle Scholar
  45. Nagourney E (2008) East and West part ways in test of facial expression. NY Times. http://www.nytimes.com/2008/03/18/health/18face.html. Accessed on 13 May 2017
  46. Okoro EA (2012) Workforce diversity and organizational communication: analysis of human capital performance and productivity. J Diver Manag 7(1):57–62Google Scholar
  47. Pacquiao DF (2003) People of Filipino heritage. In: Purnell LD, Paulanka B (eds) Transcultural health care: a culturally competent approach. F. A. Davis Company, Philadelphia, pp 138–159Google Scholar
  48. Ratts M, Singh J, Nassar-McMillan AA, et al. (2016) Multicultural and social justice counseling competencies: guidelines for the counseling profession. J Multicult Couns Dev 44: 28–48.CrossRefGoogle Scholar
  49. Reysen S, Katzarska-Miller I (2013) A model of global citizenship: antecedents and outcomes. Int J Psychol 48(5):858–870.  https://doi.org/10.1080/00207594.2012.701749 CrossRefPubMedPubMedCentralGoogle Scholar
  50. Sullivan Commission (2004) Missing persons: minorities in the health profession. http://www.aacn.nche.edu/media-relations/SullivanReport.pdf
  51. Valentine P, Wynn J, McLean D (2016) Improving diversity in the health professions. NCMJ 77(2):137–140PubMedGoogle Scholar
  52. Walker J (2010) The global nursing shortage. Migration, brain drain and going forward. Johns Hopkins Nursing. http://magazine.nursing.jhu.edu/2010/08/the-global-nursing-shortage/
  53. WHO (2013) Global health workforce shortage to reach 12.9 million in coming decades. http://www.who.int/mediacentre/news/releases/2013/health-workforce-shortage/en/

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Dula Pacquiao
    • 1
    • 2
  1. 1.School of NursingRutgers UniversityNewarkUSA
  2. 2.School of NursingUniversity of Hawaii, HiloHiloUSA

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