Saturday, 6 February 2016

Module 9 - Equity & Diversity in the Workplace


A Diverse Workplace. [photograph]. (n.d.). Retrieved from http://www.rnnursesalary.xyz/2013/12/


The ethnic cultures of multicultural population of Australia also disperse into our workplaces, and it is not uncommon to work together with first generation Indigenous Australians and numerous other assorted ethnic descents (Mitchell, Parker & Giles, 2011). Cultural diversity can create language and communication errors, gender differentials, and personal cultural preferences in a multicultural workplace (King, Dawson, Kravitz & Gulick, 2012). The key to harmony is to recognise that we are all united in the nursing profession regardless of race, gender and ethnicity, and be cultural role models that adhere and promote ethical management guidelines that protect specific targeted groups from discrimination (Queensland Health, 2013, p. 2).
The culture, health care standards and policy guidelines may fluctuate within different nations, but the essence of healthcare remain the same. Nurses must diversify together and deliver exceptional holistic care to obtain the best health outcome for our clients. It is important to support cultural acculturation of ethnic nurses, as they face many challenges towards foreign languages (Hadziabdic, Lundin & Hjelm, 2015), unfamiliar cultural practices and social exclusion. Culturally competent nurses respect and value the cultural differences of our professional colleagues, and understand that many nurses from lower socioeconomic backgrounds may find it challenging to understand the high excess of disposable waste, as they may only be familiar with the limitations of reprocessed equipment. It is also beneficial to have cultural integration in our clinical practice to assist with the increasingly complex ethnic healthcare needs of our culturally diverse clients (Mitchell, Boyle, Parker, Giles, Chiang & Joyce, 2015).
The Congress of Aboriginal & Torres Strait Islander Nurses and Midwives was founded to represent, support and advocate Indigenous healthcare workers (Deek, Abbott, Moore, Davison, Cameron, DiGiacomo & Davidson, 2013), assemble capacity within the industry, promote disinclined Indigenous peoples to seek healthcare services (Aspin, Brown, Jowsey, Yen & Leeder, 2012), reduce cultural health inequalities and give better health outcomes to undiagnosed chronic diseases of Aboriginal and Torres Strait Islander populations (Downing, Kowal & Paradies, 2011).
Gender inequality is a concern in the nursing profession, with many male nurses exiting the industry due to stereotypical bullying, perceived sexual orientation, hypocrisy and minimal social acceptance, declined job dissatisfaction and limited support structures (Ayala, Holmqvist, Messing & Browne, 2014). Another concern is the persecution of generational differences (Olt, Jirwe, Saboonchi, Gerrish & Emami, 2014) and judgmental discrimination involving hospital-trained and academically trained nurses in the workplace (Kreutzer, 2013).  This also leads to unprofessional attitudes, loss of experienced staff causing further nurse shortages,  hostile work environments and cross-generational communication tribulations that affect leadership abilities, emotional and psychological dysfunction and ultimately impacts patient safety (Workplace equality leads to happier patients, 2011). 
Self Reflection:
Acknowledging and valuing the diverse educational, race, gender, ethnic backgrounds and cultural characteristics of my team-mates will ultimately develop my skills in clinical practice as a respectful and productive team-player. I believe mutual respect is vital for leadership, creates harmonised and professional working environments, and is essential for my professional acceptance in my future clinical practice.   
References:
Aspin, C., Brown, N., Jowsey, T., Yen, L., & Leeder, S. (2012). Strategic approaches to enhanced health service delivery for Aboriginal and Torres Strait Islander people with chronic illness: a qualitative study. BMC Health Services Research12143. doi:10.1186/1472-6963-12-143
Ayala, R. A., Holmqvist, M. T., Messing, H. B., & Browne, R. F. (2014). Blessed art thou among women: male nursing students and gender inequalities in Chile. Nurse Education Today34(12), 1480-1484. doi:10.1016/j.nedt.2014.04.022
Deek, H., Abbott, P., Moore, L., Davison, J., Cameron, S., DiGiacomo, M., & Davidson, P. M. (2013). Pneumococcus in Aboriginal and Torres Strait Islander peoples: The role of Aboriginal health workers and implications for nursing practice. Contemporary Nurse: A Journal For The Australian Nursing Profession46(1), 54-58 5p. doi:10.5172/conu.2013.46.1.54
Downing, R., Kowal, E., & Paradies, Y. (2011). Indigenous cultural training for health workers in Australia. International Journal For Quality In Health Care: Journal Of The International Society For Quality In Health Care / Isqua23(3), 247-257. doi:10.1093/intqhc/mzr008
Hadziabdic, E., Lundin, C., & Hjelm, K. (2015). Boundaries and conditions of interpretation in multilingual and multicultural elderly healthcare. BMC Health Services Research15(1), 1-13. doi:10.1186/s12913-015-1124-5
King, E. B., Dawson, J. F., Kravitz, D. A., & Gulick, L. V. (2012). A multilevel study of the relationships between diversity training, ethnic discrimination and satisfaction in organizations. Journal Of Organizational Behavior33(1), 5-20. doi:10.1002/job.728
Kreutzer, S. (2013). “Hollywood Nurses” in West Germany: Biographies, Self-Images, and Experiences of Academically Trained Nurses after 1945. Nursing History Review2133. doi:10.1891/1062-8061.21.33
Managing Inclusiveness and Diversity in Teams: How Leader Inclusiveness Affects Performance through Status and Team Identity. Human Resource Management54(2), 217-239. doi:10.1002/hrm.21658
Mitchell, R. J., Parker, V., & Giles, M. (2011). When do interprofessional teams succeed? Investigating the moderating roles of team and professional identity in interprofessional effectiveness. Human Relations64(10), 1321-1343. doi:10.1177/0018726711416872
Mitchell, R., Boyle, B., Parker, V., Giles, M., Chiang, V., & Joyce, P. (2015). Managing Inclusiveness and Diversity in Teams: How Leader Inclusiveness Affects Performance through Status and Team Identity. Human Resource Management54(2), 217-239. doi:10.1002/hrm.21658
Olt, H., Jirwe, M., Saboonchi, F., Gerrish, K., & Emami, A. (2014). Communication and equality in elderly care settings: perceptions of first- and second-generation immigrant and native Swedish healthcare workers. Diversity & Equality In Health & Care11(2), 99-111.
Queensland Health (2013). Human Resources Policy: Equity and Diversity, Department of Health, Policy Number G2 (QH-POL-132). Retrieved from http://www.health.qld.gov.au/qhpolicy/docs/pol/qh-pol-132.pdf

Workplace equality leads to happier patients. (2011). Nursing Standard26(2), 10.

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