Essays --

System approach is a process of considering how different parts of the whole structure influence and integrate with each other and viewing problems in a system as affecting the system overall (Dreachslin, Gilbert, & Malone, 2013). According to Curtis, Dreachslin, and Sinioris (2007), the systems approach requires several steps, and these steps are to determine diversity and cultural competence goals in the context of strategy, measure current performance against needs, design training to address the gap, implement the training, assess training effectiveness, and strive for continuous improvement. Providing patient centered care has been the focus of recent organizational restructuring and quality improvement efforts in healthcare (Lutz & Bower, 2000). In healthcare literature, providing a patient centered care is to provide care and to meet patients’ needs. To provide a patient centered care, it is essential to understand the patient as a unique individual. It also important to be able to explore the patient’s experience of illness and finding common ground regarding treatment through shared decision making (Lutz & Bower, 2000). Given the first patient scenario, as a healthcare provider, it is essential for nurses to tailor our approaches to care for this patient. For this specific ethnicity, being overweight is seen as positive, and their traditional cuisine is rich of carbohydrates and sweets (Caballero & Tenzer, 2007). To provide best care for Mr. Garcia, it is best to provide a Spanish speaking nurse if possible, or an interpreter. It is important to educate Mr. Garcia regarding diet changes, for example, exchanging their simple flour tortilla to corn tortilla or pouring off excess grease after cooking. Increasing physical... ...n, gender, sexual orientation, and ability (Dayer-Berenson,2012). According to Goldsmith (2000), cultural competence does not require that patients be treated by using the same methods used in their country of origin. However, cultural competency does create a compelling case for understanding the different ways patients act in a clinical setting and for communicating with patients to ensure the best possible clinical outcome. Both patient-centered care and cultural competence aim to improve health care quality. As health-care workers we are held to the highest moral and ethical codes. Patients trust their lives in our hands. To live up to this trust we have to be respectful and compassionate, knowledgeable and understanding. Respect, dignity, knowledge, and patience are required to gain mutual trust in every relationship especially patient and doctor relationships.