People of Puerto Rican Heritage
At present, Puerto Ricans remain among the largest Hispanic cultural groups living in the United States. Consequently, healthcare providers should have a working knowledge of the unique demographics, heritage, and culture of this group. Delivering cultura
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Textbook for Transcultural Health Care: A Population Approach
Larry D. Purnell • Eric A. Fenkl Editors
Textbook for Transcultural Health Care: A Population Approach Cultural Competence Concepts in Nursing Care Fifth Edition
Editors Larry D. Purnell College of Health Sciences University of Delaware/Newark Sudlersville, MD USA
Eric A. Fenkl College of Nursing and Health Sciences Florida International University Miami, FL USA
ISBN 978-3-030-51398-6 ISBN 978-3-030-51399-3 (eBook) https://doi.org/10.1007/978-3-030-51399-3 © Springer Nature Switzerland AG 2013, 2021 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
With an increase in global migration, the need for culturally competent and congruent health-care providers is a priority. This need is not only driven by the actual numbers of immigrants and migrants, but other dimensions such as the mounting rise of multiculturalism and the waning of the social ideology that includes the idea of the “melting pot.” From within health care, the advocacy for culturally competent approaches is driven in part by recognizing the danger to patient safety, overall inadequacy in the quality of outcomes essential to health care, and costs that are driven up by health care that is not culturally competent and congruent. These concerns include the health disparities experienced by individuals who may or may not be socially and economically disadvantaged. Some of the excess expenditures are associated with poor communication in patient assessment data. As health-care systems move to more consumer and individual responsiveness, the systems are recognizing that a cultural perspective is essential for providing services that earn high level
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