Sample Nursing Essays on Evidence for Healthcare Practice

In “Delivering Culturally Competent Care in Clinical Practice: A Call to Action,” Cannon (2012) observes disparities in healthcare services exist and laments the inability of minorities to receive critical services across a continuum of chronic diseases, such as HIV/AIDS, cancer, renal disease, mental illness, diabetes, and cardiovascular disease. The writer uses qualitative research methods to understand the experience, perspective, and meaning of cultural competence and its implication for minorities who seek medical care. The researcher reviews historical data from various publications and agencies to provide insights into the extent of the problem and outlines recommendations that could help to ameliorate the suffering of a significant portion of the population. The shift in the population demographics poses significant challenges for healthcare practitioners across the country and calls for concerted efforts from all stakeholders to enhance cultural competence among healthcare professionals.

The use of a qualitative approach influences the reading of the article because it provides crucial background information. Qualitative research techniques are ideal for investigating attitudes, beliefs, and certain concepts of behavior. Reading the article enables one to have a succinct understanding of the scope of the problem, the challenges the healthcare system faces in enhancing equal access to healthcare, and the opinions policymakers hold concerning the most effective intervention measures. The author reviews information from reputable institutions such as the Center for Disease Control (CDC), the American Medical Association (AMA), and the U.S. Department of Health. In essence, the use of qualitative research methods enables the research to communicate with the target audience effectively and helps the reader to make important inferences.

The investigation provides startling information that underscores the need to ensure that all healthcare practitioners have the requisite cultural competence they need to cater to the needs of the minorities. For instance, the study shows that African Americans with chronic kidney disease are four times more likely to end-stage renal disease than Whites are (Cannon, 2012). The researcher reveals disparities in healthcare in the United States manifest at three levels, which are the patient, provider, and the entire health system. The implication is that solving this challenge will require a holistic approach that eliminates barriers and encourages minorities to seek medical care at all times.  The researcher notes that the quality of healthcare in the country has been improving steadily, but notes the disparities do not show any convincing signs of narrowing.

The results explain the reason the researcher reached the above conclusion because they point to the lack of cultural competency among healthcare providers. The author underlines the importance of cultural competency training for all healthcare professionals and commends states that have already rolled out such programs. Essentially, cultural awareness among healthcare professionals would enable them to accept the differences in beliefs and behavior patterns that hinder access to healthcare. In line with this, healthcare professionals need to equip themselves with skills that allow them to appreciate, understand, and work with individuals from diverse cultures.

In light of the above findings, individuals charged with the provision of healthcare services to minorities and other vulnerable populations ought to be aware of the adverse effects their personal beliefs and implicit biases could have on the intervention measures. The research shows the country has the means and the resources it needs to attain health parity. The challenge rests on practitioners, the government, and other stakeholders to take the requisite measures needed to rectify the inequalities that currently exist.



Cannon, A. J. (2012). Delivering Culturally Competent Care in Clinical Practice: A Call to Action. Journal of the National Medical Association, 104,104-107