Race and Blackness: A Thematic Review of Communication Challenges Confronting the Black Community Within the U.S. Health Care System

Effective communication is integral to the patient–provider relationship. Yet, as a result of structural factors that ignore the unique health care needs of different populations of patients who identify as Black—both African American and African immigrants—are confronted with communication challeng...

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Bibliographic Details
Published in:Journal of transcultural nursing 2020-07, Vol.31 (4), p.397-405
Main Authors: Adebayo, Comfort Tosin, Walker, Kimberly, Hawkins, Maren, Olukotun, Oluwatoyin, Shaw, Leslie, Sahlstein Parcell, Erin, Dressel, Anne, Luft, Heidi, Mkandawire-Valhmu, Lucy
Format: Article
Language:English
Subjects:
African Americans
African Americans - ethnology
African Americans - psychology
Black people
Communication
Culturally Competent Care - standards
Culturally Competent Care - trends
Delivery of Health Care - ethnology
Delivery of Health Care - standards
Delivery of Health Care - trends
Health disparities
Health education
Health literacy
Health Services Accessibility - standards
Humans
Noncitizens
Nursing
Professional-Patient Relations
Transcultural nursing
United States - ethnology
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Summary:Effective communication is integral to the patient–provider relationship. Yet, as a result of structural factors that ignore the unique health care needs of different populations of patients who identify as Black—both African American and African immigrants—are confronted with communication challenges during health care seeking encounters. Using cultural safety as a framework, in this article, we thematically review communication challenges specifically experienced by patients of African descent in the U.S. health care system. In our review, we focus on complications that might arise from discrimination, mistrust, health literacy, and impacts of culture and language barriers on health literacy. In conclusion, we offer recommendations for improving the health care experiences and potential health outcomes for this population, through nursing care and health care delivery.
ISSN:1043-6596
1552-7832
DOI:10.1177/1043659619889111