HEA8302 Culture as a Determinant of Health Assignment Help

HEA8302 Culture as a Determinant of Health Assignment Help

HEA8302 Culture as a Determinant of Health Assignment Help


In this report I have selected the topic of my own personal experience where I have worked for named Eternal care U.K. limited. In this the document is focused on examining and representing the accurate nursing approach and procedures that support the health and wellbeing of aboriginal people the community.  There are various points kept in mind the factors that act as the determinants of health in this community. The document analysis reveals the personal professional role of me being a nurse and the organizational practices and norms in this context. In this company my role is health and social wellbeing professional role that provide the best assistance in handling operations and hospital care activities in best and effective manner. In this report I will depict outline of my practice in the selected company, factors that showcase the high level literature search over the determinants of health care culture and the complete literature review.

HEA8302 Culture as a Determinant of Health Assignment Help

Outline of My practice context

My role in the hospital is handling all required outpatient’s department that targets the high risk students and immigrants from different nations for their skin tests to examine material either in the operational theater or managing all the process system in the hospital and social care. Culture in the Eternal could be described as a shared values, traditions, norms and costume of group of people working in the organization. I have been working in the Tuberculosis outpatient department for better TB management so that I could easily identify TB clinic facts and factors that  is to decrease the probability and risk of contracting TB Eternal is being comprised of social care activities helps patients to feel comfortable during the time they are given treatment in the hospital. Apart from that works my other works accompanied with (Closing the Gap, National Urban).

My professional role is to impart the complete level of understanding to people about TB disease and then assuring them about the disease being curable regard with the right amount of treatment in the meantime. Other works such as TB medication and organizing the appointments of the doctors handling sterilize equipment, do health checks, and restock consulting rooms, process lab samples, taking blood sample, developing a clear path root in the health and social care of the activities


1. I also have attained immunisation certificate being an IPN Nurse and is contributing towards BCG’s immunisations to the children of age <5years.

2. I have been representing the exemplary verbal communication and interpersonal skills while demonstrating the empathy and readiness to help patients and people from different cultures equally giving preference to their cultural values and norms in terms of health and well being

3. I am committed towards the patient centered care, working efficiently with patients and I also manage patient cases

4. I have vast level of knowledge of in legal and ethical principles associated with care provision and organizational practice based on multi-disciplinary healthcare team management and productivity.

Key cultural systems dominant within organization’s practices and norms

Background, experience, values and belief of patients are the key important points that are used to set up an effective cultural system. Aborigines or aboriginal people are the most highlighted persons who have presence of development of Mycobacterium tuberculosis the key point that has been identified is tuberculosis’s the main associated factor as it has interaction with the human immune-deficiency virus (HIV).  Part form that there are some other factors that is used in order to create a positive culture within the organization and impacts in its practice and norms.




Incidence of TB in the country of Australia


 It was about 5.4 cases per 100,000 of population

Incidence of TB in the country of Australia


It was about 14.54 cases per 100,000 of population

Estimated number of death among people in 2015


HIV Negative

HIV positive


(330 000)

290 000–380 000

180 000

(160 000–210 000)

As per the mortality rate estimated 510 000 TB death among the population has been measured. This includes 330000 deaths ho are having HIV negative and 180000 people who were found to be HIV positive. There is a strong link between the health status and socio-economic status of the aboriginals certainly poverty. The aboriginal people and community in Australia is experiencing socio-economic disadvantage on almost every key indicator. Furthermore there is strong nexus between perceptions of control and the chronic stress. Aboriginal people has clear understanding that health status and its body functioning as positive co relation with the control over the physical surroundings, dignity, justice and community of self-esteem

There are other factors that may lead into the chronic decease in aboriginal people

Use of tobacco
Other unused an non stated  prescription

The wellbeing of the Aboriginal people is completely based on various factors but there are most imperative elements as land, minerals, waters, and plants being central to their culture. Government and other charitable trusts both in the consultation with the various authority has developed public health policy that has coupled with the best determinants of health reflects parties attitude, belief, responsive behavior and others factors(Racher  &Annis, 2012).

Factors shaping Culture as a Determinant of Health

As per my experience in the Eternal hospital I have observed that there are many various factors combine together to affect the health of individual and communities. To the extent the factors social and environment factors physical attributes and patients individual characteristics and behavior (Markwick, et. Al., 2014).

Deterninants of health that has shaped determinants of TB epidemiology

1. Global socioeconomic inequalities

2. Quick growth in population

3. Quick urbanization and higher levels of population mobility

4. Unequal distributions of the major social determinants of TB like malnutrition and food insecurity, environmental issues, poor housing, cultural barriers to healthcare accessibility and financial issues

5. High level of the exposure of the Patients  to infection, disease progression, inappropriate or late diagnosis and treatment, & poor treatment success and adherence

6. The substantial TB burden is falling in populations having higher chronic poverty and malnutrition levels. TB further is responsible for exacerbating food insecurity, malnutrition and poverty (Australian Government, Department of Social Services

Determinant of TB epidemiology are the complex set of factors that showcase how patients are suffering from various health issues due to the excess use of tobbaco, unmantianied diet and excersis , use of durgs and alchohal, unsafe sex and furthermore. Whereas at the same time social factors that is attributed in context with the extablishment of orgnization’s culture are education, income, emloyement and the standard of living of the people in the socity at large. Various government policies and regulation are passed by the government in order to increse the effecitvenes of the health and social care department so that TB infection, stigma and other Envioremtal equilty and use of adavanced technology are also taken into consideration to the extent of extablishmen of determinates in the TB epidemiology. Therefore in order to cope with the demanding situation of this determinats I or other tacking care activities  have to make complete corporate governance with issued rules and regulation of the govement. Eternal being in the hospital and caring business has to takecare of vaairous factors such as mantaining all the material thigs in the right manner. pr oviding good place of enviorment and use of new technology is also considered in the proper treament of the patients. I have also observed in my job that orgnizaiton in order to keep its business on sustainble basis or for the increment of the brand image between the social people has to provide a high level of servcies and key research program so  that more patients could b treated with a proeper due delignece. Therefore these are the factors that provide a big level of imopact upon the orgnization’s culture and their way of working in very effectifull manner(Erasmus, et. Al., .2010).

orgnization’s culture

Relevance of key concepts to Practice context           

My role in Eternal hospital was to provide the best assistance to all level of doctors and managing equipment in well and effective manner. I also keep my supervision on the administrative work that is related with the filling forms, making payment and other imperative works by the patients for their complete treatment.  In the hospital premises more than 200 staffs members work in associated with maintaining a good culture and providing best services to the extent of client’s expectation for the betterment of the countries at large. There are other services that is being providing by me throughout the time (Lawrence, 2013).

1. Understand how human factors and ergonomics could be fully integrated into current process that showcase the real imperative factor for stigma  and determinant that holds direct relevance to the health-seeking behaviors as well as the management and the control of TB in special issues.

2. Providing high level of training to other staff members regard with the administrative and further imperative activities.

3. Australia and Canada the aborigines or indigenous are truly at a greater risk of developing TB than the people from the no aborigines community. Aborigines hold the greater chances than average predisposing risk factors prevalence for TB like diabetes, renal failure, smoking and alcohol abuse

3. Clinical staff assistance to doctors in the operational area (Hawthorne, S. 2016).

Literature search


The demand of the nurses and other staff members in the hospitals are growing very effectively. My role in the eternal hospital is providing best assistance to the doctors and patients in different path. The eternal hospital is being developed to promote the integration of mainstream hospice principles into hospital practice. The hospital friendly environment is oriented around the four terms such as integrated care, communication, patient autonomy (Guzys, et. Al., 2014).

Aim and scope of the review

The aim of this research literature review is to identify the imperativeness of the integrated care in the hospital regard with of TB get addressed by the strengthening social protection and livelihood or through the urban regeneration. This research program helps to cover the patient and family experience they take from the hospital working staffs and functional channel in the social protection initiatives include mitigating economic shock impacts, reducing poverty vulnerability and supporting people suffering from chronic incapacities. Direct cash transfer programs carried out in Latin America and Africa are supporting the poor people (Venkatesh  & Weatherspoon,  2013).

Care path

With the given level of this research and my own experience in the Eternal hospital I have realized that social determinates are the major risk factors for TB like poor ventilation and other infections in the hospitals such as hunger and poor handling of TB patients results into increment of chance of cancers and other hazardous infections in the lungs

1. Integrated look after process system
2. Pediatric palliative care
3. End of life care decision and recommendation to patients
4. Withholding life sustaining treatment
5. Increment of nursing facility in more focus and trained way with high level of safety measures.


General review and articles that has showcase the actual impact of the Determinates of TB and other illness problems in the patients and how nursing abilities to look after patents  has found a  way of working for the betterment of the patients look after activities. In the present report and magazine there is complete level of reporting has been passed that disclose how People have been infected with endogenous reactivation towards the complete disease burden with time. in the look after care taking activities I being a nurse has been providing  and generating high level of services either maintaining bed, using sophisticated technology, educate the people about TB disease and then assuring them about the disease being curable,  and also working  Tuberculosis outpatient department for better TB management I have found that various determinants such as social economic factors public income and their way of eating behavior has resulted into the bad health , TB infection that gradually end up with the patients flooding with various disease. Revenue and patients income has also pose a great level of demand of new upcoming international technology for the good look after program and making patient ensure of their health recovery program(World Health Organization (2012).

Experience sharing

My time in the hospital where I am working has provided me the best understanding of new equipment using and how to handle patients in best and effective manner for quite strict on equality and safety for all patients from every cultural background. I have observed many imperative things that have enhance my own behavior and my key skills such as in cultural competence and management observation power, calculation skills, generation of new level ideas and view in order to handle TB, HIV and AIDS suffered patients. Organizational practices focus on involving aboriginal culture certified nurse in the treatment and healthcare practices for the patients of this community. This job has resulted into how I can modulate myself from the emotional person to the supportive person either to provide best assistance to or patient’s family members, immigration in terms of Health undertakings and visa’s. I feel competent and proud to visit people at their homes certainly the ones being on TB for taking their medication observations. I am knowledgeable in legal and ethical principles associated with care provision. The organizational practice is specifically based on multi-disciplinary healthcare team management and productivity. And I am proven in this ability  


Now I would like to conclude up my report by saying that this role has given me full knowledge of handling patients and providing best assistance to the staff members. Eternal hospital has been the life turning of my career and given me the range of information about how can I handle critical situation in very effective manner and how other staff members could be pursued to provide the best services to the hospital patients. The care path, experience I have gained, and other required training has resulted into development of my own core intent in the hospital look after field.


This assessment has resulted into the complete depiction program that showcase how health and social care activities provide the best assistance to the patients in  handling their health in best manner. I have now understood how a staff members could play an effective role in the hospital and how much important his role is in handling patients. With the wide level of understanding upon these factors I would conclude my words by saying that employees and staff members are the key pillars in the patients comfort level in the health center and their responsive behavior play a very critical role in such program.


Australian Government, Department of Social Services. (2013). Closing the Gap: National Urban and Regional Service Delivery Strategy for Indigenous Australians http://www.dss.gov.au/our-responsibilities/indigenous-australians/programs- services/closing-the-gap/closing-the-gap-national-urban-and-regional-service-delivery- strategy-for-indigenous-australians

Barnes, T., Choi, C and Smith L (2011), Comparing life expectancy of indigenous people in Australia, New Zealand, Canada and the United Stated: Conceptual, methodological and data issues.  Australian Institute of Health and Welfare, Canberra.

Baydala, L., Ruttan, L., &Starkes, J. (2015). Community-based participatory research with Aboriginal children and their communities: Research principles, practice and the social determinants of health. First Peoples Child & Family Review, 10(2), 82-94.

Guzys, D., and Petrie, E. (2014) . Cultural Competence. Chapter  6, in Introduction to Community  and  Primary  Health  Care.  (edsGuzys  and  Petrie),  pp.77-88. Cambridge University Press: Melbourne.

Guzys, D., and Petrie, E. (2014). Introduction to Community and Primary Health Care. Cambridge University Press: Melbourne.

Hargreaves, James R., Boccia, Delia., Evans, Carlton A., Adato, Michelle., Petticrew, Mark., & Porter, John, DH. (2011). The Social Determinants of Tuberculosis: From Evidence to Action. Am J Public Health. 2011 April; 101(4): 654–662.

Keddie, A. (2012). Australian multi-cultural policy: Social cohesion through a political conception of autonomy. Journal of Sociology’.Kennedy JF (1963). Civil rights announcement.http://www.pbs.org/wgbh/americanexperience/features/primary-resources/jfk-civilrights/

Lawrence, C. (2013). Aboriginal health and the Australian Constitution: how do we fix them both? Australian and New Zealand Journal of Public Health, 37, 108–110. doi: 10.1111/1753- 6405.12026

Markwick, A., Ansari, Z., Sullivan, M., Parsons, L., & McNeil, J. (2014). Inequalities in the social determinants of health of Aboriginal and Torres Strait Islander People: a cross-sectional population-based study in the Australian state of Victoria. International journal for equity in health, 13(1), 1.

Racher, F.E., &Annis, R.A. (2012) Honoring culture and diversity in community practice. In A.R.Vollman, E.AS Anderson, & J. McFarlane(Eds.) Canada: Lippincott.

World Health Organization (2012). Social Determinants of Health: Key Concepts Available at http://www.who.int/social_determinants/thecommission/finalreport/key_concepts/en/ind ex.html