Problem:
When caring for Cuban American patients, it is important to remember that Cuban immigrants have a range of experiences. Those who arrived in earlier immigration waves often had different legal, social, and economic opportunities than more recent arrivals. For instance, earlier Cuban immigrants were more likely to benefit from supportive immigration policies and strong community networks, especially in South Florida. More recent Cuban immigrants may face more challenges with immigration status, health insurance, employment, and getting primary care. In 2021, about 16% of Cuban immigrants did not have health insurance, which can delay preventive care and treatment for chronic illnesses (Migration Policy Institute, 2023). A patient's experience with healthcare in Cuba can also affect their expectations in the United States. While Cuba is known for strong primary care, recent reports mention problems like limited resources, shortages, and concerns about sustainability (Mesa-Lago, 2021). Because of this, Cuban American patients may have different expectations based on when they immigrated and what they experienced before coming to the U.S. Nurses should assess each patient as an individual, rather than assuming all Cuban Americans have the same health beliefs or resources. Helpful interventions include checking for insurance needs, connecting patients with community clinics, providing education in Spanish, and asking about stress from migration or family separation. Need Assignment Help?