...Journal of Transcultural Nursing http://tcn.sagepub.com/ Standards of Practice for Culturally Competent Nursing Care : 2011 Update Marilyn K. Douglas, Joan Uhl Pierce, Marlene Rosenkoetter, Dula Pacquiao, Lynn Clark Callister, Marianne Hattar-Pollara, Jana Lauderdale, Jeri Milstead, Deena Nardi and Larry Purnell J Transcult Nurs 2011 22: 317 DOI: 10.1177/1043659611412965 The online version of this article can be found at: http://tcn.sagepub.com/content/22/4/317 Published by: http://www.sagepublications.com On behalf of: Transcultural Nursing Society Additional services and information for Journal of Transcultural Nursing can be found at: Email Alerts: http://tcn.sagepub.com/cgi/alerts Subscriptions: http://tcn.sagepub.com/subscriptions Reprints: http://www.sagepub.com/journalsReprints.nav Permissions: http://www.sagepub.com/journalsPermissions.nav Citations: http://tcn.sagepub.com/content/22/4/317.refs.html >> Version of Record - Sep 26, 2011 What is This? Downloaded from tcn.sagepub.com by Marty Douglas on September 27, 2011 412965 ouglas et al.Journal of Transcultural Nursing TCN22410.1177/1043659611412965D Commentary Journal of ranscultural Nursing T 22(4) 317–333 © The Author(s) 2011 Reprints and permission: sagepub.com/journalsPermissions.nav DOI: 10.1177/1043659611412965 http://tcn.sagepub.com Standards of Practice for Culturally Competent Nursing Care: 2011 Update Marilyn K. Douglas, DNSc, RN, FAAN1, Joan...
Words: 12731 - Pages: 51
...ASN Program Description Mission and Goals Our Mission Trinity College of Nursing and Health Sciences provides a quality higher learning environment preparing competent practitioners for health-care professions. Continuous quality improvement guides the educational process as students prepare to deliver culturally congruent health care, perform as responsible citizens within the global community and seek avenues for life-long learning. Our Goals Program goals for each department in the College derive from the philosophy of the College and the domain competencies, as follows: Knowledge • ability to examine and explain phenomena • ability to construct and organize knowledge • ability to integrate and synthesize knowledge • ability to apply quantitative and qualitative concepts Proficiency • ability to solve practical problems • ability to collaborate with multiple disciplines • ability to communicate effectively • ability to practice competently and skillfully in a changing health-care environment Culture Care Values • ability to preserve/maintain cultural identities • ability to accommodate/negotiate diverse life ways • ability to re-pattern/restructure health-care delivery methods • ability to apply ethical and legal principles to health care The Associate of Science in Nursing Program (ASN) is a two-year program of study combining didactic and clinical nursing courses as well as general education courses. The Program...
Words: 6617 - Pages: 27
...associate’s degree. There is very compelling research that shows an association between better patient outcomes and baccalaureate prepared nursing care in the hospital setting. Competencies Clinical competency is the ability to use the knowledge and skills attained to effectively perform as a nurse. The American Association of Colleges of Nursing states that “…education enhances both clinical competency and care delivery” (Rosseter). A higher degree of education should bring greater clinical competency. There are very evident differences between associate-degree nurses (ADN) and baccalaureate-degree nurses (BSN) with regard to schooling. Most associate degree programs require 2 to 3 years of study, while a baccalaureate degree programs requires 4 years of study. Both ADN and BSN nurses must pass the same exam to earn their Registered Nurse license, however, there are major differences in the program curriculum between these two approaches to attaining the RN license. ADN programs focus on learning the technical skills for providing patient care. Baccalaureate programs, unlike most associate degree programs, have a deeper and broader approach that incorporates an increased level of nursing theory. BSN education includes research and statistics, critical thinking, and community health courses. Baccalaureate students have deeper focus on problem solving skills, effective communication and teamwork, evidence based practice, and awareness of cultural...
Words: 785 - Pages: 4
...first adopted by the Australian Nursing and Midwifery Council (ANMC) in the early 1990s. The ANMC was a peak national and midwifery organisation established in 1992 to develop a national approach to nursing and midwifery regulation. The ANMC worked in conjunction with the state and territory nursing and midwifery authorities (NMRAs) to produce national standards – an integral component of the regulatory framework – to help nurses and midwives deliver safe and competent care. educated overseas seeking to work in Australia involved in professional conduct matters. The National Board may also apply the competency standards in order to communicate to consumers the standards that they can expect from nurses. Universities also use the standards when developing nursing curricula, and to assess student and new graduate performance. The ANMC officially became the Australian Nursing and Midwifery Accreditation Council (ANMAC) on 24 November 2010. The name change reflected ANMC’s appointment as the independent accrediting authority for the nursing and midwifery professions under the new National Registration and Accreditation Scheme (the National Scheme) that came into effect on 1 July 2010 (18 October 2010 in Western Australia). These are YOUR standards — developed using the best possible evidence, and using information and feedback provided by nurses in a variety of settings. Included also are the principles of assessment to help you understand how these...
Words: 5094 - Pages: 21
...TANSCULTURAL NURSING SUBMITTED BY: HARUNA ABDULLAHI IBRAHIM, MSC. NURSING (1ST YEAR), GARDEN CITY COLLEGE OF NURSING. SUBMITTED ON: 13TH AUGUST, 2012 I. INTRODUCTION: In the health care delivery system, as in the society, nurses interact with people of similar as well as diverse backgrounds having different frames of references and varied preferences regarding their health and health needs. In the provision of care, nurses must acknowledge, respect and adapt the cultural needs of those patients and their significant others through identifying the differences between cultural groups that require health care providers to identify culture specific health and illness practices and caring behaviours that transcend cultural groups and appear to be universal care practices to enable the provision of care that is holistic, effective and culturally competent. The field of transcultural nursing which was pioneered by Madelein Leininger in 1975 represent a shift from the biophysiological and psychological models that dominated nursing in the 1950s as it advocates the recognition of each individual as a social being and must be handled as unique entity having cultural beliefs, norms, values and customs that influence his or her life in all ramifications including health, illness and treatment. Leininger, who was considered the leader and initiator in the field of transcultural nursing, postulated the theory of “diversity and universality of...
Words: 3258 - Pages: 14
...Running head: PRACTICUM EXPERIENCE 1 Nursing 740 Practicum Experience Ginger VanDenBerg Ferris State University PRACTICUM EXPERIENCE Abstract 2 Orienting to the role of an academic nurse educator is a dynamic and challenging process. While engaging in this role with a preceptor, this novice nurse educator was guided by the core competencies developed by the National League for Nursing to teach Bachelor’s of Science in Nursing (BSN) degree students. Utilizing teaching, assessment, and evaluation strategies learned throughout the Master’s in Nursing Science program, this educator developed a didactic presentation on building cultural competence for Health Assessment nursing students, demonstrated and assisted in the development of essential skills to conduct an adult physical examination, and coordinated a perioperative clinical rotation for senior level nursing students. This practicum experience has played a pivotal role in strengthening this novice educator’s ability to assist students in identifying their learning needs, strengths, and limitations, while providing opportunity to experience the teaching-learning environment of the academic arena. Keywords: nursing students, learning, practicum learning, nurse educator PRACTICUM EXPERIENCE Nursing 740 Practicum Experience New nurse educators transforming into their new role often discover they are not as prepared as they would hope to be (Poindexter, 2008). Being an experienced or expert nurse is not sufficient...
Words: 7893 - Pages: 32
...Universality University of Virginia Theoretical Foundation of Nursing Abstract The Cultural Care Diversity and Universality Theory provides a conceptual framework to discover and explain diversities and similarities of care practices, within a cultures context. The theory is highly complex, and has many levels of scope, in relation to human cultures and nursing worldwide. Culture care is applicable to any culture and many diverse settings. The theory is accessible as a guide to research and can lead to empirical precision. The Sunrise Enabler provides a “visual map” that depicts the multi-factoring influences of culture described in the Culture Care Theory. The United States has become a very pluralistic society and continues to grow in international and ethnic diversity daily. In 2006, Louis Kincannon, Census Bureau Director, stated that “about one in three U.S. residents is a minority.” In 2006, of the United States population, 66% were white or European, 15% Hispanic America, 13% African America, 5% Asian American, and 0.4% Native American (United States Census Bureau, 2006). By 2020 they project that only 53% of the U.S. population is going to be white of European descent. In addition, by 2020 the Hispanic Americans and Asian Americans will triple, while the number of African Americans is expected to double (U.S. Census Bureau, 2006). Considering these statistics, it is imperative that the nursing workforce adapt to the multicultural society in the United States...
Words: 3258 - Pages: 14
...Assessment Tools Analysis Cindy Hall NUR/440 August 15, 2011 Dee Martinez Assessment Tools Analysis Assessing physical measures of patients can often be a difficult task. However, there are several assessment tools available to health care professionals to guide them in providing the best patient care possible. Along with proper assessment tools, Watson’s theory of human caring plays an important role in the integration of the mind, body, and spirit dimensions of each patient. This paper will state three assessment tools that evaluate a patient’s physical measures, describe each tool and the population for which it may be useful, and state data about each tool. Such data may include cost, length, ease in using the tool, for what population it is best designed, and the validity of the information. A description of how each tool enhances the assessment phase of the nursing process and affects the quality of health care delivered by the nurse will be discussed. Each of these tools will be applied to a chosen vulnerable population researched from the Vulnerable Population and Self-awareness paper. The vulnerable population I researched consisted of the elder population. Mrs. James was my subject. She is a 65-year-old widow who lives alone. She has become socially isolated with little to no support system. She has two sons who live out of state and very rarely keeps in contact with them. She does not work and has limited savings. Currently she relies on social...
Words: 1527 - Pages: 7
...Heritage Assessment Grand Canyon University 7/5/2014 Introduction Many times the United States is referred to as a melting pot of people, but this description of the diverse cultures and heritages that make up our nation fails to recognize the extreme individuality of the people here. Perhaps a better description would be a salad bowl, with each part and piece amazingly unique from the rest. Culture is a learned way of thinking and acting. “The behavioral, intellectual, and emotional forms of life expression represent a cultural heritage that is passed on from generation to generation” (Smith, 2009). Culture and heritage greatly influence all aspects of a person’s health. One’s heritage may determine a persons beliefs relating to the physical and /or spiritual approaches that people use to maintain, protect and restore health. The Heritage Assessment tool A heritage assessment tool is a set of 29 questions that address a person’s heritage. It looks at family connections, use of original language, religion, attendance of cultural functions and dietary habits and how closely an individual follows these practices from their cultural roots. Within this paper the author will examine the results of three families from India, Holland and Korea who took the assessment. It will look at how the heritage assessment ties in to help evaluate how closely an individual may follow common health traditions and practices such as health protection, maintenance and restoration from...
Words: 1908 - Pages: 8
...Historical Development of Nursing Timeline Blesilda Galsim NUR/513 March 6, 2012 Noura Kassis Ed.D.,R.N. Historical Development of Nursing Timeline Introduction The evolution of nursing as a profession had showed through time that it is both an art and science. Before the 19th century, the military and religious orders are the ones who perform the duties of how nurses work today. As time went by, different events throughout history such as wars and epidemics had shaped nursing to its present organization. Nowadays, nursing is pushing further towards the future in improving itself as a profession for better care and service to the community. The objective of this paper is to discuss the historical development of nursing timeline, relationship of nursing science on the profession and influences nursing science has on other disciplines. Historical Development Nursing as an organized discipline, made its first significant impact during the Crimean War in 1853. Florence Nightingale considered as the founder of nursing, created the initial model on nursing science. Her theory became the initial foundation and cornerstone in nursing. Her main goal is on changing the environment to facilitate care, nourishment, and recovery. Her views suggested that nursing is about not only giving medicines and about treatment, but environmental factors are also vital in directly affecting one’s health status. In 1952, Hildegard Peplau described...
Words: 1038 - Pages: 5
...Arizona: NRS-430V-0500 November 07th, 2012 Introduction: Recent studies have shown that nursing practices and quality of overall patient care, have a direct link to the quality and level of nursing education. Today’s nursing education must be able to meet the demands, challenges and needs of a modern healthcare. According to the (AACN) Facts Sheets: It approaches today’s nursing workforce with researches, relating education to outcomes, and also outline the capacity and preparedness of four year college, as means of improving the level of education in the United States. The definition, history and competencies of BSN and ADN degrees are discussed below: Associate Degree in Nursing (ADN): An associate degree in nursing, on average requires from two to three years of formal education. ADN predominately prepares nurses for bedside patient care, in a healthcare facilities such as hospitals and long-term care. It is usually offered by community and junior colleges, and some nursing schools. Students with an ADN, meet academic requirement for NCLEX-RN exam, and are eligible for license as R.N. The ADN was started by Dr. Mildred Montag in 1951, as WWII was ending. This was an important and necessary step, in order to deal with critical nursing shortage-post WWII. This shortage was created by two factors: Nursing was still dominantly military profession (War oriented) and many nurse professionals did not remain...
Words: 1742 - Pages: 7
...2012). As members of the health care field, it is critical that nurses take a proactive approach in preventing the increasing trend of chronic, complex illnesses by promoting health for our patients, family, and the community. There are three levels of health promotion that nurses can focus on including primary, secondary, and tertiary which will improve the health care system and the health of our society (Godwin, 2010). Implementing health promotion process gives people the opportunity to take control over actions and gives them the tools to improve lifestyle behaviors in order to optimize health (Jadelhack, 2012). The framework for health promotion is comprised of theories that include behavior, social sciences, and evidence based research (Edelman, Kudzma, & Mandle, 2014). Health promotion includes proactive participation at all levels of society and requires a multi-faceted approach by health care team members (Edelman, Kudzma, & Mandle, 2014). By providing effective health promotion, the overall health of society is improved and costs related to chronic illness are reduced (Jadelhack, 2012). Nurses must promote health through education, develop strategies to improve socio-environmental factors by participating in healthcare policy development and networking within the community (Richard, et al., 2010). Review of Literature: Health Promotion 3 Nurses make...
Words: 1283 - Pages: 6
...during an exercise session at the local martial arts school. On examination she had a wheezing sound when breathing. She has no history of asthma but says she has some allergies which she treats with herbs. Her colleague who brought her to the emergency room also claims that Jane has recently had difficulty breathing while taking the stairs up to the martial arts studio and she no longer rides her bicycle to the studio. Jane is in her second year at the local University where she is studying cellular biology. Jane is a bright student who studies a lot and also works part time in the Universities’ research center which gives her extra cash. She admits that she has been having a dry cough for some months which she associated with allergies. She also relates her inability to ride her bike to her allergies. Jane smokes at least one packet of cigarettes on a daily basis, and during assessment appears to be in the pre-contemplation stage. Jane had six months earlier tested positive for hepatitis B. This surprised her a lot because she was asymptomatic. Though she denies drug use, she admits to having multiple sexual partners. She does not want to be in a long-term relationship because she claims it could complicate her life. She also admits to not using protection on a regular basis. Erikson (Burke, 2010) described eight stages through which an individual passes through to adulthood. Every phase is established on successful completion of earlier phases of development. If the challenge...
Words: 2625 - Pages: 11
...Vulnerable People in the Workplace Paper Watson is a Nursing theorist who recognizes nursing as the art of caring and the need to treat each patient holistically (Watson, 2007). Leininger is another Nursing theorist who realized caring is unique and the core of nursing. According to Leininger’s Cultural Care Theory as cited by Maier-Lorentz (2008), on Transcultural Nursing, nurses need to be aware of various cultures and how to use this knowledge in their daily practice (Maier-Lorentz, 2008). Leininger’s Cultural Care Theory addresses the need for cultural competency in health care. Communication with a patient can be affected by a patient’s culture. In addition, nurses need to avoid ethnocentric bias. In an effort to achieve a holistic approach to health care one must have an understanding of cultural factors that may affect proposed health care interventions. Leininger’s Cultural Care Theory can be hardwired with Watson’s Theory of Human Care to help achieve holistic care of the patient (Leininger & McFarland, 2002). In this paper I will discuss the design of a teaching program at my workplace to help raise awareness about vulnerable populations. According to De Chesney and Anderson (2008), issues with vulnerability can apply to population groups or individual people. De Chesney and Anderson (2008) discuss vulnerable populations that are at higher risk for health issues related to socioeconomic status, cultural issues, or environmental issues (De Chesney & Anderson...
Words: 1187 - Pages: 5
...Concept Comparison and Analysis Across Nursing Theories Dana Montgomery NUR/513 Mary Nicks Abstract Define caring? Caring is a critical element of caring in the profession of nursing. It is the groundwork approach that is utilized in day to day practice. Many theories have been studied in regards to caring. For the purpose of this paper, I will be discussing Marilyn Ann Ray’s Theory of Bureaucratic Caring, Madeline Leininger’s Cultural Caring Theory, and Jean Watson’s Theory of Human Caring. The Theory of Bureaucratic caring was created for a more multifaceted institute while the Cultural Caring theory identifies the need for cultural awareness in caring. Theory of Caring describes caring in a more methodical approach. The meaning of caring respectively has similar qualities, but the approaches are entirely different. This paper will elucidate on these three theories of caring, compare and analyze their concept definitions, and apply a specific theory to practice. Caring is defined as feeling and displaying concern or empathy for others. Nursing has become more convoluted with advancing technology and continuous changes, it can be very challenging. For an individual to become an efficient nurse they must have a positive perception of what caring is as it has become a vital part of nursing. Concepts are essential to theory development and have often been referred to as the building blocks or structural components of theory (Chinn & Kramer 1999). As a core concept...
Words: 1554 - Pages: 7
