...acknowledge that workplace diversity and cultural competence are important to providing health services, as cited by (Davis, 1998). Perceptions of nursing managers related to workplace diversity and cultural competences have not been a focus of any research studies. There have been studies done on nurse job satisfaction which have focused on a range of aspects, there have only been a few that have focused on workplace diversity and cultural competence from the nurse managers’ perspectives. Health care settings as an organization commonly accept workplace diversity and cultural competence as a competitive edge, as cited by (Davis, 1998). There has not been many links to nurses eminence of work life and the factors related to workplace diversity and cultural competence. Value of work life is defined here as the individuals estimation of need fulfillment and enjoyment of one’s job and career. Nurses job satisfaction is considered a factor of quality of nurses work life. This paper will portray the need for a study to be done among Nurse Managers perceptions of workplace diversity, cultural competence and job satisfaction. This paper will also show that there is an under representation of racial and ethnic minorities in the nursing field and of how the need for more diverse nursing faculty is crucial....
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...CULTURAL COMPETENCE IN HEALTH CARE: EMERGING FRAMEWORKS AND PRACTICAL APPROACHES Joseph R. Betancourt Massachusetts General Hospital–Harvard Medical School Alexander R. Green and J. Emilio Carrillo New York-Presbyterian Hospital–Weill Medical College of Cornell University FIELD REPORT October 2002 Support for this research was provided by The Commonwealth Fund. The views presented here are those of the authors and should not be attributed to The Commonwealth Fund or its directors, officers, or staff. Copies of this report are available from The Commonwealth Fund by calling our toll-free publications line at 1-888-777-2744 and ordering publication number 576. The report can also be found on the Fund’s website at www.cmwf.org. CONTENTS About the Authors.......................................................................................................... iv Acknowledgments .......................................................................................................... iv Executive Summary......................................................................................................... v Introduction .................................................................................................................... 1 Findings........................................................................................................................... 3 Defining Cultural Competence ..............................................................................
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...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 Uhl Pierce, PhD, RN, FAAN2, ...
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...Diversity in the Workplace We live in a society today that is culturally diverse. With this diversity of the population, comes the need for a diverse and culturally competent nursing workforce to care appropriately for patients. The purpose of this paper is to examine diversity in the workplace, its importance to nursing as a profession and its impact on the delivery of culturally competent nursing care. Importance of Diversity in the Workplace Huston (2014) reveals that age, gender, customs, religion, physical size, physical and mental capabilities, beliefs, culture, ethnicity, and skin color are all forms of diversity. Despite the shift in demography of today’s society, which reflects an increasingly culturally diverse population (Phillips and Malone, 2014), the majority of nurses in the workforce are white, middle-aged females (Mattson, 2009). Making the nursing workplace more heterogeneous, diverse and representative of the population (Phillips and Malone, 2014), helps to promote quality of care and decrease disparities in healthcare (Huston, 2014). Maier-Lorentz (2008) adds that diversity in the workplace fosters cultural competency, which is vital to the provision of holistic and optimal care to this diverse patient population. Summary of One Aspect of Diversity One aspect of Diversity in the workplace is Generational diversity. With the current aging nursing population averaging forty-years of age (Mason, Leavitt and Chaffee, 2014), the current nursing...
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...explores the nurse educator as a profession. It delineates the responsibilities of the educator as a gatekeeper for the nursing profession and emphasizes its paramount role in the academic world of nursing education and health care delivery. There is an exciting perspective to the educator’s role in nursing and the opportunity to mentor the next generation of nurses. Teaching the novice clinician about the profession and the dedication to serving people is self fulfilling and vital to the preparation of future nurses. This paper examines the diversified roles of the educator as well as the challenges and ethical dilemmas that are congruent to the profession. The articles and nursing journals depict how the role of the educator substantially affects the health care delivery system and how the philosophy of nursing practice is implemented to promote holistic client centered care. The Clinical Nurse Educator The history of nursing education is tied to nursing's quest for a professional identity. Nursing is serious about education, placing major emphasis on lifelong learning as well as initial preparation. Nurse educators are critical players in assuring quality educational experiences that prepare novice nursing students for a diverse health care environment. They are responsible for designing, implementing, evaluating and revising academic and continuing education programs for nurses. Nurse educators combine their clinical expertise and passion for teaching into rewarding...
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...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...
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...Standards of Care: Cultural Competence in a Long Term Care / Skilled Nursing Facility Susan Mateo NUR/531 Tracey Lane Emerging Standards of Care: Cultural Competence in a Long Term Care / Skilled Nursing Facility Of the many challenges facing the nursing profession, cultural competence is an area of great need across all settings from educators, to students, bedside nurses, nurse managers, and nursing leadership. Cultural competence for a given entity, be it an educational institution or healthcare facility, is best measured by an appraisal of that entity, with respect to the cultural diversity of its staff and customers, along with its policies, procedures and actual practices. The focus of this paper is the evaluation of the cultural competence of a local long term care / skilled nursing facility (LTC/SNF) located in Harker Heights, Texas. The inability to access numerical or percentage totals of the demographics of either the staff or residents directly resulted in observational assessments by this writer as the basis for this evaluation. The observations took place during the clinical experiences of students from the local public school district’s CNA course. Based on the various readings associated with the nursing 531 course, a definition of cultural competence includes several components. One of the most easily understood and incorporated is Campinha-Bacote's model of cultural competence. This model consists of five concepts, namely: cultural desire, cultural awareness...
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...STATEMENT OF CULTURAL COMPETENCE IN TRAINING AND EDUCATING PEOPLE OF COLOR It is both a privilege and a pleasure to address the National Minority AIDS Council to provide you with an essay of my credentials. My credentials for being placed in this position as candidate of the Training of Trainers span my medical academic career, which began when I was an undergraduate student of Nutrition at Hunter College in New York City. My exposure to the realities of the medical system as it relates to blacks and other minorities continued through my experiences at the Ryan White Clinic for HIV (Fulton County Government) in Atlanta Georgia and subsequently at my current home base Rainbow Preventive Services founded in September of 2007. During that time span from my undergraduate years to the present, I have not only witnessed some dramatic events and developments regarding the delivery of health care to the nation’s medically neediest populations, I have also been privileged to play a role in them. Examples are my developing a Lactation Education program at Broward County Community College, teaching Nutrition as Adjunct Faculty in Miami Dade Community College – Wolfson Campus and as a Trained Trainer for Bright from the Start Georgia Child Care Trainer and Reviewer. Ultimately founded Rainbow Preventive Services (RPS Inc.) to be located in downtown Atlanta in the near future. www.rps-agency.com. This agency is dedicated to decreasing healthcare disparities by preventing HIV...
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...Competent Care Standards Lori Houde Nur/531 Gregory Friesz December 17, 2012 As more people immigrate to this country, the need for culturally competent nursing care becomes more important. Hospitals, clinics, and doctors offices are now emphasizing the need for nurses to be aware of the diverse needs of many differing cultures. Learning and understanding Leininger’s transcultural nursing theory can assist the nurse in incorprating culturally competent care into their practice. Nursing standards regarding cultural commpetence are changing as more immigrants are entering this country and the health care system. Statistics According the the US Census Bureau in 2000 30% of the US population was an ethnicity other than non-hispanic whites. The projection is that it will reach 50% by the year 2050, while currently 90% of all nurses are caucasian (Maier-Lorentz, 2008). Brought into working terms that means that if a nurse has a six patient assignment, approximately two of the six will be from another culture and have different needs and beliefs. Nursing care revolves around giving holistic care to each patient. In order to provide holistic care to patients the nurse must be aware of the individual needs of that patients. The patients cultural background will determine what those needs are. If a nurse is unaware of the cultural needs, there is no way to provide a plan of care to meet the individual needs. Leininger’s Cultural Care Theory Leininger’s culture care theory is...
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...University of Phoenix. All rights reserved. Course Description The purpose of this course is to assist students in understanding and applying the principles of effective intercultural communication in a diverse society and in global commerce. Students will develop an understanding of why and how cultural issues influence effective communication. This course introduces techniques for improving written, oral, and interpersonal communication skills in response to intercultural settings. Policies Faculty and students/learners will be held responsible for understanding and adhering to all policies contained within the following two documents: • University policies: You must be logged into the student website to view this document. • Instructor policies: This document is posted in the Course Materials forum. University policies are subject to change. Be sure to read the policies at the beginning of each class. Policies may be slightly different depending on the modality in which you attend class. If you have recently changed modalities, read the policies governing your current class modality. Course Materials Lustig, M. W. & Koester, J. (2010). Intercultural competence: Interpersonal communication across cultures...
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... A1. Local Demographics Almost 12% of the students that attend the schools in Millard County speak another language other than English in their home. (United States Census Bureau, 2015) Due to the language diversity in the district the staff needs to pay particular attention to the students’ parents may have a hard time overcoming language barriers. The ethnicity groups that are located in the Millard County School District are becoming more diverse. In the last four years Millard County’s ethnicity groups have had the following changes: increase 4% that are Black or African American, a decrease of 1% American Indian, decrease of .3% Asian, decrease of .1% Native Hawaiian and increase of 2% Hispanic. (United States Census, 2014) The faculty needs to be aware and educated on the student’s backgrounds to further facilitate the teaching of these students. They also need to be able to adjust to the ethnicity changes as they happen weather they be an increase or decrease in numbers. The socio-economic levels of the district are divided into three distinct quadrants. They have the upper class consisting of approximately 25% of the students. The middle class consists of the other 50% and lower class makes up the other 25% of the student body. There needs to be a consideration of the needs of the lower class students. A1a. Demographics across the United States Millard County School Districts students...
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...Palliative Care and Surgical Disciplines: Palliation and surgery have a historical association. The word ‘palliative’ was first used by a surgeon, a urologic oncologist, who established the world’s first acute care hospital in-patient palliative care service at the Royal Victoria Hospital in Montreal in 1974 [2]. Surgeons, irrespective of their specialty, encounter a wide spectrum of death and dying in their daily practice – this may be a patient with severe trauma, burn or advanced stage cancer or a critically ill patient in a surgical intensive care unit (SICU); death may occur unexpectedly due to internal catastrophes such as bleedings, ruptures or perforations; occur peri-operatively in a patient with multiple morbidity and chronic diseases;...
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...educational perspectives in the nursing profession (Robinson, Sportsman, Eschiti, Bradshaw and Bol, (2006). Caldwell, Lu & Harding (2010) argue that the quality of nursing care necessitates nurses to reflect on nursing ethics in relation to their individual principled way of life. Cadwell, Lu & Harding (2010) paper explores these ideas. Summary: The fundamental nature of professional development implies personal development (Glen, 2005). ‘Encompassing multiple moral paradigms: a challenge for nursing educators’, is an in-depth analysis of nursing ethical dilemmas; the efforts that are undertaken to implement professional development through reflection, self-monitoring and self-control; and the challenges for nurse educators to integrate the syllabus into real-life clinical practice situations. Caldwell, Lu & Harding (2010) study analyses nursing ethics, Chinese ethical philosophies, and Judeo/Christian traditions as they endeavour to demonstrate the real-life issues of morally conflicting situations in nursing practice within these groups and the possible legal consequences. Relevant to topic yes/no? This paper clearly outlines ethico-legal nursing dilemmas in nursing practice, and the difficulties faced implementing them when striving to achieve competence in nursing. The acquirement of nursing competence and its relationship to different views of nursing is demonstrated by Cadwell, Lu & Harding (2010) through the case study of a Chinese student and her conflicts arising...
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...reflect on one’s growth while looking at the effects of completing the Human Services degree program of current and future professional goals. In this paper, I will discuss one’s views of learning, influences of personal growth and development including professional competences and career goals. Additionally, this paper evaluates areas of growth of skill orientation of core courses, which includes general education and poses areas of recommendation that can enhance the curriculum at University of Phoenix. Lastly, this paper analyzes the effects completing an undergraduate degree program while giving insight of lifelong learning goals (University of Phoenix, 2012). Assessment of one’s personal and professional growth and development enhances awareness and brings accomplishments to the forefront. Personal and Professional Growth As I reflect on personal and professional growth prior to completion of one’s degree program, I realize that one has been empowered by great deals of faculty and staff at University of Phoenix, which has influenced personal and professional growth. People, places, and things easily deterred me in the past however; since enrollment of one’s degree program, empowerment, and mentoring of faculty, I have learned to manage responsibilities effectively as a student, employee, and as head of household. Additionally, I have increased my roles and responsibilities at Voices of Hope and Urojas Community Services, which are widely recognized in the West Oakland...
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...United States is facing the need to provide nursing care to an increasing diverse patient population with a nursing workforce that, in itself, is impacted by generational, ethnic and gender differences. The purpose of this paper is to present the importance of diversity in the workplace and delivering culturally competent nursing care, the impact of gender diversity, and the misrepresentation of minorities in the nursing profession. Importance of diversity in the workplace America is a kaleidoscope of cultures, religions, races, and nationalities. The USA Quick Facts from the US Census Bureau shows the following 2011 population statistics: White 63.4%, Hispanic/Latino 16.7%, Black/Afro-American 13.1%, Asian 5.0%, American Indian & Alaska Native 1.2%, and Native Hawaiian/Pacific Islanders. 0.2%. In 2012 minority population increased to 37% and is projected that minorities will be the majority by 2043. Mason, Leavitt & Chaffee (2012) pointed out that as our population “continues to grow and increase its diversity, it is important that the nursing workforce reflect these changes to effectively meet patient care needs and ensure cultural competency” (p. 378). Cultural assessments must be part of the nurse’s health assessment. To be culturally competent nurses need to be aware of their own culture, and the diverse culture of their colleagues and patient populations (Maier-Lorentz, 2008). Culturally competent nursing care is important for positive patient outcomes and patient ...
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