...excellent nursing care (Srivastava, 2007). However, health care provider’s roles and responsibilities in meeting health care needs of the clients in consideration to cultural perspective and diversity are getting more challenging and complicated due to increased number of people from a group of multi-ethnic and multi-cultural society, which, in turn requires health care providers to acknowledge and understand variations of cultural healthcare beliefs, values and practices. Transcultural nursing is essential in the process of nursing care because of the different factors, which includes increasing diversity and multicultural identities, emergent use of health care equipment that occasionally dispute the cultural ethics and beliefs of the clients and a rise in feminism and gender issues (Andrews &ump; Boyle, 2008). Maier-Lorentz (2008) states that the fundamental aspect of healthcare is transcultural nursing since culturally competent nursing care help guarantee patient satisfactions and health beneficial outcome. According to the Royal College of Nursing (2009), providing care with respect to health and illness based on the expectations of the people’s values, beliefs and practices corresponding with culture is the focal point of transcultural care. Influenced by the principles and theories of transcultural nursing, the author defines transcultural nursing as a discipline of culturally care for individuals, families, groups and communities representing different cultural lifestyle...
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...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...
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...environment in which the nursing practice should conform and adjust its standard to provide invaluable care to everyone. This article discusses the role of perioperative nurses in providing excellent care to culturally diverse population. This can be done through cross-cultural training and tools to assist in developing skills such as self awareness, communication and new learning. Culturally and Linguistically Appropriately Standards of Service (CLAS) have been created to guide health care agencies in better communication thus better patient satisfaction. There is also the use of cultural broker who acts as an advocate on behalf of another individual from a different culture has gained much attention and greatly enhances communication. Providing in-service to staff, use of interpreters and cultural brokers and implementation of standard collection of data on race and ethnicity creates readiness to deliver culturally competent health services. Lowe, J., Archibald, C. (2009). Cultural Diversity: The Intention of Nursing. Nursing Forum. 44(1), 11-18. This article addresses cultural diversity in nursing and focuses on competence in providing appropriate nursing care to a growing culturally/ethnically diverse patient Culture and Ethnicity 2 population. Cultural diversity and cultural competence provide the framework for building diverse relationships in nursing practice, education, and research. This gave way to the transcultural nursing movement that lead...
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...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...
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...demographics and the emergent multicultural humanity emphasizes the significance of cultural competence for the provision of quality care in this diverse society. Identifying and comprehending the beliefs, customs, practices, and values of a culture is essential for nurses and health care providers. Beyond the racial and ethnic group, classification that usually comes to mind with discussion of cultural diversity, other types of cultural diversity such as gender and organization affiliation warrants attention. This paper will discuss cultural competence in home health care/hospice, the people that receive service and issues of community vulnerability. Exploration of standards of cultural competence, potential impacts of delivery of care, and possible solutions to implement where standards are not being met will emerge. Cultural Competence According to Freidman, Bowden, and Jones (2003), people view culture as a model for our way of living, behaving, living, and feeling. An association between culture and heath practices is existent. In fact, culture is the most influential factor in determining health behaviors and beliefs (Campinha-Bacote, 2003). Cultural competence involves being aware of, and conversant on, and sensitive to the diverse cultures that exist in the population. Health care providers should not only embrace cultural diversity but must also strive for cultural competence in order to ensure that all patients receive the best care possible. Nurses spend...
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...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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...Emerging Standards of Care: Cultural Competence Nur 531 July 29, 2013 Instructor Greg Friensz Emerging Standards of Care: Cultural Competence The current U.S. population exhibits unparalleled sociocultural and ethnic diversity, yet the nursing workforce fails to reflect the current state of the nation’s diversity. According to Clark, Calvillo, Fongwa, Kools, Dela Cruz, Lowe, and Mastel-Smith (2011) non-Hispanic Whites constitute 83.2% of the nursing workforce, although Hispanics, African Americans, American Indians, Asians, and other ethnic groups remain underrepresented. Nursing faces the challenge to meet the health care needs of such a culturally diverse population while promoting diversity in the workforce through educating nurses on cultural sensitivity and competence. Cultural competence in nursing is evolving as the standard of care. Nursing and other health care providers must employ knowledge of various social and cultural influences in the care setting to promote patient-centered care (Mitchell, Fioravanti, Founds, Hoffmann, & Libman, 2010). It is crucial to recognize and appreciate the relevance of diversity in the acute care setting to set standards of culturally competent nursing care, and improve care delivery through meeting and improving these standards. When examining definitions and concepts of cultural competence, it is evident that it not only pertains to race, sex, age, and ethnicity, but encompasses “other inseparable factors of culture...
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...University of Phoenix Emerging Standards of Care: Cultural Competence The current U.S. population exhibits unparalleled sociocultural and ethnic diversity, yet the nursing workforce fails to reflect the current state of the nation’s diversity. According to Clark, Calvillo, Fongwa, Kools, Dela Cruz, Lowe, and Mastel-Smith (2011) non-Hispanic Whites constitute 83.2% of the nursing workforce, although Hispanics, African Americans, American Indians, Asians, and other ethnic groups remain underrepresented. Nursing faces the challenge to meet the health care needs of such a culturally diverse population while promoting diversity in the workforce through educating nurses on cultural sensitivity and competence. Cultural competence in nursing is evolving as the standard of care. Nursing and other health care providers must employ knowledge of various social and cultural influences in the care setting to promote patient-centered care (Mitchell, Fioravanti, Founds, Hoffmann, & Libman, 2010). It is crucial to recognize and appreciate the relevance of diversity in the acute care setting to set standards of culturally competent nursing care, and improve care delivery through meeting and improving these standards. Cultural Competence When examining definitions and concepts of cultural competence, it is evident that it not only pertains to race, sex, age, and ethnicity, but also encompasses “other inseparable factors...
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...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...
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...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 the first theory to be based on the cultural sameness (culture universal) and differences (culture-specific)...
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...Cultural Competency and Health Literacy Linda Seyram Agudu, RN-BSN State College of Florida Spring 2014 Cultural competency and health literacy “ To be culturally aware is to understand those aspects of the human condition that differentiate individuals and groups and to understand that these differences sometimes have a significant influence on their health and medical care” (Seidel, 2011). A definition of cultural competency in nursing: “The nurse becomes sensitive to the values, beliefs, lifestyle, and practices of the patient/client, and explores her/his own values, biases and prejudices. Unless the nurse goes through this process in a conscious, deliberate, and reflective manner there is always the risk of the nurse imposing her/his own cultural values during the encounter.” (American Association of Colleges of Nursing, 2008). As cited in the American Association of Colleges of Nursing’s Tool Kit of Resources for Cultural Competent Education for Baccalaureate Nurses, Madeleine Leininger's theory and the Sunrise Model that depicts her theory are perhaps the most well known in nursing literature on culture and health. “Leininger states that the theory of cultural care diversity and universality is holistic. Culture is the specific pattern of behavior that distinguishes any society from others and gives meaning to human expressions of care”. (American Association of Colleges of Nursing, 2008). The Cultural Competence Health Practitioner Assessment (CCHPA)...
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...Cultural Competence Tara Culberson Texas Tech University Healthcare is universal but there are many different views of how healthcare should be administered and given. Different cultures vary in the beliefs surrounding healthcare and the people of those cultures have norms that they believe should be followed when receiving healthcare. Cultural competence can only be administered when the healthcare professionals are educated and value the beliefs of their patients. Joey Guzman is a 19-year-old college student at Tarrant County College who is Hispanic. Both of his parents were born in Mexico and moved to the United States at different periods in their life. Joey’s mom, Sole, has her own views of healthcare and how it should be administered to her and her family. Cultural competence can only occur once healthcare professionals respect and accept cultural differences, and posses different cultural information. Cultural competence is an on-going process and is a learning experience. There should be some things that nurses should be aware of, but cultural competence will gradually be learned as nurses come in contact with different cultures. For example, people of Asian descent belief in acupuncture for healing along with herbal remedies while African Americans also believe in herbal remedies but do not think that acupuncture is a useful measure for healing. The beliefs that Hispanics have surrounding healthcare are very particular and specific and do not really overlap...
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... The health system mandates all new hires take a cultural awareness class during orientation. The article addresses the importance of nurses being culturally competent. Madeleine Leininger’s Transcultural Nursing Theory is applied in many settings; including the critical care units. Critical care nurses work in high stress areas and must be culturally competent. According to the Critical Care Nursing (CCN) Journal, it is important for critical care nurses to establish a strong rapport with patients and their family members. Nurses need to have an understanding of patient’s cultural values, beliefs, and practices in order to follow the nursing process and provide a plan of care to meet the patient’s needs. According to the CCN journal “cultural competence is defined as developing an awareness of one’s own existence, sensations, thoughts, and environment without letting it have an undue influence on those from other backgrounds; demonstrating knowledge and understanding of the client’s culture; accepting and respecting cultural differences; adapting care to be congruent with the client’s culture” (Flowers, 2004, para 6). Metaparadigm “The nursing metaparadigm embodies the knowledge base, theory, philosophy, research, practice, and educational experience and literature identified with the profession” (Nursing Theories, 2013, para 2). Critical care nurses follow Leininger’s metaparadigm; person, health, nursing, and environment. * Person: people sincerely care...
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...Transcultural Nursing Theory Applied Vulnerable Populations I "Nowhere are the divisions of race, ethnicity and culture more sharply drawn that in the health of the people in the United States. Despite recent progress in overall national health, there are continuing disparities in the incidence of illness and death among African Americans, Latino/Hispanic Americans, Native Americans, Asian Americans, Alaskan Natives and Pacific Islanders as compared with the US population as a whole." --National Center for Cultural Competence Population addressed Population addressed In 1950, U.S.-born whites made up about 90 percent of the U.S. population. By 2000, this number declined to about 75 percent, and by 2050 non-Hispanic whites will be in the numerical minority (U.S. Census Bureau 2001, 2002). This rapid diversification requires healthcare organizations to pay closer attention to cross-cultural issues if they are to meet the healthcare needs of the nation and continue to maintain a high standard of care. Looking at the Country as a whole the current area of discussion for this paper is the area of Western North Carolina and the population of Asheville, which is a melting pot of cultures which the combination they create is unique to no other. According to the 2006 U.S. Census Bureau statistics for Asheville, N.C. the current demographics break down as follows: Asheville [City] Population (current estimate), 70,400. Buncombe County Population (2006), 222,174, county in...
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...The Need for cultural Competency for Better Health Care Patients’ satisfaction and safety are the two concerns of the health care system today. In order to provide these the nurses must have full knowledge of the patents’ background and ethnic traditions. This will enable the Nurses to serve them better. Otherwise they will end up in lower levels of patients’ satisfaction. The patients from different ethnic groups are to be respected, cared and treated with a homely atmosphere to give them full satisfaction. If not they go home with the feeling of dissatisfaction and hurt (Georgetown University, 2004). An understanding of cultural knowledge of the patients will help the Nurses to render better care and treatment solutions. The Nurse should have the cultural competency before she deal with patient from particular ethnic group. A better knowledge of the culture, race, view, traditions and expectation of the patient will help the Nurse to render a better care (studymode.com, 2013). Patients come from families, societies, those are founded in different belief traditions, so we need to respect their support group (Lanette Anderson, 2012). Though we all have racial preferences, it should not block and paralyze the growth and progress system where we work for our livelihood. According to ‘Dr. Campinha-Bacote (2002)’ there are five essential factors Nurses need to know. They are ‘awareness, skill, knowledge, encounters and desire’ (2002). These are the five...
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