...on YouTube titled Cultural Nursing What Not to Do, I found it interesting how the example showed what not to do and then showed how the nurse should have provided the proper care to the Mexican-American patient as well as managing his pain. The video was an adequate demonstration showing both aspects of nursing behavior. I have seen similar behaviors as demonstrated in the video that occurred in the clinical setting when I was a student nurse. As a student nurse, I never intervened. I always felt it was not my place because I was a student. Although, as a licensed professional, I have an obligation to intervene or speak up; however, this intervention is delicate and one has to be careful how it’s approached because you don’t want to make enemies. I would probably intervene by speaking with the nurse first. Then, if I re-observe the same behavior I would probably approach the charge nurse. When a nurse is not knowledgeable of other cultures, she can easily offend the patient unknowingly. With regard to measures that I can take to better understand the needs of clients from other cultures I could: attend continuing education classes addressing various cultures in the healthcare field, utilize the AT&T Language Line to assist with translation when providing care or assessment, and research tools/websites/or applications to download onto my smart phone. In addition, there were other videos to browse through after this assigned video involving cultural competence. There was a great...
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...Cultural Competence in Nursing Practice Nurses are constantly challenged when caring for the diverse ethnical population in the United States. Most of the direct care in a health care organization is provided by nurses therefore, the expectations are for nurses to be knowledgeable about the diverse health beliefs, and practices of their patients (Bauce, Kridli, & Fitzpatrick, 2014). Appropriate care planning and interventions will be more effective if the patient’s cultural, values and beliefs are understood and considered. In order for nurses to be competent, education and training needs to involve the following: Ethnicity, language, culture, religion, gender, sexual orientation and socioeconomic class. Cultural competency allows the patient and nurse to connect. For example, patients may be more comfortable in communicating and expressing themselves if the nurse speaks the same language as them. The nurse is able to address the patient and get a response therefore planning and interventions will be clearly understood by patient. It is important for the nurse and the health care organization to understand the culture of patients in order to provide cultural relevant treatment. For example, diet and nutrition is important and every culture has different foods of preference. A nurse may implement a nutrition plan for a diabetic patient based on the patient’s ethnic food groups or preference. The patient will most likely follow the diet if it is planed with foods that are familiar...
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...Barriers to Cultural Competence Cultural Competence in nursing is “knowledge and understanding of another person's culture; adapting interventions and approaches to health care to the specific culture of the patient, family, and social group” (Medical Dictionary for the Health Professions and Nursing, n.d.) Miami is a melting pot of many different cultures. In order for a nurse to be cultural competence she or he must be able to work successfully with patients from different cultural backgrounds, upbringings, and values. This is accomplished in many different ways, educating oneself in other cultures such as taking classes and talking to co-workers from different cultures. Am I Cultural Competence? It is my believe that I have yet to achieved full cultural competence. Even though after taking classes in different cultures and online courses I am more...
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...and nurse safety While it is important for the nurse to provide patient centered care, cultural competence is important in patient safety, collaboration, and quality of care, and is backed up by scientific evidence. During the course of admission, it is important to gain information such as communication method, mobility needs, personal beliefs (religious, cultural, spiritual), diet and restrictions, and support persons. It is imperative that the nurse start the patient-provider relationship so that maximum care can be provided. This information will be useful in the course of the patient’s hospital stay. It is also imperative for patient safety to provide culturally competent discharge directions which are fully understood and complete. Everyone in America has the right to quality, safe and effective healthcare and it is the responsibility of all health care providers to accomplish this care. Nurses are the foundation of this care as they are not only the providers of care but are the coordinators as well (Kearney, 2012). Nurses function as the liaison between the...
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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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...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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...Diversity in The Workplace Lori Godsey Walden University NURS 3001, Section 08, Issues and Trends in Nursing March 24, 2013 The Problem Healthcare leaders 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...
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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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...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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...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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...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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...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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...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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...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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... 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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