...worldviews of the people they serve are more successful in engaging and activating individuals, families and communities to be an active participant in their own health care," (Sanchez, Chapa, Ybarra, & Martinez, Jr., 2012, p. 5) By integrating into care the individuals beliefs and needs, the professional can create rapport with the individual in such a way that encourages the individual to be active in their own health decisions based on the professional's medical knowledge and the individual's belief system. Culturally competent care is care that is respectful of and responsive to an individual's health beliefs, practices, and needs. This type of care is sensitive to the individual's ethnic and religious beliefs as well as cultural beliefs that have been shown to engage individuals into participating in their healthcare. The skill to deliver culturally competent care is vital for all nurses. For all nurse who work in high-acuity or high-stress healthcare system environment, culturally competent care is particularly significant to patient outcomes. Nurses need to advance their cultural competency in order to be effective in developing bonds with patients, and to assess correctly, and to develop and implement nursing interventions designed...
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...body in healthcare. Additionally, National Standards for Culturally and Linguistically Appropriate Services (CLAS) is also a service trying to improve the quality of services to all individuals. CLAS is about respect and responsiveness: Respect the whole individual and respond to the individual’s health needs and preferences (The Joint Commission). One of CLAS’s strategies is to help eliminate health...
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...Heritage Assessment The United States (US) is a multicultural society. People from all over the world reside in the US. There are many customs, religion, values, beliefs, and so forth, in the US. To be in the healthcare profession, it is vital and necessary to be culturally aware and competent to provide culturally appropriate, holistic care. One of the ways to learn about a person’s heritage is by using the Heritage Assessment (HA). The HA tool has 29 questions and is a reliable method used to collect data on the patients’ traditional heritage. This paper will discuss the usefulness of the Heritage Assessment (HA) tool, this student’s summary of personal learning, this student’s cultural heritage common health traditions, in addition to the differences in health traditions from three different cultures in relation to health maintenance, protection, and restoration. We have to understand our own cultural beliefs, values, attitudes, and practices that are relevant to health and illness before we can understand others (Jarvis, 2012). People have different views on health and illness which is influenced by their cultural beliefs. According to Jarvis (2012), to be culturally competent, one must have knowledge of one’s own personal heritage, the heritage of the patient, nursing profession, and health care system. The Heritage Assessment is a useful tool to build cultural competency by collecting relevant data to assist the healthcare providers to provide better care. The tool assists...
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...As advanced practice nurses we should strive to care for the whole person. This includes not only their physical health but their emotional health, mental/psychological health, spiritual health, culture, relationships, and environment. All of these aspects make up a person, so in order to provide the care that is necessary, it is important that we consider all these aspects when providing treatment. We can easily prescribe a medication to fix their health issues but that doesn’t mean that their current environment or situation is going to allow for them to be able to afford this medication. Additionally, maybe culturally they do not believe in medication and in this situation you will have to stress other ways to treat their hypertension. Focusing...
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... Grand Canyon University NRS-429V United States one of the most cultural diverse nation on earth, People from different part of world have come tougher to create this country. So as healthcare professionals nurses has to deal with patient from diverse cultural background. To provide quality care they should be able to understand the cultural heritage. Culture is that which shapes the person. Heritage is made of practices and tradition example like language, norms, behavior, belief, values that are passed from parent to children. This paper will discuss the importance of applying heritage assessment tool to assess health tradition of culturally diverse population. Based on heritage assessment tool this paper addresses the health maintance, health protection, and health restoration of culturally different families of Indian, Philippines and Pakistani, and evaluate and discuss how the families subscribe to these tradition and practices. The author include her own health tradition based on her cultural heritage. Heritage Assessment tool in Evaluating the Need of Whole Person Treating the person as a whole is extremely important in nursing practice. That means nurse assess the person as a whole. To understand fully the nurse should have the knowledge of their culture and heritage. Culture and heritage has a main role in shaping the person. Heritage is made of practices and tradition that are passed from one generation...
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...The overall goal for early educational professionals, however, is to provide every child, including children who are linguistically and culturally diverse, with a responsive learning environment. For culturally and linguistically diverse students to reach their full potential, instructions should be provided. As educators, it is imperative that we recognize that all students are cognitively, linguistically, and emotionally connected to the language and culture of their home. A curriculum that is culturally responsive capitalizes on student’s cultural background rather than attempting to override them (Zero to Three, 2008). Cultural, ethnic and racial diversity are important and are valued characteristics of the population of young students currently served by early childhood education programs. According to research, early elementary educators are facing the challenge of creating quality educational programs for young students from diverse cultural...
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...Emerging 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...
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...Family Centered Health Promotion: Heritage Assessment Tool Janice Ward NRS-429V May 31, 2015 Family Centered Health Promotion: Heritage Assessment Tool A critical skill in nursing is to assess multicultural patients in the USA today. The culturally competent nurse is able to evaluate the needs of clients and families through the use of a Heritage Assessment Tool. The successful completion of a Heritage Assessment Tool will provide the basis for understanding traditional health and illness beliefs and practices. The incorporation of the patient’s The Journal of Transcultural Nursing states as it’s 6th standard of practice for transcultural nursing the following: Nurses shall recognize the effect of health care policies, delivery systems, and resources on their patient populations and shall empower and advocate for their patients as indicated. Nurses shall advocate for the inclusion of their patient’s cultural beliefs and practices in all dimensions of their health care. (Lauderdale, Milstead, Nardi, Purnell, Douglas, Pierce, Rosenkoeter, Pacquiao, Callister, Hattar-Pollara, 2011) In order for the nurse to support their patient in receiving the best of health care it is imperative the nurse understand their patient’s heritage. “Health care organizations should ensure that patients receive from all staff members effective, understandable, and respectful care that is provided in a manner compatible with their cultural health beliefs and practices...
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...Running head: CULTURALLY SENSITIVE NURSING CARE Culturally Sensitive Nursing care In Maternity For Japanese Patients March 28, 2012 Abstract Nurses need to be culturally congruent in order to offer culturally, competent care to their clients. To be able to care for Japanese women, during the prepartum, intrapartum, postpartum phases and for her newborn infant, it is necessary to have knowledge and continued education of the patient and her family’s culture and customs. The US Census Bureau accounts that approximately 1.3 million individuals of Japanese descent reside in the United State (US census bureau 2009). In the Japanese culture, the main focus for men is to support their family financially; therefore it is the woman’s job to care for their household. During the pregnancy and postpartum period, Japanese women will benefit from the care, support and education given by their nurse. Culturally Sensitive Nursing care in Maternity for Japanese Patients The nurse’s cultural knowledge and understanding of the patient’s religion, customs, beliefs, and nutritional preference, are crucial tools for successful communication. Teaching and implication of nursing intervention are also very important during: prenatal, postnatal and motherhood stages during her hospital stay and in the community setting. Japanese are taught the English language from the age of six; therefore...
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...Benchmark Assignment – Heritage Assessment Grand Canyon University – NRS 429 Benchmark Assignment – Heritage Assessment Our ever-growing multicultural and ethnically diverse United States population makes it challenging for health care professionals to provide culturally competent and effective holistic care to these groups. It is imperative that health education strategies include performing a heritage assessment to include a person’s ethnic background, cultural heritage, health traditions and beliefs, cultural considerations affecting health, as well as traditional methods used for maintaining, protecting and restoring health (Spector, n.d.). It is of upmost importance for the health care provider to be knowledgeable of their own cultural beliefs and values in order to provide respectful, appropriate and culturally sensitive care to these diverse populations. Likewise, being culturally competent and possessing a complete understanding of the diverse minorities and ethnic groups is imperative in order to provide optimal health care to include ongoing maintenance, protection and restoration of health (Edelman, 2014). To analyze this theory three families of different ethnic backgrounds were interviewed using a heritage assessment tool which included additional health related questions. After completing these assessments the author believes that it is important to incorporate knowledge of a cultural heritage assessment into their practice and that this exercise...
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...In healthcare settings, again the goal of culturally competent health care services is to provide quality of care to every patient, regardless of race, gender, religion, ethnicity, cultural background, language or literacy level (Carrasquillo, Orav, Brennan, Burstin, (1999). Cultural competence improves healthcare delivery (Brach, & Fraser, (2000). In natural settings, the doctor is thinking from a rational western viewing in treating the patient (Collins, Hughes, Doty, Ives, Edwards, & Tenney, (2002). The patient also has cultural and religious beliefs that influence communication and interaction with the healthcare system (Collins, Hughes, Doty, Ives, Edwards, & Tenney, (2002). Western healthcare views often clash with cultures of the patient. Views on abortion, euthanasia, organ transplants...
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...the direct caregivers to patients and spend maximum time with the patients and their family. “As the demographic composition of Western industrialized countries continues to diversify, the need for nurses to practice with cultural competence becomes essential” (Canales & Barbara, 2001, p. 103). Culturally Competent care Culturally competent care values diversity and respect individual differences regardless of one’s own race, beliefs, and cultural background. Culture can be defined as beliefs, values, customs and lifeway of a group of people that influence their choices in choosing health care practices. These behaviors are primarily learned in the family and are transmitted in the family. Culture is mostly unconscious and has strong influence on health practices. Subcultures, ethnic groups differ from the dominant culture and may have different values and beliefs. People from a given racial group may not necessarily share the same culture. Healthcare providers must recognize, respect and integrate patients’ beliefs and practices into planning patient care. Culture influences the healthcare providers. Each healthcare provider shares the responsibility of providing culturally competent care. It is essential for healthcare...
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...Running head: HEALTH AND HERITAGE Health and heritage Health Promotion In Nursing Care Health and heritage Ever individual has a cultural heritage. Each culture views the world differently. Culture is an inherited characteristic and includes knowledge, beliefs, custom, skills, likes and dislikes. The fundamental role of cultural heritage is imitating, respecting the diversities and brings people together to face the future by informing perceiving and give importance to the understanding of the past. Heritage assessment tool was introduced for collecting information about different cultures nationalities and build cultural competences among health care professionals. It is used to investigate a given population or ethnic group. The tool helps to perform a heritage assessment depending on how deeply the person identify and answer the question and is helpful in setting the stage for understanding the health traditions of the person. The greater the number of the positive responses shows the persons greater identification with traditional heritage. Traditionally cultural knowledge makes people aware about the health maintenance, protection and restoration and is the three aspects of health promotion. It is derived from health beliefs and practices. Physical mental and spiritual well being of the individual is given importance and is viewed differently in each culture. Health is considered as a true balance with in the body, spirit and mind and family, community and the natural...
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...shape, or form. It is extremely crucial to be aware of these cultural differences. If one fails to educate themselves in this area, they are setting themselves up for failure. Without a general knowledge of various cultures, one may not be able to effectively communicate with other individuals. This presents a major problem for all individuals lacking this knowledge, especially healthcare providers. As a healthcare provider, one must be able to effectively communicate and care for all individuals. The general public is a very diverse group, and one must be prepared. Appropriate Healthcare for Japanese Patients As a healthcare provider, one must be culturally competent. Being a culturally competent healthcare provider entails being aware of various cultural customs and beliefs. This is an extremely important matter that should not be taken lightly. Everyone deserves respect. Being a culturally competent healthcare provider is one way to show great respect to all patients. Various cultures have contrary beliefs concerning healthcare and personal interaction. The Japanese are a very interesting culture. Most Japanese individuals consider it impolite to make prolonged eye contact (Purnell, & Paulanka, 2008). This is a very important thing to know when caring for a Japanese patient. One does not want to come off as ill-mannered when trying to gain a patient’s trust. Most Japanese individuals do not respond to verbal communication as well as they do to written...
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