...Running Head: CUTURALLY COMPETENT CARE Introduction Globalization has changed the way we live. The population demographic of United States is changing at a fast pace as every year people from different cultural and ethnic background are immigrating to the United States. By 2020, the number of ethnic minority in the United States will grow up to 35%. Immigration is an ongoing process and has brought a variety of culture and knowledge to the United States. The diversity of population is affecting the healthcare delivery system in the country. Nurses play a major role in the delivery of healthcare. Nurses are 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...
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...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 providers to understand their own behavior, communication skills, and their...
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...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 . Some Patients come from families, societies, that have different belief traditions, and we need to respect them. Culturally competent care consists of behavior, attitudes and skills to provide safe patient care to diverse patient population. Nurses need to be flexible and skillful to provide culturally competent care. Continuous learning is the only way to become culturally competent in healthcare business. According to ANA (American Nurses association) nurses need to have knowledge about cultural diversity. Cultural diversity affects both the patients as well as healthcare providers. Cultural diversity also affects the how the healthcare is delivered by healthcare providers. The Joint commission recommends that every patient has a right to be treated with respect and patients’ cultural beliefs and values must be incorporated in planning patient care. By knowing patient’s beliefs and values will help to provide appropriate care and will encourage patient...
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...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 Uhl Pierce...
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... 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 cultural care” and refined the specialty through the use of the “sunrise” model from 1955 to 1975 which marks a breakthrough in the field. The concept...
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...Understanding and implementing culturally competent and culturally congruent care are the key factors for effective and 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...
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...Increase sensitivity to culturally diverse beliefs; 2. Learn more about the clients’ beliefs about health, disease, and treatment; 3. Avoid stereotyping and emphasize individual differences in diagnostic assessments; 4. Increase the ability of culturally diverse clients to make choices; 5. Enlarge other health care professionals’ understanding of cultural differences in the health beliefs of clients; and 6. Advocate for understanding and acceptance of differing health beliefs in the health care facility and in the larger community. (Congress, 2004, pp....
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...Acknowledgments .......................................................................................................... iv Executive Summary......................................................................................................... v Introduction .................................................................................................................... 1 Findings........................................................................................................................... 3 Defining Cultural Competence .................................................................................. 3 Barriers to Culturally Competent Care....................................................................... 3 Benefits of Cultural Competence ............................................................................... 6 Models of Culturally Competent Care ............................................................................. 7 Academia...
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...According to Queensland Health (2012) health services that are initiated, controlled and operated by the indigenous community have the potential to increase the number of Aboriginal and Torres Strait Islander people accessing the appropriate available services. Aboriginal Community Controlled Health Organisations (ACCHO) such as Aboriginal Torres Strait Islanders Community Health Services Mackay (ATSICHS) provides holistic and culturally appropriate care. This highlights that access to health services, may be affected by a variety of socioeconomic factors, such as low income, unemployment, second-rate housing and also socio-political factors like forced removal from land and/or family. These factors need be addressed to achieve continuous improvement in Aboriginal and Torres Strait Islander Queenslanders health status. Aboriginal and Torres Strait Islander primary health care services offer clinical care, screening programs, a wide range of preventative health care activities, health-related and/or community supported activities. Queensland Health (2010) focuses on the health status of Aboriginal and Torres Strait Islander people, which acknowledges the significant gap in life expectancy between Indigenous and non-Indigenous Queenslanders (approximately 10.4 years for males and 8.9 years for females). Community involvement is a founding principle of the World Health Organisation (WHO) 1978 Alma-Ata primary health care declaration (WHO, 2013). A significant reason for community...
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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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...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. 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 to them. When providing education and educational material it is important to educate in the language spoken and understood by patient. Patients will find the education more interesting and will be able to ask questions if needed. In order to deliver patient-centered care nurses must be culturally competent and be mindful of patients ethnic and cultural back...
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...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 to them. When providing education and educational material it is important to educate in the language spoken and understood by patient. Patients will find the education more interesting and will be able to ask questions if needed. In order to deliver patient-centered care nurses must be culturally competent and be mindful of patients ethnic and cultural...
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...in transracial adoption American society is not oblivious the construct of race (Wagner 5). This research can undeniably conclude that developing cultural competence in white TRA parents is possible with education programs. Yet, due to the lack of research, the effects of pre-adoption cultural competence practices on racial and cultural socialization for African American transracial adoptees in American society are unclear. Elizabeth Vonk remains a leading researcher on transracial adoption; however, due to the steady growth of transracial adoptions since the MEPA Act, more academics must pursue research in this field. More specifically, longitudinal studies of transracial adoptees will permit sociologist to record the effects of culturally competent parents on identity development. Nevertheless, mandated cultural competency programs are prohibited by the MEPA act, disallowing discrimination based on race and culture (Bradley and Hawkins-Leon 437). Therefore, parents have the sole responsibility of obtaining cultural competency training offered by adoption agencies. Pact Adoption, a non-profit organization, is dedicated to development of a positive racial identity amongst transracial adoptees of color. Pact Adoption offers countless resources for sociologist professionals, prospective adoptive parents, current adoptive parents, and adoptees. Resources such as workshops, connect groups, camps, and clubs, all seek to underline the importance of cultural competence in the transracial...
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...Cultural Competence The city of Milwaukee in Milwaukee County area is an extremely ethnically and racially diverse city in the state of Wisconsin (Milwaukee Citywide Policy Plan, 2010). According to the American Community Survey (ACS) in 2008 the city residents made up about 63% of Milwaukee County’s total population. However, the city of Milwaukee accounts for almost 88% of the county’s minority population and that number is slightly increasing yearly (Milwaukee Citywide Policy Plan, 2010). There are primarily Blacks, Hispanics, and Asian minorities found living in the area but there are still many more other minorities found in the streets of the city of Milwaukee. Graph 1 and Graph 2 below show the minority population in Milwaukee County compares to the minority population in the city of Milwaukee. Graph 1: Milwaukee County Population 2013 Sources: United States Census Bureau, 2010 Graph 2: City of Milwaukee Population 2010 Sources: United States Census Bureau, 2010 With the continuing rise of minorities, one of Milwaukee’s largest health care facilities, Aurora Health Care, needs to focus more on how they can increase cultural competence. Cultural competence is the ability of a health care system to be able to provide care to their patients of diverse values, behaviors, beliefs (Betancourt, Green, & Carrillo, 2002). It is a continuous attempt and ongoing process to understand the traditions, values, customs, and beliefs of a diverse group and respecting...
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...CULTURAL COMPETENCY Policy: SCOPE: This policy impacts all staff and departments in National Psychiatric Care and Rehabilitation Services PURPOSE: This policy demonstrates a commitment to a comprehensive linguistic and cultural competency plan and describes how it will meet the linguistic and cultural needs of the residents it serves. The objectives of this policy include the following: 1. To ensure that National Psychiatric Care and Rehabilitation Services is aware of and identifies enrollees who may need additional resources to meet their cultural and linguistic preferences. 2. To ensure that National Psychiatric Care and Rehabilitation Services meets the language requirements of its client health plans and their State mandated requirements to provide enrollee materials in easily understandable formats, including special attention to the reading level requirements set forth. 3. To ensure that National Psychiatric Care and Rehabilitation Services meets the needs of enrollees who may require materials in additional formats such as large font, braille, audio recordings, etc. 4. To ensure that National Psychiatric Care and Rehabilitation Services meets the needs of enrollees in providing access to interpreters, onsite and offsite when speaking with National Psychiatric Care and Rehabilitation Services staff. POLICY: National Psychiatric Care and Rehabilitation Services has developed a Cultural Competency Plan and training program to create an awareness of and sensitivity...
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