...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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...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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...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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... 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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...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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...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 workforce is comprised of nurses from four different categorized generations that work...
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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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...Universality University of Virginia Theoretical Foundation of Nursing Abstract The Cultural Care Diversity and Universality Theory provides a conceptual framework to discover and explain diversities and similarities of care practices, within a cultures context. The theory is highly complex, and has many levels of scope, in relation to human cultures and nursing worldwide. Culture care is applicable to any culture and many diverse settings. The theory is accessible as a guide to research and can lead to empirical precision. The Sunrise Enabler provides a “visual map” that depicts the multi-factoring influences of culture described in the Culture Care Theory. The United States has become a very pluralistic society and continues to grow in international and ethnic diversity daily. In 2006, Louis Kincannon, Census Bureau Director, stated that “about one in three U.S. residents is a minority.” In 2006, of the United States population, 66% were white or European, 15% Hispanic America, 13% African America, 5% Asian American, and 0.4% Native American (United States Census Bureau, 2006). By 2020 they project that only 53% of the U.S. population is going to be white of European descent. In addition, by 2020 the Hispanic Americans and Asian Americans will triple, while the number of African Americans is expected to double (U.S. Census Bureau, 2006). Considering these statistics, it is imperative that the nursing workforce adapt to the multicultural society in the United States...
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...Practical Nursing (ASN) after two years of study in either a college or a hospital. Based on their education level, RNs are competent enough to deal with some complex issues. Consequently, they mostly deal with patients who are stable and predictable. The second type is the Registered Nurse (BSN). The RNs with a baccalaureate degree in Bachelor of Science in Nursing (BSN). RNs undertake comprehensive studies; hence, they possess superior knowledge and skills in critical thinking, research, and clinical practice. Notably, the BSN are competent to handle patients with complex problems and unpredictable conditions. The third type is the Nurse Practitioners (NPs), who are Registered Nurses with advanced education. NPs specialize in adult care, primary health care, anesthesia, or pediatric care (Klein and Fowles 117). Competence and Advanced Education Notably, the competence of nurses increases as they advance their level of education. Indeed, some states have laws that require nurses to continue with their education as a condition for the renewal of their licenses. The reason that nursing demands continued education is that the challenges facing the profession changes constantly, as does the available knowledge in the field. In recent times, the nursing profession has become highly specialized, and it increasingly relies on technology. Consequently, nurses have more responsibility to coordinate and supervise care than before. The American Association of Colleges of Nursing (AACN) and...
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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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...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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...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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...K**** I**** Grand Canyon University: Transcultural HealthCare February 28, 2016 Applying Purnell’s Model What is cultural competence? To be culturally competent healthcare provider one needs to understand their own world outlook and those of their patients, at the same time avoiding stereotyping and their own biases. Cultural competence is obtaining cultural data and then relating that knowledge. Cultural competence is a conscious ongoing process. Cultural awareness allows a healthcare provider to see the entire picture and improves the quality of care and health outcomes. Familiarizing ones self to different cultural beliefs and practices requires flexibility and a respect for others view points. Cultural competence requires the ability to listen to the patient, to learn about the patient’s beliefs of health and illness. The Purnell Model for Cultural Competence is a framework having detailed questions and a format that could be used to assess culture in healthcare setting. The Purnell Model for Cultural Competence in a healthcare setting place an importance on effective communication as well as the need to know the cultural views of patients. Purnell’s definition of cultural competence is, the totality of socially transmitted behavioral patterns, arts, beliefs, values, customs, lifeways, and all other products of human work and thought characteristics of a population of people that guide their worldview and decision making (Purnell, 2002,pg6-7). In other words...
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...Emerging Standards of Care Paper Ron Perkins NUR/531 December 23, 2013 Jane Jacks Emerging Standards of Care Paper In nursing, we care for patients from a variety of cultures and backgrounds. This diversity is dependent on location, population, and nursing specialty and may change at any point. In order to properly provide culturally competent care, we must be educated about the individual culture needs and limitations. It's also important to be mentally open to looking beyond our personal norms to care for patients with unique cultural backgrounds and beliefs. As a dialysis nurse, we are seeing the effects of chronic kidney disease affecting a larger, more diverse population of patients. Patients are going into renal failure earlier, family dynamics are uniquely affected, and patients from all walks of life are affected. The paper will look at dialysis at Fresenius Medical Care in St Louis Missouri located in The Hill neighborhood. It will define cultural competency, identify the different cultures served, discuss how the standards of culture competency are being met and what areas are not, and discuss nursing care delivery and possible solutions for areas lacking in cultural competency. Culturally Competent Care at Fresenius Dialysis Centers It is imperative as health care providers that we not only care for a verity of people with different health conditions, but also from different backgrounds. We are given the task of caring for the physical and mental...
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