...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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...of Care Paper December 15, 2014 Donna Rose Nur/531 Emerging Standards of Care Paper A growing problem in the United States is the increase in health disparities amongst minorities regardless that the United States is a multicultural country. This problem is due to the poor quality and accessibility of health care services. As the population of diversity continues to grow rapidly so does the importance of cultural competence in healthcare. Cultural competence is a set of behaviors, attitudes, and skills that enables nurses to work effectively in cross-cultural situations ("Cultural Competence", 2014). Organizations must have the capacity to value diversity, conduct self-assessment, manage the dynamics of difference, institutionalize cultural knowledge and adapt to the diversity and the cultural context of the communities they serve. The Office of Mental Health and Substance Abuse Services (OMHSAS) stated that inequities in service delivery and care in the health care system are associated with discrimination, and a lack of culturally competent practices, including a lack of cultural awareness and sensitivity by health care providers (Upsher, n.d). Substance abuse is defined as a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences ("The Science Of Drug Abuse And Addiction: The Basics", 2014). This paper will discuss and define the appropriateness of competent care in Substance abuse care and...
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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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...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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...Culturally Competent Care NUR/531 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...
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...Emerging Standards of Care Kassandra Snow NUR 531 May 25th, 2015 Greg Friesz Emerging Standards of Care In the United States, it is no secret that there are many differing cultures, ethnicities, religious and racial in an abundance. In the nursing field, we see many differing cultural diversities on a daily basis. Racial, religious, and ethnic differences are mostly easy to spot in the health care world. These differences are readily discussed in nursing education, and education is given on how to provide culturally competent care for many different backgrounds. While this is an amazing thing to have in the nursing world, my question is what about the culture of military Veterans? Veterans are typically overlooked when it comes to the concept of culturally competent care. They have their own way of thinking, own belief systems and even their own language along with the specific mental and addiction health disparities. It is important that nurses do not overlook the rising number of Veterans, and the specific care they need due to the differing culture. Culturally competent care for veterans, any vulnerabilities of the Veteran culture, standards of culturally competent care in the Veterans Administration, application of nursing theory, and solutions for providing culturally competent care for Veterans will be addressed in this paper. Culturally Competent Care and Standards The United States is widely known as the “melting pot” of the world, and that comes with many...
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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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...Cultural Competency in Nursing Care Dorcas Jacobs Grand Canyon University: NRS 429V Family Centered Health Promotion September 29, 2013 Cultural Competency in Nursing Care As the United States becomes more and more culturally diverse one cannot help but be exposed to various cultures and worldviews. America has long been called the melting pot, and that term has never been truer than it is today. According to Green and Reinckens (2013) the U.S. Census Bureau estimates that by the year 2041 the U.S. population will be a majority minority. In other words, less than half of the population will be non-Hispanic, single race Caucasian. This growing diversity makes cultural competence in healthcare a necessary requirement for effective communication and delivery of patient centered care. In fact, cultural competency is so necessary that The Joint Commission has produced a number of items addressing this issue, and states that organizations and their personnel must do the following in order to provide culturally competent care: (1) value diversity; (2) assess themselves; (3) manage the dynamics of difference; (4) acquire and institutionalize cultural knowledge; and (5) adapt to diversity and the cultural contexts of individuals and communities served. (The Joint Commission, 2010) This paper will explore the value of understanding one’s own heritage when evaluating the needs of others. Comparison will also be made between health traditions of three families of differing cultural...
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...Emerging Standards of Care According to the U.S department of Health and Human services Office of Minority Health, "Integrated health care approaches must respect the whole person, work across the life span, include prevention and early intervention methods, and be person-centered, strength-based and recovery focused," (Sanchez, Chapa, Ybarra, & Martinez, Jr., 2012, p. 5 ). In this healthcare model, the patient must be treated not only according to the standards of nursing practice but integrate into the care, respect for the individual's belief system as well as their culture. "Providers that respect the cultures, languages and 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...
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...St. Mary’s Nursing Philosophy’s foundational beliefs arise from Florence Nightingale and Virginia Henderson. Nightingale believed nursing was a call from God and that the sick deserved civilized care, regardless of their station in life. She knew that cleanliness, fresh air, sanitation, comfort and socialization were necessary to healing. Virginia Henderson is known as the modern-day mother of nursing. Her work focused on the patient centered care. St. Mary’s Philosophy refers to our belief system of the nursing profession and provides perspectives for care of the patient, nursing practice, leadership, scholarship and research. We believe the Patient is an individual, family, specific population or community with unique health needs, influenced by cultural, ethnic, social, economic, developmental, educational, linguistic and spiritual factors. The patient is entitled to respect, dignity, privacy and confidentiality in a caring and healing environment. The patient deserves to be fully informed, educated and involved in all health care decisions and is an empowered member of a support system. We believe the Nurse is key to our Call to Action in achieving healthcare that is safe, healthcare that works and healthcare that leaves no one behind. The nurse establishes a trusting relationship with the patient/family/support system and uses the nursing process to achieve patient/family centered goals. The nurse is clinically competent and exhibits caring behaviors which are guided...
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...Cultural Competency during Pediatric Assessment Tina M. Schwartz Worcester State University Cultural Competency during Pediatric Assessment A 3-year old child presented to the Emergency Department after a fall down a four-stair flight of steps. The child’s right arm was swollen and discolored at the wrist. The parents brought the child to the Emergency Department. Information obtained revealed that the family had just recently immigrated to the United States. The mother indicated that they were unfamiliar with “American” medicine. In order to provide patient centered care, it is important to establish a nurse-patient relationship based on trust. The family must be made to feel as equal partners in the care of their child. They must feel valued, respected and important. It is imperative to obtain an interpreter who is fluent in their language so that correct information is exchanged. Asian culture is one of great respect and views physicians and nurses as authority figures. Thus, it is common that Asian patients will not openly disagree with health care recommendations for fear of being disrespectful. (Junkett, et al 2014). Juckett, et al (2014) reminds us that one of the barriers to good health care is limited English proficiency and the availability of interpreters. Interpretation should be sentence by sentence so everyone is able to understand the conversation. As explained by both Junkett, et al (2014) and Camphina-Bacote (2011), by using the mnemonic...
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...Culture and Diversity in Nursing Amanda M. Jones Trinity Valley Community College Associate Degree Nursing Level II January 16, 2015 Culture and Diversity in Nursing Cultural Assessment With there being such a plethora of cultures in the world, there are so many different beliefs and practices involving health and wellness, that almost everyone has a different definition of health, and different views on disease and illness in general. My definition of health involves many different aspects, but most importantly living a healthy lifestyle overall; being free from illness, and doing everything possible to stay that way. Eating a well-balanced diet, exercising regularly, and getting plenty of sleep along with protecting your body from the harsh outside world, and maintaining proper hygiene are the most beneficial in being healthy. In fact, I believe that the main cause of illness aside from harmful pathogens and stress is lack of proper diet, exercise, sleep, and basic hygiene. Those things are essential to maintaining health. Anytime I start to get symptoms of a cold or illness, I immediately start taking vitamin C and drinking plenty of water. I usually do not seek medical care unless I am certain that I need antibiotics, as I like to take more of a holistic approach before using medicines any time possible. The same can be said about my pain management. I have a fairly high pain tolerance, and try to avoid using pain medications. When I am in pain I usually try to...
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...Cultural competency is a "set of congruent practice skills, behaviors, attitudes and policies that come embedded in a system, agency, or among consumer providers and professionals" (Green & Reinckens, 2013). Cultural competency allows tasks to be carried out effectively in any setting and situation. A health care professional who is culturally competent provides good awareness and sensitivity to individuals are of different cultures. Health care workers face diversity on a daily whether it's in society or at work, our patients and co-workers. Nursing practice will have to adapt to the many belief systems that exist today, nurses that are aware of this will become culturally competent. Barriers to cultural sensitivity in the nursing profession...
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...My Nursing Philosophy Miami Dade College Transition to Professional Nursing NUR 3805 ABSTRACT Nursing is a profession that besides of caring and showing compassion focuses on serving the people that need it most. This article basically talks about a personal philosophy of nursing where the main points are being shown through the definition and purpose of nursing. Other important points include the cultural diversity between nurses and clients, the role of the nurse in the community, and the relationship between the nurse and other health care professionals in relation to the nursing theories. There is a necessity to pay special attention at employing culturally competent assessment skills which demonstrates respect for culturally sensitive patients. Focusing on a holistic care gives attention to the role of the community nurse at arranging the adequate environmental setting for the restoration of the patient’s health. Professional and ethical boundaries are the main steps in achieving competence in the health care field. The description and explanation of two principles that guide professional nursing practice by demonstration and explanation of the meaning of discrimination and unlawful activity. Nursing is a profession that encompasses all aspects of medical care: knowledge, critical thinking and emotional care. This means that it requires knowing human anatomy, assessment of the condition of the body with psychological state and the compassion and empathy towards...
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... ON PROFESSIONAL DEVELOPMENT OF NURSING PROFESSIONALS THE EFFECT OF IOM REPORT 2010 ON THE FUTURE OF NURSING PRACTICE Nursing is a profession which plays vital role in improving the health care system by promoting, protecting and optimizing health and abilities, prevention of illness and injury, alleviating suffering through the diagnosis and treatment of human response and an advocate in care of individuals, families, communities and populations(ANA). INSTITUTION OF MEDICINE (IOM) was founded in 1970. In 2008, The Robert Wood Johnson Foundation(RWJF) and Institution of medicine (IOM) formed a two year committee to respond to the need to assess and transform the nursing profession. Today healthcare faces serious issues like child obesity, influenza(H1N1), HIV-AIDS, IOM is the entity that is advising on how to improve the health care system to meet the increased issue as it pertains to saving life and disease prevention and THE EFFECT OF IOM REPORT ON NURSING EDUCATION Nursing education is a crucial issue according to IOM report, Improved education system is paramount to increase nursing competence ,Advanced nursing degree provide nurses with more knowledge in their area of specialization, improve quality and efficient care for patient. The old educational system is not sufficient to meet the demand of modern era which have...
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