Culhane 3: Woman with Pregnancy Complications
This case study espouses a conflict between scientific/conventional medicine and the diverse cultural beliefs. Admittedly, cultural beliefs affect the administration of treatment and care in the healthcare system because more often than not conservative people would disregard conventional medicine in preference for the traditional healing. The case study enumerates how Mrs. Thor is torn between conventional medicine and cultural healing as advised by her father. Eventually, pregnancy complications and emergency force her to sign for the caesarian section procedure against her fathers’ will. However, to address the sociocultural mismatch between the health care providers and the patient as witnessed in the case, I would incorporate multicultural trainings of physicians. In fact, according to Douglas, Rossenkoether, Pacquiao, Callister, Pollara, Lauderdale, Milstead, Nardi, and Parnell (2006), familiarity with cultural context is essential for the nurses to provide culturally competent communication. Further, a strategy to influence this intervention would be the acquisition of specialized training on transcultural nursing practice.
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Ideally, this is achievable through elaborate training on diverse cultural underpinnings that influence patients’ choice of medical intervention as seen in the case of Mrs. Thor. Indeed, Tervalon and Garcia (1998) argue that teaching nursing personnel ethnography will be instrumental in changing their cultural attitude thus making nurse sensitive to cultural difference during healthcare provision. In particular, ethnography emphasizes that engagement between providers and patients should be based on the practices that people undertake in their local
Douglas, Rosenkoetter, Pacquiao, Callister, Hattar-Pollara, Lauderdale, Milstead, Nardi, & Purnell (2014) outline ten guidelines for implementing culturally competent care; knowledge of cultures, education and training in culturally competent care, critical reflection, cross-cultural communication, culturally competent practice, cultural competence in health care systems and organizations, patient advocacy and empowerment, multicultural workforce, cross-cultural leadership, and evidence-based practice and research. One specific suggestion I will incorporate is to engage in critical reflection. This is mentioned both by Douglas, et al. (2014) and Trentham, et al. (2007) as an important part of cultural competency. I will do this by looking at my own culture, beliefs, and values and examining how they affect my actions. I will use this information to better inform my day to day practice when working with patients with a different culture than my
These differences in origin accounts for diversity in socio-cultural backgrounds and nurses must develop the knowledge and the skills to engage patients from different cultures and to understand the beliefs and the values of those cultures (Jarvis, 2012). If healthcare professionals focus only on a narrowly defined biomedical approach to the treatment of disease, they will often misunderstand their patients, miss valuable diagnostic cues, and experience higher rates of patient noncompliance with therapies. Thus, it is important for a nurse to know what sociocultural background a patient is coming from in order to deliver safe an effective
...the formal and explicit cognitive practice learned through educational institutions. This type of practice is focused on the professional knowledge and care that nurses are taught in a educational establishment. Nurses provide (McFarland and Wehbe-Alamah 2015, p.14).assistive and supportive care for patients, along with the proper training to improve a patient 's health, prevent illnesses, and/or help with the dying. Taking the Culture Care Theory and ethnonursing research methods helps a nurse in the transcultural field provide culturally congruent care. This gives the nurses the ability to expand their knowledges and apply or teach their discoveries when interacting with a variety of diverse cultures. The form to obtain these new discoveries is presented in the most naturalistic and open way possible to keep a comforting relationship between the nurse and patient.
The absence of cultural competency in some health care providers, lack of community perspective integration in health care facilities, and low quality health care received by women in developing countries.These are the three most pressing health care concerns that need to be addressed in our ever changing world. The first of the issues I’ll be discussing is the lack of cultural competency amongst health care providers, as well as the shortage of education and training in cultural competency. As we all know and see the United States is a racially and ethnically diverse nation which means our health care providers need to be equipped with the necessary education and training to be able to provide for diverse populations. As an East African
... L. D., & Paulanka, B. J. (2008). Transcultural health care: a culturally competent approach (3rd ed.). Philadelphia: F.A. Davis.
Going to a different country or area of the world can open up anybody’s eyes to see that culture makes a huge impact on the understanding and practices of healthcare that seem to be so common to other areas of the world. When a person lives in one country their whole life, that person may not realize how different the life they live is from someone in a foreign country. If a person is going to receive treatment from someone with a different cultural background, they should be expected to get treatment to respects their own culture. Massachusetts College of Pharmacy and Health Sciences having such a diverse variety of students has their own cultural competency definition that states “effectively and comfortably communicate across cultures with patients of differing backgrounds, taking into account aspects of trust in order to adopt mutually acceptable objectives and measures”. In the book Dancing Skeletons: Life and Death in West Africa by Katherine Dettwyler, the issue of culture and healthcare are greatly prevalent. Katherine Dettwyler herself goes to West Africa as an anthropologist and her horizons are broadened when during her research she comes in contact with how much culture has an impact on healthcare and everyday life.
Cultural Competence is important for many reasons. First, it can help develop culturally sensitive practices which can in turn help reduce barriers that affect treatment in health care settings. Second, it can help build understanding, which is critical in competence, in order wards knowing whom the person recognizes as a health care professional and whom they views as traditional healer, can aid the development of trust and improve the individual’s investment and participation in treatment. Third, our population in the United States is not only growing quickly but also changing, cultural competence will allow us as educators and healthcare workers keep up wi...
Providing culturally competent care is a vital responsibility of a nurse’s role in healthcare. “Culturally competent care means conveying acceptance of the patient’s health beliefs while sharing information, encouraging self-efficiency, and strengthening the patients coping resources” (Giddens, 2013). Competence is achieved through and ongoing process of understanding another culture and learning to accept and respect the differences.
In the health profession, the diversity of people requires the ability to carefully, respectfully and effectively provide care. For this reason, it is vital that the approach of care delivered to patients depend on each individuals. This approach ensures patients receive best quality of care possible and avoid situations that can potentially prevent improvement of health status. This essay will discuss the importance of nurses to be cultural competent, possible consequences of ethnocentrism and how critical reflection can help prevent ethnocentricity.
As nurses entering the medical field understanding the culture of our patients is crucial to proper care. Each culture has their own set of beliefs and values that are shared among groups of people which influences personality, language, lifestyles, house hold, level modesty, social standings, foods, health treatment and identity. Culture affects how people view health and illness; dictating when, where and what type of medical treatment they will receive and who will be their care provider.
Transcultural nursing requires us to care for our patients by providing culturally sensitive care to a broad spectrum of patients. The purpose of this post is to describe cultural baggage, ethnocentrism, cultural imposition, prejudice, discrimination, and cultural congruence. I will also give an example of each term to help you understand the terminology related to nursing care. I will define cultural self-assessment and explain why it is valuable for nurses to understand what their own self-assessment means. Finally, I will describe the five steps to delivering culturally congruent nursing care and how I have applied these concepts to my nursing practice.
As a nurse strive to provide culturally sensitive care, they must recognize how their client's and their perceptions are similiar as well as different. Nurse enhance their ability to provide client-centered care by reflecting on how their beliefs and values impact the nurse-patient relationship. To provide appropriate patient care, the nurse must understand her/his culture and that of the nurse profession. Cultural biases can be particularly difficult to identify when the nurse and client are of a similar cultural backgroup. When we recognize and know a culture, we will know what is right for our patient, and thus may impose our own values on the client by assuming our values are their values. Recognizing differences a present an opportunity not only to know the other, but also to help gain a greater sense of self. In this paper, I will explain more about diversity and cultural competence in case study.
Cultural competence can be defined as using the ability of one’s awareness, attitude, knowledge and skill to effectively interact with a patient’s many cultural differences. Madeline Leininger, a pioneer on transcultural nursing describes it this way; “a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs, values and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people” (Barker, 2009, p. 498). The importance of cultural diversity in healthcare allows for the delivery of appropriate cultural autonomy. Showing respect for others will lead to trust between nurse and patient which in turn improves healing and health.
233). She studied anthropology and applied the research findings in nursing. Later, she developed the theory of “culture care diversity and universality” from her personal experience as a nurse and other factors that influenced such as ethnic conflicts, commuting, and technology changes. It is illustrated and described by the Sunrise four-level model, and it is labeled as “an enabler” (Masters, 2014, p. 69). The first level represents a “worldview”, the second level presents “knowledge concerning individuals and groups”, the third level includes “specific features of care in the system”, and the fourth level is “specific nursing care” (Masters, 2014, p. 69; Jarošová, 2014, p. 47). The main purpose of this theory is “to generate knowledge related to the nursing care of people who value their cultural heritage” (McEwen & Wills, 2014, p. 233). The major concepts in this theory include: culture, culture care, and diversities and similarities and sub-concepts include care and caring, emic view (language expression, perceptions, beliefs, and practice), and etic view (universal language expressions beliefs and practices in regard to certain phenomena) (McEwen & Wills, 2014, p. 233). The base knowledge
According to Douglas et al. (2014), there are several topics that are imperative for the nurse to learn in order to provide evidence-based care while maintaining cultural sensitivity. These topics include: 1) the impact of people’s culture on their beliefs, values, customs and ways of acting, 2) the way people from different culture seek and go about obtaining health care, 3) the need to be aware of communication styles, and finally the impact of health policy on different groups with special attention to those who are at a socioeconomic disadvantage or are