Cultural sensitive care
Culture
The classic definition for culture was proposed by Tylor (1871/1958) and still commonly cited: Culture is “that complex whole which includes knowledge, belief, arts, morals, law, custom, and many other capabilities and habits acquired by man as a member of society” (p. 1). This definition focuses on attributes that are acquired through growing up or living in a particular society, rather than through biological inheritance (Kottak, 2002). In Giger and Davidhizar’s (1991) Model for transcultural care, culture was defined as a patterned behavioral response that develops over time as a result of imprinting the mind through social and religious structures and intellectual and artistic manifestations. Culture is also the result of acquired mechanisms that may have innate influences but are primarily affected by internal and external stimuli. This definition gives more illustration on the social and religious dimensions and identified that culture is shaped by values, beliefs, norms, and practices that are learned and transmitted by members of the same cultural group (Leininger, 1991). Leininger (1991) explained In her model of transcultural care that culture is focused on the total or holistic life ways of human beings, religion (spiritual), kinship, politico-legal, education, technology, language, environmental context, and worldview are all considered.
The importance of understanding patients’ culture was clearly articulated in Giger and Davidhizar’s (1991) work. They have indicated that culture guides our thinking, doing, and being and becomes patterned expressions of who we are and that cultural values guide actions and decision-making and facilitate self-worth and self-esteem.
Transcul...
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...ials of Baccalaureate Education for Professional Nursing Practice (1998) and The Essentials of Master’s Education for Advanced Practice Nursing (1995).
Other disciplines have adopted similar steps to ensure appropriate level of knowledge and skills on cultural diversity. Elementary school and college educators were urged to respect the cultural richness of students and incorporate culturally sensitive curricula (Percival & Black, 2000). The importance of adequate physician knowledge in relation to cultural sensitivity has led to the imposition of legal mandates (Institute for International Research, 2005). In the military field, it has been recommended that cultural sensitivity training be added to the basic training curriculum (Holt, 2002). Additionally, in the market of business, cultural training is linked as the key to success (Local Relationships, 2003).
Jean Giddens (2013) defines culture as “a pattern of shared attitudes, beliefs, self-definitions, norms, roles, and values that can occur among those who speak a particular language, or live in a defined geographical region.” (Giddens, 2013). A person’s culture influences every aspect that person’s life. Beliefs affected by culture include how someone interacts within the family, how to raise children, the types of foods eaten, the style of clothes chosen, which religion is practiced, and the style of communication (including verbal, and body language, slang used etc.) (Giddens, 2013). In addition to these beliefs, health care practices are also affected by culture. The cause
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
In order to compile valuable research findings and specific information on different culture care concepts, Dr. Leininger had devised the idea of enablers to perform these types of assessments. Enablers was the appropriate term, as it portrayed a more intimate and personal way to describe Dr. Leininger 's approach in obtaining valuable information. It gives off the impression that those involved in an interview through these enablers, are actual human beings with real life answers. These people aren 't being objectified, as the whole process in itself is to connect on a personal basis that isn 't so concrete. The purpose of these enablers is to have these researchers be able to cooperatively gain insights from informants without offending or coming off too strong on them. Enablers help guide the informants to willingly express their stories and concerns about health care and their culture. Gaining such difficult and specific answers can only be shared by willing informants. The reason why these enablers are important, is so they can provide an organized set of topics and question for the interviewee, and provide the informant a proper environment to share their cultures, beliefs, and views.
Being culturally aware and knowledgeable is a must when working in any type of healthcare field. In our society today, we have an array of different cultures and making patients feel comfortable and at easy is our primary goal. Diversity training is something that is a must for each healthcare professional and should be the basis of our healthcare education.
Giger (2013) defines culture as a response in behavior that is shaped over time by values, beliefs, norms and practices shared by members of one's cultural group. A person's culture influences most aspects of his or her life including beliefs, conduct, perceptions, emotions, language, diet, body image, and attitudes about illness and pain (He...
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.
Culture care is grounded within one’s worldview, which is shape by social structure factors such as religion, economics, cultural values, environmental context, ethnohistory, and language (Alligood, 2014; Sitzman & Eichelberger, 2015). Moreover, culture care share similarities and differences related to health and well-being, how individual deal with disability and death, as well as, when to seek relief from illnesses or distress. As culture plays a vital role in health care seeking habits and decision making, it is imperative for nurses to fully understand cultural knowledge. With increase cultural knowledge, nurses are better able to implement care plans that are beneficial to the patient with respect to their beliefs, values, and cultural
Cultural genograms are useful in expanding one’s awareness of the effects of culture on an individual. In turn, this can aid in understanding how other people are a product of his or her culture as well. Cultural genograms are a beneficial tool in providing culturally competent care in nursing. It is essential to remember that there is not an individual culture that is considered to be correct or the standard, but that every culture has a unique view on practices in life. Being culturally sensitive is a critical element in providing culturally competent care.
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.
In the clinical setting, nurses are believed to spend the most time with patients. This involves regularly dealing with people coming from different ethnicities and with different cultural practices and beliefs (Brown & Edwards, 2012). Given this cultural diversity, every patient may have his/her own cultural beliefs and practices regarding his/her own health and its treatment which can be similar or different to those ...
Working with different cultures is inevitable in nursing. As nurses we must be open to the challenges of working with different cultures and finding creative solutions to the health care challenges we may experience when caring for patients that are of a different culture. “Culture is an organized group of learned responses, a system of ready-made solutions to the problems people face that is learned through interactions with others in society” (Seibert, Stridh-Igo, & Zimmerman, 2001, p. 143). When caring for patients of other cultures we must avoid ethnocentrism and focus on providing culturally congruent care which is “care that fits the people’s valued life patterns and set of meanings, which is generated from the people themselves, rather than based on predetermined criteria” (Potter & Perry, 2005, p. 120). To accomplish this we must communicate with our patients and families and have a clear understanding of their expectations. If there is a breakdown in communication then there is the potential for conflict and a poor patient outcome.
Culture can be defined as “A pattern of basic assumptions invented, discovered or developed by a given group as it learns to cope with its problems of external adaptation and internal integration that has worked well enough to be considered valid, and therefore to be taught to the new members as the correct way to perceive, think and feel in relation to those problems”. Schein (1988)
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.
Lipson, J.G. & Dubble, S.L. (Eds). (2007). Culture & clinical care. San Francisco, California: The Regents, University of California.
Cultural sensitivity occurs when people recognize and are aware that each country or various ethnic groups of people have their own set of experiences, beliefs, values, and language that affect their perceptions toward life. Addressing Cultural sensitivity permits people to comprehend that there are differences between cultures. Furthermore, having awareness in the differences between cultures permits a culturally competent person to communicate effectively with others that are outside of one’s realm. Some of the differences of Cultural sensitivity can be discovered while traveling outside of the country, such as through Cross-cultural sensitivity experiences. Likewise, a culture has its own norms and beliefs to how one should dress; how one should greet others, such as by referring to a significant individual by his or her first name or surname (comprehending which name should be stated first in foreign names); and/or what foods are permitted to eat or forbidden to eat or understanding what may offend a person (e.g. not accepting a home cooked meal). There are norms, taboos, cultural cues, and cultural etiquette standards that are significant to learning about one’s culture before exploring another country or while working with people who are from your country but who are part of another racial group. It takes time and patience to build a high level of Cultural sensitivity. Educating oneself with a culture’s psychology and its norms is significant toward achieving an increasing awareness toward Cultural sensitivity.