The ANA standard “Culturally Congruent Practice, The registered nurse practices in a manner that are congruent with cultural diversity and inclusion principles."(ANA, 20015) The introduction of this standard was to reduced variation in healthcare opportunities and outcomes among people of different social, educational, and economic backgrounds. Per (ANA, 201, P. 31)” for the nurse to promote meaningful outcomes they must embrace that diversity and engage in the culturally congruent practice.” The face of America is changing as more immigrants come into the country. Not only is our patient population changing but also our workforce from nursing to clinical support staff. As the face of America changes our Nursing practice needs to change to meet the needs of our population. These communities bring with them different beliefs of health, medicine, and religious practices. (Jeffreys, 2008)Not paying attention to these difference and providing incongruent nursing care negatively affects patient outcomes and patient safety. Standard and Competencies are set to ensure (ANA, 2015)” competent nursing practice in all settings for all healthcare consumers, and to promote ongoing professional development that enhances the quality of nursing practice.”(P.49)
Standards are set to direct, guide, and promote the nursing practice. It’s the how and why of what we do and are measured.(ANA 2015) The standards of practice for culturally congruent nursing care affect our character because once we become self-aware of our cultural beliefs, values, and heritage, we become better equipped to show empathy, respect, and equity when interacting with diverse groups, individuals, or cultures (ANA 2015). In 2004, in New Haven, Connecticut, a large population...
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...and and prepare to treat diverse cultural populations. It will affect my nursing practice because it will make me put into practice what I learned about the patients’ beliefs and cultural diversity and how it relates to their health and illness (AACN, 2008). This academic program will give me the ability to integrate cultural sensitivity throughout the assessment, diagnosis, outcomes identification, planning, implementation, and evaluation process. It will also assist me in the analysis of research and data collection and the ability to apply the best evidence to provide best culturally competent care. The curriculum will also teach me leadership skills that will assist me in advocating for diverse and vulnerable populations so, that all can receive culturally congruent care to have the best possible patient experience and the best possible outcome.
McClimens, A., Brewster, J., & Lewis, R. (2014). Recognising and respecting patients ' cultural diversity. Nursing Standard (2014+), 28(28), 45.
When working in a medical/health related field one would be able to see countless people and odd things. Some medical procedures that might seem small to one person may be complicated or even taboo to another person’s beliefs. That is why as nurses, one should be culturally competent. (Newman Giger & Davidhizar, 2008) says, “to be culturally competent one must be able to deliver meaningful care to a patient
Environmental justice can influence the population’s health. This environmental justice is relevant to nursing, because awareness brings changes and can save and improve many lives. When a person in a hospital or in a community setting is affected by a health problem, the entire community is at risk, knowing the population is lack of knowledge and have limited access to understand health care system. Therefore, a solution to eliminating cultural disparities is optimal for immigrant communities. In conformity with the Journal of Transcultural Nursing journal, nurses need to follow 12 steps to have a successful result when integrating cultural competence in the health care environment: social justice, critical reflection, knowledge of cultures, culturally competent practice, cultural competence in the health care systems and organizations, patient advocacy and empowerment, multicultural workforce, education and training in culturally competent care, cross-cultural communication, cross-cultural leadership, policy development, a...
The term culture is defined as “the thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups” (Potter & Perry, 2013). With the increase of culturally diverse populations in the United States, it is important for nurses to practice cultural competence. Cultural competence is the ability to acquire specific behaviors, skills, attitudes, and policies in a system that permits “effective work in a cross-cultural setting” (OMH, 2013). Being culturally competent is essential because nurses who acknowledges and respects a patient’s health beliefs and practices are more likely to have positive health outcomes (OMH, 2012). Every culture has certain views and attitudes concerning health. The Jewish (also referred to as Jews), in particular, have intriguing health practices and beliefs that health care providers need to be aware of.
Culturally competent care is care that respects diversity in the patient population, and cultural factors that affect health and health care, such as language, communication styles, attitudes, behaviors, and beliefs. The national CLAS Standards provide the blueprint to implement such appropriate services to improve health care in the United States. The standards cover many areas, such as leadership, workforce, governance; communication and language assistance; organizational engagement, continuous improvement, and accountability. (Agency for Healthcare Research and Quality, 2014).
Over the last several weeks we have learned that we live in a culturally diverse world. We have learned that it is important to acknowledge our own cultural values and beliefs while also realizing that others around us have their own beliefs. In order to provide culturally sensitive care, we must also realize the meaning of diversity and how it can also relate to the health care workforce. The purpose of this post is to define what diversity means to me. I will describe what some of the benefits of having a diverse health care workforce is while acknowledging that this could also provide some barriers in the nursing profession. I will conclude by considering my own diverse cultural background and experiences and how it might relate to the
Provision 8 also states, “The nurse also recognizes that health care is provided to culturally diverse populations in this country and in all parts of the world. In providing care, the nurse should avoid imposition of the nurse’s own cultural values upon others.” (Nursing World, 2001). The ANA Code of Ethics does not explicitly define diversity. However, in clinical settings, I strongly believe that I am continually being exposed to people of diverse backgrounds – socioeconomic status, gender, race, ethnicity, religion, age, sexual orientation, etc. As a student nurse and a future nurse, I will set aside my own bias and view my world through a panoramic lens in order to provide quality care with sensitivity to others. As a student ...
Transcultural nursing requires us to care for our patients by providing culturally sensitive care over 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 definite 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 in my nursing practice.
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 ...
Over the years, I have developed a stable cultural sensitivity aptitude. I find it is most important to take cues from the patient and their families on how to care for them. As well as to ask the patient what is most important to them and how I can best serve them. In his article, Collins (2015), states that “improved health outcomes are achieved when culturally competent nurses acknowledge the patient’s culture care values and preferred care practices, and incorporate into the professional plan of care the patient’s generic care wishes” (p. 11). I have encountered a few situations which make me most uncomfortable, families not wanting the patient to know the severity of their illness, and obvious servitude behaviors toward the females to name a couple. When these occur, I have found the inclusion of the charge nurse, the physician and social services can lessen the negative outcomes in these situations. My goal is to assure the patient is cared for in a manner that is most comfortable to them and satisfies their needs to ensure a speedy and comprehensive recovery. Another practice in my own career has been to share the cultural information gathered with oncoming shifts of care givers, the charge nurse and
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.
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.
Miller, Leininger, Leuning, Pacquiao, Andrews, and Ludwig-Beyer, (2008) support that the skill of cultural competency in nursing is the ability to gather relevant cultural data on the presenting problem of the patient. This cultural assessment is defined as a "...
Diversity is a notion, when applied to the majority of circumstances, can create a positive conclusion. The trick to producing a positive outcome is often how the different aspects are brought together. Consider a classic dinner combination peas and carrots, the two colors look appealing and the two flavors comes together as one making a superb side dish. Now consider oil and water, these two substance are not often considered a good combination. Although, this is not always the case; olive oil and vinegar (which is water based) when mixed, come together into a delectable salad dressing. Diversity and inclusion should also apply to humans by bringing people together who are different it can creates a whole that is enhanced by the uniqueness of each individual.
Characteristics can be as diverse as ethnic background, language spoken, gender status, physical appearance, race, and religion to name a few. Migration from various countries is creating a diverse population with different cultures and languages within the United States. Due to these cultural differences and lack of knowledge, disparities are increasing. Studies have shown that both language barriers and lack of cultural customs can hinder the services provided to the patient by the healthcare worker (Renzaho, Romios, Crock, & Sonderlund, 2013). This study provided a positive outcome when communication and cultural mutual understanding took place and patients had a more positive health outcome. It is very important that nurses are diversified in various cultures in order to better care for our patients. According to Mareno and Hart (2014), cultural competency has become one of the core values being taught in nursing programs. Their study showed that the perceived level of cultural awareness and skills among the nurses provided was low. Awareness and knowledge levels increased with higher education. It was highly recommended that self-awareness exercises be incorporated into the nursing course and continued to be addressed during the remaining curriculum until