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Multicultural care in nursing
Multicultural care in nursing
Multicultural care in nursing
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As more people immigrate to this country, the need for culturally competent nursing care becomes more important. Hospitals, clinics, and doctors’ offices are now emphasizing the need for nurses to be aware of the diverse needs of many differing cultures. Learning and understanding Leininger’s transcultural nursing theory can assist the nurse in incorporating culturally competent care into their practice. Nursing standards regarding cultural competence are changing as more immigrants are entering this country and the health care system. Cocultures have their own unique and distinctive features, even as other features overlap with those of the larger culture. Members of a coculture may adhere to values specific to their group, such as
particular
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It may be vital that Medical caretakers think about
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social variables impacting ahead individual patients Furthermore a chance to be mindful that intra social variety implies that each tolerant must make evaluated for unique social contrasts.
Medical attendants get those important abilities required to furnish culturally skillful administrations through training What 's more training, mentorship What 's more begun and
Johnson had proceeded proficient improvement.( Subramaniam,2015) Transcultural nursing’s method may be over tending to those patient’s social needs, equivalent entry will treatment, deference for social convictions Also polishes including religion, diet, private issue needs,
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The point when patients and nurture meet, three societies likewise help that of the nurse, tolerant What 's more setting. Nurses need to implement their knowledge of cultural diversity to develop a culturally sensitive nursing care. This enables nurses to be more effective in initiating nursing assessments and serving as patient’s advocates. When nurses have knowledge of other cultures, they can influence professional policies. Respect for the patient and support group is very vital whether it includes religious leaders or family. Regardless of culturally differences a nurse needs to gain the trust of the patient, if language is a barrier the nurse should pay attention to the means of interpretation. According to the U.S. Census, more than half of U.S. Latino residents age 5 and older speak English "very well," but a nevertheless significant number of Latino adults speak
English "not well" or "not at all."7 In the context of a hospital or medical clinic, where medical terminology can be complicated and communication often takes place quickly and amidst elevated emotions, this language barrier can be especially problematic(Grieco,2000) In
Bednarz, Hedi, MSN,A.C.N.S.-B.C., C.N.E., Schim, Stephanie, PhD,R.N., P.H.C.N.S.-B.C., & Doorenbos, Ardith,PhD., R.N. (2010). Cultural diversity in nursing education: Perils, pitfalls, and pearls. Journal of Nursing Education, 49(5), 253-60. doi:http://dx.doi.org/10.3928/01484834-20100115-02
Cultural Competency is fundamentally linked with the principles of social justice and human rights because it provides the nurses with the opportunity to develop interpersonal skills to provide equal care despite one’s cultural background. However, using the principles of social justice and human rights to educate nurses allows them to learn how to negotiate cultural differences. Removing their own cultural filters, and seeing events through the eyes of those who are culturally different accomplish this. An embedded experience, in which nurses interact with various cultures, would encourage them to adopt Cultural Competency knowledge (Office of the High Commissioner for Human Rights, 2008).
There are cultures that have very different views on things such as family dynamics and health care than what I’m used to. For example, there are some cultures that do not believe in seeking healthcare when they are ill or receiving medications or blood if needed. However, my family always believed in taking us to the doctor and taking medications when we were ill. There are also some cultures that have very large families that they are very close to however I always had a small close-knit family. I am able to see how these different scenarios could affect the nursing care provided by assuming that other people and families have the same beliefs that my family had growing up. However, this is why it is important to ask questions and do research about a particular culture before making assumptions. I also believe it is very important to avoid assuming that all cultures are the same just because they are of a certain culture or ethnicity. Beliefs and rituals can differ amongst people of the same community. Therefore, it is essential to get to know your patients and have an understanding of their beliefs as an
Ethnocentrism can be defined as judgement of different cultures based on standards of one’s own culture. Therefore, whilst providing care, it is important for nurses to avoid ethnocentrism as this approach can have negative consequences for the patient and quality of care is jeopardised. Generally, everyone has their own beliefs, practices and values thus it becomes an issue for someone to impose own views upon someone else. In terms of a nurse imposing their percepective on a patient the patient’s reaction can differ from becoming passive, to being defiant to receiving care. Refusal of care potentially leads to a situation that could be harmful or detrimental to their health. Ethnocentrism leads to assumptions and stereotype that can cause nurses to fail in treating patients as an individual. Consequently patient centred care is neglected meaning individual care requirements are no met. Additionally there would be negative feelings from patients towards nurses thus the relationship build is one that lack trust. The possible result of the mistrust and lack of comfort could be reluctance to communicate. Communication offers sharing of information and idea thus care is better provided when patient provide information on their health. Lack of communication can potentially lead to health deterioration. In short, ethnocentrism can be harmful as it hinders quality of care thus it is beneficial for patients if nurses avoid practicing in such a
There are several professional values that a nurse must possess altruism, autonomy, human dignity, integrity, and social justices are among these. Altruism is being concerned for the well-being and welfare of others; this includes their patients and colleagues. This is demonstrated daily through understanding cultural differences, considering the perspectives of others and mentoring others
By understanding the way a culture factor influences nursing care, we are able to improve our teachings, improve understanding and provide overall better care for a healthier outcome for our patients. An example of this could be having a staff member that is bilingual or teaching materials written in a different language. According to Andrews & Boyle (2016), the first step is for the nurse to do a self-assessment of themselves in order to identify their beliefs toward people with different backgrounds, which will provide clarification of possible unknown behaviors. The second step is to set goals for the patient and those involved with the patient’s care.
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.
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.
“Nursing encompasses an art, a humanistic orientation, a feeling for the value of the individual, and an intuitive sense of ethics, and of the appropriateness of action taken’, said Myrtle Aydelott (Hammarskjold, 2000). Nurses have our patients trust with their lives every day. These patients have needs that must be understood and met, whether; physical, psychological, or emotional. Nurses must provide nonjudgmental care to those in need, regardless of culture, religion, lifestyle choices, financial status, or hues of the human race. To quote Jean Watson, nursing theorist, “I am here to care for others, regardless of where they came from” (Hammarskjold, 2000). I believe that the nursing profession chose me because I have always had a calling to help those in need. Nursing
This causes problems about the diagnosis as well as how nurses may tell patients about issues with their care. A way a nurse can overcome this is by having an interpreter when they know that a patient doesn’t know English, but this is not always the case for most nurses as there are not a lot of interpreters around. In health practice language isn’t always to do with culture but it can be the way a nurse or doctor speaks to the patients so they may adopt certain types of jargon and the patients may feel intimidated. Madeleine Leininger, who is the founder of transcultural nursing, says that providing competent care across all cultures and to be customized to fit patient’s different beliefs and traditions and different languages that a patient may speak. Divi et al (2007) claims that language barriers increase the risk of patient care and safety as they will find it difficult to understand what is going on with their care, so it is important for patients to have access to language services such as an
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.
This interactive grand theory is grounded in humanist philosophy, which expresses the belief that humans are unitary beings and energy fields in constant interaction with the universal energy field. This model guides the nurse who is interested in “physiologic” and “psychological” adoptions (McEwen & Wills, 2014, p. 177). This model views the nurse as holistic adaptive system constantly interacting with different stimuli. And also explains how different sets of interrelated systems maintain a balance between various stimuli to promote individual and environmental transformation (Alkrisat & Dee, 2014). This model creates a framework to provide care for individuals in health and “in acute, chronic, or terminal illness” (Shah, Abdullah, & Khan, 2015, p. 1834). It focuses on improving basic life processes of individuals, families, groups of people; nurses see communities as holistic adaptive systems. It consists of three basic assumptions: philosophical, scientific, and cultural. And it also contains many defined concepts about the environment, health, person, goal of nursing, adaptation, focal, contextual, and residual stimuli, cognator and regulator subsystem, and stabilizer and innovator control processes (McEwen & Wills, 2014, p.
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