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Cultural consideration in health care
Cultural consideration in health care
Cultural consideration in health care
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During clinical time in the nursing program there are many opportunities for students to explore their new found nursing skills. While engaging in patient care responsibilities there are many languages, customs, values, lifestyles, beliefs, and behaviors that will differ from their own. Each patient may need healthcare providers to consider certain aspects in order to provide culturally competent care. There are many cultures that have migrated to the United States over the years including the people of Haiti. There are many aspects of their healthcare ideals that may need to be considered while providing healthcare in the hospital setting. This cultural assessment will consider the healthcare matters of an 81-year-old woman on the post-surgery floor recovering from a colectomy. Her main diagnosis is Diverticulitis and she has been suffering from this condition for many years. In the case of this research, the woman will be called Elsie. She is from Haiti and has recently migrated from America with her family after the earthquake in January of 2010. Background Information Haiti is located in the Caribbean with Cuba to the northwest, Jamaica to the southwest, and Puerto Rico to the east. Ninety five percent of Haitian people are of African descent (Holcomb, Parsons, Giger, & Davidhizar, 1996). The language spoken by the vast majority of Haitians is Creole. The pronunciation and vocabulary are derived largely from French but the syntax is similar to that of other creoles (Brown, 2010). Haiti is one of the most densely populated countries in the world. In 2010 the population was approximately 9.6 million and is expected to increase to 13.4 million in 2050 (Edwards, 2010). It is also projected that some Haitians may try to flee fro... ... middle of paper ... ...A., Grey, K., & Gonzales-Eastep, D. (2006). Using a multicultural lens to understand illnesses among Haitians living in America. Professional Psychology; Research and Practice, 37(6), Nicolas, G., DeSilva, A., Prater, K., & Bronkoski, E. (2009). Empathic family stress as a sign of family connectedness in Haitian immigrants. Family Process, 48(1), 135-150. Purnell, L. D., & Paulanka, B. J. (2005). Guide to culturally competent health care. Philadelphia, Pennsylvania: F.A. Davis Company. Roye, C. F., & Nickitas, D. M. (2010). Haitian nursing: A project in caring. Nursing Economics, 28(5), 293-294. Schwartz, T. (2011). Countries and Their Cultures: Haiti. Retrieved from http://www.everyculture.com Wells, M. I. (2000). Beyond cultural competence: A model for individual and institutional cultural development. Journal of Community Health Nursing, 17(4), 189-199.
Why are these background informations useful? Because these informations provide us some important basic knowledges of Haiti. As a country mainly composed of ex-slaves, Haiti is mainly composed of people of African origin. However, why is Haiti so poor compared to its other black majority neighbors such as Saint Kitts and Neves and Barbados? Because Haiti did not attain its independence through peaceful means. Haitian revolt against the French, and they indeed won, against Napoleon Bonaparte[2].
Haiti is located in the Caribbean; it occupies the island of Hispaniola with the Dominican Republic. Haitians migrated to the U.S. due to regime change. In Florida, over 700,000 Haitians live there (Background on Haiti & Haitian Health Culture). Many Haitian-Americans share both cultures. There are similarities and differences between the American and Haitian culture. The two cultures have different foods, holidays and economy.
Socioeconomic status plays a huge part in how Haitians identify themselves, and influences their actions greatly. Many Haitians wil...
Let’s begin with what is the Culture? It is defined as “the shared knowledge and schemes created by a set of people for perceiving, interpreting, expressing, and responding to the social realities around them" Lederach, J.P. (1995). Now let’s understand what cultural competence is. It can be defined as “the ability to honor and respect the beliefs, language, interpersonal styles, and behaviors of individuals and families receiving services, as well as staff who are
... L. D., & Paulanka, B. J. (2008). Transcultural health care: a culturally competent approach (3rd ed.). Philadelphia: F.A. Davis.
Perez, M. A. & Luquis, R.R. (2009). Cultural competence in health education and health promotion. Jossey-Bass: San Francisco, CA.
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).
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.
Cultural competence in health care provision refers to the capacity of health care systems to offer good care to patients and accommodate employees, who have diverse beliefs, behaviors, and values to meet their cultural, linguistic, and social needs. It comprises of policies, attitudes, and behaviors that integrate to form a system that can operate efficiently in cross cultural conditions. Healthcare organizations look at cultural competence from two major viewpoints. Firstly, it is a tool to enhance patient care from all backgrounds, social groups, languages, religions, and beliefs. Secondly, it is a tool that strategically attracts potential clients to their organizations and, hence, expands
Cultural competence has a variety of definitions and, in health care, basically refers to the act of developing an awareness of yourself, your existence, your thoughts, and your environment and making sure that those elements do not unjustly affect the clients you serve (Giger, 2013). In this paper, I will share my total score and what I learned about myself after taking the Cultural Diversity Self Assessment (IllinoisCTE, n.d.), discuss two weaknesses or areas with lower scores, and review two strengths with higher scores. I will reflect on my findings and examine the impact that my strengths and weaknesses may have on my nursing care. In addition, I will discuss improving cultural competence and two strategies
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.
Cultural competence is a skill essential to acquire for healthcare providers, especially nurses. Cooperating effectively and understanding individuals with different backgrounds and traditions enhances the quality of health care provided by hospitals and other medical facilities. One of the many cultures that nurses and other health care providers encounter is the American Indian or Native American culture. There are hundreds of different American Indian Tribes, but their beliefs and values only differ slightly. The culture itself embodies nature.
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
Cultural competence like so many other social constructs has been defined in various ways. One particular definition as determined by the Office of Minority Health states cultural competence is a set of behaviors, attitudes, and policies that are systematically exercised by health care professionals which enables the ability to effectively work among and within cross-cultural situations (Harris, 2010). Betancourt (2005) implied cultural competence is starting to be seen as a real strategy to help with improving healthcare quality and eliminating the injustices pertaining to healthcare delivery and healthcare access. This appeal is gaining favor from healthcare policy makers, providers, insurers and
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 "...