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Reflection of cultural diversity in healthcare
Cultural considerations in health care
Cultural considerations in health care
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Filipino Immigrants’ Level of Acculturation as a
Guide to Nursing Care It is evident that the United States of America is a culturally diverse country. This diversity can contribute to healthcare challenges for nurses and providers that may decrease the quality of care for patients. It becomes more challenging when a culture’s health beliefs and practices contradict with their own. It is an integral role of a nurse to assess and identify a patient’s culture and health-related beliefs and concerns to provide maximum care. Filipino culture consists of health beliefs and practices that are not similar to U.S. culture. Serafica (2011) discusses on his article entitled, Concept Analysis of Acculturation in Filipino Immigrants Within Health Context, the Filipino immigrants’ level of acculturation in U.S. in relation to “incorporating acculturation issues into (to) nursing and health care.” Knowing the levels of acculturation will help the nurses and providers in addressing Filipino health problems in the hospital settings.
Literature Review Acculturation is defined as “a complex, multidimensional, and bidirectional process that involves the adoption of behaviors and attitudes of the host country and
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It provides a better understanding of the underlying factors of Filipino practices and beliefs in the United States. The article provides necessary information about how a culture change over time while in America. This level of acculturation is not only applicable to Filipinos but also to other cultures. The diversity of the country allows nurses to encounter various cultures with various health beliefs and practices in the hospital setting. Even if U.S health practices contradict to one’s own, it is important as a nurse to provide safety, comfort, and education, and to focus on patient-centered care at all
In a study, Li writes, “Healthcare team performance may be hindered due to the different cultural backgrounds of the nurses” (2014, p. 316). A report mentions that the IENs have less confidence in providing culturally competent care to the patients of the different culture due to lack of understanding of health beliefs, values and behaviors of that culture (Lampley, 2008). For instance, in Philippines, most of the decisions are made by the doctors. Nurses just follow doctors’ order in decision making (Tregunno, et al., 2009). But in Canada nurses are required to be more assertive and actively involved in decision-making and have more responsibility and accountability regarding patient care. Further, Canada is a multicultural country and
276). Curtin’s Coculturation (2010) combats this hegemonic discourse by stating, “everyone is continually engaged in social and political processes of identification” (p. 283). Thus, one’s identity can consist of multiple cultures and they can in fact coincide. The idea that one group “belongs” in a particular imagined community is a myth, there is no single response or adaption. The theory of Coculturation ultimately accommodates to a more realistic approach to cultural adjustment where a newcomer can adopt some behavior of the host culture while still maintaining the conciliatory and subconscious aspects of their native
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...
Issues of culture are often controversial. LaBorde (2010) has noted that culture is always a factor in conflict. Ironically, conflict can provide nurses with an excellent opportunity for developing compassion that will lead nurses unto a place of meeting in which there is a deep respect for differences and equally intentional openness to the possibility of connection. Healthcare practitioners are confronted in a daily basis with the practical manifestation of these issues. In particular, nurses are more confronted by cultural issues than the other healthcare providers because nurses spend majority of their time with patients. However, some nurses are reluctant to confront and discuss the cultural issues because of lack of knowledge in dealing with patients of diverse cultures (Tjale & Villiers, 2004).
As a nurse, I am obligated to care for all cultures, and try to understand their values, beliefs, spirituality, gender roles, and language. Cultures can range from different families, environments, disabilities, or even genders. It is a very broad topic, and I hope to recognize these cultures in my nursing career. Some barriers may exist that can make it challenging to work with people of a different culture, but it is possible to overcome these with the resources within the health care system. The Health Policy Institute identifies that “[t]he goal of culturally competent health care services is to provide the highest quality of care to every patient, regardless of race, ethnicity, cultural background, English proficiency or literacy” (“Cultural Competence”, 2004). Additionally, cultural competence is an ongoing process that involves both the client, and health care professional to work together that best suits the client’s
Integrating the framework will enable nurses to become culturally competent health care providers. First and foremost, the framework permit patients’ the opportunity to express their concerns and perception of their problem (Campinha-Bacote, 2011). Additionally, it focuses on incorporating the patients beliefs, values, and needs into the plan of care. The framework further give nurses an opportunity to better understand and evaluate their patients’ concerns. Campinha-Bacote (2011) reported that continuous encounters with culturally diverse backgrounds will lead nurses to validate, refine, or modify what they know of existing values, beliefs, and practices of a cultural group. This in turn, will develop into cultural desire, cultural awareness, and cultural knowledge. With the end result, being cultural
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
Culture, as define by Giddens, is 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, p. 29) When constructing a nursing care plan it is important to understand the patients’ cultural background to fully understand how to care for them. Depending on what culture the individual identifies with, will direct the nurse to which nursing interventions need implemented in regards to certain aspects of care including health care practices and beliefs, how the patient views developmental and family roles, how communication occurs between patient and provider and possibly if that patient has any health
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.
Having cultural awareness, cultural sensitivity and cultural competence is very relevant as a professional nurse. There are many different models used for cultural assessments that were created by nurses. The Giger and Davidhizar’s Model of transcultural nursing outlines six factors that is useful in cultural assessment. This Model centers on patient’s health beliefs and health traditions. There is key information needed to perform an adequate cultural assessment in diverse cultures. There are diverse cultures and ethnicities found in my local community. The Russian community is prevenient in my community and has their own beliefs, health issues and health behaviors.
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.
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