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Diversity in a health care setting
Diversity in a health care setting
Diversity in a health care setting
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As a nurse working in a inner city hemodialysis clinic with a diverse patient population, it is necessary to be culturally competent. For the purpose of developing cultural competence and being able to apply it in a clinical setting, Leininger’s Culture Care theory was chosen. Additionally, with a growing multicultural population in health care, it is inevitable to not care for someone from a different culture at one point or another in the nursing practice. The Agency for Healthcare Research and Quality (2012) reported that in 2010, roughly 41% of the U.S. population identified themselves as a member of an ethnic minority group. With that said, it is crucial to adopt Leininger’s Theory and incorporate it into practice. By integrating the theory …show more content…
For one, being culturally competent allows us to understand and appreciate the diversity that surrounds us. According to the National Center for Cultural Competence (n.d) the definition of cultural competence has been modified and adapted many times in the last 15 years. However, the core of the definition remains the same and is applicable to multiple systems. The generic definition of cultural competence is: “a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals and enable that system, agency or those professions to work effectively in cross-cultural situations” (NCCC, n.d).
Concept Analysis Culture care as defined by Leininger are behaviors, values, and beliefs that were learned or transmitted from generation to generation enabling an individual or group to maintain their health, improve their well-being, and/or face illness or death (Alligood, 2015; Sitzman & Eichelberger, 2015). With a growing patient population in this day and age, there are multiple cultures to consider when providing patient care. It is now imperative that all nurses become culturally competent in order to adequately provide care for the multicultural patient population.
Defining
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With that said, the cultural environment in which one live is what shape every individual uniquely (Rew, 2014). Components of the cultural environment that impact our views and behaviors are: ideas, beliefs, values, religious costumes, and traditions. Ultimately, culturally congruent care is only possible when patient care successfully incorporate cultural values, expressions, and patterns that benefit patient needs (Alligood, 2014; Sitzman & Eichelberger, 2015). Since nurses are patient advocates, it is essential that they develop awareness and are able to recognize unique needs that are specific to individual patients (Rew, 2015). Nonetheless, nurses need to understand that there are differences and similarities between cultures that are often not obvious to outsiders. In light of this, nurses must be willing to compromise to meet patient needs in a nonjudgmental
These differences in origin accounts for diversity in socio-cultural backgrounds and nurses must develop the knowledge and the skills to engage patients from different cultures and to understand the beliefs and the values of those cultures (Jarvis, 2012). If healthcare professionals focus only on a narrowly defined biomedical approach to the treatment of disease, they will often misunderstand their patients, miss valuable diagnostic cues, and experience higher rates of patient noncompliance with therapies. Thus, it is important for a nurse to know what sociocultural background a patient is coming from in order to deliver safe an effective
McClimens, A., Brewster, J., & Lewis, R. (2014). Recognising and respecting patients ' cultural diversity. Nursing Standard (2014+), 28(28), 45.
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
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).
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
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.
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
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.
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 ...
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
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 "...