Cultural Safety is a concept that emerged in the late 1980s as a framework for the delivery of more appropriate health services for Maori people in New Zealand. However, recently it has become recognised that the concept is useful in all health care setting and involving people with different ethnic backgrounds (DeSouza, 2008). Cultural Safety is defined as an environment that is spiritually, socially, emotionally, and physically safe for people; where there is no assault challenges or denial of their identity, of who they are and what they need. It is about shared respect, shared meaning, shared knowledge and experience of learning together (DeSouza, 2008). Patient centred care is defined as care that is respectful of and responsive to individual …show more content…
This essay will demonstrate skills of analysis and debate whether cultural safety is patient centred care through integrating clinical situations.
Cultural safety is an important concept in nursing as it is reflected in the Nursing Council of New Zealand, (2011) competencies as it outlines the ethical and legal nursing practice. The nursing concept of cultural safety is defined by health consumers who have received care which also relates to the practice that respects and does not impose on patient’s cultural beliefs and values (Wepa, 2005). Cultural safety aims to improve the health status of consumers through nurses by acknowledging the different beliefs and practices of others. It is intended to improve the delivery of health and disability services though nurses. Cultural safety includes the nurse’s understanding of diversity within their own culture and the impact of that on others. Providing effective care for consumers with diverse needs and them considering it safe. Cultural safety is focused on understanding the impact of the nurses own culture, reflecting and challenging their own practice and to improve any issues by resolving and comprising issues (Nursing Council of New Zealand, 2011). The code of health and disability services
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Tikanga is defined as “rules, ethic, code, condition, convention, the right way to do something” (Taranaki District Health Board, 2011). The tikanga recommendation best practice policy is primary focuses on relation to the Maori values, beliefs and management of care. This empowers to uphold the dignity and well-being of Maori consumers and their whanau who receive health services. Central to the policy is the expectation that all users of health services are treated with dignity and respect (Health & Disability Advocacy, 2006). Through exercising the principles of the policy it is anticipated that the awareness and confidence of the health care will be increased. In doing so nurses will demonstrate consideration of wider cultural needs and expectations. During the conversation with the patient on her cultural values and beliefs, by incorporating tikanga protocol was able to create an environment, which ensures the wairau (spiritual), hinengaro (psychological), tinana (physical) wellbeing of tängata mäuiui (patients), and their whänau (family) were consisted (Taranaki District Health Board, 2011). While talking to the patient I respectfully kept eye contact to a minimum as prolonged eye contact in Maori tikanga is considered a challenge. Māori often think that it is rude to look at people directly because to them it suggests a challenge and encourages conflict and opposition, so they may
Going to a different country or area of the world can open up anybody’s eyes to see that culture makes a huge impact on the understanding and practices of healthcare that seem to be so common to other areas of the world. When a person lives in one country their whole life, that person may not realize how different the life they live is from someone in a foreign country. If a person is going to receive treatment from someone with a different cultural background, they should be expected to get treatment to respects their own culture. Massachusetts College of Pharmacy and Health Sciences having such a diverse variety of students has their own cultural competency definition that states “effectively and comfortably communicate across cultures with patients of differing backgrounds, taking into account aspects of trust in order to adopt mutually acceptable objectives and measures”. In the book Dancing Skeletons: Life and Death in West Africa by Katherine Dettwyler, the issue of culture and healthcare are greatly prevalent. Katherine Dettwyler herself goes to West Africa as an anthropologist and her horizons are broadened when during her research she comes in contact with how much culture has an impact on healthcare and everyday life.
This essay will focus on outlining the fundamental principles of cultural diversity and how effective nursing interventions are used when providing an adequate amount of care for an individual from a culturally diverse background and how this may collide with the nursing therapeutic engagement. This essay will give the reader an insight upon culture whilst giving a significant explanation of cultural differences within a health setting. The patient’s real name will not be used and will be referred to as Mr. X. This is in line with the Nursing and midwifery Council 2008 (NMC, 2008) requirements to maintain confidentiality at all times.
Guidelines for Implementing Culturally Competent Nursing Care (Douglas et al, 2014) discusses a general recommendation for executing culturally competent care within the health care field. It also touches on social justice and human rights principles. Social justice includes the belief that every individual is entitled to fair care and human rights indicates that all patients should receive safe care. Sadly, there are inequalities in our health care system due to populations having limited access to care in their communities or treatment being too costly for example. Douglas et al (2014) states that there is a need to advocate for vulnerable populations to lessen the impact of social inequalities on their health. Nurses are granted the opportunity
Cultural competency is a very significant necessity in health care today and the lack of it in leadership and in the health workforce, is quite pressing. The lack of cultural competency can bring about dire consequences such as racial and ethnic disparities in health care. It may not be the sole reason for these disparities, but it certainly places a significant role. A patient and health care provider relationship is very significant and can make or break the quality of care that is given. The lack of cultural competency leads to poor communication which then leads to those of diverse backgrounds to feel either unheard or just plain misunderstood. As an East African
Culturally congruent care starts with cultural safety. Unsafe cultural Practice is brought about by disregarding the cultural identity of the person which is embedded with understanding the values, beliefs and practices. In the domain of fronline practicing nurses, culture is seen as a relational experience. When health care personnel obtain, biographical history using any modality, like the Leininger sunrise model, and strive to understand particulars of each individual, it increases the potential of providing culturally responsive care.
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
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.
Robinson, K., Kearns, R., & Dyck, I. (1996). Cultural safety, biculturalism and nursing education in Aotearoa/New Zealand. Health & Social Care in the Community, 4(6), 371-380. doi: 10.1111/j.1365-2524.1996.tb00084.x
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
Therefore, providing culturally appropriate services for people has significant role for health professional; the main reasons of this is culturally appropriate services are linked inextricably with the health of the clients. According to Oda & Rameka (2012), in 1980s, Maori were experience racial discrimination and that is linked to higher rate of illness on Maori, such as mental illness, cardiovascular disease, hypertension, cancer, mortality, and health-risk behaviors such as tobacco and alcohol consumption. This is the results of unfair health service. During to the research (Oda & Rameka, 2012), people are more attempt not to see the doctor when they are experiencing discrimination and it makes their mortality higher than other non- Maori. Another factor could be Maori are not unable to access the health information and there was poor health literacy in that era and they were not able to understand different disease and lack of health education of living with a healthy lifestyle (Oda & Rameka, 2012). A classic example can be seen in the consumption of tobacco and alcohol, at the era, people did not know the repercussion of tobacco and alcohol use, but if they were able to access the information they would understand the
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 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.
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.
The signboards are written in two languages to accommodate the diversity of New Zealand people. the signboards will also help the patients and visitors to find their way around the hospital. So it is making the patients, visitors and the public to know that the hospital is a bi-cultural and it is a culturally safe healthcare system. It shows that nurses meet the principle of cultural safety about recognising the diversity in worldviews (both within and between cultural groups) and the principle of nursing practice and maori health about acknowledging Maori health issues and respecting the diversity that exist between Maori people and to the health services they receive. (Nursing Council of New Zealand,
“Cultural awareness is the foundation of communication and it involves the ability of standing back from ourselves and becoming aware of our cultural values, beliefs and perceptions (Quappe, 2007). It is important to be aware of what culture your patient is from because than the nurse can give the patient and family the care that is not offensive o their beliefs. Cultural sensitivity Cultural sensitivity is experienced when neutral language–both verbal and nonverbal–is used in a way that reflects sensitivity and appreciation for the diversity of another. It is conveyed when words, phrases, categorizations, etc. are intentionally avoided, especially when referring to any individual who may interpret them as impolite or offensive (Giger, 2006). Being sensitivity to ones cultural is imperative, this allows the patient and or family to feel more comfortable and have their personal beliefs be respected. Different forms of cultural sensitivity include choice of words and language used while talking to a patient, the use of space while communicating, as well as who in the family to talk to and how to address patients and family. Cultural competence is a combination of the skills, knowledge and attitudes that are needed to deliver the proper excellent care to a diverse population. Cultural competence is relevant in order to be able to give