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Cultural competency in nursing topics
Patient centered nursing care
Cultural competency in nursing topics
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INTRODUCTION
Watson (2005) suggested that nurse’s and patient’s relationships can be therapeutic, because it is presumed to enhance the patient’s well-being and the likelihood of gaining independence quickly; He went further to argue that nurses and patients are supposed to have a mutual relationship based on trust and respect, which would help foster the patient’s physiological and psychological needs towards recovery.
The aforementioned phenomenon was exhibited when a group of nursing students went on a professional cultural immersion to Toronto, Canada and they discovered that diverse or differential cultures existing between the nurses and the patient may create an obstacle to nurses-patient’s relationships, however, once this is mitigated, the relationship is assumed to move on smoothly (www.salem.kent.edu, 2014).
As expected; Nursing’s study progression over the years provides nurses (either in training or in practice) the opportunity to acquire technical and theoretical competence which is universally regulated and conferred, however, this might be questioned when situations that highlights cultural diversity presents hindrances like inability of the nurses and the patients to relate effectively (West 1994).
Furthermore, relevant studies has suggested that nurses are more likely to fail in providing sensitive and essential healthcare to clients (patients) from different sub-cultural entities due to basic hindrances like the difference in languages which would create a barrier in effective communication which is integral to the care giver’s understanding of the patient’s complaints (Gerrish and Papadopoulos, 1999). Therefore, the study suggested that nurses should be able to operate and interact with diverse culture, in ...
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19. NT Contributor (2013). The Evolving Standards of Care in Nursing, Then and Now. Available: http://www.nursetogether.com/evolving-standard-of-care-in-nursing. Last accessed 16th April, 2014.
20. Quappe S. and Cantatore G. (2007). What is Cultural Awareness, anyway? How do I build it?. Available: http://www.culturosity.com/articles/whatisculturalawareness.htm. Last accessed 21st April, 2014.
21. United States Census Bureau (2000). Census 2000 Data for the United States. Available: http://www.census.gov/census2000/states/us.html. Last accessed 17th April, 2014.
22. Watson J. (2005). Caring Science as Sacred Science. Philadelphia, PA: FA Davis Company. p6.
23. Wenniljoy (2012). Importance of Nurse Patient Relationship. Available: http://www.studymode.com/essays/Importance-Of-Nurse-Patient-Relationship-1069194.html. Last accessed 17th April, 2014.
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
...the formal and explicit cognitive practice learned through educational institutions. This type of practice is focused on the professional knowledge and care that nurses are taught in a educational establishment. Nurses provide (McFarland and Wehbe-Alamah 2015, p.14).assistive and supportive care for patients, along with the proper training to improve a patient 's health, prevent illnesses, and/or help with the dying. Taking the Culture Care Theory and ethnonursing research methods helps a nurse in the transcultural field provide culturally congruent care. This gives the nurses the ability to expand their knowledges and apply or teach their discoveries when interacting with a variety of diverse cultures. The form to obtain these new discoveries is presented in the most naturalistic and open way possible to keep a comforting relationship between the nurse and patient.
McClimens, A., Brewster, J., & Lewis, R. (2014). Recognising and respecting patients ' cultural diversity. Nursing Standard (2014+), 28(28), 45.
Throughout the Think Culturally assignment, I realized the impact I will have as a healthcare provider. The scenarios that were provided throughout each course assignment gave me insight on the negative health outcomes that can occur when cultural competence is not present. In order to have cultural competence, I must acknowledge that some patient’s health beliefs will be different from my own. This can be distinguished by having open communication and asking pertinent questions. Treating patients that are not proficient in English, can become overwhelming. As a future nurse practitioner, I want to utilize all the necessary recourses to ensure my patient’s fully understand the plan of care and treatment regimen.
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.
The self-assessment has demonstrated that I am able to deliver culturally congruent nursing care due to my critical reflection, knowledge of cultures and cross-cultural communication abilities. I am able to avoid prejudices, stereotypes and biases that may hinder the delivery of culturally competent care due to my understanding and respect for different cultures. In addition, I am able to form trustful relationships with clients and understand their personal perceptions towards the available treatment alternatives (Cowen & Moorhead,
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.
“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
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 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.
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.
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
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.
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
When one encounters a culture that has little in common with own, one may experience culture shock. This is a sense of confusion, anxiety, stress and loss one may experience. One of the barriers in effective intercultural communication is ethnocentrism. It stems from a conviction that one’s own cultural traditions and assumptions are superior to those of others. It leads to a tendency to look the world primarily from the perspective of one's own culture. It is one of the fastest ways to create a barrier that inhibits, rather than enhances communication (Jandt, 2012).