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personal philosophy of culturally competent nursing
cultural competence at the forefront of care
personal philosophy of culturally competent nursing
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The National Center for Cultural Competence developed a validated assessment tool “at the request of the Bureau of Primary Health Care (BPHC), Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Service (DHHS)” (National Center for Cultural Competence (NCCC), 2004). The intent of the assessment tool is to “to enhance the delivery of high quality services to culturally and linguistically diverse individuals and underserved communities” (NCCC, para. 1, 2004).
The tool is intended to take 20 minutes to complete, is confidential and is available only online. Upon completion of the survey a profile of the practitioner’s “Values & Belief Systems Subscale in six areas: Values and Belief Systems, Cultural Aspects of Epidemiology, Clinical Decision-Making, Life Cycle Events, Cross-Cultural Communication, Empowerment/Health Management” (NCCC, para. 5, 2004) is provided. Each section provides an assessment of the areas where the practitioner may benefit from additional education and expanded sensitivity. Resources are provided to facilitate this.
The assessment takes much longer than 20 minutes. While the tool indicates that there are no right or wrong answers, as other assessment tools have that I have used in the past, the results of this assessment were not revealing or helpful. The results indicated that I had no knowledge of the content area. The tool assumes because the responder does not use or do a specific practice that there is a knowledge deficit. This is not necessarily the case.
The county where I live ranks 62 out of 67 (County Health Rankings, 2010). The closer the rank order numbers to one the healthier the population. That takes into consideration access to health care, income...
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County Health Rankings. (2010) Florida, 2010 Health Outcomes Map. Mobilizing Action Toward Community Health (MATCH) project. Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. Retrieved from www.countyhealthrankings.org/florida
Culley, L. (2001). Equal opportunities policies and nursing employment within the British
National Health Service, Journal of Advanced Nursing, 33(1). Retrieved from http://search.ebscohost.com.kaplan.uah.edu/login.aspx?direct=true&db=hch&AN=6102871&site=ehost-live
Cultural Competence Health Practitioner Assessment. (2004) National Center for Cultural Competence. https://www4.georgetown.edu/uis/keybridge/keyform/form. cfm?formID=277
Levine, A. (2002). Redefining Racism: The term racism has evolved over time, for political reasons. American Outlook. Retrieved from http://www.americanoutlook.org/in
Cobb, Torry Grantham, DHSc, MPH,M.H.S., P.A.-C. (2010). STRATEGIES FOR PROVIDING CULTURAL COMPETENT HEALTH CARE FOR HMONG AMERICANS. Journal of Cultural Diversity, 17(3), 79-83. Retrieved from http://search.proquest.com.ezp-01.lirn.net/docview/750318474?accountid=158556
Kodjo, C. (2009, February,2009). Cultural competence in clinician communication [Pediatr Rev]. Pub Med Central, 30(2), 57-64. doi:10.1542/pir.30-2-57
The United States’ population is currently rising exponentially and with growth comes demographic shifts. Some of the demographics shifts include the population growth of Hispanics, increase in senior citizens especially minority elderly, increase in number of residents who do not speak English, increase in foreign-born residents, population trends of people from different sexual orientation, and trends of people with disabilities (Perez & Luquis, 2009). As a public health practitioner, the only way to effectively eliminate health disparities among Americans, one must explore and embrace the demographic shifts of the United States population because differences exist among ethnic groups (Perez, 2009). We must be cognizant of the adverse health conditions for each population and the types of socioeconomic factors that affect them. Culture helps shape an individual’s health related beliefs, values, and behaviors. It is more than ethnicity and race; culture involves economic, political, religious, psychological, and biological aspects (Kleinman & Benson, 2006). All of these conditions take on an emotional tone and moral meaning for participants (Kleinman & Benson, 2006). As a health professional, it is one’s duty to have adequate knowledge and awareness of various cultures to effectively promote health behavior change. Cultural and linguistic competencies through cultural humility are two important aspects of working in the field of public health. Cultural competency is having a sense of understanding and respect for different cultural groups, while linguistic competency is the complete awareness of the language barriers that impact the health of individuals. These concepts are used to then work effectively work with various pop...
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.
Introduction Cultural Competency is fundamentally linked to 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). Environmental justice can affect the population’s health.
Shifting the definition toward cultural humility [14] as an alternative to “cultural bias” by making the provider engages in a regular self-evaluation and self critique, or through what is called as cultural competence [15]; which defined as the level of provider’s knowledge, attitude, and skills about cultural values, health related beliefs, disease incidence, prevalence, and treatment efficacy for diverse cultural group. Those models encompass under cross-cultural competence umbrella, both share the ultimate goals of preparing providers to manage sociocultural issues that emerge. On the other hand, Journals and magazines ranging from Social Science and Medicine to Psychology today have published articles describing structural competency [16 ] as a “new way “to combat the structural bias .structural compenetecy emphasizes recognition of the complex ways that matters such as rising income inequalities, decaying infrastructure, poor food-distribution networks and other economic factors lead to worse
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.
Cultural Competence is important for many reasons. First, it can help develop culturally sensitive practices which can in turn help reduce barriers that affect treatment in health care settings. Second, it can help build understanding, which is critical in competence, in order wards knowing whom the person recognizes as a health care professional and whom they views as traditional healer, can aid the development of trust and improve the individual’s investment and participation in treatment. Third, our population in the United States is not only growing quickly but also changing, cultural competence will allow us as educators and healthcare workers keep up wi...
The absence of cultural competency in some health care providers, lack of community perspective integration in health care facilities, and low quality health care received by women in developing countries.These are the three most pressing health care concerns that need to be addressed in our ever changing world. The first of the issues I’ll be discussing is the lack of cultural competency amongst health care providers, as well as the shortage of education and training in cultural competency. As we all know and see the United States is a racially and ethnically diverse nation which means our health care providers need to be equipped with the necessary education and training to be able to provide for diverse populations. As an East African
I thoroughly enjoyed your post. I loved how you incorporated the three major dimensions of culturally competent practice along with the three major levels of the ecological-systems perspectives. I believe these levels of practice fit well together and they allow service provider’s guidelines or a comprehensive map to follow. I also agree that this could help provide social workers with a simple yet comprehensive outline that includes identified problems/barriers, interventions to address these, and attainable goals that increase the potential for Juanita, her family, and the community in which they live a better chance at a successful outcome. Social work and social workers have long been concerned with families. Historically, most approaches
Per the North Carolina Rural Health Action Plan: A Report of the NCIOM Task Force on Rural Health rural areas have limited access to the healthcare that they need because of many different reasons. People that live in rural areas have a community sense of knowing problems in the community and of what will work or not work for their community. Urban areas are the opposite because there is a greater amount of people that
The United States of America is the “Land of Opportunity”, home to people from all corners of the earth, all sharing various values, belief, and practices regarding health and healing. Immigrants to the United States represent a sizable and rapidly growing group that totaled approximately thirty-six million people, or 12 percent of the U.S. population, in 2005 (Derose, ). With so much U.S population foreign born varying beliefs and views on health pose unique challenges to health care professional, especially those in public health across the country. The importance of respect and cultural sensitivity cannot be stressed enough. Cultural pluralism is a mutual appreciation and understanding of various cultures and subcultures in society (Maurer.
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
An individual’s culture and belief may significantly impact the type of services they require. In addition, it may affect the time, place, and method in the delivery of health care
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.