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Reflection of cultural diversity in healthcare
Cultural assessment in healthcare
Cultural assessment in healthcare
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Recommended: Reflection of cultural diversity in healthcare
The increase and changing demography in the United State today, with the disparities in the health status of people from different cultural backgrounds has been a challenge for health care professionals to consider cultural diversity as a priority. It is impossible for nurses and other healthcare professionals to learn and understand theses diversity in culture, but using other approaches like an interpreter is very helpful for both nurses and patients. In this paper of a culturally appropriate care planning, I will be discussing on the Hispanic American culture because, I had come across a lot of them in my career as a nurse. The Hispanic are very diverse in terms of communication and communities and include countries like Mexico, Cuba, Puerto Rico, South and Central America, and some of them speak and write English very well, some speaks but can’t write while some can’t communicate in English at all but Spanish. …show more content…
The main idea behind this discussion board is to plan care for patient with diverse background different from mine, describe components of conducting a comprehensive cultural assessment on Latino Americans, reflection of my own culture and how it impacts my attitude toward providing culturally diverse care, and creating of two nursing diagnosis that reflect cultural
When someone say’s “hispanic,” what definition comes to mind? Hispanics are not one nationality, nor one culture. Instead, Hispanics are greatly diverse people. Our language and cultural origins are Spanish and Latin American, regardless of race and color. Hispanics can be European, Indian, or of African descent, or any combination of the three. The culture could be linked to Mexico, the Caribbean countries, Central America, South America and Spain. Hispanics were once considered a rarity in the United States, now we are found throughout the country.
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
Nurses have the obligation to be culturally competent and to provide culturally congruent patient care practices. This is importance to nursing profession and the practice implications of culturally competent care have been supported through evidence-based data. It is important to note that care is the foundation of nursing practice; and the practice
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
Culture is customs, arts, social institutions, and achievements of a particular nation, people, or other social group. It includes behaviors, attitudes, beliefs, values, and norms that is shared by a group of people to sustain their lives. Mexican culture is influenced by their familial ties, gender, religion, location and social class, among other factors. Today life in the cities of Mexico has become similar to that in neighboring United States and Europe, with provincial people conserving traditions more so than the Mexican living in the city. In the United States Mexican includes any person of Puerto
John is unable to stay true to his culture because he has no direct interaction with people who share the same culture. He wishes that he could, but has no motivation because of the lack of people. When he hears the word “American” he thinks of the stereotypical America: the places, sports, people, and food. If he could live anywhere, he would live in Orange County because the size of the county is good, the weather is great, and it is close to everything: water, city, and attractions. He mentioned about how healthcare and education is affordable and you do not have to worry about it. Education is free at the University level as well. Everything is pretty much public unlike in the US where things are public and private.
To be able to deliver adequate nursing care to all, nurses must understand and establish culture respect and awareness. Nurses and all health care professional must demonstrate cultural competency, cultural sensitivity. Nurses must understand that different cultures have different customs and beliefs and nurses must know how to deliver correct nursing care to these different individuals. Culture refers to the collective deposit of knowledge, experience, beliefs values, attitude, meanings, hierarchies, religion, roles relations, and possessions attained by a small or large group of people in the course of generations through individuals and groups. I choose the Hispanic cultural group primarily because, I currently work in the Desert Valley
“Culture is a cluster of intangibles and tangible aspects of life passed down from generation to generation.”(cite) More importantly, culture is define as the way of life of a group of people who share these same values and beliefs, therefore, we will check the Hispanic culture. The U.S. Census Bureau defines Hispanic or Latino as mutual inhabitants in the United States who are of Latin American or Spanish origin. Latinos has become a larger proportion of the U.S. population, there is a greater need for social work education to offer culturally sensitive training to social work students (Furman, Bender, Lewis, & Shears, 2006; Iglehart & Becerra, 1995). A Hispanic woman, Marcela Hede voices that, “Being Hispanic is mainly defined by my language
Leininger’s most meaningful and exceptional influence was the development of her Culture Care Diversity and Universality Theory, which she introduced in the early 1960s to provide culturally congruent and competent care. “She believed that transcultural nursing care could provide meaningful, therapeutic health and healing outcomes”(Parker & Smith, 2010). The Theory of Culture Care Diversity and Universality was developed to establish a applicable knowledge base to guide nurses to understand and apply transcultural nursing into their own practice. Leininger also identified three new creative ways to attain and maintain culturally congruent care. “The three modalities postulated were: culture care preservation or maintenance, culture care accommodation or negotiation, and culture care restructuring or repatterning” (Parker & Smith, 2010). Cultural preservation or maintenance signifies to nursing care interventions that help clients of particular cultures to retain and preserve cultural care standards when delivering healthcare. Cultural care adjustment or cooperation refers to original and advanced nursing actions that assist people of various cultures familiarize or convey with others in order to achieve a goal of optimal health outcomes appropriate to the patient’s culture whether it be an individual, a family, or a community. Cultural care repatterning or restructuring signifies to the therapeutic actions occupied by the culturally knowledgeable nurse that allow the patient to change individual health behavior to accomplish valuable results whereas valuing the cultural morals of the patient. These expectations are the theoretical foundation in which Leininger has benefited to enhance significance, complexity, and clearness to the general emphasis of culturally skilled care. According to Leininger’s Sunrise Model, a visual depiction of the theory, can be a used as a tool for implementing individualized culture assessments of patients. “The model
Working with different cultures is inevitable in nursing. As nurses we must be open to the challenges of working with different cultures and finding creative solutions to the health care challenges we may experience when caring for patients that are of a different culture. “Culture is an organized group of learned responses, a system of ready-made solutions to the problems people face that is learned through interactions with others in society” (Seibert, Stridh-Igo, & Zimmerman, 2001, p. 143). When caring for patients of other cultures we must avoid ethnocentrism and focus on providing culturally congruent care which is “care that fits the people’s valued life patterns and set of meanings, which is generated from the people themselves, rather than based on predetermined criteria” (Potter & Perry, 2005, p. 120). To accomplish this we must communicate with our patients and families and have a clear understanding of their expectations. If there is a breakdown in communication then there is the potential for conflict and a poor patient outcome.
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.
If I were to provide my client with culturally competent nursing care, I would begin by conducting a cultural assessment to “implement culturally congruent and safe nursing care” (Potter and Perry, 2013, p. 107). A cultural assessment includes collecting census data, asking questions, and establishing re...
United States continues to grow on a daily basis. People from all corners of the planet have come to United States in order for a better opportunity in life. With increasing diversity, health care provider will be faced with a wide spectrum of patient from different cultural background. One specific culture to focus on is Chinese American. They are one of the leading Asian American culture residing in the United States. According to the Unites States Census Bureau, there are approximately 3.6 million Asian American residing in the United States. (U.S. Census, 2012). Therefore cultural competency is an aspect in our practice that must be honed. As Advance Practice Nurses (APN) communication and cultural competence goes hand in hand. The
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