Diversity is about the recognition and valuing of difference in its broadest sense. It is about creating a working culture and practices that recognise, respect, value and harness difference for the benefit of the organisation and the individual (DH, 2003). This essay looks in particular the education and training of staff on diversity issues including the native British culture for overseas staff. It will identify practices and how it is being implemented in the form of training. It also looks at the cultural awareness of both locally and overseas trained nurses as well as the expectation of British nurses to overseas trained nurses. The education and training of staff on diversity issues will be explored throughout the essay and brought together towards the conclusion.
Papadopoulos, et al. (1998) suggested that the training programmes for diversity should begin on the exploration of staff’s own cultural values, belief and practices including their own prejudices (Papadopoulos, et al., 1998). This suggestion was incorporated by the Department of health’s equalities and diversity paper and made it as one of the guiding principles that underpins the development of staff’s competence on diversity issues encompassing cultural awareness, knowledge and sensitivity (DH, 2003). The National Health Service (NHS) and other healthcare organisations applied this principle on their diversity training with the aim to recognise cultural differences and individual’s beliefs and practices (Humphries, 2003). In the profession of caring Allen (2010) believes that in times of illness and when feeling vulnerable and confused, there is a tendency for patients to cling to their familiar surroundings, objects and rituals for comfort. By simply being ...
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Winkelmann-Gleed, A., Seeley, J. (2005) Strangers in a British World? Integration of international nurses British Journal of Nursing, 2005,Vol 14, No 18, 954-961
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Provision 8 also states, “The nurse also recognizes that health care is provided to culturally diverse populations in this country and in all parts of the world. In providing care, the nurse should avoid imposition of the nurse’s own cultural values upon others.” (Nursing World, 2001). The ANA Code of Ethics does not explicitly define diversity. However, in clinical settings, I strongly believe that I am continually being exposed to people of diverse backgrounds – socioeconomic status, gender, race, ethnicity, religion, age, sexual orientation, etc. As a student nurse and a future nurse, I will set aside my own bias and view my world through a panoramic lens in order to provide quality care with sensitivity to others. As a student ...
...ir personal encounters with Aboriginal classmates that they might have had in high school. Life experiences, parental upbringing, ethnic roots, social status and education all shape nursing practices. Nurses and other health care professionals are trained in institutions that fail to recognise the socio-political injustices that occur in health care settings. In addition to this, their experiences in their work and in their personal lives and communities, they already have opinions about certain groups of people. “Cultural safety would encourage nurses to question popular notions of culture and cultural differences, to be more aware of the dominant social assumptions that misrepresent certain people and groups, and to reflect critically on the wider social discourses that inevitably influence nurses’ interpretive perspectives and practices” (Browne, 2009, p. 21).
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.
Puzan (2003, p. 197) discusses racial stratification being responsible for organizing social relations, meaning that through language and practice, nurses participate in the production and maintenance of patient identities. Nurses are vulnerable to interacting and responding to patients with unconscious biases, relying on embedded and accepted stereotypes. Racial health care inequality is a multidimensional problem, with barriers to health care involving the health care system, the patient, community, and health care providers themselves. A lack of awareness and education pertaining to issues of race, racism, and whiteness contribute to poor perceptions are being addressed within Australian nursing curriculum (Van Den Berg, 2010, p. 2). The relationship between health and racism has been found as the cause of persistent health differences by racial or ethnic classification and racism is identified as the root cause of the extreme socio-economic and health disadvantage experienced by Aboriginal Australians (Larson et al, 2007, p. 26). Possessing a diversity and cross cultural competency is important, as is paying attention to systemic policies and procedures that negatively impact a nurse’s ability to provide adequate care to people of all races.
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).
From patients not wanting people of color to deliver care to them and patients from different religion having difficulties with the value of care. Healthcare organizations are working tremendously to develop cultural competence in it facilities. An article titled “Why Diversity matters in Health Care?”, defines cultural competence as “the ability of systems to provide care to patients with diverse values, beliefs and behaviors, including the tailoring of delivery to meet patients’ social, cultural and linguistic needs.” Diversity is one important aspect in the healthcare system because different people from different backgrounds, cultures and religions all seek care one or the other. Having this change in the healthcare system will really help deliver the quality of care to all patients. Strengths-based practices that will be effective in helping with healthcare diversity, will be to respect the differences of patients’ cultures and background. Also staffs have to be culturally sensitive about everything associated with the patients’ social identity too. Even with domestic violence that goes on among African American women, a patient who has been abuse can come into the hospital and staff must show respect and treat them as
“The concept of diversity encompasses acceptance and respect. It means understanding that each individual is unique, and recognizing our individual differences.” (cite). Since a school nurse really has to encompass a diverse group of people and cultures, showing diversity is essential. One of the ways that the middle school
Within the nursing community, the majority are white females. In a population where minority groups are drastically increasing, it is pivotal that the nursing population accurately reflects the diverse range of race and ethnicities of the U.S. One way that health care leaders are attempting to correct this is by using nurse recruiters. These professionals who are assigned this duty actively seek out individuals from lower socioeconomic neighborhoods and school with the intention of educating them about the field of nursing. Students who are in middle and high school are targets for this line of work. The idea is that many minority groups live in lower socioeconomic neighborhoods and with the right resources these potential future nurses can be given the much needed help to pursue a higher level of education. This will in turn increase the African American, Hispanic/Latino, and Asian population in the nursing community to reflect a more accurate representation of the U.S. population. (Lawless and Salvucci,
A myriad of challenges are faced in healthcare today. From over-crowding and long waiting lists to staff shortages which have knock on effects resulting in inadequate skills mix and unacceptable nurse-patient ratios. An aging population, high birth rates and an increase in chronic diseases also puts pressure on the healthcare system. The nursing role has had to evolve in response to changing societal needs and the challenges in the healthcare system today. (McCurry et al. 2009). This can bring additional challenges to nurses’ professional identity. ??
In order to provide a diverse healthcare environment, all employees in the healthcare system must understand the difference between culture and diversity. Naturally, culture and diversity mean the same thing. Culture, is certain behavioral characteristics that are learned and shared. Diversity is referred to a person who is of different racial background. Considering a population’s diversity and culture together helps establish culture in a healthcare
for nurses to be aware of the diverse needs of many differing cultures. Learning and
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.
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
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