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Papers on cultural diversity in healthcare
Culturally responsive nursing practice
The role of health promotion
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’Health promotion is the process of enabling people to increase control over, and improve their health; is more than focusing on a single individual, it deals with a group of people at a community level towards a wide range of social and environmental interventions. Communities are a group of people that may or may not be spatially connected, but who share common interest, concerns or identity. These communities could be local, national or international with specific or broad interests’’. (WHO) They are within specific geographical area sharing common interests, values and beliefs.
Leah & Iuditm, (2016), described culture as the literature, art and history of a nation which can entail customs or traditions or could mean knowledge, standards
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Looking at the key elements of health promotion by WHO, 1. Good governance for health; health promotion needs the effort of policy makers of the community to take decisions in favour of the health of the people. 2. Health literacy affects the health of individuals in the community. They need to make informed choices to improve their health, the food they eat, their environmental conditions and good healthy behaviour practice.
Embracing cultural diversity, understanding the cultural impact on community based health promotion and developing cultural competence that will equip the community health worker with skills in working and getting along with others.
In an increasing population with cultural diversity, nursing face the challenge of providing care to individuals of different backgrounds in a holistic and nondiscriminatory manner, nurses have a moral and ethical duty of delivering high nursing services including culturally appropriate care (Tuohy et al. 2008). According Tuohy et al. (2008), nurses need to be educated about culture aimed at providing optimum care since there are cultural issues to take into consideration regarding health beliefs and goals of care from the patients, their family and friends
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
Culture care is grounded within one’s worldview, which is shape by social structure factors such as religion, economics, cultural values, environmental context, ethnohistory, and language (Alligood, 2014; Sitzman & Eichelberger, 2015). Moreover, culture care share similarities and differences related to health and well-being, how individual deal with disability and death, as well as, when to seek relief from illnesses or distress. As culture plays a vital role in health care seeking habits and decision making, it is imperative for nurses to fully understand cultural knowledge. With increase cultural knowledge, nurses are better able to implement care plans that are beneficial to the patient with respect to their beliefs, values, and cultural
The health promotion is a key factor process of permitting people to increase control over their health status in order to improve it. It not only covers the actions directly aimed at increasing the skills and capabilities of individuals, but is also aimed at changing the social, environmental and economic issues that impact on healthy habits.
There are cultures that have very different views on things such as family dynamics and health care than what I’m used to. For example, there are some cultures that do not believe in seeking healthcare when they are ill or receiving medications or blood if needed. However, my family always believed in taking us to the doctor and taking medications when we were ill. There are also some cultures that have very large families that they are very close to however I always had a small close-knit family. I am able to see how these different scenarios could affect the nursing care provided by assuming that other people and families have the same beliefs that my family had growing up. However, this is why it is important to ask questions and do research about a particular culture before making assumptions. I also believe it is very important to avoid assuming that all cultures are the same just because they are of a certain culture or ethnicity. Beliefs and rituals can differ amongst people of the same community. Therefore, it is essential to get to know your patients and have an understanding of their beliefs as an
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
The application of cultural competence in nursing practice was first described by Madeline Leninger (1970) as she coined the term ‘cultural sensitivity’ to describe the process of being attentive to the values, beliefs, attitudes and behaviours of patients. “Culture has been defined as socially transmitted patterns of human behaviour which include communication styles, actions, ways of thinking, values, beliefs and institutions of ethnic, racial, religious or social groups” (). The application of culturally competent care in nursing is important because it may impact quality of patient care and the development
In education, the curriculum has been change to teach on culture care in nursing. Nursing schools emphasis the need for nurses to become more aware of cultural diversity in the health care and ways in which they are able to better manage the issues when the needs
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
An individuals’ culture is one attribute that differentiates them from the person standing next to them. Ones’ culture often shapes their lifestyle, sexuality, spirituality, and their perception of common social norms. Many often overlook the importance of cultural competence, and agree that it should be approached in case-by-case scenarios. Essentially, it is our moral obligation as human beings to attempt to understand the variety of different cultures. Being aware of cultural competence is essential in the nursing field.
Introduction and Exploration of Cultural Competency in Nursing Practice Culture is a significant determinant of various health-related factors. This includes the responses of different groups to certain health issues, the knowledge and beliefs regarding health matters, and the access to healthcare among others. In the nursing practice, it is important to understand these cultural factors. Cultural competency is of great significance in the practice since the nurses cater to patients from diverse backgrounds. Cultural competency allows them to provide their patients with their unique healthcare needs with respect to their culture.
Health promotion is a multifaceted movement with a core value on respect, empowerment, equity, inclusion and social justice (MacDougall 2002). Aims to achieve holistic health, while it is influenced by medical and social determinants. These determinants which aids to deter...
Nurses are starting to identify the significance of accepting the values, beliefs, and health practices of different cultures in order to provide care that is appropriate and culturally relevant to diverse patient
To reach a state of complete physical, mental and social wellbeing, an individual or group must be able to identify and to realize aspirations, to satisfy needs, and to change or cope with the environment. Health is, therefore, seen as a resource for everyday life, not the objective of living. Health is a positive concept emphasizing social and personal resources, as well as physical capacities. Therefore, health promotion is not just the responsibility of the health sector, but goes beyond healthy life-styles to wellbeing. Health promotion goes beyond health care. It puts health on the agenda of policy makers in all sectors and at all levels. It directs policy makers to be aware of the health consequences of their decisions and accept their responsibilities for
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