Kiersten Sadoff
Ramapo College of New Jersey: Nursing Department
Maisha Amen
Nursing Practice Issues
Culture is a huge component of nursing care. Culture is defined as the “beliefs, customs, arts, etc., of a particular society, group, place, or time” (Merrian-Webster, 2013). This means every patient has individualized beliefs on various matters. These can range from the best treatments for a disease process, to dietary needs, to even the people who are helping the patient in their time of need. These beliefs mold a patient’s outlook on life and well-being by contributing to their recovery.
No matter what unit a nurse is placed in a hospital, or where a nurse is employed in a primary care setting, we are faced with cultural needs everyday. This is why a nurse must be culturally competent and culturally congruent. This is very important to patient interactions because as a nurse we are responsible for providing patient care, and it is our job to make sure the care we are providing to one client is the same to another. As Duffy stated, “students are encouraged to learn about each culture, by learning the unique characteristics of a group with a common race, ethnicity, or other distinguishing feature.” This means that there is a known heed for more culturally educated nurses, and the best place to begin educating these individuals is in the classroom before they become registered nurses. However, the author then continues on to state, “despite the increased emphasis on cultural education in nursing worldwide, culturally based problems persist.” (Duffy, 2009). This is a growing issue because as our population is expanding and technology makes it easier and easier to travel, we are continually exposed to new people with ...
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...The biggest way I believe we can empower patients and their families is to let them have a voice. We have to be sure that we are asking them questions, and teaching them the best practices because they are the ones whoa re going to be giving care on a regular basis. People are discharged faster and faster, and they are going home sicker and sicker, it is important for them to understand why herbs may not be the best things to take with medications, or why it is crucial they follow a specific diet. As a nurse it is our job to take their cultural beliefs and align them against medicine’s standpoint. When staff nurses have difficulty with this, they are able to call consults for Holistic nurses, and have a better understanding of these beliefs. Healing a patient’s mind, body, and spirit is a new way of thinking that has greatly transformed the nursing world as a whole.
Jean Giddens (2013) defines culture as “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). A person’s culture influences every aspect that person’s life. Beliefs affected by culture include how someone interacts within the family, how to raise children, the types of foods eaten, the style of clothes chosen, which religion is practiced, and the style of communication (including verbal, and body language, slang used etc.) (Giddens, 2013). In addition to these beliefs, health care practices are also affected by culture. The cause
However, culture is not restricted to ethnicity, race, or religion, and we are all part of many different subcultures that exist within other cultures. Subcultures may include areas of interest such as cancer survivors, senior citizens, and may even represent common needs, such as the specific needs of the homeless. “Understanding the complexities of culture from the perspectives of the providers and the recipients of care is critical because culture pervades all aspects of health care as it does all aspects of life” (Schim, Doorenbos, Benkert, & Miller, 2007, p.
Bednarz, Hedi, MSN,A.C.N.S.-B.C., C.N.E., Schim, Stephanie, PhD,R.N., P.H.C.N.S.-B.C., & Doorenbos, Ardith,PhD., R.N. (2010). Cultural diversity in nursing education: Perils, pitfalls, and pearls. Journal of Nursing Education, 49(5), 253-60. doi:http://dx.doi.org/10.3928/01484834-20100115-02
Cultural Competency is fundamentally linked with 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).
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).
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
Providing culturally competent care is a vital responsibility of a nurse’s role in healthcare. “Culturally competent care means conveying acceptance of the patient’s health beliefs while sharing information, encouraging self-efficiency, and strengthening the patients coping resources” (Giddens, 2013). Competence is achieved through and ongoing process of understanding another culture and learning to accept and respect the differences.
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
Cultural genograms are useful in expanding one’s awareness of the effects of culture on an individual. In turn, this can aid in understanding how other people are a product of his or her culture as well. Cultural genograms are a beneficial tool in providing culturally competent care in nursing. It is essential to remember that there is not an individual culture that is considered to be correct or the standard, but that every culture has a unique view on practices in life. Being culturally sensitive is a critical element in providing culturally competent care.
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 to 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 define 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 to 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.
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
Miller, Leininger, Leuning, Pacquiao, Andrews, and Ludwig-Beyer, (2008) support that the skill of cultural competency in nursing is the ability to gather relevant cultural data on the presenting problem of the patient. This cultural assessment is defined as a "...