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Introduction on culture and diversity
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Introduction
Ethiopia is a country located at the horn of Africa and home to a variety of cultural and linguistically diverse population. Ethiopian history dates back 3000 years and is rich with culture and values. The World Bank (2013) statistics reports Ethiopia as the second densely populated country in Africa as well as the poorest. As such, 38.7% of Ethiopians live below poverty line and the countries per capital income is estimated to be $410 (World Bank, 2013). Still, the Ethiopians are recognized as a friendly and gracious people. In Ethiopia guests are respected and treated well. When an Ethiopian greets others it is with a smile and a warm hand shake. As well they expect to be treated with warmth and respect when they meet others. In addition Ethiopians have a hierarchal respect system in which the elderly are given the utmost respect (Center for Cultural Learning, 2009). Other cultural distinctions noticed are Ethiopians do not like to divulge their illness to others and physicians rarely tell a terminal patient that his or her illness is terminal because of the belief that sharing such devastating news would discourage the patient from the will to live. Instead the news is shared with loved ones so that they can provide emotional support (Mabsout, 2011). Lastly Ethiopia is a Black country and so there is no color distinction associated within the population. Thus an Ethiopian who migrates to America faces a variety of societal differences within the United States. In this paper the author will discuss the author’s cultural and ethnical background and discuss how the author’s cultural value influenced the nursing experience.
Authoethnography of Culture and Diversity
Cultural Background
As an Ethiopian this ...
... middle of paper ...
...sk about a patient’s cultural background and influences that may drive the care received.
Works Cited
Ethiopia (2009) Center for Intercultural Learning. Retrieved from http://www.intercultures.ca/cil-cai/ci-ic-eng.asp?iso=et
Ethiopian overview (2013). The World Bank. Retrieved from http://www.worldbank.org/en/country/ethiopia/overview
Kibour, Y. (2001). Ethiopian immigrants' racial identity attitudes and depression symptomatology: An exploratory study. Cultural Diversity And Ethnic Minority Psychology, 7(1), 47-58. doi:10.1037/1099-9809.7.1.47
Leininger’s theory of nursing: Cultural care diversity and universality (1998). Nursing Science Quarterly. 1(152) DOI: 10.1177/089431848800100408
Mabsout, R. (2011). Capability and health functioning in ethiopian households. Social Indicators Research, 101(3), 359-389. doi:http://dx.doi.org/10.1007/s11205-010-9661-0
Jamaica has about 2.8 million of residents, who are “mostly descendants of African Blacks, with minor representations from East Indian, Chinese, and European ancestries,” (Gall, 2009). In order to provide Jamaicans with the appropriate nursing care, nurses need to be aware of some important elements, as for example verbal communication, their belief, food
Being a resident of South Carolina, African-American Culture was chosen as part of the applied learning project for the Intercultural Nursing class, because African-Americans make up more than a quarter of this state’s population. According to the 2010 United States Census Bureau, the total population for South Carolina (S.C.) is 4,625,364, with 27.9% being of African-American descent. The purpose of this paper is to develop an understanding and sensitivity to issues and cultural variances or phenomena that are unique to the African-American Culture. Another goal is to identify nursing interventions that are important for the nurse to consider in caring for this population. These phenomena’s include variances in social organization, communication, space, perception of time, environmental control, and biological variations associated with the African-American culture. (Giger, 2013 and South Carolina minority, n.d.)
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).
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
This discussion board post is discussing cultural background of nurses and the delivery of nursing care. I will give my definition of diversity, and provide some benefits of having a diverse health care workforce. Then I will provide some barriers to having a diverse health care workforce. Lastly, I will describe how my diverse cultural background affects the care I provide.
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.
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.
Nurses have a great opportunity to enter the African community and exercise their certified ability to the needed population. However, before they can help these people, nurses should first examine their own beliefs and customs and be...
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 "...
Leininger M. & McFarland M.R. (2002). Transcultural nursing: concepts, theories, research, and practice (3rd ed.). New York, New York: McGraw-Hill Companies Inc.
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
Institute for Research on Poverty. (2013). Health & Poverty. Retrieved February 20, 2014, from http://www.irp.wisc.edu/research/health.htm