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Practicing transcultural nursing in healthcare
Racial and ethnic disparities in the U.S. health care system
Racial and ethnic disparities in the U.S. health care system
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Recommended: Practicing transcultural nursing in healthcare
Basic Intro of Cultural Assessment Model Involving Children & Family Life in Roma Culture “A fundamental belief of professional nursing holds that all individuals are to be cared for with respect and dignity regardless of culture, beliefs, or disease process” (Catalano, 2015). The idea of “culture” has many different meanings and connotations. One that is commonly accepted is that it is a, “collective way of thinking that distinguishes one relatively large group from another” often based off if the particular “group’s acceptance of a set of attitudes, ideologies, values, beliefs, and behaviors…” (Catalano, 2015). As nurses, how do we determine what the best care is, or would be, for our patient from a culture other than our own? To begin, …show more content…
If followed and lived, “culturally competent health care will lead to greater patient satisfaction, improved clinical outcomes, and greater cost efficiency” (Galanti, 2008). Within the model itself, there are 6 “cultural phenomena … illustrating the ability to give every individual a unique identity” (Sagar, 2011). These phenomena are: communication, space, social orientation, time, environmental control, and biological variations, and are illustrated in the following figure. (I googled the assessment model for an image and was led to this one on the student website for Westminster College. They got it from: “Source: Giger, J. & Davidhizar, R. (1999). Transcultural nursing: Assessment and intervention (3rd ed). Philadelphia: Elsevier Health Sciences.” I don’t quite know how to reference that. Do I use the Westminster information, or the one they got it from??)
Analysis of Giger and Davidhizar Transcultural Model
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What are the common health care practices? Are there diseases rampant from poor hygiene or sewage exposure? Are there immunizations available? Are illnesses treated with folk remedies or with more modern medicine? What control does your patient have within their environment? These are all things you must know to understand and better educate your patient on how to maintain their best health possible within their environment.
Biological Variations Lastly, you, as the nurse, must assess whether there are any biological variations or factors that make your patient’s culture susceptible to particular diseases or conditions. For example, both the American Indian and Black population have an increased risk for diabetes mellitus and hypertension. Is your patient at risk for certain diseases just for the fact he or she is of a particular culture? Knowledge of this sort will make your assessment more thorough and make you more aware of things to watch for.
Family Relations in Roma Culture within Transcultural Model
Over the years, I have developed a stable cultural sensitivity aptitude. I find it is most important to take cues from the patient and their families on how to care for them. As well as to ask the patient what is most important to them and how I can best serve them. In his article, Collins (2015), states that “improved health outcomes are achieved when culturally competent nurses acknowledge the patient’s culture care values and preferred care practices, and incorporate into the professional plan of care the patient’s generic care wishes” (p. 11). I have encountered a few situations which make me most uncomfortable, families not wanting the patient to know the severity of their illness, and obvious servitude behaviors toward the females to name a couple. When these occur, I have found the inclusion of the charge nurse, the physician and social services can lessen the negative outcomes in these situations. My goal is to assure the patient is cared for in a manner that is most comfortable to them and satisfies their needs to ensure a speedy and comprehensive recovery. Another practice in my own career has been to share the cultural information gathered with oncoming shifts of care givers, the charge nurse and
Canada is a multicultural country where our government recognizes and ensures that the value and dignity of all citizens’ ethnic backgrounds, religions and languages are maintained (Government of Canada, 2017). In 2016, almost one-fifth of Canada’s population were immigrants. (Statistics Canada, 2017). With this continual increase in diversity, it is essential for students and future registered nurses to understand how to provide culturally competent care in any setting. Culture can be described as the specific characteristics and knowledge shared between individuals and/or groups within a society that encompasses elements such as language, beliefs, and values (Canadian Nurses Association, 2010). The Canadian Nurses Association (2010) defines cultural competence as “the application of knowledge, skills, attitudes, or personal
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.
The self-assessment has demonstrated that I am able to deliver culturally congruent nursing care due to my critical reflection, knowledge of cultures and cross-cultural communication abilities. I am able to avoid prejudices, stereotypes and biases that may hinder the delivery of culturally competent care due to my understanding and respect for different cultures. In addition, I am able to form trustful relationships with clients and understand their personal perceptions towards the available treatment alternatives (Cowen & Moorhead,
These differences in origin accounts for diversity in socio-cultural backgrounds and nurses must develop the knowledge and the skills to engage patients from different cultures and to understand the beliefs and the values of those cultures (Jarvis, 2012). If healthcare professionals focus only on a narrowly defined biomedical approach to the treatment of disease, they will often misunderstand their patients, miss valuable diagnostic cues, and experience higher rates of patient noncompliance with therapies. Thus, it is important for a nurse to know what sociocultural background a patient is coming from in order to deliver safe an effective
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
Having cultural awareness, cultural sensitivity and cultural competence is very relevant as a professional nurse. There are many different models used for cultural assessments that were created by nurses. The Giger and Davidhizar’s Model of transcultural nursing outlines six factors that is useful in cultural assessment. This Model centers on patient’s health beliefs and health traditions. There is key information needed to perform an adequate cultural assessment in diverse cultures. There are diverse cultures and ethnicities found in my local community. The Russian community is prevenient in my community and has their own beliefs, health issues and health behaviors.
Cultural competence can be defined as using the ability of one’s awareness, attitude, knowledge and skill to effectively interact with a patient’s many cultural differences. Madeline Leininger, a pioneer on transcultural nursing describes it this way; “a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs, values and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people” (Barker, 2009, p. 498). The importance of cultural diversity in healthcare allows for the delivery of appropriate cultural autonomy. Showing respect for others will lead to trust between nurse and patient which in turn improves healing and health.
According to Andrews & Boyle (2016), the first step is for the nurse to do a self-assessment of themselves in order to identify their beliefs toward people with different backgrounds, which will provide clarification of possible unknown behaviors. The second step is to set a goal between the patient and those involved with the patient’s care. Step three involves developing a care plan that will include all cultural factors involving the patients care. Step four is implementation of the care plan by the healthcare team and those involved with the patient’s care. Step five is the last step and evaluates the care plan to make sure that the quality of care is acceptable and is based off scientific evidence and best practices. If there are any changes or adjustments that need to be made with the patient’s care, modification will be done to the care plan and these steps should be repeated (Andrews & Boyle,
In the clinical setting, nurses are believed to spend the most time with patients. This involves regularly dealing with people coming from different ethnicities and with different cultural practices and beliefs (Brown & Edwards, 2012). Given this cultural diversity, every patient may have his/her own cultural beliefs and practices regarding his/her own health and its treatment which can be similar or different to those ... ... middle of paper ... ... nternational Journal for Quality in Health Care, 8(5), 491-497.
personal cleansing and hygiene. There are also some patients who will only want a female nurse or male nurse to attend to their personal care; there are some nurses who are in danger of ignoring certain cultures that some patients have therefore not giving the patient the right care that they need. Which is why cultural competency is absolutely important, to offer culturally competent care is imperative as nurses have to support patient’s decisions made by their family members or from the patient, the decision may come from a cultural perspective which may not sit well for nurses. Truong, Paradies, and Priest (2014) found evidence of improvement in nurses and other healthcare providers when it comes to cultural competency knowledge and
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.
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 "...
Understanding cultural differences not only improves the effectiveness of the treatment the patient receives, it is also help the nurse to prevent negliency of care. It is impostant to maintain a curiosity about each patient no matter how much we know abouth that person's culture.
Madeleine Leininger is a nurse who realized that cultural care was an important concept in nursing. In the 1950s she found that behavioral issues in children stemmed from a cultural basis due to nursing having a lack of knowledge in a variety of cultural awareness (Buschur-Betancourt, 2015). The purpose of this paper is to identify the eight reasons Madeleine Leininger states transcultural nursing is necessary. I will describe the cultural diversity and how it relates to my field of nursing. I will also provide three ways that I have incorporated culturally sensitive care toward my patients.