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Transcultural nursing introduction
Cultural diversity and nursing
Importance of intercultural competence to communication
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With the influx of immigrants with diverse cultural background into the country, it is crucial that the nurse is aware of the dynamics of the patient population and plan and implement caring practices that are culturally appropriate. The addition of a patient’s worldview to their treatment enhance the holistic approach that nursing embraces. The role of culture in the delivery of care is vital and more prominent as we care for a very diverse population. As covered during the concept of postmodernism, culture, and politics are influential contextual factors. According to Reed (2017), “postmodernism opens up new possibilities in viewing reality…in recognizing the role of culture, power, politics and other factors in science.”
As future DNP, this writer would develop the spirit of experimentation, challenging the status quo, and be open-minded to new research findings and incorporate them into practice. The postmodernism
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The theory suggests that “nurses are capable of being models for embracing patients’ cultural needs in healthcare, and as a result, it is of high priority that nursing professional recognize and understand…” (Betancourt, 2015, p.1). The goal is for the nurse to be culturally aware and competent of incorporating the patient’s beliefs into care. According to Leininger (2001), understanding the client’s cultural belief and integrating it into care practices do support not only healing and wellness but also improve compliance. Leininger’s theory of Cultural Care: Diversity and Universality is an integral part of nursing practice today. Applying the transcultural theory to practice allow nurses to incorporate the client’s cultural beliefs, values and practices into the nurse’s care plan, which improves treatment outcomes. A culturally competent nurse should be able to assess the client’s needs based on beliefs and values and consequently make adjustments to accommodate their
...the formal and explicit cognitive practice learned through educational institutions. This type of practice is focused on the professional knowledge and care that nurses are taught in a educational establishment. Nurses provide (McFarland and Wehbe-Alamah 2015, p.14).assistive and supportive care for patients, along with the proper training to improve a patient 's health, prevent illnesses, and/or help with the dying. Taking the Culture Care Theory and ethnonursing research methods helps a nurse in the transcultural field provide culturally congruent care. This gives the nurses the ability to expand their knowledges and apply or teach their discoveries when interacting with a variety of diverse cultures. The form to obtain these new discoveries is presented in the most naturalistic and open way possible to keep a comforting relationship between the nurse and patient.
Leininger’s theory of nursing: Cultural care diversity and universality (1998). Nursing Science Quarterly. 1(152) DOI: 10.1177/089431848800100408
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).
Leininger was the first nursing theorist to focus on the fact that different cultures have different caring behaviors and thus require different treatment and coined the term “culturally congruent care.” Leininger’s was a true visionary and her work developed into a movement called Transcultural Nursing. Her revolutionary work embodies the essence of holistic caring in the nursing profession and she changed the paradigm of nursing at a time when society did not celebrate cultural differences to include care that is individualized to the patient. This has influenced my personal philosophy and assisted me to be authentically present, more able to be empathetic, and considerate of my patients in order to create a healing environment, and better outcomes for the
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
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
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
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.
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
Transcultural nursing requires us to care for our patients by providing culturally sensitive care over 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 definite 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 in my nursing practice.
This migration has led to the rise in multiculturalism. People of different national and cultural backgrounds have largely interacted. In spite of the adaptation of people to new environments, the cultural beliefs and practices they obtain from their places of origin remain with them. Hispanics, for instance, have migrated into the United States in large numbers and have brought along their cultural practices, including the Spanish language, their religion, and their food. It is for these reasons that the nursing practice entails understanding the needs of patients based on their cultures.
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.
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.
There are eight reasons that transcultural nursing has become a necessary framework for the care we