The Use of Cultural Competency in Healthcare Provision
Proper assessment of individuals seeking treatment in the healthcare setting is a crucial component that ultimately dictates whether those individuals receive the attention, guidance, and treatment they need. An important aspect of providing a thorough assessment and associated comprehensive care is cultural awareness. The proper use of cultural awareness, referred to as cultural competency, must be employed to guide the assessments and plans of all healthcare providers. This paper will examine a culturally-based nursing model, and how that model was utilized in the provision of care for a patient in an out-patient gynecological clinic.
Model for Cultural Competency
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The provider uses visual evidence to assess not only the physical attributes of the patient, but also the non-visual cues that allow them to ascertain the individual’s willingness to cooperate fully with the exam. For this paper, several individuals were evaluated for possible inclusion. Inclusion criteria were that the patient had to be from this author’s clinical setting and differ from this author by race, ethnicity, religion, or sexual orientation. Furthermore, an additional inclusion criterion was chosen by this author that mandated the individual’s affect indicated that the individual would be a willing …show more content…
The process of questioning a patient about their family medical history allows the healthcare provider another opportunity to evaluate the patient’s social organization. Patient CC’s knowledge of her family’s health history revealed evidence of her close family bonds. It was noted that hypertension and diabetes were overwhelmingly present throughout her family. Both parents and her only sibling were revealed to have hypertension. It was further noted that both grandmothers have type 2 diabetes. Evaluating care from a transcultural perspective, the fact that hypertension is prevalent in CC’s African-American family is not a shocking revelation. The Centers for Disease Control and Prevention (2016) point out that nearly one-half of all African-Americans within the United States has high blood pressure. Giger and Davidhizar purport that identifying biological variation such as a genetic predisposition towards hypertension is a key element in transcultural nursing (Purnell, 2015). For a complete genogram, see appendix
Cobb, Torry Grantham, DHSc, MPH,M.H.S., P.A.-C. (2010). STRATEGIES FOR PROVIDING CULTURAL COMPETENT HEALTH CARE FOR HMONG AMERICANS. Journal of Cultural Diversity, 17(3), 79-83. Retrieved from http://search.proquest.com.ezp-01.lirn.net/docview/750318474?accountid=158556
The absence of cultural competency in some health care providers, lack of community perspective integration in health care facilities, and low quality health care received by women in developing countries.These are the three most pressing health care concerns that need to be addressed in our ever changing world. The first of the issues I’ll be discussing is the lack of cultural competency amongst health care providers, as well as the shortage of education and training in cultural competency. As we all know and see the United States is a racially and ethnically diverse nation which means our health care providers need to be equipped with the necessary education and training to be able to provide for diverse populations. As an East African
Working as a research nurse at the Ohio State University, I often encounter patients that
The United States’ population is currently rising exponentially and with growth comes demographic shifts. Some of the demographics shifts include the population growth of Hispanics, increase in senior citizens especially minority elderly, increase in number of residents who do not speak English, increase in foreign-born residents, population trends of people from different sexual orientation, and trends of people with disabilities (Perez & Luquis, 2009). As a public health practitioner, the only way to effectively eliminate health disparities among Americans, one must explore and embrace the demographic shifts of the United States population because differences exist among ethnic groups (Perez, 2009). We must be cognizant of the adverse health conditions for each population and the types of socioeconomic factors that affect them. Culture helps shape an individual’s health related beliefs, values, and behaviors. It is more than ethnicity and race; culture involves economic, political, religious, psychological, and biological aspects (Kleinman & Benson, 2006). All of these conditions take on an emotional tone and moral meaning for participants (Kleinman & Benson, 2006). As a health professional, it is one’s duty to have adequate knowledge and awareness of various cultures to effectively promote health behavior change. Cultural and linguistic competencies through cultural humility are two important aspects of working in the field of public health. Cultural competency is having a sense of understanding and respect for different cultural groups, while linguistic competency is the complete awareness of the language barriers that impact the health of individuals. These concepts are used to then work effectively work with various pop...
Introduction Cultural Competency is fundamentally linked to 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). Environmental justice can affect the population’s health.
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.
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 is a skill essential to acquire for healthcare providers, especially nurses. Cooperating effectively and understanding individuals with different backgrounds and traditions enhances the quality of health care provided by hospitals and other medical facilities. One of the many cultures that nurses and other health care providers encounter is the American Indian or Native American culture. There are hundreds of different American Indian Tribes, but their beliefs and values only differ slightly. The culture itself embodies nature. To American Indians, “The Earth is considered to be a living organism- the body of a higher individual, with a will and desire to be well. The Earth is periodically healthy and less healthy, just as human beings are” (Spector, 2009, p. 208). This is why their way of healing and symbolic items are holistic and from nature.
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.
Seeking to position lower socioeconomic status above racial/ethnic biases or vice versa is irresponsible to the goal of eliminating healthcare delivery differences at large. Both these are realities of a group of people who are not receiving the same level of care from the healthcare professionals although they exist within one of the most resource rich countries in the world, the United States. According to House & Williams (2000), “racism restricts and truncates socioeconomic attainment” (page, 106). This alone will hinder good health and spur on disparities as racism reduces the level of education and income as well as the prospect of better jobs. Blacksher (2008) cites the nation’s institutionalized racism as one of the leading factors
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.
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.
Polish director Agnieszka Smoczynska chooses a horror musical tale with a kitsch look for her debut feature. “The Lure” was written by Robert Bolesto and stars Michalina Olszańska and Marta Mazurek as Golden and Silver, respectively, two siren sisters who come ashore with the promise of eating no one. Both actresses also perform in “Holga Hepnarova” whose NY premiere is scheduled for March 24th. The story, set in Warsaw in the 80s, takes us to a nightclub bathed in disco sound and populated by quirky creatures of the night.
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 "...
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.