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Transcultural health care in nursing essay
Essay on cultural competence in healthcare
Transcultural health care in nursing essay
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Table of Contents
1. Introduction
2. Understanding Culture
3. Case Study/Demographics
4. The Diagnosis
5. The Procedure
6. Nurse/Patient barriers
7. Possible defects in the delivery of care
8. Ways to promote cultural awareness
9. The procedure revisited
10. Conclusion
Introduction
Working as a research nurse at the Ohio State University, I often encounter patients that
are from different cultures. Ohio State University is known for their advance research in
Leukemia. I had the pleasure of working on the Phase 1-Leukemia team for two years
and I recall one patient that would forever change the way I interact with patients. It was
at this moment in time, I learned how my own biases affected my patient care. In the ever
changing world, nurses need to understand culture awareness and cultural sensitivity in
order to become better care givers. All human beings have basic needs and desire but it is
how we perceive these needs and desires that are considered different. This paper will
provide insight in which a nurse found the way to navigate through a patient encounter to
provide the care that her patient so desperately needed and deserved at that moment and
time.
Understanding Culture
Understanding cultural differences is imperative in today’s society. It is estimated that a
nurse will have a fifty percent chance of taking care of a minority patient (Davidhizar-
Giger & Hannenpluf, 2005). Culture is learned patterns of behavior responses acquired
over a period of time and include our values, beliefs, norms, habits, art, and our life ways
that are accepted among a particular group (Polan & Tay...
... middle of paper ...
...tive
to others. In other words, we are becoming culturally competent. Learning to be
culturally competent will improve our patient outcomes. In the end, isn’t that what we
strive for?
References:
Davidhizar, R., Giger, J., & Hannenpluff, L. (2005). Your Continuing Education Topic 3
2005: Using the Giger-Davidhizare Transcultural Assessment Model (GDTAM) in
Providing Patient Care. Journal of Practical Nursing.56.1 (Spring 2006) 37-43.
Polan, E. & Taylor, D. (2011). Journey across the life span: Human development and
health promotion. (4th ed.). Philadelphia, PA: F.A. Davis.
Taylor, R. ( 1998). Check your Cultural Competence. Nursing Management 29.8 (Aug
1998) 30-2.
Transcultural Nursing: The Hispanic American Community (2012). Retrieved from
http://www. Culturediversity.org/hisp.htm.
When we see patients, we must remember that we are not simply treating a disease. We are caring for people with lives, hobbies, jobs, families, and friends, who are likely in a very vulnerable position. We must ensure that we use the status of physicians to benefit patients first and foremost, and do what we promised to when we entered the profession: provide care and improve quality of life, and hopefully leave the world a little better than it was
Immigration and the minority population is increasing each and every year. With a growing ethnically diverse population, it is vital that nurses are sufficiently equipped for and able to work with patients in a way that identifies and respects their diversity.
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
Patient’s experience with the healthcare team to the standards of patient centered care, there are some parallels and differences. In Barry and Edgman-Levitan’s text Shared Decision making: The Pinnacle of Patient Centered Care, it explained how the patient centered care is divided into three broad areas. One of the areas discussed about information, communication and education. It stated that “Adequate information must be shared with the patients and this would include clinical management…This is very relevant in understanding the concept of self-care and individual health promotion..” Barry& Edgman-Levitan (2012). In Ms. Patient’s case, the doctor was able to explain thoroughly to the patient and her parents about her current health condition and idea of scoliosis so the patient can have a better idea about self-care while reassuring her parents. Therefore, the doctor successfully shared adequate information about the patient’s condition so she can better understand how to manage herself effectively. Another example from one of the broad areas was idea of integration and coordination of care, “patients feel vulnerable when they are faced with illnesses and they feel the need for competent and caring healthcare personnel.” Barry& Edgman-Levitan (2012). In this case, both the doctor and the nurse proved themselves as part of a caring healthcare personnel when they tried to have a casual conversation with the patient in the beginning and asking her
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.
acting completely in the patients interest and each of them are committing these actions to
... joy Mrs. L got from seeing her cat. Health in this scenario is shown mostly notably when Mrs. L got relief from Morphine and stated she knew she was going to die but felt “ok for now”. Health in this case was measured by an improvement in pain and not an absence of illness. Finally, nursing in this scenario is exemplified in many ways. In the paragraph above I begin by ensuring the patient’s confidentiality. Mrs. L was placed at the center of care. I collaborated with other nurses and all those in the environment to assure the best care possible. Through direct care, teaching and advocacy I delivered the exact type of care I would wish for myself, or someone I loved, if I were in Mrs. L’s place.
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.
I constantly reported to her concerning the condition of the patient in close time intervals across the day. On this day, a patient of mine had an IV site concern. The nurse assigned me to make some adjustme...
Physicians routinely make crucial decisions about medical care for patients whose lives hang in the balance. In the face of such high stakes, it may be surprising to think that automatic associations can unknowingly bias professional decision-making. One study compared implicit racial bias between White American doctors and Black American doctors and found that “African American doctors, on average, did not show an implicit preference for either Blacks or Whites…” The implicit racial biases of White physicians also seem to play a role in predicting how positively or negatively Black patients respond to the medical interaction (http://www.ncbi.nlm.nih.gov/pubmed/19648715) (Penner, Dovidio, West, Gaertner, Albrecht, Daily, & Markova, 2010), (Penner, L., Dovidio, J., West, T., Gaertner, S., Albrecht, T., Dailey, R., & Markova, T. (2010). Aversive racism and medical interactions with Black patients: A field study- Journal of Experimental Social Psychology, 46, 436-440). Organizations can do many things like providing training implicit bias and diversity; seek to identify consciously the differences between different groups and individuals; and increasing emphasis on the education of social issues such as stereotyping and
As nurses we have a duty to advocate for our patients. We must work to advance the patient 's legal rights, privacy protections and right to choose whether or not to participate in medical research. As an advocate, nurses we must ensure that all qualification and state licensure regulations prior to participating in nursing activities and must be vigilant against other colleagues with impairments. At all times, we have the professional duty to accept personal responsibility for our actions and are accountable for nursing judgment and
For example, black and white Latinos differences are constant while black health status is poorer than white variety circumstances such as family experiences, community conditions, education, marriage, and work carrier, instead Hispanic immigrants tend to be healthier than United State born Hispanics. Low education level mark negative outcomes to obtain high-quality care or use of preventative services in control high blood pressure, diabetes, and obesity. Additionally, absence of health insurance decreases quality of life and place communities in risk for comorbid. For example, Hispanic or Latino population not compline visits health care providers specifically men, the young, people with less education, immigrants, and those who have no
Any patient she encountered was truly receiving a gift. They would be overwhelmed by her presence and hope she brought to their failing lives. Diana’s devotion was outstanding, and the time spent individually with each sick person made the world an exceptional
My first patient that I started as student nurse on one of the long Rehab Center was a seventy two year old man who had Clostridium difficile (C.diff), Dementia, Hip replacement, and Obesity. Due to the above sickness he had many complications. I can still remember his face suffering from pain. Because of his lack of ambulation and incontinence, he had developed a very serious pressure ulcer under his sacral area. I went through to the room with my instructor and the instructor introduces me for the patient as his student nurse from Towson University and will taking care of him. However the patient was not happy and he becomes a challenging patient in my first experience day. But I may learned more from that challenging patient for my future experience.