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Cultural competence and nursing essay
Cultural competence and nursing essay
Ethics of nursing and culture
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Some might say multicultural nursing is difficult. Becoming culturally competent can make caring for people in different cultures easier. Nurses must develop skills to break the barriers that might interfere with the care of a patient in a different culture. In this paper, I will analyzed and described at least five points on how the concepts learned may be used to influence nursing care, analyzed and summarize how has this research changed my cultural competency, and evaluated and describe how positively affect nursing care. Nurses are starting to identify the significance of accepting the values, beliefs, and health practices of different cultures in order to provide care that is appropriate and culturally relevant to diverse patient …show more content…
Food is uses as socialization and celebration in most cultures. In some cultures certain food have different meaning and use in different rituals. As nurses, ensure that education is given on nutrition and food that can complicate an illness or interfere with a medication in important. I interview a naïve from Haiti, for the Haitians society food is relished as a cultural treasure and food practices vary little from generation to generation (Purnell, 2009). They prefer eating at home, they discourage fast food, and take pride in their foods. Furthermore, childbearing practices varies in different cultural, understanding the practice of the patient that is being care for is important. In Haiti, women do not seek prenatal care since pregnancy is not considered a disease. Pregnant women are restricted from eating spices and are encouraged to eat vegetable and red fruits as it is assumed to increase the fetus blood (Purnell, 2009). During labor, the women practice natural birth. Fathers generally do not participate in labor or birth, they believe that this event is best handled by a woman. Haitian believe the woman bones are open after birth and need to stay in bed 2-3 days after to permit the bones to close (Purnell, 2009). Nurses must educate on importance of vitamins and folic acid during pregnancy, also educate on the importance of prenatal care. Explaining that in it preventive for the fetus since they believe not …show more content…
Inquiring about a patient spiritual beliefs is very important. Nurse must be aware of how a culture deal with death and handles the body. When it comes to death rituals, Haitians prefer to die at home rather in hospital. When the person dies, all family members try to be at the bedside and have a prayer service. The preburial activity is called veye, a gathering of family and friends to tell stories about the deceased’s life; food, tea, coffee, and rum are in abundant supply. Also other ritual is the dernie priye, a special prayer service consisting of 7 consecutive days of prayer, facilitating the passage of the soul from this world to the next. In the Muslim culture, they pray five times daily and must face mecca when prayer, they pray on a rug called seccadeis (Purnell, 2009). Most pray in the cami, when entering shoes must be removed and women must cover their heads. Turkish Muslims do not generally practice cremation because of their belief that the body must remain whole (Purnell, 2009). After death, the body is washed in a ritual manner and wrapped in a white sheet. The traditional mourning period is 40 days, during which time traditional women may wear black clothes or a black scarf (Purnell,
A cultural assessment interview is very important when taking care of patients or their families who may be from a different culture than the nurse’s. In order to be able to better take care of a patient, we first need to know their own interpretation of disease and illness within their cultural context, values, and beliefs. Since I am Indian and my culture is a mix of the Indian cultural beliefs and my religion Islam, I was looking forward to this interview so that I am able to learn more about different cultures using my assessment.
Cultural competence has to do with one’s culture. Culture affects among other factors, how children are raised, how families communicate, what is considered normal or abnormal, ways of coping with issues, the way we dress, when and where we seek medical treatment, and so forth. I should know because I come from a very cultural home where it is considered bad to talk to a male doctor about anything gynecological.
Dempsey, Hillege and Hill (2014) believe an individual’s lifestyle and culture have a strong influence on health practices and beliefs and the culture to which they belong effects the person’s opinions about health and illness. There may be typical behaviours related to health and illness that are specific to a particular culture such as diet, views on disease causes, predicted treatment plans, caregiving, and hygiene practices (Lewis & Foley 2014). For example, a patient’s cultural belief may be that illnesses are a punishment from God, and therefore they may not seek assistance from health care providers until a later stage of the disease or not at all (Lewis & Foley 2014). Nurses must be culturally sensitive when assessing a patient and must ask culturally appropriate questions. ‘Standard 2.2 states the registered nurse communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights (NMBA 2016, p.
Family prefer to do the post-mortem care as the body is washed with turmeric, sandalwood paste, red Kumkum powder and holy ash. It is common to pour a small teaspoon of holy water in the dying persons mouth. Cremation is required.
In order for nurses to provide culturally competent care, they must not only respect but also understand the beliefs, attitudes and cultural lifestyles of their patients. Nurses must seek cultural awareness, knowledge and understanding of their patient's cultures, which can be achieved through effective communication with their patients. A nurse should have a basic understanding about several different cultures in order to provide high quality care. However, the best way to learn about a patient's culture is to ask the patient, which shows a patient that you respect them.
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.
Cultural competency is a philosophy that is directly related to the interactions I have with people that are similar to my culture, but as well different. To me the philosophy of cultural competency is a way of life. It's the acceptance of everyone's individual characteristics. For example, all my roommates are from different parts of the world. Pellegrino R., (2014), illustrates that when we meet someone that is not similar to ourselves it’s because it is not accepted or familiar retrieved January 27, 2017 from https://www.youtube.com/watch?v=YMyofREc5Jk. I completely agree with him. When I first met my roommates it was a little strange, but as I kept an open mind I
Culture is a huge component of nursing care. Culture is defined as the “beliefs, customs, arts, etc., of a particular society, group, place, or time” (Merrian-Webster, 2013). This means every patient has individualized beliefs on various matters. These can range from the best treatments for a disease process, to dietary needs, to even the people who are helping the patient in their time of need. These beliefs mold a patient’s outlook on life and well-being by contributing to their recovery.
Human beings are extremely diverse and unique in many different ways, but sadly the world tends to discriminate against those who are different simply because they do not understand their culture. Whether we choose to believe it or not, cultural diversity has become a very important part of today's society especially in the medical field. One might ask, how diversity influences nursing practice of the 21st century. First, one must understand that cultural diversity is vital to humanity and is a group of individuals with shared common experiences that help them to better understand the world. When I think of cultural diversity and competency, respect for others and their unique differences comes to mind. By choosing to accept those that are
Nurses should be sensitive to differences in experiences and responses that result from heritage, sexual orientation, ethnicity, socioeconomic situations, and cultural background. This combined with an understanding of culture and context can link communities and societies. Nurses can overcome cultural differences as they relate to the patients by learning a few words of the patient’s language. Also nurses willing to learn about a patient’s culture and to accommodate their care to adapt to cultural needs gain trust from the patients. Nurses can also use the universal language of kindness and right treatment like giving smiles and through body
According to National Center for Cultural Competence at Georgetown University, Cultural competence is a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals to work effectively in cross-cultural situations (Cross et. al., 1989). As for international development, it is a wide concept focusing on the level of development on an international scale such as developing country to least country. The linkage between cultural competence and international development understands how each country works in order to be effectively in cross-cultural situations. In this case, it can help them adapt to other customs and see the cultural contexts of the communities they will serve.
233). Other concepts are health and illness are perceived differently by all based on individual perceptions, social class, and coping mechanisms; different approaches to diagnosis, healing, and care, including folk, and western medical interventions may be required for treatment of illness; and for a nurse to effectively deliver care for a patient of a different background other than their own, effective intercultural communication must take place (Transcultural Nursing, n.d.). In order for a nurse to provide sensitive culture care he/she must understand the meanings of these concepts. Cultural competence is defined as a combination of practice viewpoints, congruent behaviors, and guidelines that allows nurses to provide great care in cross cultural situations (Leininger & McFarland, 2002, p.78). Not only do nurses need to be aware of his/her own beliefs but be willing to learn and value someone else’s belief. These concepts are strengths of this theory because not being aware of cultural health differences can be a major block to helping a patient. With education and trying to find a medium may be the perfect fit for delivering the best
The increasing diversity of the nation brings opportunities and challenges for nurses, providers, health care delivery systems, and policy makers to create and deliver culturally competent services. The ethnocentric approaches used in the past to care for patients are ineffective in meeting health and nursing needs of diverse cultural groups of patients. Knowledge about cultures and its impact on interactions with health care is essential for nurses. Knowing a patient’s culture helps nurses to be aware of the person’s customs, beliefs, and faith. It helps nurses in understanding a patient’s experience with illness, suffering, and death. Knowing a patient’s culture helps strengthen a nurse's commitment to the nurse-patient relationship, focusing on the whole person rather than viewing the patient as pieces of symptoms or illnesses. It helps a nurse to be respectful, understanding, and open minded to non-traditional treatments, such as spiritually based therapies like meditation and Shamanism. Cultural diversity can strengthen, bring about positive outcomes and broaden the health care delivery systems (Green et al.,
Culture is an extremely important part of many people’s existence. Culture helps individuals find an identity and influences their daily lives. However, with culture come misconceptions about groups of people. Understanding and respecting each other’s culture and beliefs are essential to a career in nursing. A nurse interacts with many individuals that come from different cultures. Being able to provide culturally competent care is vital. To demonstrate the power of culture, I am going to reflect and analysis my cultural beliefs.
There are many challenges working in the practice setting that I do. Difficulties can arise when the client’s cultural values are different or unknown from the healthcare provider (Kearney-Nunnery, 2012, p. 77). On a daily basis, I may talk to parents that speak Arabic, Somali, Spanish, Haitian Creole, or Burmese in addition to English. My patients have many difficulties in their lives on a daily basis and it is my job to provide nursing care that will assist, support, facilitate, and enable them to provide the care necessary for their newborn. “Providing culturally competent care does not imply that the nurse should change their beliefs but rather merge 2 different perspectives for the benefit of optimum patient outcomes” (Darnell, L., Hickson, S., 2015). According to Leininger’s theory, the nurse should learn from and maintain respect for the client by asking open-ended questions and maintaining the role of an active listener, learner, and reflector (Kearney-Nunnery, 2012, p. 53). I talk to the parents, with an