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Principles of transcultural nursing
Importance of intercultural competence to communication
Principles of transcultural nursing
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To be culturally competent, nurses must first be culturally aware and sensitive (Fletcher, 1997). Leininger stated that nursing is truly a transcultural phenomenon. Having understanding and knowledge about your patients’ beliefs, cultural values, and practices is essential to providing nursing care that is holistic. “Increasing diversity and mobility of society accentuate an important need for professional nurses to render holistic, culturally competent nursing care” (Ryan et al., 2000). People come from different cultural background with different values and beliefs. What is acceptable in one culture may not be acceptable in another. People have the right to get quality care that has been tailored to them, while also maintaining their cultural …show more content…
The nurses need to determine if the care knowledge the patient had needed to be preserved, accommodated or repatterned. Involve families and support system if approved by the patient for emotional and moral support. Patient may be able to express him or herself if they feel that their nurse respects their cultural values. The patient is more likely to buy into a treatment plan if the nurse preserves some of the patient cultural values. When language is a barrier, providing the right interpreter is beneficial in other to prevent wrong information being given to patient or nurses. Nurses have to be culturally aware of dietary restrictions, for example certain cultures do not eat pork, it would be impolite to pass food or med to an Arab patient, this is considered an insult By working together the nurse and the patient can create a new or modified care that is beneficial the …show more content…
The Hispanic culture has been characterized into an accepted framework of values; these values are centered on family, respect, folk healing, religion and the importance of language. For example in the Hispanic community, it is a form of respect to use tittles such as Señor, Señora, and so on to address the client. They often will nod their head out of respect, but that does not mean that they understood what was being said. In other to prevent miscommunication, have the client clarify the communication to make sure they understand when was said. Hispanic communities are big on family; they have a strong sense of family care and obligation. In order to understand the individual it is essential to understand how the family function as a unit and in-cooperate this values. So during communication and education address the group instead of the individual about health care intervention. Understanding the cultural factors influencing a specific culture goes beyond identifying their cultural trait. It is important to understand how culture plays an important role in their social context and environment. But also be aware that other factor other then culture may affect their healthcare decision. Other factors may include but are not limited to location and access to
When working in a medical/health related field one would be able to see countless people and odd things. Some medical procedures that might seem small to one person may be complicated or even taboo to another person’s beliefs. That is why as nurses, one should be culturally competent. (Newman Giger & Davidhizar, 2008) says, “to be culturally competent one must be able to deliver meaningful care to a patient
The increase and changing demography in the United State today, with the disparities in the health status of people from different cultural backgrounds has been a challenge for health care professionals to consider cultural diversity as a priority. It is impossible for nurses and other healthcare professionals to learn and understand theses diversity in culture, but using other approaches like an interpreter is very helpful for both nurses and patients. In this paper of a culturally appropriate care planning, I will be discussing on the Hispanic American culture because, I had come across a lot of them in my career as a nurse. The Hispanic are very diverse in terms of communication and communities and include countries like Mexico, Cuba, Puerto Rico, South and Central America, and some of them speak and write English very well, some speaks but can’t write while some can’t communicate in English at all but Spanish.
The term culture is defined as “the thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups” (Potter & Perry, 2013). With the increase of culturally diverse populations in the United States, it is important for nurses to practice cultural competence. Cultural competence is the ability to acquire specific behaviors, skills, attitudes, and policies in a system that permits “effective work in a cross-cultural setting” (OMH, 2013). Being culturally competent is essential because nurses who acknowledges and respects a patient’s health beliefs and practices are more likely to have positive health outcomes (OMH, 2012). Every culture has certain views and attitudes concerning health. The Jewish (also referred to as Jews), in particular, have intriguing health practices and beliefs that health care providers need to be aware of.
Going to a different country or area of the world can open up anybody’s eyes to see that culture makes a huge impact on the understanding and practices of healthcare that seem to be so common to other areas of the world. When a person lives in one country their whole life, that person may not realize how different the life they live is from someone in a foreign country. If a person is going to receive treatment from someone with a different cultural background, they should be expected to get treatment to respects their own culture. Massachusetts College of Pharmacy and Health Sciences having such a diverse variety of students has their own cultural competency definition that states “effectively and comfortably communicate across cultures with patients of differing backgrounds, taking into account aspects of trust in order to adopt mutually acceptable objectives and measures”. In the book Dancing Skeletons: Life and Death in West Africa by Katherine Dettwyler, the issue of culture and healthcare are greatly prevalent. Katherine Dettwyler herself goes to West Africa as an anthropologist and her horizons are broadened when during her research she comes in contact with how much culture has an impact on healthcare and everyday life.
An individual’s culture and belief may significantly impact the type of services they require. In addition, it may affect the time, place, and method in the delivery of health care
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.
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.
Madeline Leininger as cited by Alligood (2014) encourage nurses to practice based on culture to prevent illness and promote health because human beings are inseparable from their cultural background (Alligood, 2014, p. 427). She emphasized
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 "...
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.
Whereas, I did not ask patients about the culture because according to their look, accent, shape, name, and social, I thought they were Christian and from America. However, staff nurses have to ask patients about the culture during take health history or case study because some patients might have American characteristics such as look, shape, accent, and name, but they have different cultures or religion. I hoped to provide more teaching advice and health information to patients about their situations, but the time was concerned for me. It is essential that nurse educator provides adequate health educations to the patients during taking case study or health
Characteristics can be as diverse as ethnic background, language spoken, gender status, physical appearance, race, and religion to name a few. Migration from various countries is creating a diverse population with different cultures and languages within the United States. Due to these cultural differences and lack of knowledge, disparities are increasing. Studies have shown that both language barriers and lack of cultural customs can hinder the services provided to the patient by the healthcare worker (Renzaho, Romios, Crock, & Sonderlund, 2013). This study provided a positive outcome when communication and cultural mutual understanding took place and patients had a more positive health outcome. It is very important that nurses are diversified in various cultures in order to better care for our patients. According to Mareno and Hart (2014), cultural competency has become one of the core values being taught in nursing programs. Their study showed that the perceived level of cultural awareness and skills among the nurses provided was low. Awareness and knowledge levels increased with higher education. It was highly recommended that self-awareness exercises be incorporated into the nursing course and continued to be addressed during the remaining curriculum until
The importance of the nurse to be able to function appropriately under the set guidelines of their degree and state license is significant. Quality of care along with infection control and decreased risk for adverse reactions depends upon the nurse to be able to function in way that is culturally competent, safe, and all encompassing. In nursing, the term culturally competent refers to the ability of the nurse to possess
includes religious leaders or family. Regardless of culturally differences a nurse needs to gain the