United States continues to grow on a daily basis. People from all corners of the planet have come to United States in order for a better opportunity in life. With increasing diversity, health care provider will be faced with a wide spectrum of patient from different cultural background. One specific culture to focus on is Chinese American. They are one of the leading Asian American culture residing in the United States. According to the Unites States Census Bureau, there are approximately 3.6 million Asian American residing in the United States. (U.S. Census, 2012). Therefore cultural competency is an aspect in our practice that must be honed. As Advance Practice Nurses (APN) communication and cultural competence goes hand in hand. The …show more content…
These statement gives a general insight on what the outcome might be if cultural differences affects communication. The reason I chose the Chinese American community is partly because I am part chinese, but also because the article by Minority Nurse entitled Making Their Wishes Known. This article gives us a general overview on the issue about the number of advance directive not completed specially by people of a different ethnic background. In the article a broad statement was made, “Although most Americans believe patients should have the right to direct their medical treatment at the end of life, less than a quarter of the general population has completed advance directives. And Americans of color are even less likely to have expressed their wishes in writing” (Ramsey, Stoke, Terrell, 2013). This shows that less that 25% of White Americans have advance directives, and people from different cultural background have a lesser percentage. Another point listed out by the Minority …show more content…
We have more patient interaction than any other health care providers. We are presented with two major issues in cultural competency and communication when presented with the Chinese American Culture. First as nurses, we need to be aware of cultural humility. Cultural humility is the understanding of the barriers present between our own culture and the culture of our patient’s which limit our perspective (Denisco & Baker, 2016). Understanding that our own cultural beliefs might hinder the possibility of assisting a patient is the first step in building a rapport with a patient. Setting aside our predetermined prejudice because of our cultural background is key. Once we establish that rapport, we must proceed with caution on discussing end-of-life care with patient from the Chinese American group because of the topics sensitivity. We must assess the patient's understanding of the materials being presented. Here the next issue comes into play, language barriers. As nurses we need to assess the proficiency in English when an interpreter is not in use and if English is their second language (Denisco & Baker, 2016). We cannot automatically assume that a patient understand our instruction because they are nodding their heads or saying yes. We as nurses need to assess their understanding by asking them to read a phrase in the newspaper or repeat an explanation. A use of an
McClimens, A., Brewster, J., & Lewis, R. (2014). Recognising and respecting patients ' cultural diversity. Nursing Standard (2014+), 28(28), 45.
Over the years, I have developed a stable cultural sensitivity aptitude. I find it is most important to take cues from the patient and their families on how to care for them. As well as to ask the patient what is most important to them and how I can best serve them. In his article, Collins (2015), states that “improved health outcomes are achieved when culturally competent nurses acknowledge the patient’s culture care values and preferred care practices, and incorporate into the professional plan of care the patient’s generic care wishes” (p. 11). I have encountered a few situations which make me most uncomfortable, families not wanting the patient to know the severity of their illness, and obvious servitude behaviors toward the females to name a couple. When these occur, I have found the inclusion of the charge nurse, the physician and social services can lessen the negative outcomes in these situations. My goal is to assure the patient is cared for in a manner that is most comfortable to them and satisfies their needs to ensure a speedy and comprehensive recovery. Another practice in my own career has been to share the cultural information gathered with oncoming shifts of care givers, the charge nurse and
This essay will focus on outlining the fundamental principles of cultural diversity and how effective nursing interventions are used when providing an adequate amount of care for an individual from a culturally diverse background and how this may collide with the nursing therapeutic engagement. This essay will give the reader an insight upon culture whilst giving a significant explanation of cultural differences within a health setting. The patient’s real name will not be used and will be referred to as Mr. X. This is in line with the Nursing and midwifery Council 2008 (NMC, 2008) requirements to maintain confidentiality at all times.
The self-assessment has demonstrated that I am able to deliver culturally congruent nursing care due to my critical reflection, knowledge of cultures and cross-cultural communication abilities. I am able to avoid prejudices, stereotypes and biases that may hinder the delivery of culturally competent care due to my understanding and respect for different cultures. In addition, I am able to form trustful relationships with clients and understand their personal perceptions towards the available treatment alternatives (Cowen & Moorhead,
While on the job, we may encounter patients who adopt many different cultures, they have different beliefs, needs, and concerns. Therefore, as a nurse we need to build our awareness about preferences of care of the multicultural patient population. Patients with Korean background may have many different insights while receiving western treatments. There are those from North or the South Korea, and they both have significant difference in the way they perceive illness or react to discomfort. Most patients we see are usually those who emigrate from South Korea. Patients with Korean culture may define health and illness in different ways. Therefore, practicing a culturally congruent care and adopting a concept to ensure that it will be achieved
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
Cultural competence as defined by the American Medical Association acknowledges the responsibility of healthcare providers to understand and appreciate differences that exist in other cultures (as cited by McCorry & Mason, 2011). Moreover, it is the healthcare provider’s responsibility to not only become knowledgeable of other cultural differences, but to assess and adapt their skills to meet the needs of those patients (McCorry & Mason, 2011). Culturally competent healthcare providers recognize and incorporate cultural diversity, awareness, and sensitivity into the total care of a patient (Matzo & Sherman, 2015). Mr. L. is a Chinese-American man and it appears his culture is influencing his end of life (EOL) experience. It is essential
Today in the United States of America, the race and culture that a person is raised in determines the quality of health care he or she will receive for a lifetime. Minority patients tend to receive a lower quality of health care as opposed to patients who are the same race as their doctor. Minorities reported to be less satisfied with visits to the doctor (Schnittker and Liang 811). This action puts minority patients’ health at risk and can cause them many consequences in the long run. Doctors should work on improving their relationship with minority patients by learning how to communicate verbally and nonverbally with them, educating themselves on how different cultures show symptoms to diseases, and entitling minorities to health insurance.
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.
Bentancourt et al. (2005) allows asserts that there are three distinctive reasons why cultural competency is so very important for the American healthcare system. American is composed of a very diverse population, which mean healthcare providers will continual be exposed to treating individuals from various backgrounds and from various cultures; their beliefs regarding their health or healthcare may range widely. When patients have a deficiency in the English language, proper healthcare delivery becomes increasingly more difficult as they will present symptoms in the syntax of their culture and their first language. Also, research shows the communication between the patient and their provider directly correlates to their satisfaction as well as their responsiveness or willingness to follow the health provider medical instructions; this ultimately affects the patient’s health outcome (Bentancourt et al., 2005). It’s fair to say that a successful health outcome is also contingent upon the interaction of the health provider and patient. Reports generated by the Institute of Medicine (IOM) – “Crossing the Quality Chasm and Unequal Treatment, confirms that cultural competence that focuses on the care of patient through
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.
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.
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