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Review of related literature about cultural diversity
Cultural competence at the forefront of care
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Living and working in America presents its own set of challenges. People originate from all corners of the world and all have one thing in common; at some point in their life wither themselves or a family member need to be seen by a health care provider. In order to care for these patients, we as nurses must be culturally educated. First, I am going to discuss some basic terms associated with cultural diversity. Next I will describe cultural self-assessment and rationalize why it is important. As a final point I will identify the five steps in the process for delivering culturally congruent nursing care. Some basic terms defined in our textbook include, cultural baggage, ethnocentrism, cultural imposition, prejudice, discrimination, and cultural …show more content…
First, an assessment of both the nurse and client must be made. The nurse must perform a self-assessment and compare it to those of the client. They must determine the skills needed to deliver culturally competent care. The cultural self-assessment must include self-reflection, self-location, and psychomotor skills. This will help the nurse reflect on their own shortfalls and modify their attitudes toward this set of people with a different background (Andrews, M. & Boyle, J., 2016). The nurse must then collect subjective and objective data about the patient, this includes their health history and physical exam. Next, the nurse must meet with the family members including religious, spiritual healers and the healthcare team to set clear and concise goals. These people discuss their options and how to meet the desired outcome. After the goals are established a plan of care is developed. The patient’s religious beliefs and practices will be taken into account. Once the plan of care is set, treatments and interventions that coincide with the patient’s cultural believes are put into action. All teams will work together to make sure the best care is provided the way the client wants within reason. Once treatment is started the healthcare team evaluates the care plan to see if all goals have been met. If they have not modifications may be made in the process will be repeated (Andrews, M. & Boyle, J.,
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.
Schub, T., Pravikoff, D. (2013). Jewish Patients: Providing Culturally Competent Care. Nursing reference center. Retrieved from http://web.b.ebscohost.com/nrc/detail?sid=11630b6a-4c3e-4f8b-8720-f72335626365%40sessionmgr111&vid=5&hid=112&bdata=JnNpdGU9bnJjLWxpdmU%3d#db=nrc&AN=T707443
As a nurse, I am obligated to care for all cultures, and try to understand their values, beliefs, spirituality, gender roles, and language. Cultures can range from different families, environments, disabilities, or even genders. It is a very broad topic, and I hope to recognize these cultures in my nursing career. Some barriers may exist that can make it challenging to work with people of a different culture, but it is possible to overcome these with the resources within the health care system. The Health Policy Institute identifies that “[t]he goal of culturally competent health care services is to provide the highest quality of care to every patient, regardless of race, ethnicity, cultural background, English proficiency or literacy” (“Cultural Competence”, 2004). Additionally, cultural competence is an ongoing process that involves both the client, and health care professional to work together that best suits the client’s
Culture care is grounded within one’s worldview, which is shape by social structure factors such as religion, economics, cultural values, environmental context, ethnohistory, and language (Alligood, 2014; Sitzman & Eichelberger, 2015). Moreover, culture care share similarities and differences related to health and well-being, how individual deal with disability and death, as well as, when to seek relief from illnesses or distress. As culture plays a vital role in health care seeking habits and decision making, it is imperative for nurses to fully understand cultural knowledge. With increase cultural knowledge, nurses are better able to implement care plans that are beneficial to the patient with respect to their beliefs, values, and cultural
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
Cultural competence has a variety of definitions and, in health care, basically refers to the act of developing an awareness of yourself, your existence, your thoughts, and your environment and making sure that those elements do not unjustly affect the clients you serve (Giger, 2013). In this paper, I will share my total score and what I learned about myself after taking the Cultural Diversity Self Assessment (IllinoisCTE, n.d.), discuss two weaknesses or areas with lower scores, and review two strengths with higher scores. I will reflect on my findings and examine the impact that my strengths and weaknesses may have on my nursing care. In addition, I will discuss improving cultural competence and two strategies
Culture, as define by Giddens, is a “pattern of shared attitudes, beliefs, self-definitions, norms, roles, and values that can occur among those who speak a particular language, or live in a defined geographical region.” (Giddens, 2013, p. 29) When constructing a nursing care plan it is important to understand the patients’ cultural background to fully understand how to care for them. Depending on what culture the individual identifies with, will direct the nurse to which nursing interventions need implemented in regards to certain aspects of care including health care practices and beliefs, how the patient views developmental and family roles, how communication occurs between patient and provider and possibly if that patient has any 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.
Over the last several weeks we have learned that we live in a culturally diverse world. We have learned that it is important to acknowledge our own cultural values and beliefs while also realizing that others around us have their own beliefs. In order to provide culturally sensitive care, we must also realize the meaning of diversity and how it can also relate to the health care workforce. The purpose of this post is to define what diversity means to me. I will describe what some of the benefits of having a diverse health care workforce is while acknowledging that this could also provide some barriers in the nursing profession. I will conclude by considering my own diverse cultural background and experiences and how it might relate to the
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.
According to Andrews & Boyle (2016), the first step is for the nurse to do a self-assessment of themselves in order to identify their beliefs toward people with different backgrounds, which will provide clarification of possible unknown behaviors. The second step is to set a goal between the patient and those involved with the patient’s care. Step three involves developing a care plan that will include all cultural factors involving the patients care. Step four is implementation of the care plan by the healthcare team and those involved with the patient’s care. Step five is the last step and evaluates the care plan to make sure that the quality of care is acceptable and is based off scientific evidence and best practices. If there are any changes or adjustments that need to be made with the patient’s care, modification will be done to the care plan and these steps should be repeated (Andrews & Boyle,
Religion is a significant aspect of culture that must be understood and respected. Through understanding the differences in peoples cultures, a nurse who is tending to a patient who’s beliefs differ from his or her own can appropriately adjust care to respect the patient’s beliefs and
When one encounters a culture that has little in common with own, one may experience culture shock. This is a sense of confusion, anxiety, stress and loss one may experience. One of the barriers in effective intercultural communication is ethnocentrism. It stems from a conviction that one’s own cultural traditions and assumptions are superior to those of others. It leads to a tendency to look the world primarily from the perspective of one's own culture. It is one of the fastest ways to create a barrier that inhibits, rather than enhances communication (Jandt, 2012).
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