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Transcultural nursing in healthcare today
Cultural diversity in healthcare 1
Transcultural nursing in healthcare today
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Transcultural Analysis of Hispanic Culture and End of Life Issues As a nurse it is of the upmost importance that you are the patients advocate for exceptional care. Part of being their advocate is understanding what they are used too at home and seeing what you can do to recreate that as best as possible. Be flexible and understanding when it comes to different cultural practices and try your best to accommodate as much as you can.
Giger and Davidhizar Transcultural Assessment Model The Giger and Davidhizar Transcultural Assessment Model was developed in 1988. This transcultural model was developed to assist nursing students in caring for culturally diverse patients. This model explore six cultural phenomena; communication, space, social
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Before beginning any treatment patients often have to consult their family beforehand to see how it will affect them (Galanti, 2002). One example of the above scenario is from Geri-Ann Galanti; there was a Hispanic women who needed to be put on insulin to control her diabetes; she left the clinic unsure if she was going to start insulin therapy because she needed to talk to her husband and son. The physician was irritated because he felt she didn’t understand the importance of insulin in keeping her blood sugar down (Galanti, 2002).
However, the patient and her husband came back into the clinic the next day to talk about their concerns. The husband was weary about her starting insulin therapy because he thought she could not take care of their grandson and she would no longer cook the food he liked. After the physician explained that this is just another facet to take care of his wife’s well-being he was okay with her starting insulin therapy (Galanti, 2002).
Time in the Hispanic
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Not only Hispanics but also Asian cultures often do not wish to be told their diagnosis. As a nurse talk to your patient about what information they want to know and what information they would like the family to know; even though this is not always possible try to do it before the need arises. Also discuss with them about signing a durable power of attorney. If situation does arise were the family has to make the end of life decisions for their loved one they are able to and it protects you and the hospital from any legal backlash.
Nursing Implication 2 Respecting unorthodox requests from patients or families. Make accommodations for patients. Having an illness that could potentially take your life is a very vulnerable state to be in. It is also very hard on the family; even if your facility has strict rules on things such as visitation try to be as accommodating as you
McClimens, A., Brewster, J., & Lewis, R. (2014). Recognising and respecting patients ' cultural diversity. Nursing Standard (2014+), 28(28), 45.
Hispanics are the fastest growing minority in the United States, and the majority of them are Mexican in origin (Kemp, 2001). The Roman Catholic Church plays a vital role in the culture and daily life of many Mexican Americans. Consequently, healthcare personnel must become culturally competent in dealing with the different beliefs possessed by these individuals. Nurses must have the knowledge and skills necessary to deliver care that is congruent with the patient’s cultural beliefs and practices (Kearney-Nunnery, 2010). The ways that a nurse cares for a Mexican American patient during the process of dying or at the critical time of death is especially important. The purpose of this paper is to examine Mexican Americans’ beliefs concerning terminal illness and death, explain the role of the nurse desired by Mexican Americans, and discuss how the knowledge gained will be incorporated into future nursing practice.
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.
Involvement of the family is a big part of the collaboration and also with patient-centered care. Family at that moment may have in site information that the patient isn’t sharing
Karabudak, S., Tas, F., Basbakkal, B., (2013). Giger and Davidhizar’s Transcultural Assessment Model: A Case
Including family members in the care of the patient helps them cope better with the patient’s illness and helps them plan ongoing care when the patient goes home. Gaining both the trust of the patient and family can help the health care team get any details that may have been missed on admission, such as medications the patient takes, or special diet, or spiritual needs. Also, the family may provide pertinent information that the patient may not have divulged to the nurse. Encouraging the patient and family to voice their concerns will help implement a safe plan of action.
The ten leading causes of death among the Hispanic American population are mostly in line with the ten leading causes of death among all Americans. It is more surprising what causes from the American list are missing from the Hispanic American list – stroke, Alzheimer's Disease, and suicide (Centers For Disease Control And Prevention, 2009, 2010). Considering that sixty percent of deaths in the United States are attributable to behavioral factors, circumstances in one's social system, and what and who a person is exposed to in their environment (Nash, Reifsnyder, Fabius, & Pracilio, 2011), it is evident that health care providers must investigate these aspects in order to provide quality care. Recognizing the importance of providing culturally appropriate care, I attempted to determine if there were reasons for what I knew about the Hispanic culture and to discover what things I did not know. I performed a transcultural assessment on Elizabeth, a young Hispanic American female, keeping in mind that caring for a Hispanic American patient calls for developing a trusting relationship through awareness and understanding. In the clinical setting this can be accomplished by starting conversations with small talk and remembering that because a Hispanic person seems agreeable to a treatment plan does not necessarily mean they understand or will comply (Giger, 2013).
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
... This may be regarded as a final step of assistance but is important in other to provide quality care to all individuals regardless of ethnicity, race, cultural or educational background. Therefore, as nurses, we have the capabilities to educate Hispanic minority. Education must be given in the language they choose and provide interpreters if needed. In conclusion, everybody needs to be treated with respect and dignity.
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.
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 "...
Leininger M. & McFarland M.R. (2002). Transcultural nursing: concepts, theories, research, and practice (3rd ed.). New York, New York: McGraw-Hill Companies Inc.
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.
There are eight reasons that transcultural nursing has become a necessary framework for the care we