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Cultural competence in nursing
Cultural issues in nursing
Cultural competence in nursing
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Develop a statement of what it means to bring a global perspective to nursing? To bring a global perspective to nursing means to bring a point of view of other people around the world to the local health care system. We need to understand and accept what and how people around world use for health care or treatment and bring them to our health care community. Nurses should recognize their community, one’s own culture, other people’s culture, the differences and similarities between people around the world, and the health issues people face. In order to provide other people with different backgrounds with proper treatments, nurses have to understand their patients’ cultural needs as well as mental health needs. Nurses can play a more important …show more content…
We should recognize some of the common trends of health issues or perspectives that have impacted people globally. Health issues, environmental threats, internationalization of medical knowledge and the globalization of the health workforce and the globalization of the medical science are some of the common trends that have impacted people locally and globally (Hunter and Fineberg, 2014). A global perspective is far more than global business and worldwide career opportunities. Researchers emphasize that global health is conceptualized as the health of global population that focuses on communication with the public and policy makers, educating students, designing the global institutions that govern our collective efforts to protect and promote public health worldwide (Frenk, Gomez-Dantes, Moon, …show more content…
In the article the authors define that “‘personal factors’ are the individual characteristics or behaviors that impact a person’s health. ‘Relationship’ factors are the dyadic partnership issues that frame health outcomes. ‘Community’ refers to the broader social or structural factors that impact on health” (Hatcher, Romito, Odero, Bukusi, Onono, and Turan, 2013). In the ecological model, people should promote their health by understanding complex of human behavior or decision making, explore the relationship between individual and related factors, and acknowledge that human behaviors influence the health
Although very divergent in their focus, the existing theoretical models seem to have some similarities and differences. This is especially true in regard to their factors of analysis when considering social determinants of health. For example, Krieger’s ecosocial theory encompasses and acknowledges the roles of social and psychosocial processes of disease process (WHO 2010).
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.
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
By the year 2020, there is expected to be over 54 million senior citizens age 65 years or older. Despite medical technology and advanced medications, seniors older than age 65 have four times the number of hospitalizations days as compared to younger age groups (Curtain, 2007). Health care demands are increasing due to the aging United States population, and the present-day Medicare system is not capable of funding this. Health insurance emphasis is now on efficiency, profits, customer satisfaction, ability to pay, and competition (Curtin, 2007). Social and political aspects are major influencers of our health care. The shift of focus from patient care to a business model has caused hospitals to maintain a tight budget, often affecting nursing staff ratios. Lean staffing ratios is associated with an increase in malpractice suits due to adverse events (Curtin, 2007).
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.
For many decades, Americans’ health has been greatly impacted by many social, economic and environmental determinants (Plough, 2015). These social, economic, and environmental determinants include income, education, ethnicity, natural and built environment. These factors create the health disparities in the health care system. The culture of health has changed over the last several generations. Health is viewed as not just needing to seek health care, but rather to recognize all aspects of people’s lives that support an active and healthy lifestyle and environment. The aspects can be their work, families and comminutes (Plough, 2015).
Needleman, J., Buerhaus, P., Pankratz, S., Leibson, C.L, Stevens S.R. & Harris M., 2011. Nurse Staffing and Inpatient Hospital Mortality, the New England Journal of Medicine, 364:1037-1045, DOI: 10.1056/NEJMsa1001025
Over the years, the social determinants of health (SDOH) have been receiving more attention due to its importance in determining peoples’ health access, health quality and health outcome. The social determinants of health have been described by various scholars as the situation or environmental condition in which people are born, or where they grow, live and work; unfortunately these conditions have continued to affect and determine people’s ability to access proper care.1-5 In other words, the SDOH continues to consciously and unconsciously influence people’s access to most opportunities in life including access to healthcare services both in developed and developing countries.2 This issues have continue to deteriorate in most developing countries increasing people’s susceptibility to multi-morbidity among different age groups, with a slight increase among the elderly.6
233). She studied anthropology and applied the research findings in nursing. Later, she developed the theory of “culture care diversity and universality” from her personal experience as a nurse and other factors that influenced such as ethnic conflicts, commuting, and technology changes. It is illustrated and described by the Sunrise four-level model, and it is labeled as “an enabler” (Masters, 2014, p. 69). The first level represents a “worldview”, the second level presents “knowledge concerning individuals and groups”, the third level includes “specific features of care in the system”, and the fourth level is “specific nursing care” (Masters, 2014, p. 69; Jarošová, 2014, p. 47). The main purpose of this theory is “to generate knowledge related to the nursing care of people who value their cultural heritage” (McEwen & Wills, 2014, p. 233). The major concepts in this theory include: culture, culture care, and diversities and similarities and sub-concepts include care and caring, emic view (language expression, perceptions, beliefs, and practice), and etic view (universal language expressions beliefs and practices in regard to certain phenomena) (McEwen & Wills, 2014, p. 233). The base knowledge
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.
There are many social determinants that are present in our society, yet many of these determinants are not discussed. This is due to the fact that categorizing and discussing social groups and determinants is often seen as controversial. Although this may be true, comprehending and discussing these determinants are essential, as many of these determinants affect our health. These determinants affect our health simply by altering our own actions as well as the environment around us. Thus, comprehension of social determinants, the environment, and its ultimate connection with an individual’s lifestyle is essential in assessing many of the public health issues prevalent
In the health profession, the diversity of people requires the ability to carefully, respectfully and effectively provide care. For this reason, it is vital that the approach of care delivered to patients depend on each individuals. This approach ensures patients receive best quality of care possible and avoid situations that can potentially prevent improvement of health status. This essay will discuss the importance of nurses to be cultural competent, possible consequences of ethnocentrism and how critical reflection can help prevent ethnocentricity.
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.
Madeleine Leininger is a nurse who realized that cultural care was an important concept in nursing. In the 1950s she found that behavioral issues in children stemmed from a cultural basis due to nursing having a lack of knowledge in a variety of cultural awareness (Buschur-Betancourt, 2015). The purpose of this paper is to identify the eight reasons Madeleine Leininger states transcultural nursing is necessary. I will describe the cultural diversity and how it relates to my field of nursing. I will also provide three ways that I have incorporated culturally sensitive care toward my patients.
This report is based on the major and specific global health problems in the world. Global health refers to the health of all people in the world which concerns about the health issues that go beyond the borders of each country due to the globalization ( Dyar & Costa, 2013). As well as health issues are referred to the health problems created due to this globalization.