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Transcultural nursing theory
8 reasons why transcultural nursing is a necessary specialty
Cultural considerations in healthcare
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Transcultural nursing is a critical component of the nursing profession in an ever-changing culturally diverse world. The patient’s social and cultural dissimilarities are important for the nurse to recognize and acknowledge. This will help to prevent the imposition of the nurse’s beliefs onto the patient. The Japanese culture beliefs are incommensurable to American cultural beliefs in how they approach the process of labor and delivery. Nursing interventions should therefore be reflective and comprehensible to that of the Japanese cultural beliefs. Japanese and American Cultural Approaches to Labor and Delivery In Japan there is not a lot of emphasis on prenatal care. It is thought to be adequate for the mother to be seen 3-4 times throughout her pregnancy. An ultrasound of the baby is sometimes deemed necessary by her midwife or obstetrician. The ultrasound is only used for the purpose of taking a closer look at the mother’s reproductive anatomy or the anatomy of the baby. In the Japanese culture it is considered taboo and quite rude for the ultrasound technician or medical provider to tell the mother the sex of her baby. In American culture during the first 8 months of pregnancy the woman will have monthly scheduled prenatal visits. At the beginning of the 8th month she will have biweekly prenatal visits. During the 38th week she will transition into weekly prenatal visits until the baby is born. If the patient has a high risk pregnancy her prenatal visits may occur more frequently. The frequency of high risk prenatal visits will depend on the provider and the complication associated with the pregnancy. During high risk prenatal visits the patient will generally have more specialized test to monitor her health as well as t... ... middle of paper ... ...dwifery in North America and Europe. New York, London, Taylor and Francis Groupe. Cooke, Courtney. (2001). The Best Baby Shower Book. Minnetonka, MN, Meadowbrook Press. Davidhizar, Ruth Elaine, and Newman-Giger, Joyce. (2004). Transcultural Nursing. Philadelphia, PA, Mosby Inc. Davis-Floyd, Robbie E., and Sargent, Carolyn F. (1997). Child Birth and Authoritative Knowledge: Cross Cultural Perspectives. United States, University of California Press. Kitayama, Shinoubu and Miyamoto, Yuri and Morling, Beth. (2003). American and Japanese Women use different coping strategies during normal pregnancy. United States, SAGE Publications. Mayo Clinic collaborative services educational publication. (2004). Mayo Clinic Guide to a Healthy Pregnancy. New York, NY, Harper Collins Publishers Inc. Wattenberg, Laura. (2005). The Baby Name Wizard. New York, NY, Random House Inc.
Two-thirds of infants die during the first month of life due to low birth weight (Lia-Hoagberg et al, 1990). One reason for this outcome is primarily due to difficulties in accessing prenatal care. Prenatal health care encompasses the health of women in both pre and post childbearing years and provides the support for a healthy lifestyle for the mother and fetus and/or infant. This form of care plays an important role in the prevention of poor birth outcomes, such as prematurity, low birth weight and infant mortality, where education, risk assessment, treatment of complications, and monitoring of fetus development are vital (McKenzie, Pinger,& Kotecki, 2012). Although every woman is recommended to receive prenatal health care, low-income and disadvantaged minority women do not seek care due to structural and individual barriers.
Estimate frequency of multiple conceptions, Gestational Diabetes Mellitus, Pregnancy Induced Hypertension, Pre-eclempsia, preterm delivery and different modes of delivery in these pregnancies.
The disparities may be attributed to the amount of prenatal care that pregnant women of different ethnicities receive. In 1996, 81.8% of all women in the nation received prenatal care in the first trimester--the m...
Culture “is a system of knowledge shared by a relatively large group of people” (citation tamu). This system of knowledge can be defined by everything from “experience, beliefs, values, attitudes, meanings, hierarchies, religion, notions of time, roles, spatial relations, concepts of the universe, and material objects” (citation tamu). Culture is important to nursing because nurses care for patients from different cultures. A person’s culture can affect all steps of the nursing process; therefore, culture can determine the outcome of health care. The purpose of this paper will be to assess the Jewish culture during pregnancy and birth using the Giger and Davidhizer’s Basic Cultural Assessment Model. Nursing implications and possible interventions
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
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.
A nurse can improve his or her direct patient care by integrating cultural competence into their method of care. The first step to developing cultural sensitivity is to examine and know oneself. One way of developing sensitivity is to assess, where one stands, in regards to culture. There are cultural assessment strategies for nurses and healthcare workers available. Campinha-Bacote, (2002) developed the Model of Cultural Competence, which is a series of questions that help to determine if a nurse is open to enhancing their cultural knowledge. Once determined if the desire is there, other assessments are be taken into consideration in...
One of the primary prevention methods in maternal health is the utilization of prenatal care. During the provision of prenatal care, a healthcare provider counsels and discusses information with the expecting mother. Conversations about smoking and alcohol use, what to expect during pregnancy, when to seek help, and limitations on activities are put in place (Kirkham, Harris, & Grzybowski, 2005). Discussions about possible complications and potential warning signs are also an important part of prenatal education. Providing supplements, such as, calcium (1,000 to 1,300 mg per day), folic acid (0.4 to 0.8 mg), and iron (30 mg per day) to an expecting mother is also an important part of primary prevention, as they aid in the fight against blood pressure disorders, anemias, and defects in the unborn child (Kirkham, Harris, & Grzybowski, 2005). Additionally, the vaccination of expecting mothers has been shown to keep mothers and the unborn child healthy during pregnancy. Certain vaccinations, such as Tdap (tetanus, diphtheria, and pertussis) and inactivated influenza vaccinations, have been shown to be protective to the fetus, as the mother’s antibodies against the disease are transferred to the unborn child (Esposito et al., 2012).
Transcultural nursing requires us to care for our patients by providing culturally sensitive care over 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 definite 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 in my nursing practice.
March Dimes Foundation: Pregnancy and Newborn Health Education Center. Retrieved from http://www.marchofdimes.com/materials/teenage-pregnancy.pdf
No matter what unit a nurse is placed in a hospital, or where a nurse is employed in a primary care setting, we are faced with cultural needs everyday. This is why a nurse must be culturally competent and culturally congruent. This is very important to patient interactions because as a nurse we are responsible for providing patient care, and it is our job to make sure the care we are providing to one client is the same to another. As Duffy stated, “students are encouraged to learn about each culture, by learning the unique characteristics of a group with a common race, ethnicity, or other distinguishing feature.” This means that there is a known heed for more culturally educated nurses, and the best place to begin educating these individuals is in the classroom before they become registered nurses. However, the author then continues on to state, “despite the increased emphasis on cultural education in nursing worldwide, culturally based problems persist.” (Duffy, 2009). This is a growing issue because as our population is expanding and technology makes it easier and easier to travel, we are continually exposed to new people with ...
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.
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.
An obstetrician is a physician that deals primarily with pregnancy and childbirth. Throughout a pregnancy, they meet with their patient regularly. During these visits, they monitor the health of both the patient and the unborn baby. With high risk pregnancies, the obstetrician is in charge of consulting with the expectant mother and monitoring the pregnancy with a group of specialists. As the due date approaches, an obstetrician meets more often with the patient for ultrasounds and fulfilling any prenatal needs. When the baby is due, the obstetrician is in charge of the delivery. All obstetricians are proficient in surgical procedures, so that they can perform an emergency Caesarean Section if necessary. Once the baby is born, they must perform the first examination of the infant to ensure that any problems are caught immediately. In the days following the birth, the obstetrician makes sure that both mother and baby are recovering from the ordeal of birth.