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Intercultural barriers to communication
3. What is culturally sensitive care? short essay
Intercultural barriers to communication
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Madeleine Leininger is the creator of the concept "Transcultural Nursing". Early in Leininger 's nursing career, she recognized there was a deficiency of care and cultural knowledge while practicing at a child guidance home (Sitzman, & Eichelberger, 2011). She discovered these absences to be the reason for various disparities as to why nurses lacked the knowledge required to deliver culturally proficient care. She then founded the transcultural-nursing theory and created eight reasons of why transcultural nursing was a necessary specialty. Transcultural nursing is defined as a meaningful area of study and practice that focuses on culturally diverse beliefs, feelings, values, and practices (Andrews & Boyle, 2016). Leininger developed these eight …show more content…
Patient of various cultures have different rituals, beliefs and customs once a patient has passed. It is within the nurse’s best practice to honor and respect the family’s cultures and beliefs to help cope. Various cultures perceive death differently. For example in the Muslim community rituals are performed including bathing, shrouding the body, which is then followed by the prayer. Another example of cultural sensitivity is language. There are two types of language when communicating with patients; verbal and non-verbal. Culturally effective communication is a key factor to the nurse-patient relationship. For instance, English may be a patient’s second language; this may interfere with communication and adds more stress to the situation for the patient. Healthcare providers can provide patients with an interpreter or language line to ensure there is a clear understand of the patient 's treatment plan. This can improve patient outcomes and avoid disparities. The third example of how nurses can provide culturally sensitive care is by becoming aware of cultural sensitive diets. Many ethnic cultures have strict diet guidelines. A nurse can simply consult nutrition and help accommodate a modified diet. This will show respect, in turn improving the comfort level, trust, and respect between the nurse and patient. For example, the Islamic community does not eat pork, animals with a cloven hoof, or alcohol. These are just a few examples of how healthcare providers can provide culturally sensitive care and improve continuity, satisfaction and respect in
Leininger’s theory of nursing: Cultural care diversity and universality (1998). Nursing Science Quarterly. 1(152) DOI: 10.1177/089431848800100408
When working in a medical/health related field one would be able to see countless people and odd things. Some medical procedures that might seem small to one person may be complicated or even taboo to another person’s beliefs. That is why as nurses, one should be culturally competent. (Newman Giger & Davidhizar, 2008) says, “to be culturally competent one must be able to deliver meaningful care to a patient
The term culture is defined as “the thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups” (Potter & Perry, 2013). With the increase of culturally diverse populations in the United States, it is important for nurses to practice cultural competence. Cultural competence is the ability to acquire specific behaviors, skills, attitudes, and policies in a system that permits “effective work in a cross-cultural setting” (OMH, 2013). Being culturally competent is essential because nurses who acknowledges and respects a patient’s health beliefs and practices are more likely to have positive health outcomes (OMH, 2012). Every culture has certain views and attitudes concerning health. The Jewish (also referred to as Jews), in particular, have intriguing health practices and beliefs that health care providers need to be aware of.
As we know patients have a unique set of values that are influenced by their culture and spirituality. As a nursing student, I have a responsibility to demonstrate respect for my patients cultural and spiritual beliefs. For example, while I was providing morning care the patient’s grandson came in, and I respectfully asked the patient if it was okay for his grandson to stay in the room while I provided care. thus, in this situation I tried respect the health practices. There were no cultural issues.
A cultural assessment interview is very important when taking care of patients or their families who may be from a different culture than the nurse’s. In order to be able to better take care of a patient, we first need to know their own interpretation of disease and illness within their cultural context, values, and beliefs. Since I am Indian and my culture is a mix of the Indian cultural beliefs and my religion Islam, I was looking forward to this interview so that I am able to learn more about different cultures using my assessment.
To start, integrating the theory will lead the nurse to understand and acknowledge the vast patient population of a multicultural society. This in turn, will result with the nurse individualizing patient care and educational materials to fit personal needs, values, and beliefs of the patient leading to wholistic care of the human being. Overall, incorporating the theory will lead to an improvement in patient outcomes. Sitzman and Eichelberger (2015) wrote that if patients’ experienced nursing care that fails to incorporate their needs, they will develop cultural conflict, noncompliance, and
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
There are cultures that have very different views on things such as family dynamics and health care than what I’m used to. For example, there are some cultures that do not believe in seeking healthcare when they are ill or receiving medications or blood if needed. However, my family always believed in taking us to the doctor and taking medications when we were ill. There are also some cultures that have very large families that they are very close to however I always had a small close-knit family. I am able to see how these different scenarios could affect the nursing care provided by assuming that other people and families have the same beliefs that my family had growing up. However, this is why it is important to ask questions and do research about a particular culture before making assumptions. I also believe it is very important to avoid assuming that all cultures are the same just because they are of a certain culture or ethnicity. Beliefs and rituals can differ amongst people of the same community. Therefore, it is essential to get to know your patients and have an understanding of their beliefs as an
Having cultural awareness, cultural sensitivity and cultural competence is very relevant as a professional nurse. There are many different models used for cultural assessments that were created by nurses. The Giger and Davidhizar’s Model of transcultural nursing outlines six factors that is useful in cultural assessment. This Model centers on patient’s health beliefs and health traditions. There is key information needed to perform an adequate cultural assessment in diverse cultures. There are diverse cultures and ethnicities found in my local community. The Russian community is prevenient in my community and has their own beliefs, health issues and health behaviors.
The nurse becomes the confidant, the guide through the darkness, a source of comfort for those experiencing the trauma of losing a child. To successfully fulfill these nursing roles, in addition to roles that must be fulfilled to meet other patient’s needs, one must acknowledge their own definition of death and educate themselves on cultural and societal norms associated with death and dying. It is important to identify one’s own definition of death and dying but also understand that one’s preference does not define the death experience for others. The individuality and uniqueness of each death experience means that one definition of death may be hard for one to accomplish. It is important to maintain an open mind, nonjudgmental spirit, and impartiality for the cultures and practices of others surrounding death and dying. A culturally competent nurse is not only responsible for acknowledging the cultural norms of others but also respecting and educating themselves about the death rituals of their patient’s culture and providing the family with as many resources to safely and effectively fulfill their cultural practices. Education is empowering for the nurse who is navigating the death and dying process. Education often supplements ones credibility with the dying patient and their family which can ease overall anxiety and further promote ones role as a patient advocate and provider of
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.
As nurses entering the medical field understanding the culture of our patients is crucial to proper care. Each culture has their own set of beliefs and values that are shared among groups of people which influences personality, language, lifestyles, house hold, level modesty, social standings, foods, health treatment and identity. Culture affects how people view health and illness; dictating when, where and what type of medical treatment they will receive and who will be their care provider.
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.