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Mutual respect of different cultures
The similarities between cultural humility and cultural competence
Difference between cultural competence and cultural humility
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Cultural humility is the act of acknowledging cultural differences between another individual and yourself, understanding the value of the individual’s cultural identity, and orienting your interaction towards the cultural identity of other person, especially when it comes to the aspects of their culture which they value the most. For me, my Roman Catholic upbringing could influence the way I deliver healthcare, as it does impart negative views on things that many people do not view negatively, such as birth control. However, it is important for me to never forget that I am here for my patient; I am not here for myself. My purpose is to maximize the value I provide to my patient, and to do so I need to work within the framework of their cultural
beliefs, not my own. Being adversarial towards my patient’s personal beliefs and preferences, due to my own personal beliefs, will only serve to damage the relationship I have with the patient, prevent growth of that relationship, and cause the patient to suffer because they are not getting the best care that I can provide.
..., p.261) With this knowledge of the culture that one works in, the health care worker can better see the differences with the cultures of the patients that they are taking care of. Hopefully this understanding will lead to less conflict and better healing.
Indisputably, all too many families find themselves making the difficult decisions to place their loved ones in a nursing home facility. In that stressful atmosphere, family members may be tense, and conflicts may arise. Occasionally, patients and family members can be burdensome and may place their frustration toward the nursing staff. Consequently, some nurses seek to suppress such tension, only to find that it spills over into other areas of life. Others even suffer emotionally, giving way to frustration and despair. The concept of cultural humility will be discussed throughout this paper as an open and aware mentality, the quality and knowledge necessary for the nursing staff to
In such a multicultural world, being knowledgeable and understanding of not only your cultural background, but that of others is essential. Building my awareness on cultures different from my own, and how it shapes an individual’s identity, will foster my personal and professional development. Subsequently, I conducted a cultural interview with an individual whose cultural background differed from my own. Several similarities and differences between our cultures were apparent in the interview, specifically in the areas of race, ethnicity, language, values, and worldview.
Tervalon, M., & Murray-Garcia, J. (1998). Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor and Underserved , 117-123.
Culture can be defined as behaviors exhibited by certain racial, religious, social or ethnic groups. Some factors in which culture may vary include: family structure, education, and socioeconomic status (Kodjo, 2009). Some may think cultural competence is something that has an end point, however, when the big picture is seen, it is a learning process and journey. From the writer’s perspective, the client-therapist relationship can be challenging. Culturally competent therapists must realize that behaviors are shaped by an individual’s culture. Many changes are taking place within the United States cultural makeup. Therapists and healthcare professionals are being challenged to provide effective and sensitive care for patients and their families. This type of culturally sensitive care requires the professional to be open and seek understanding in the patients diverse belief systems (Kodjo, 2009).
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
Being narrow-minded and not being able to take a look at a situation from another person’s point of view can interfere with many situations in life. Culture varies from person to person, province to province, and country to country. Making the adjustment to be able to make adjustments to things such as healthcare to accommodate someone because of their culture is important. Cultural differences will be apparent in all hospital settings no matter where you travel to, so being mindful of it all will go a long way so that the treatment is done correctly and culturally competently. While healthcare may seem as the most important time where culture is sensitive, as Dettwyler sees during her time in Mali, culture affects all parts of life.
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
As we are living in this culturally diverse society it is of extreme importance that healthcare providers deliver appropriate services that are fair, culturally sensitive and are respective of the individual’s culture. This can only truly occur when health care providers understand individual cultures and the needs, values and beliefs of the individuals within them.
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
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...
This paper explores the concept of culture, its definitions, and its application to nursing and health care. Culture is a group's customs, habits, morals, and shared beliefs. The understanding of culture, not only as a concept, but how it relates to health care is imperative for providers. The lack of cultural awareness, or competency, leads to miscommunication, inadequacy of care, and health disparities among individuals and groups. Jehovah’s Witness’ are one group of individuals with defined morals and beliefs that can be at odds with routine health care: they do not accept most blood products. Understanding how culture can impact a patient, their needs, and beliefs can improve patient outcomes and improve satisfaction rates.
Working with different cultures is inevitable in nursing. As nurses we must be open to the challenges of working with different cultures and finding creative solutions to the health care challenges we may experience when caring for patients that are of a different culture. “Culture is an organized group of learned responses, a system of ready-made solutions to the problems people face that is learned through interactions with others in society” (Seibert, Stridh-Igo, & Zimmerman, 2001, p. 143). When caring for patients of other cultures we must avoid ethnocentrism and focus on providing culturally congruent care which is “care that fits the people’s valued life patterns and set of meanings, which is generated from the people themselves, rather than based on predetermined criteria” (Potter & Perry, 2005, p. 120). To accomplish this we must communicate with our patients and families and have a clear understanding of their expectations. If there is a breakdown in communication then there is the potential for conflict and a poor patient outcome.
Cultural competence for advanced practice nurses is defined as the willingness or the desire to understand another person’s culture, the ability to learn about a diverse cultural belief systems, and to work effectively as a healthcare professional understanding the dynamics of the patient’s culture as it relates to their relationships, care, and overall health. Awareness of one’s own culture, along with the understanding of other cultures, and how that relates to nursing care is essential to improve outcomes for patients (Kardong-Edgren et al., 2010). This paper will review a personal account of my cultural awareness and cultural beliefs. Cultural competence will be discussed as it relates to nursing theory and application