When assessing this Asian American, nurses should be aware of this client’s cultural attitudes, biases and assumptions. Nurses need to consider clients’ cultural values about family relationships and identify clients’ messages, they received when they were growing up about people who were different from them (Weil, & Lee, 2004).
The basic principle is that "culturally competent nursing care is based on an understanding and respect of a culture’s attitudes, values, and beliefs." (Weil, & Lee, 2004).
The Abuse Assessment Screen, is a tool to be used to a routine screen for domestic violence, was made by the Nursing Research Consortium on Violence and Abuse (NRCVA) in 1988. " Questions include: when you and your partner argue, are you ever afraid
Using Anne Fadiman’s book The Spirit Catches You and You Fall Down I have created a cultural assessment of the Hmong people and their experiences with the American healthcare system. This small Southeast Asian minority known as the Hmong began moving to the United States towards the end of the Vietnam War. This brought a whole new set of challenges for the healthcare providers of the United States due to their cultural beliefs and native practices which made it difficult to perform certain forms of medicine. Doctors and nurses had to find different ways to treat these patients without violating their cultural beliefs or upsetting them.
The CLPNBC Professional Standards relates to culturally safe nursing in many ways, specifically in the fourth professional standard which is labeled Ethical Practice. One of the indicators that is a good representation of this is “Respects and protects client worth, dignity, uniqueness and diversity” (CLPNBC, 2014). This indicator expresses that as LPNs we have the obligation to understand that different patients have a different backgrounds and this shouldn’t influence the proper and respectful care they deserve. A patient’s care (regardless of their personal preferences or ethical choices and backgrounds) should receive healthcare that shows their importance with no kind of segregation represented through a respectful and accepting manner. Another indicator is “Identifies the effect of own values, beliefs and experiences when providing nursing
Authors in this article asserted the position of American Nurses Association (ANA) in addressing disparities in the health care system. Because there is a social contract between the nursing profession and society, nurses continue to strive to fit the profession in meeting the public health care needs. Aware of the social change and multi-cultural presence in the United States, ANA appointed 40 expert nurses to revise the 2010 nursing scope and practice to include the cultural competency aspects. The result was the addition of the Standard 8: Culturally Congruent Practice.
For example, a nurse once told me that they had never had any exposure to people that did not look like them, talk like them, or think like them. I was not judgmental, but I was amazed that this is possible at this day and time. I felt like this person was missing out on so many cultural differences. I want nurses to have cultural awareness and cultural sensitivity and to have some knowledge and understanding that there are many different cultures that their patients bring to the health environment. Culturally competent nursing care helps ensure patients’ satisfaction and positive patient outcomes.
Giger and DavidHizar Transcultural Assessment Model: Hispanic Cultural Awareness in Healthcare 112149135 Boise State University Giger and DavidHizar Transcultural Assessment Model: Hispanic Cultural Awareness in Healthcare In every profession, there are underlying key aspects as to how that profession functions. In the nursing profession, there are processes used to facilitate quality care, as well as models to show the aspects of how we address this care. Cultural aspects are deemed a high priority in establishing greater quality care, and are considered within each aspect of the Giger and DavidHizar Transcultural Model.
Cultural competency is vital when working with diverse populations in health care because of all of the different cultures and ethnicities prevalent in our country. America is a true melting pot, and the acculturation which inevitably occurs, is an important aspect of assimilation. Since communication is a key objective in the prognosis of various ailments, the healthcare experience is reliant on today's health professionals to have an adept understanding of a multicultural environment. A regulatory dilemma which is common in today's culture, is the alienation of groups that are not understood by our healthcare system. These patients often resort to self care , which often leads to serious complications and other health issues as a result
In a culturally diverse country like the United States, healthcare professionals such as nurses will work with people of different cultural backgrounds who have different view of health and illness. Mcgoldrick, Giordano & Preto (2006) concluded that a sense of well-being in terms of physical and mental health within a societal context is strongly affected by cultural identity. Shared values, behaviors, beliefs and ethno-cultural attitudes of a community influence life experiences and decision we make (Yolanda & Griselda, 2006). With this in mind, it is essential for the nurses recognize the importance patients’ cultural values rooted in their health seeking behaviors. Culture Merriam-Webster online dictionary defines culture as a
Individual cultures and belief must be recognized and respected. Cultural understanding is the extensive logic to be cognizance, attentive and application of information and knowledge associated with ethnicity, culture, gender, or sexual coordination in clarifying and appreciative circumstances and reactions of individuals in their environment. Critical assessment on each of the patient individually is very important and cultural assumptions concerning patient 's beliefs or health practices should be avoid. Several areas should be considered when assessing cultural beliefs of patients, such as individual insight of illness and management, the social organization comprising family, communication activities, pain expression, general health care beliefs, previous experience with care, and language. Cultural practices associated with nonverbal communication in the course of conversation are very important.
Nurses working in the healthcare industry meet patients from many different backgrounds and cultures. It is important for a nurse to know beliefs of different cultures in order to provide culturally competent care to patients. The purpose of this paper is to teach about the health practices and beliefs of
Cultural awareness allows a nurse to develop interventions that will decrease the health disparities with this cultural group. A nurse that strives in building a nurse/patient relationship that focuses on facts, spending time to understand their true illness, and seeks the opinions and advice of the family will overcome a history of mistrust with outsiders (Giger, 2013, p. 264). A second nursing intervention would be to provide dietary education and changes to their diet to decrease and treat problems associated with high blood pressure and diabetes. The biggest challenge to implementing these goals is the limited time to educate and teach these health illiterate individuals of the factors contributing to disease and health problems. This cultural group has limited knowledge and understanding of medical explanations of how illness occurs or how to prevent cardiovascular illness or diabetes (Giger, 2013, p.
To work effectively in a foreign community, it is crucial that short-term nurses have an understanding of culture, belief system, and their lifestyles. Nurses needs to be culturally competence to provide patient centered effective healthcare. Culture competence is the ability of healthcare professionals to understand the social, cultural and linguistic needs of patients to provide effective health care (Georgetown University Health Policy Institute, 2004). A lack of culture competence can lead to poor patient outcome. For example, if a nurse has a poor understanding of a diabetic patient's diet, and food preference, that could inhibit the nurse's ability to educate patient to manage the disease.
Hi Moncy, I agree with you as you noted the increasing diversity of the nation brings opportunities and challenges to health care system, on the other side a culturally competent health care system helps to improve health outcomes and quality of care, which eliminate racial and ethnic disparities. foster advocacy for social justice and increase focus on global healthcare, the cultural competence class benefit diverse population to receive more satisfactory patient care, uplift social justice and increase global health as well cultural competency skills , make self-awareness among nursing workforce also provide an opportunity to staffing to learn and experience life from different perspectives and able to recognize each person has their own
If nurses lack of understanding regarding community demographics and cultural differences, they can have unintentional bias, and stereotype patients due to a lack of awareness of the cultural demographics of the community they serve (Camphinha-Bacote, 2011). Cultural competence is the understanding of different cultures and how that impacts the provision of patient care. Cultural competence in nursing is defined as one willingness or the desire to understand a patient’s culture, the ability to learn about a defined cultures belief system, and to work effectively as a healthcare provider understanding the dynamics of the patient’s culture as it relates to their relationships and care (Kardong-Edgren et Al.,
Two question screening tools-assesses sexual violence. Traumatic Events Questionnaire The Traumatic Events Questionnaire (TEQ), where 11 specific traumatic events are assessed, a few are mentioned as follows: sexual assault, rape (forced unwanted sexual activity), violent crime, adult abusive relationships, abuse including sexual, physical and child abuse, witnessing someone being mutilated, seriously injured, or violently killed, other life¬ threatening situations, and violent or unexpected death of a loved one The Trauma History Questionnaire (THQ) was developed by Bonnie Green and her associates at Georgetown University THQ which aims to provide a comprehensive assessment of exposure and to be suitable for both research and clinical populations.
The world is a diverse population, with people coming from various ethnic and cultural backgrounds. A person’s views, values, and traditions determine their daily needs and practices. So, healthcare providers face certain challenges and restrictions because a patient’s belief may inhibit professionals from providing the most effective care. Therefore, cultural competence is an important idea for healthcare providers to consider when understanding and respecting patients. Balcazar, Suarez-Balcazar, and Taylor-Ritzler (2009) noted in “Cultural competence: