Community Strategies Essay

774 Words Feb 25th, 2013 4 Pages
How can community health nurses apply the strategies of cultural competence to their practice? Provide at least one example from each of four strategies: cultural preservation, cultural accommodation, cultural repatterning, and cultural brokering. What is a possible barrier to applying the strategy/example chosen? Use an example that is different than the postings of other students.
As an OB nurse, I care for many Hispanic women having babies. One of the culturally challenging barriers I have come across is that the women believe they should wait until their milk comes in before they start breast feeding. In the meanwhile they wish to feed their newborns formula from a bottle. Evidence-based practice supports breastfeeding from within one
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14) practice. In this instance, the outcome is the same, that is, the mothers are allowed to bottle feed their infant until their milk comes in. However, the basis for allowing the practice to continue is different. Preservation assumes the practice is correct and beneficial, whereas accommodation believes the practice can cause no harm.

“Cultural brokering is defined as the act of bridging, linking, or mediating between groups or persons of differing cultural backgrounds for the purpose of reducing conflict or producing change (Jezewski, 1990)” (National Center for Cultural Competence [NCCC], 2004, p. vii). In the example of breastfeeding, brokering would involve group education through multiple programs, e.g. the hospital, WIC, and any Hispanic-based organization in the area. Another source would be to place public service announcements on the Spanish radio and TV stations that provide information regarding the benefits of breastfeeding and the disadvantages of formula-feeding. Our lactation consultant works closely with the WIC office educators and the hospital-based childbirth educators to promote this change. She also goes out to the OB offices and pediatric offices to promote evidence-based education, training, and practices in an effort to change this potentially harmful cultural practice.

Anything other than cultural preservation or accommodation presents some