Core Elements Of Cultural Competence In Health Care

The increasing population of immigrants in the United States has contributed to health disparities in the health care system. Cultural competence can remove health disparities by eliminating personal biases, and treating every person with respect. Simply recognizing and accepting different cultures is not enough, one must be able to consistently recognize and understand the differences in order to be culturally competent. Knowledge and culturally competent practices are a must for nurses to deliver quality care in our rapidly changing multicultural world (Edelman, 2014 p. 25).

“Health is influenced by culture and beliefs” (NRS-429V, 2011, p. 1). In order for the nurse to properly care for the patient, she must know and understand the patient’s culture. “Cultural care is a comprehensive model that includes the assessment of a client’s cultural needs, beliefs, and health care practices” (NRS-429V, 2011, p. 1). It is not enough to just know where the patient lives or where he came from. The nurse must embrace the concept of cultural competence and cultural awareness. This requires not only the awareness of the cultural beliefs and values of their patients, but also

Cultural competence in nursing is imperative for effective patient care. A nurse must know his or her own values and beliefs as well as knowing about a patient cultural practices in relation to healthcare. Cultural competence is defined by some as: “the learned, shared and transmitted values, beliefs, norms and lifeways of a particular group that guides their thinking, decisions and actions.” Also it is noted that an important change to this definition is “the recognition of the dynamic,

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

The main ideas that Lisa Bourque Bearskin is stating in this article is that nurses need to be more sensitive to cultural care. They need to be aware of the issues in healthcare and strive to remove any barriers for certain groups, such as the first nations, and they need to disrupt any unequal relations in the social, political and historical aspect of healthcare. The way this can be done is by shifting their thoughts from cultural competence to cultural safety by way of relational ethics. Cultural competence is explained as the knowledge, skills, and attitudes that nurses need to use to care for cultural differences. Another framework described cultural competence as going through the stages of cultural awareness, cultural knowledge, cultural skill, cultural encounter, and cultural desire. Cultural competency works very well when making policies in an agency but this view fosters a view of culture that does not encourage nurses to ask questions. (Bearskin, 2011) Cultural Competence causes different cultures to be put in a box, which cannot be done because cultures are constantly changing and every person’s culture is different. Culture is individual. Lisa Bourque Bearskin goes on to say that cultural safety is what nurses should use for ethical practice. In cultural safety, a nurse must strive to improve health care and its access for all people, while recognizing that there are many different cultures that have a right to be recognized. Bourque

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

In order to deliver nursing care to different cultures, nurses are expected to understand and provide culturally competent health care to diverse individuals. Culturally competent care is tailored to the specific needs of each client, while incorporating the individual’s beliefs and values (Stanhope & Lancaster, 2006, p. 90). By being culturally competent, nurses are able to help improve health outcomes by using cultural knowledge and specific skills in selecting interventions that are specific to each client (Stanhope & Lancaster). Therefore, nurses “should perform a cultural assessment on every client with whom they interact with” (Stanhope &

Cultural competence in nursing can provide a platform for nursing to understand a patient's culture and background. When a nurse takes the time to learn about a given culture

As a future healthcare professional, developing cultural competence is necessary in order to be effective in the task of creating a safe environment for our patients where they can tell their story and receive the care they need. Health disparities are characterized by differences in the incidence, prevalence, mortality, and disease burden to specific populations groups in the United States (Raingruber, 204). These health disparities may be contributable to a number of factors such as age, gender, educational attainment, socioeconomic status, race, ethnicity, and a myriad of other factors (Raingruber, 2014). In order to meet the challenge of reducing health disparities and improving the overall health care system, nurses must make efforts to engage and understand their patients from the frame of reference of their patient’s culture (Raingruber, 2014).

Working as a Case Manager (CM) for a Medicaid-based Health Insurance has brought me in contact with patients of varied cultures, languages and races. As a CM For Metro Plus Health Plan, my responsibility is to teach High Risk pregnant women about their diseases, encourage them to stay in care with their Primary Care Physician/Obstetricians, explain the importance of taking their medications as prescribed, and adhering to all their providers plan of care, with the goal of encouraging these patient’s to become responsible and active participants in their own care. I have been able to directly observe as a clinician, how cultural competence can positively impact not only the relationship between my patients and I, but also the level of care I am able to provide.

Cultural competency is an indispensable in nursing practice so that nurses can deliver optimal care for patients from diverse cultural backgrounds. Therefore, insufficient knowledge and skills of cultural competency have continued to increase racial and ethnic inequalities in health care service for minority groups (Dunagan et al. 2013; Long, 2012). As nurses interact with clients they provide nursing care, education and advocacy at any point in need. Cultural awareness remains the basis for nurses to develop interest and continue to advance in knowledge and skills to deliver culturally competent care (Calvillo, 2009). To complete the critical analysis of the

‘The Process of Cultural Competence in the Delivery of Health Care Services Model’ is a model of cultural competence involving cultural awareness, knowledge, encounters, desires and skills. It defines cultural competence as "the process in which the nurse continuously strives to achieve the ability and availability to effectively work within the cultural context of a client individual, family or community" (Campinha-Bacote, 1998). This process requires nurses and midwives to become culturally competent, rather than

Cultural competence allows nurses to be able to provide the best care for their patients. Many individuals in different cultures have many differences that a nurse may not agree with or understand. It is the nurse’s job to understand a patient’s practices, cultural norms and lifestyle choices.

Nowadays, nurses not only need to know how to care of their patients, but they also must be able to care of patients from other cultures with many beliefs and values. Cultural views of individual influence the patient’s perception and decision of health and health care (Creasia & Parker, 2007). In order to care for people across different languages and cultures, nurses need to develop cultural sensitivity, knowledge, and skills.

Nurses providing culturally competent care is crucial in the health care field. Many patients have different backgrounds and practice a certain way of life. As a nurse, it is important to know about the persons culture before caring for the patient. Communication is one of the main parts of cultural competence. Understanding your patient and making sure they know what is happening to them is very important for providing good care. Other differences can include: spirituality, family roles, biocultural ecology, nutrition, death rituals and more (Catalano, 2015).