To adapt a care for Jane in order to meet her cultural needs, I would need to be culturally competent this would include putting my cultural skill and cultural encounters into practice (Fundamentals of Nursing e-text, page 9). I would need to assess her cultural believes, practices and values. This would allow me to obtain accurate information necessary to establish a cultural care plan for her. By utilizing my cultural encounters skill, I would be able to interact directly with Jane through a verbal and nonverbal communication in order to get a valid response that will enable me to validate her beliefs, values, and practices. In addition, I would take note of her verbal and her nonverbal responses. Since Jane only eats traditional Vietnamese
“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
Nurses must consider the cultural health practices when assessing patients. The Culture Care Theory is essential and must be incorporated into other nursing theories as understanding cultures and cultural practices will enable nurses to think critically and function at full capacity when interacting and creating treatment plans for patients in a diverse environment.
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,
During clinical time in the nursing program there are many opportunities for students to explore their new found nursing skills. While engaging in patient care responsibilities there are many languages, customs, values, lifestyles, beliefs, and behaviors that will differ from their own. Each patient may need healthcare providers to consider certain aspects in order to provide culturally competent care. There are many cultures that have migrated to the United States over the years including the people of Haiti. There are many aspects of their healthcare ideals that may need to be considered while providing healthcare in the hospital setting. This cultural assessment will consider the healthcare matters of an 81-year-old woman on the
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 &
To be a successful culturally competent nurse, nurses should assume attitudes to promote transcultural care. Nurses need to be aware of their patient’s cultural differences - taking time to understand and value patient’s cultural needs and perspectives. Nurses should show respect and concern for patients. Nurses should also be empathic with their patients.
The Giger and Davidhizar Transcultural Assessment Model was developed for undergraduate nursing students in 1988 by Joyce Newman Giger and Ruth Davidhizar. The assessment model provides a framework for nursing students to easily assess and provide care for patients from many different cultural backgrounds. Six cultural aspects are highlighted: communication, time, space, social organization, environmental control, and biological variations (Giger & Davidhizar, 2002).
The United States is a diverse accumulation of cultural backgrounds which can often set the stage for feelings of confusion, anger, mistrust, and a host of other emotions when dissimilar cultures disagree. Cultural competence in nursing can help eliminate these barriers and provide a platform for nursing to follow in the quest to understand a patient's culture and background. When a nurse takes the time to learn about a given culture prior to providing care, it conveys she respects the patient's right to their beliefs, customs, and culture. It does not necessarily mean the nurse agrees with their practices but
With regard to adapting care to the cultural context of a Native American patient, two theoretical nursing perspectives would be useful. The first is the meta-theory of critical theory, which is concerned with addressing and overcoming unethical power relations in the nursing situation (Oudshoorn, Ward-Griffin, & McWilliam, (2008); and under this umbrella, the second is Leininger's middle-range theory of cultural care, which is specifically concerned with surmounting cultural barriers in the nursing situation (McFarland & Eipperle, 2008). The critical theory perspective would help the nurse remain attuned to power discrepancies in her relationship with the Native American patient; this is absolutely crucial, because a Native American patient may be far more sensitive to what he perceives as acts of domination than patients from the dominant culture. Complementing this broad view, Leininger's theory provides a more specific framework which the nurse can use to assess her patient in order to make sure that she is taking a full holistic account of the patient and refraining from imputing her own cultural views onto the patient. This theory isn't predictive in nature, but it will help the nurse develop the frame of mind necessary for providing "culturally congruent care" (McFarland & Eipperle, 2008, p. 48) for the Native American patient. The middle-range theory can help the nurse bridge the simple social-cultural gap, while the meta-theory
Culture competence is a quality that any nurse should have. The article that I decided to research refers to the impact that language and different cultures have on a patient’s health. It is the duty of health care professionals to attempt to learn about different cultures and to be sensitive to the way patient’s feel about their beliefs. Once the nurse understands a patient’s
In the profession of nursing, an essential aspect is the ability for a nurse to provide culturally competent care to each one of his/her patients. This requires the nurse to understand how a person’s culture can affect the way they care for them. The focus of this paper will be on a model put together to assist nurses in providing care to culturally diverse patients, specifically caring for patients a part of the Chinese culture in the children and family transition of life. The summary and application of the six phenomena in the relation to the Chinese culture followed by the nursing implications of those cultural variances are described below.
In any case, providing competent care to a patient of a different culture must first start with an understanding of the culture itself (Potter & Perry, 2011). Culture is
Madeleine Leininger’s cultural care theory is one of the most influential modern day theories in nursing. Leininger describes her theory as one that is cultural sensitive that is tailored to address patients of different cultures, backgrounds, or origins. Leininger develops the cultural care theory due to the fact that she believes that nurses are caring for their patients as a one hat fits all, and not taking into consideration the patient 's background or their culture.
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.