Albanian Cultural Analysis As America continues to grow and expand with diverse cultures immigrating into the United States it is important to start to incorporate culture specific care into nursing. Cultural competence is when attitudes, knowledge, and skills to diverse cultures are adequate to provide quality care to the individual (AACN, 2008). Cultural sensitivity is when verbal and nonverbal ques are used to reflect sensitivity and appreciation for one another’s culture (AACN, 2008). Per American Association of Colleges of Nursing (2008), there are five key competencies when providing care which include applying the knowledge of social and cultural factors, using relevant evidence based practices, promote safety and quality …show more content…
The patient has fluids running from the Emergency Room (ER). The nurse does the admission process, and finds out the patient has advance directives that have been verbally stated to the husband and son who will make decisions. The patient and family are also Albanian Muslims who practice faithfully. Past medical history include Sickle Cell Anemia, chronic migraines, asthma, chronic shortness of breath, and hypertension. The advance directives include not to resuscitate and no ventilator. The patient starts to complain of uncontrolled pain in her chest, feeling feverish, difficulty breathing, increase respiratory rate, decrease oxygenation 90%, and a strong wet cough. Doctors are notified of new onset of symptoms. The patient is diagnosed with Acute Chest Syndrome, and is treated appropriately with a bronchodilator, chest x-ray, antibiotics and fluids. No ventilator required, and patient states relief of pain. Education provided about crisis, with family at bedside. The husband stated he did not want any more interventions done now that she is stable and would like their medicine doctor to come see her. The patient refuses food provided by the cafeteria, due to the cafeteria tray having meat on the plate, and food is brought in to the patient by family and friends. The father or son is at the patient’s bedside at all times, and the patient’s medicine doctor visits to do a healing ceremony on the patient. The patient is
In healthcare industry cultural competence is an important component and it is not an isolated aspect of medical care as it improves patients’ clinical outcomes. Cultural competence is express as a dynamic, complex and it involves skill that healthcare providers need to develop in order to respond to their individual diverse cultural patients’ (Brenda, 2016). Cultural competency is defined as creating consciousness of an individual’s life; feeling and thoughts without allowing it to have an unwanted control or power by demonstrating knowledge on the patients cultural and respecting their differences. Another definition had been stated that cultural competence is how the healthcare providers advocate effectively and deliver required needs for their diverse cultural patients (Weber, 2003). Cultural competency is a concept that had been used widely in nursing profession.
In the profession of nursing you encounter patients from various cultural backgrounds. With the diversity of the populations in the United States nurses must become culturally competent. Nurses have to be culturally aware to be able to provide culturally competent care to their patients. Dr. Madeline Leininger created a model of Transcultural Nursing called the Sunrise Model. There is a case study that will be used for a cultural assessment to be performed with the use of the Sunrise Model. In addition, the cultures, ethnicities, and health practices will be looked at in my local community. Identification of areas that can be improved with cultural awareness in the case study. Lastly, the relevance of cultural awareness, sensitivity, and competence as a professional nurse will be discussed.
Cultural competence is the ability to effectively communicate with diverse groups of individuals to better care for them as well as interact. Cultural competence encompasses understanding your own bias towards another because of their different background, using respectful communication including body language, and the skill of conducting a cultural assessment while avoiding judgment. APRNs can become culturally competent by acquiring a set of attitudes, behaviors, and knowledge base to work effectively in cross-cultural situations (Purnell, 2013). Nursing is an ever-changing dynamic, adapting to its surrounding stimuli and shaped by societal norms, new discoveries, and sophisticated technology. So why is it important to incorporate cultural
The practice of nursing today demands that the nurse identify and meet the cultural needs of diverse groups, understand the social and cultural reality of the client, family, and community, develop expertise to implement culturally acceptable strategies to provide nursing care, and identify and use resources acceptable to the client (Andrews & Boyle, 2002). A culturally competent care is an essential element of the 21st century for those who are responsible for providing health care in transcultural societies (Papadopoulos, 2006). Functioning successfully within different cultures can be a struggle for many professionals and, as the world changes, it's become clear that dealing with other cultures, both domestic and international, requires
Cultural competence is defined as developing an awareness of an individual’s existence, thoughts and environment without letting it have an influence on those from other ethnic backgrounds, it develops an understanding of the patient’s culture, accepting and respecting cultural differences, which in health care individuals will adapt to care to be congruent with the patient’s culture. As nurses, they are patient’s advocates so they are required to support decisions made by patients or their families that may reflect cultural perspective that may conflict with mainstream healthcare. It may be hard to offer
The 2012 National Healthcare Disparities Report from the Agency for Healthcare Research and Quality continued to show that minority groups and low-income individuals were falling behind in availability and excellent healthcare when compared to other groups. The prediction is that there will be an accelerated increase with minorities by 2060. For the first time in United States history, the minority will become the majority in 2043 (Phillips & Malone, 2014). With these expectations, it is quite evident there is a need for an increase in diversity in the healthcare system. The purpose of this post is to explore the definition of diversity, the benefits, and barriers to diversity in
I have chosen this paper since I have been involved in care for the pediatric patients and families from various backgrounds. This increased my interest in effects of culturally sensitive care for children and their families.
Working as a nurse in the most diverse nation on Earth provides limitless opportunity to interact on a personal level with individuals and families with cultural backgrounds that differ from your own, and the concept of cultural competency has emerged in recent years to address this increasingly prevalent phenomena. The barrier of language can prohibit a patient from properly explaining their symptoms, treatment options may be foregone or avoided due to religious obligation, and even the dietary requirements of certain cultures may affect a nurse's ability to effectively administer pharmaceutical medication. All of these issues represent the sound reasoning behind advocating for cultural competency within the field of nursing and healthcare delivery, because no patient should ever be placed at a disadvantage when it comes to their personal health simply by virtue of their cultural background. Research on the efficacy of nursing within culturally diverse environments, such as university health centers located in major metropolitan areas, has consistently concluded that "culturally competent care means providing care within the context of a patient's culture and beliefs (and) to provide this care as a community health nurse, you need to continually acquire knowledge, refine skills, and assess yourself … (because) becoming culturally competent is an ongoing process" (Huber, 2009). By adopting the practices of cultural competency in one's
According to Sidumo, Ehlers, and Hattingh (2010), cultural competence is a nurse’s ability to respect and
Gaining a patients acceptance and trust will be easier if a nurse shows an interest and knowledge about a patient’s background. Srivastava (2007) suggests that cultural competent care refers to the healthcare provider being able to apply their skills and knowledge appropriately when interacting with patients. In order to provide cultural competent care the healthcare provider must know the patients culture, ethnicity, race, diversity and minority (Srivastava, 2007). Offering
You are right when you state that nurses need to make sure that all patients receive the same quality of care even though there is a cultural diversity between patient and nurse. The professional nurse can be identified by the way she handles cultural diversity. If the nurse has done a cultural self assessment, then she can proceed in delivering culturally congruent nursing care by viewing what is needed for the patient through what the patient’s culture dictates and not her own. Another part of the professional nurse is that she treats those who are culturally diverse no differently then those who are of the same culture. This is very difficult to do since we are creatures of habit, but that is what separates the average nurse and the professional nurse (Andrews & Boyle, 2015).
I sincerely could relate to the issue on culturally sensitive care among nursing practices. When my father was hospitalized for three months from one hospital to another, I could say that it is important for nurses to be sensitive enough with the patient and its family. We experience both the harsh way of a nursing practice and an ideal nurse per se. My father was once admitted in a public hospital available in our province where my siblings find difficult to approach the nurses. My father was 70 years old and suffered pneumonia. When they approached the nurses to add ventilation in his room, the nurse drastically replied that air-condition can only be used at night and my family must settle to what is given by the hospital. My sister was even
Cultural competence is a dynamic, lifelong learning process. Understanding the process for assessing cultural patterns and factors that influence individual and group differences is critical in preventing over generalization and stereotyping. Knowledge of the following topics is essential in order to provide evidence-based, culturally competent nursing care.
When providing nursing care to those of varied backgrounds, the nurse’s ability to practice cultural competence is critical. Soulé (2014) defined cultural competence as “an inclusive approach to health care practice that enables a health care professional or health care system to provide meaningful, supportive, and beneficial health care that preserves every client’s and every community’s human rights and dignity” (p. 48). The nurse must consciously and consistently assess their awareness, engagement, and application skills while speaking to and caring for the patient.
Understanding cultural competence is necessary to any career, but more particularly with health-related careers. Some do not understand the barriers that may occur during the provider-patient interaction, if the provider lacks the knowledge about a patient’s culture. “The providers need to be culturally aware, sensitive, and competent to be effective in integrating health beliefs and practices into the plan of care for the patient” (Purnell, 2005 p.8). In 1995, Larry Purnell, developed The Purnell Model of Cultural Competence, which provided an organized framework “to guide cultural competence among multidisciplinary members of the healthcare team, in a variety of primary, secondary, and tertiary settings” (Purnell, 2005 p. 7). This model consists of 12 domains including an overview of heritage, communication, family roles and organization, workforce issues, biocultural ecology, high-risk behaviors, nutrition, pregnancy and childbearing, death rituals, spirituality, healthcare practices, and healthcare practitioners. The immigrants of the Philippines attracted my interest since I was young, way before I became a nurse. The area that I currently live in has changed in the recent years and the Filipino culture is more commonly seen in my community than ever before. In my view they are looked at as smart, hard-working, individuals that have truly worked their way up to become successful people in America. However, I do not know everything about their culture, but I gained much